Connecticut State Department of Public Health

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2017 Fourth Quarter

ENFORCEMENT ACTIONS 

Professional Practitioners


ADVANCED PRACTICED REGISTERED NURSES

Powers, Dianne M., A.P.R.N./ Lic. #: 001483/Cromwell
Petition No.2017-1293 & 2017-1294
Licensure in other states:  MA,TN
Interim Consent Order – November 13, 2017
-Suspended - pending until such time as the petition is resolved.

Dizney, Ashley B., A.P.R.N./ Lic. #: 005810/Southington
Petition No.2017-897 & 2017-169
Licensure in other states:  Unknown
Consent Order – November 15, 2017
- $1,000.00 civil penalty; 4 years’ probation; engage in therapy and counseling; random urine screens; therapist written reports; employment restrictions during probation; narcotics key restrictions; support group meetings. 


BARBERS, COSMETICIANS, AND HAIRDRESSERS

Leone, Edward, H.C. / Lic. #: 037311/E.Haven
Petition No.2017-1033
Licensure in other states:  Unknown
Reinstatement Consent Order – October 23, 2017
- $500.00 civil penalty; reprimand

DeLeon, Romeo Francisco Santos, Barber/ Lic. #: unlicensed
Petition No.2017-179
Licensure in other states:  Unknown
Cease and Desist Consent Order – November 6, 2017
-respondent must obtain an appropriate license in the State of Connecticut.

Johnson, Kanyassha, H.C. / Lic. #: 056132/Waterbury
Petition No.2017-1240
Licensure in other states:  Unknown
Reinstatement Consent Order – November 14, 2017
- $250.00 civil penalty; reprimand. 

DENTISTS

Cheung, Elke, D.M.D. /Lic. #: 008872/Norwalk
Petition No.2017-392
Licensure in other states:  NY
Consent Order – November 29, 2017
- $2,500.00 civil penalty. 

Mohammadi, Abbas, D.M.D./ Lic. #: 008514/Manchester
Petition No.2016-18 & 2016-621
Licensure in other states:  Unknown
Consent Order – November 29, 2017
- $3,000.00 civil penalty.

Stirbl, Steven, D.M.D./ Lic. #: 006005/Southbury
Petition No.2015-1279
Licensure in other states:  Unknown
Consent Order – November 29, 2017
- Reprimand; 6 months’ probation; written supervisor reports; coursework in Documentation and Coordination of care with specialized providers.


EMERGENCY MEDICAL TECHNICIANS

Borgognone, Brett, E.M.T/ Lic. #: 021147/Woodbridge 
Petition No.2016-74
Licensure in other states:  Unknown
Memorandum of Decision – October 23, 2017
-2 years’ probation; therapy; urine screens; support group; employer reports.

Grayson, Jennifer, E.M.T./ Lic. #: 011225/Oakdale
Petition No.2016-60
Licensure in other states:  Unknown
Consent Order – November 29, 2017
- $340.00 civil penalty.

Jean-Jacques, David, E.M.T./ Lic. #: 016964
Petition No.2016-67
Licensure in other states:  Unknown
Memorandum of Decision – November 28, 2017
- Revocation.

Scrivener, Marc A., E.M.T./ Lic. #: 951095/Willimantic
Petition No.2017-19
Licensure in other states:  Unknown
Consent Order – December 20, 2017
- Reprimand; $1,000.00 civil penalty; 6 months’ probation; coursework in Ethics.

ENVIRONMENTAL

LBS HISPANIC CENTER LLC., Lead Abatement Contractor/ Lic. #: 002349/HTFD
Petition No.2017-12
Licensure in other states:  Unknown
Consent Order – November 8, 2017
- $1,000.00 civil penalty; reprimand.

Sieviec, John T., Registered Sanitarian/ Lic. #: 000524/Guilford
Petition No.2016-1
Licensure in other states:  Unknown
Memorandum of Decision – November 17, 2017
- License is suspended until respondent submit proof to the Department, attending all training sessions and has successfully completed the corresponding exams. 


LICENSED MASSAGE THERAPISTS

Miller, Chris A., M.T. / Unlicensed
Petition No.2017-656
Licensure in other states:  Unknown
Cease and Desist Consent Order – November 1, 2017
- cease and desist practice. 


LICENSED PRACTICAL NURSES

Piatak, Lisa, L.P.N. / Lic. #: expired
Petition No.2016-1062
Licensure in other states:  NC
Memorandum of Decision – October 18, 2017
- Cease and desist the unlicensed practice of nursing.

Brice, Kristin A., L.P.N. / Lic. #: 038597/Fairfield
Petition No.2015-1510
Licensure in other states:  Unknown
Consent Order – November 15, 2017-
-2 years’ probation; engage in therapy and counseling; random urine screens; written reports; coursework in Professional Ethics and in Scope of Practice. 

Meadows, Denise, L.P.N. / Lic. #: 031887/Hebron
Petition No.2016-779
Licensure in other states:  Unknown
Memorandum of Decision – November 15, 2017
- Revocation

Pisaturo, Frances, L.P.N. / Lic. #: 034635/East Haven
Petition No.2017-658
Licensure in other states:  Unknown
Summary Suspension Order – November 15, 2017 
-Suspended-pending further action

 

MARRIAGE AND FAMILY THERAPISTS

Miller, Sally L., L.M.F.T. / Lic. #: 001167/Colchester
Petition No.2017-655
Licensure in other states:  Unknown
Consent Order – November 9, 2017
- $10,000.00 civil penalty; 6 months’ probation; coursework in Professional Ethics. 


NURSE AIDES

Evans, Jacqueline, N.A. / NA# 91292813/Waterbury
Petition No.2017-164
Licensure in other states:  Unknown
Memorandum of Decision – November 28, 2017
- Finding of patient abuse. 

Harris, Melissa, N.A. / Lic. #: NA# 91283351/New Haven
Petition No.2015-1270
Licensure in other states:  Unknown
Memorandum of Decision – November 28, 2017
- Finding of misappropriation of resident property.

McGinty, Hunter, N.A. / Lic. #: NA# 91288691/Danbury
Petition No.2016-1413
Licensure in other states:  Unknown
Voluntary Agreement not to Renew/Reinstate – November 27, 2017

White, Randisha, N.A./ NA# 91291459/Hartford
Petition No.2016-328
Licensure in other states:  Unknown
Memorandum of Decision – November 28, 2017
- Finding of patient abuse.


OPTICIANS

Brickett, Allison, Optician/ Lic. #: 001297/Orange
Petition No.2017-1056
Licensure in other states:  Unknown
Reinstatement Consent Order – December 28, 2017
-Reprimand; $1,230.00 civil penalty. 


PHYSICIAL THERAPISTS

Faux, Danielle, P.T./ Lic. #: 006279/Weston
Petition No. 2017-674
Licensure in other states:  Unknown
Consent Order – November 21, 2017
- Reprimand; $3,000.00 civil penalty; 18
Months’ probation; written supervisory reports; coursework in Professional Ethics. 

PHYSICIANS

Fox, Robert A., M.D. / Lic. #: 027281/E.Haddam
Petition No.2017-1045
Licensure in other states:  Unknown
Voluntary Surrender – October 3, 2017

Williams, Wendol A., M.D. / Lic. #: 042573/Madison
Petition No.2017-1114
Licensure in other states:  MD, VA
Voluntary Ageement not to Renew/Reinstate – October 18, 2017

Chen, Yu Chin C., M.D. / Lic. #: unlicense 
Petition No.2017-216
Licensure in other states: NY
Prelicensure Consent Order – October 16, 2017
- Reprimand; probation; coterminous with the New York Order. 

Berman, Donald, M.D./ Lic. #: 022572/Stamford
Petition No.2016-371
Licensure in other states:  WA, OH, KS, PA, MA, NY, WI
Consent Order – November 21, 2017
- Reprimand. 

Hedayatzadeh, Marjan, M.D./ Lic. #: 049062/Danbury
Petition No.2016-677
Licensure in other states:  Unknown
Consent Order – November 21, 2017
- Reprimand; $5,000.00 civil penalty. 

Kessler, James, M.D./ Lic. #: 053293 
Petition No.2017-646
Licensure in other states:  Unknown
Consent Order – November 21, 2017
- Reprimand. 

Mar, Ernest K., M.D./ Lic. #: 040829
Petition No.2017-367
Licensure in other states:  Unknown
Consent Order – November 21, 2017
- Reprimand. 

Tak, James, M.D./ Lic. #: 056742
Petition No.2017-1347
Licensure in other states:  OH
Interim Consent Order – November 30, 2017
- License suspended until such time as the petition is resolved.

Zebrowski, Stephen E., M.D./ Lic. #: 027212/Plainville
Petition No.2015-248
Licensure in other states:  Unknown
Consent Order – November 21, 2017
- Reprimand; 1 year probation; supervisory written reports.

Ramzan, Usman, M.D. / Lic. #: 044658/Northford
Petition No. 2016-1237
Licensure in other states:  AZ
Consent Order – December 19, 2017
- 5 years’ probation; random urine screens; therapy reports, employers reports; support group attendance; no solo practice during probation. 

Pearlstone, David, M.D. / Lic. #: 044328/Easton
Petition No.2016-593
Licensure in other states:  NY, TX, NJ
Consent Order – December 19, 2017
- Reprimand; $7,500.00 civil penalty; coursework in Assessment of Post-Surgical Healing; written supervisory reports.

Bellofiore, Paul, M.D. / Lic. #: 031113/Waterbury
Petition No.2016-1280
Licensure in other states:  Unknown
Voluntary Surrender of License - November 30, 2017

PROFESSIONAL COUNSELORS


Billman, Cara C., L.P.C. / Lic. #: 001663/Cheshire
Petition No.2016-1388
Licensure in other states:  Unknown
Consent Order – December 08, 2017
- 1 year probation; no solo practice; employer reports; $2,000.00 civil penalty; coursework in Boundaries and Ethics. 

Degling, Andrew, L.P.C. / Lic. #: 001763
Petition No.2016-1427
Licensure in other states:  Unknown
Consent Order – December 12, 2017
- Reprimand; 6 months’ probation; coursework in Suicide Assessement and Intervention for Professional Counselors. 

Dube-Gallo, John E., L.P.C. / Lic. #: 039211/Middletown
Petition No.2016-668
Licensure in other states:  Unknown
Memorandum of Decision – December 20, 2017
- Revocation. 


 REGISTERED NURSES

Buynicki, Ryan, R.N. / Lic. #: 112148
Petition No.2016-1092
Licensure in other states:  Unknown
Memorandum of Decision – October 18, 2017
- Revocation 

Cusson, Mark, R.N. / Lic. #: E58032/Southington
Petition No. 2017-1054
Licensure in other states:  Unknown
Interim Consent Order – October 18, 2017 
-Suspended-pending further action

Roach, Maria, R.N. / Lic. #: 089599/Stratford
Petition No.2015-160
Licensure in other states:  Unknown
Memorandum of Decision – October 18, 2017
- Revocation 

Puvogel, Loraine M., R.N. / Lic. #: R29649/Milford
Petition No.2017-1042
Licensure in other states:  Unknown
Voluntary Surrender – October 10, 2017

Riley, Lori, R.N. / Lic. #: 066381/Sharon
Petition No.2017-1060
Licensure in other states:  Unknown
Summary Suspension Order – October 18, 2017 
-Suspended-pending further action

Vincenzi, Gina M., R.N. / Lic. #: 069395/Oakville
Petition No.2017-1173
Licensure in other states:  Unknown
Voluntary Surrender - October 24, 2017

Dizney, Ashley B., R.N./ Lic. #: 094463/Southington
Petition No.2017-897 & 2017-169
Licensure in other states:  Unknown
Consent Order – November 15, 2017
- $1,000.00 civil penalty; 4 years’ probation; engage in therapy and counseling; random urine screens; therapist written reports; employment restrictions during probation; narcotics key restrictions for the first year after returning to work; support group meetings. 

Francis, Karina, R.N./ Lic. #: 084101/Norwich
Petition No.2017-1046
Licensure in other states:  Unknown
Summary Suspension Order – November 15, 2017 
-Suspended-pending further action

Palmer, Dawn, R.N./ Lic. #: 095073/Pomfret
Petition No.2016-263
Licensure in other states:  Unknown
Memorandum of Decision – November 15, 2017
- remain on probation pursuant to the terms with petition number 2013-920.

Palmer, Karen, R.N./ Lic. #: 132713
Petition No.2017-800
Licensure in other states:  TX, GA, IA, MN, MS, OH, SD, WA, WY
Voluntary Surrender – November 13, 2017

Powers, Dianne, R.N./ Lic. #: R40359/Cromwell
Petition No.2017-1293 & 2017-1294
Licensure in other states:  MA, TN
Interim Consent Order – November 13, 2017
Suspended - pending until such time as the petition is resolved.

Presnick, Michael P., R.N./ Lic. #: 106486/Cromwell
Petition No.2017-1071
Licensure in other states:  Unknown
Interim Consent Order – November 9, 2017 
Suspended - pending until such time as the petition is resolved.

Geraci, Keri, R.N. / Lic. #: 105096
Petition No.2016-1347
Licensure in other states:  NH
Interim Consent Order – December 8, 2017
-Suspended-until such time as the petition is resolved.

Heller-Smith, Julia, R.N. / Lic. #: 071317/East Hampton
Petition No.2017-1356
Licensure in other states:  Unknown
Interim Consent Order – December 6, 2017
-Suspended-until such time as the petition is resolved.

Deirdre, Kenny, R.N. / Lic. #: 099881/Meriden
Petition No.2017-791
Licensure in other states:  Unknown
Consent Order – December 20, 2017
- Reprimand; 2 years’ probation; coursework in Ethics, Boundaries, Medication Administration, Nursing Scope of Practice; no solo practice; written employer reports. 

Lopez, Enrique, R.N. / Lic. #: 077537/Washington Depot
Petition No.2017-39
Licensure in other states:  NY
Memorandum of Decision – December 20, 2017
- Revocation

Miller, Alice, R.N. / Lic. #: E56522/East Haven
Petition No.2016-1523
Licensure in other states:  Unknown
Consent Order – December 20, 2017
- 6 months suspension follow by 4 yrs probation; random urine screens; therapy; no solo practice; no access to controlled substances for the first year after returning to work. 


PSYCHOLOGISTS

Selden, Jennifer, Psychology / Lic. #: 002631/Groton
Petition No.201623, 20161527 and 20161057
Licensure in other states:  Unknown
Consent Order – December 4, 2017
- Reprimand. 

Allen, Clark, Psychology/ Lic. #: 000353/Glastonbury
Petition No.2017-1375
Licensure in other states:  Unknown
Voluntary Surrender – December 18, 2017 


RESPIRATORY CARE PRACTITIONERS

Grabowski, Jo-Ellen, R.C.P./ Lic. #: 000921/Monroe
Petition No.2017-783
Licensure in other states:  Unknown
Summary Order – November 14, 2017
-Suspended - pending further action


Completion of Disciplinary Terms

Davidson, Kevin C., Embalmer/Lic. #: 002698/E.Htfd
Petition No.2014606 & 20151155
Licensure in other states:  Unknown
License Suspension ended – October 1, 2017

Kirwan, Laurence, MD, /Lic. #: 027865/Norwalk
Petition No.2015-1343
Licensure in other states:  Unknown
Completed Probation – October 6, 2017

Mantoura, Armira, POD/Lic. #: 000430/Old Greenwich
Petition No.2015-1152
Licensure in other states:  Unknown
Completed Probation – October 12, 2017

Stewart, Marsell, HC/Lic. #: 061035/Orange
Petition No.2012-772
Licensure in other states:  Unknown
Completed Probation – October 19, 2017

Will, Tracy, LCSW/Lic. #: 005754/Ashford
Petition No.2007-2007455
Licensure in other states:  Unknown
Completed Probation – October 27, 2017

Psaras, James, DMD /Lic. #: 007078/Hartford Petition No.2014-796
Licensure in other states:  Unknown
Completed Probation – November 1, 2017

Perlin, Martin, MD/Lic. #: 030601/Westport
Petition No.2015-44, 2015-1554 & 2015-1563
Licensure in other states:  Unknown
Completed Probation – November 30, 2017

Bucci, James, M.D. /Lic. #: 039103/Colchester
Petition No.2012306 & 2015479
Licensure in other states:  Unknown
Completed Probation – December 20, 2017


Health Care Institutions


NURSING HOMES

CIVIL FINES

Connecticut Baptist Homes
292 Thorpe Avenue # 1 
Meriden, CT 06450
- Class B Civil Fine, $1,630.00 – September 22, 2017
- Related to patient accident/incident

Westside Care Center
349 Bidwell Street
Manchester, CT 06040
-Class B Civil Fine, $1,740.00 – March 22, 2017
-Related to nursing staff and services

Chelsea Place Care Center
25 Lorraine Street
Hartford, CT 06105
-Class B Civil Fine, $1,920.00 – March 22, 2017
-Related to nursing staff and services

The Nathaniel Witherell
70 Parsonage Road
Greenwich, CT 06830
-Class B Civil Fine, $1,940.00 – August 11, 2017
-Related to nursing staff and services

Beacon Brook Health Center
89 Weid Drive
Naugatuck, CT 06770
-Class B Civil Fine, $1,530.00 – September 22, 2017
-Related to failure to monitor patient condition and/or patient accident/incident

Avalon Health Care Center at Stoneridge
186 Jerry Browne Road
Mystic, CT 06355186
-Class B Civil Fine, $1,530.00 – August 14, 2017
-Related to nursing staff and services

Autumn Lake Healthcare at New Britain
400 Brittany Farms Road 
New Britain, CT 06053
-Class B Civil Fine, $3,000.00 – May 3,, 2017
-Related to medication administration and/or related to patient accident/incident

Cobalt Lodge Health Care & Rehab Center
29 Middle Haddam Road
Cobalt, CT 06414
-Class B Civil Fine, $540.00 – October 24, 2017
-Related to nursing staff and services

Cheshire Regional Rehab Center
745 Highland Avenue
Cheshire, CT 06410
-Class B Civil Fine, $3,000.00 – October 19, 2017
-Related to nursing staff and services and/or failure to monitor patient condition

Ludlowe Center for Health and Rehab, LLC
118 Jefferson Street
Fairfield, CT 06825
Class B Civil Fine, $1,530.00 – October 12, 2017
-Related to nursing staff and services

Apple Rehab Laurel Woods
451 North High Street
East Haven, CT 06512
-Class B Civil Fine, $1,530.00 – November 2, 2017
-Related to nursing staff and services

Wolcott Hall Nursing Center
215 Forest Street
Torrington, CT 06790
-Class B Civil Fine, $1,530.00 – October 26, 2017
-Related nursing and services

Whitney Rehab Care Center
2798 Whitney Avenue
Hamden, CT 06518
-Class B Civil Fine, $1,950.00 – September 19, 2017
-Related to nursing staff and services

Regal Care at Greenwich 
1188 King Street
Greenwich, CT 06831
Class B Civil Fine, $330.00 – October 18, 2017
-Related to excessive hot water temperature

Bridgeport Manor
540 Bond Street
Bridgeport, CT 06610
-Class B Civil Fine, $1,950.00 – September 26, 2017
- Related to nursing staff and services

Masonicare Health Center
22 Masonic Avenue
Wallingford, CT 06492
Class B Civil Fine, $2,150.00 – November 8, 2017
- Related to nursing staff and services

Bridgeport Health Care Center
600 Bond Street
Bridgeport, CT 06610
-Class B Civil Fine, $3,000.00 – August 31, 2017
-Related to nursing staff and services


Talmadge Park Healthcare
38 Talmadge Avenue
East Haven, CT 06512
Class B Civil Fine, $1,635.00 – September 26, 2017
-Related to nursing staff and services

Bloomfield Center Nursing & Rehabilitation
355 Park Avenue
Bloomfield, CT 06002
Class B Civil Fine, $1,740.00 – December 6, 2017
-Related to nursing staff and services

Harborside Village North Health & Rehab Center
78 Viets Street Extension
New London, Ct  06320
Class B Civil Fine, $3,000.00 – December 11, 2017
-Related to nursing staff and service


WATER SUPPLY ENFORCEMENT 

ACTIONS TAKEN

Public Water System: 227 HORSE POND ROAD - MADISON, MADISON, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/10/2017

Public Water System: FIRST CHURCH OF ROUND HILL, GREENWICH, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/11/2017

Public Water System: HADDAM ELEMENTARY SCHOOL, HADDAM, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/11/2017

Public Water System: ASHFORD HILLS APARTMENTS, ASHFORD, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation:  Lead Action Level Exceedance
-Date: 10/17/2017
Public Water System: CTWC - PILGRIM HILLS DIVISION, COVENTRY, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/17/2017

Public Water System: KNOLLWOOD ACRES APARTMENTS, MANSFIELD, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/19/2017

Public Water System: 125 COMMERCE DRIVE, BROOKFIELD, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/26/2017

Public Water System: FRITO-LAY, KILLINGLY, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/26/2017

Public Water System: FREEDOM VILLAGE ELDERLY HOUSING, MONTVILLE, CT
-Enforcement action: CONSENT ORDER
-Type of violation: Lead Action Level Exceedance
-Date: 10/26/2017

Public Water System: HADDAM ELEMENTARY SCHOOL, HADDAM, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 10/27/2017

Public Water System: NORWICH PUBLIC UTILITIES, NORWICH, CT
-Enforcement action: EMERGENCY ORDER
-Type of violation: Use of interconnection with Montville Water Supply due to main break 
-Date: 11/3/2017

Public Water System: STATE POLICE BARRACKS TROOP E, MONTVILLE, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Lead Action Level Exceedance
-Date: 11/13/2017
Public Water System: PLEASANT VALLEY SHOPPING PLAZA, OXFORD, CT
-Enforcement action: CONSENT ORDER
-Type of violation: E.coli maximum contaminant level
-Date: 12/5/2017

Public Water System: 47 STONY HILL ROAD, BETHEL, CT
-Enforcement action: ADMINISTRATIVE ORDER WITHOUT PENALTY
-Type of violation: Significant Deficiencies 
-Date: 12/26/2017