D.B.
v.
AGENCY FOR PERSONS WITH DISABILITIES
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The Agency failed to meet its burden of proving ineligibility by preponderance of evidence, and the hearing officer's decision was not supported by competent substantial evidence due to reliance on a nonexistent FSIQ score and improper shifting of the burden of proof.
[1] An agency's reversal of its own prior eligibility determination shifts the burden of proof to the agency to demonstrate ineligibility.
[2] A hearing officer's factual finding based on a nonexistent score constitutes an error that may warrant reversal.
Previewing 2 of 6 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“Although the hearing officer noted that the burden of proof was on the Agency, the conclusions of law indicate otherwise. Specifically, the hearing officer found that D.B. was required to provide evidence of significant deficits in his adaptive functioning and concluded that he had failed to do so.”
This establishes that the hearing officer improperly shifted the burden to the appellant despite the pre-trial ruling.
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Join FLexlaw to unlock all legal intelligenceD.B. applied for an HCBS waiver in June 2020 while 17 years old and received notice of eligibility under the intellectual disability category. When a …
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IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED D.B.,
Appellant,
v. Case No. 5D21-2676 LT Case No. 20F-07613 AGENCY FOR PERSONS WITH DISABILITIES, Appellee. ________________________________/ Opinion filed October 14, 2022 Administrative Appeal from the Department of Children and Families. Matthew Armand Gripp, of Seminole County Bar Association, Legal Aid, Longwood, for Appellant. Francis Albert Carbone ll, General Counsel, and Carrie Beth McNamara and Rosa Emilia Llaguno, Senior Attorneys, of Agency for Persons with Disabilities, Tallahassee, for Appellee. PER CURIAM.
D.B. appeals the final order affirming the Agency for Persons with Disabilities’ (“the Agency”) denial of eligibility for Home and Community- Based Services (“HCBS”). We reverse.
In June 2020, while 17 years old, D.B. applied to the Agency to obtain an HCBS waiver, which is a Medicaid-funded package of supports and services for persons with qualifying developmental disabilities.1 D.B. applied under the category of intellectual disability, and the Agency subsequently issued a notice letter indicating that D.B. was eligible for the HCBS waiver program. The notice placed D.B. on the waiting list and explained that “[p]resently, the Agency does not have sufficient funds to serve all [Agency] consumers on the waiver . . . . Placement on a waiting list does not ensure future eligibility . . . . If funding becomes available, your eligibility status will be reviewed and updated.”
Shortly thereafter, Embrace Families, a community-based care organization, requested that the Agency provide residential placement for D.B. in anticipation of his eighteenth birthday, which caused the Agency to “re-review” D.B.’s eligibility for the program. The Agency’s State Office Psychologist, Dr. Martha Mason, conducted the re-review and determined that D.B. was ineligible under the intellectual disability category. Thus, in October 2020, the Agency sent D.B. a notice of ineligibility for the HCBS waiver program, stating that he “had been determined to not have . . . intellectual disability as defined in Section 393.063(24), Florida Statutes.”2 require Petitioner to provide evidence that he has significant deficits in adaptive functioning” and that D.B had failed to meet that burden. Additionally, the hearing officer found that D.B. had recorded an FSIQ score of 76, which was not two standard deviations below the mean. The hearing officer concluded that, based on D.B.’s FSIQ score, he did not manifest an intellectual disability under the Florida Administrative Code. This appeal followed.
D.B. argues that (1) the final order was not supported by competent substantial evidence due to inaccurate factual findings; and (2) the hearing officer applied incorrect legal standards. D.B. raises a number of additional arguments that we find were either not properly preserved for appeal or are unnecessary to address in light of our disposition on other grounds. “We review an agency’s conclusions of law de novo and we review the record to determine whether competent substantial evidence supports the agency’s decision. In doing so, ‘we give no deference to agency interpretations of statutes or rules.’” O.H., 332 So. 3d at 29 (quoting G.R. v. Ag. for Pers. with Disab., 315 So. 3d 107, 108 (Fla. 3d DCA 2020)); see also Art. V, § 21, Fla. Const. At the outset, we agree with D.B. that the hearing officer improperly shifted the burden of proof to him. Although the hearing officer noted that the burden of proof was on the Agency, the conclusions of law indicate otherwise. Specifically, the hearing officer found that D.B. was required to provide evidence of significant deficits in his adaptive functioning and concluded that he had failed to do so. This was error and contrary to the pretrial ruling placing the burden on the Agency.
Additionally, there is one significant inaccuracy in the hearing officer’s factual findings that compels us to reverse. The order stated that D.B. “obtained a[n] FSIQ score of 76 at the age of 16 years old” and then concluded, “Based on Petitioner’s FSIQ he did not manifest the intellectual functioning based on the Florida Administrative Code.” (emphasis added). Critically, however, the record contains no such FSIQ score; the score of 76 represented a verbal comprehension index subscore.4 Thus, the order explicitly indicates that the hearing officer based her decision, at least in part, upon a nonexistent FSIQ score.5 We find that the Agency has failed to demonstrate that this misstatement of fact did not contribute to the hearing officer’s conclusion that D.B. was ineligible. See J.J. v. Ag. for Pers. with Disab., 174 So. 3d 372, 373 (Fla. 3d DCA 2014) (applying harmless error analysis to alleged error in administrative hearing). Finally, the hearing officer also erred by misstating the law with regard to the validation of performance measures of adaptive functioning and, as a result, found a number of psychiatric reports not credible under Florida Administrative Code Rule 65G-4.017(3)(b). On remand, the hearing officer should apply the express language of rule 65G-4.017(3)(b) to such evidence when evaluating D.B.’s adaptive functioning. Regarding the validation portion of that analysis, the hearing officer should also consider the recent case of Fatigato v. Agency for Persons with Disabilities, 344 So. 3d 627 (Fla. 2d DCA 2022).
Accordingly, we reverse the order on appeal and remand for further proceedings consistent with this opinion. It is not our function to reweigh the evidence in these cases and we do not do so here. Our reversal is based entirely upon findings in the final order not supported by competent substantial evidence and legal errors therein.
REVERSED AND REMANDED.
WALLIS and NARDELLA, JJ., concur. COHEN, J., concurs specially, with opinion. Case No. 5D21-2676 LT Case No. 20F-07613 COHEN, J., concurring specially. I am in complete accord with the majority opinion. I write separately to note that our record reveals a documented history of D.B.’s intellectual deficiencies beginning at a very young age. D.B. was 17 years old when the Agency sent him a notice of eligibility for the waiver program, yet soon thereafter the Agency made a complete U-turn, despite virtually no change in D.B.’s condition. On top of that, the hearing officer rejected, improperly, a vast amount of evidence presented to rebut the Agency’s case and establish the requisite eligibility criteria, instead relying almost entirely on the Agency’s expert.6 If we, as a society, are judged by how we treat our most vulnerable members, then the Agency came up short in D.B.’s case.
Cases With Similar Vibessemantic neighbors from the corpus
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Authorities Cited
- A.C. C/O V.R. v. Agency for Health Care Admin., 315 So. 3d 107 (Fla. 3d DCA 2020)
- O.H. v. Agency for Persons with Disabilities, 332 So. 3d 27 (Fla. 3d DCA 2021)
- J.J. v. Agency for Persons with Disabilities, 174 So. 3d 372 (Fla. 3d DCA 2014)
- Fatigato v. Agency for Persons With Disabilities, 344 So. 3d 627 (Fla. 2d DCA 2022)