BEFORE THE ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS 2
3
In th,e Matter of:
4
SUSAN HANNAH, LPC-2288 (active
..restricted), Licensed Professionall
Counselor, and L1SAC-1393 (active
restricted), Licensed Independent
Substance Abuse Counselor,
In the State of Arizona.
5
6
. GASE NO. 2010-01-24
CASE NO. 2012-0086
CONSENT AGREEMENT
7
RESPONDENT
8
9
10
In the rnterest of a prompt and speedy settlement of the above captioned matters,
11
consistent with the public interest, statutory requirements and responsibilities of the Arizon
12
State Board of Behavioral Health Exaniners ("Board"), and pursuantto A.R.S. §§ 32-3281 (H
13
and 41-1092.07(F)(5), Susan Hannah (Formerly Known As Susan Rassas) ("Respondent") an
14
15
the Board enter into this Cons'ent Agrel;:ment, Findings of Fact, Conclusions of Law and Orde
("Consent Agreement") as a final disposition of this matter.
RECITALS
16
17
18
19
20
21
22
23
24
25
Respondent understands and agrees that:
1.
Any record prepared in this matter, all investigative materials prepared
0
received by the Board concerning the allegations, and all related materials and exhibits may b
retained in the Board's file pertaining to this matter.
2.
Respondent has the right to a formal administrative hearing at which Responden
can present evidence and cross examine, the State's witnesses. Respondent hereby irrevocabl
waives her right to such formal hearing concerning these allegations and irrevocably waives he
right to any rehearing or judicial review relating to the allegations contained in this Consen
Agreement.
-1­
K:\PREYNOLDS\Consen! Agreements\CA.Ha~nah.Susari.2012-o086,volsurr,2.doc
3.
2
3
Respondent has the right to consult with an attorney prior to entering into thi
Consent Agreement.
4.
Respondent acknowledges and
agrees that upon signing this Consen
4
Agreement and returning it to the Board's Executive Director, Respondent may not revoke he
5
acceptance of this Consent Agreement or make any modifications to it. Any modification of thi
6
original document is ineffective and void unless mutually approved by the parties in writing.
7
5.
The findings contained in the Findings of Fact portion of this Consent Agreemen
8
are conclusive evidence of the facts stated herein and may be used for purposes of determinin
9
sanctions in any future disciplinary matter.
10
6.
This Consent Agreement is subject to the Board's approval, and will be effectiv
)
11
only when the Board accepts it. In thE! event the Board in its discretion does not approve thi
12
Consent Agreement, this Consent Agreement is withdrawn and shall be of no evidentiary value,
13
nor shall it·be relied upon or introduced in any disciplinary action by any party hereto, excep
14
that Respondent agrees that should trle Board reject this Consent Agreement and this cas
15
proceeds to hearing, Respondent shall assert no claim that the Board was prejudiced by it
16
review and discussion of this document :::>r of any records relating thereto.
17
7.
Respondent understands that once the Board approves and signs this Consen
18· Agreement, it is a public record that may be publicly disseminated as a formal action of th
19
Board; and that it shall be reported as required by law to the National Practitioner Data Ban
20
and the Healthcare Integrity and Protecti:m Data Bank.
21
The Board issues the following Findings of Fact, Conclusions of Law and Order:
22
23
FINDINGS OF FACT
1.
gespondent is the holder of License No. LPC-2288 (active-restricted) for th
24 practice of professional counseling and License No. LlSAC-1393 (active-restricted) for th
25
practice of independent substance abuse counseling in Arizona.
-2­
K:\PREYNOLDS\ConsentAgreements\CA.Hannah.Susan.2012-0086.volsurr.2.doc 1
2.
On 01/01/99, the Board received Complaint No. 1999-0002 against Respondent.
2
3.
Regarding Complaint No. 1999-0002: 3
a. It was alleged that Hespondent signed a tuberculosis form on behalf of he 4
client ("Client 1"). 5
b. Respondent
6
7
8
9
4.
acknowlE~dged
that she signed Client 1's name to the form.
On 11/12/99, the Board executed a Consent Agreement ("11199 CN) to resolv
Complaint No. 1999-0002.
5.
On 02/02101, the Board released. Respondent from the terms and conditions 0
the 11/99 CA.
10
6.
On 02/15/06, the Board n:!ceived Complaint No. 2006-0083 against Respondent.
11
7.
Regarding Complaint No. 2006-0083: 12
a. In 07/04, Respondent was in private practice and began providing services t 13
a client ("Client 2"), who had been recently hospitalized for a suicide attempt. 14
b. Client 2 was diagnosed with Major Depression and Borderline Personalit 15
Disorder.
16
c. Respondent treated Cliemt 2 for 1.5 years and provided 57 sessions.
17
d. In 02/06, Respondent decided to terminate Client 2 by sending Client 2
18
termination letter with 3 referral sources without any prior discussions with CHen
19
2.
20
e. Respondent acknowlec:ged that given Client 2's serious diagnoses, it wa
21
reasonable that Client 2 would experience feelings of abandonment.
22
f. Concerns regarding Client 2's clinical record included:
23
•
Failure to document any type of behavioral health assessment.
24
•
Failure to conduct ongoing risk assessments or develop any type of crisi
25
plan.
-3­
K:\PREYNOLDS\Consent Agreements\CA.Hsnnsh.Susan.2012-0086.volsurr.2.doc •
Inadequate consent for treatment.
2
•
Inadequate treatment planning documentation.
3
•
Failure to document consultations with Client 2's psychiatrist or to retur
4
Client 2's letters to Client 2, as requested:
5
•
Failure to document Client 2's diagnoses.
6
g. Failure to disclose a 1983 criminal conviction in response to backgroun
7
questions on her 2003 rE:newal application .
. 8
9
10
8.
On 03/09/10, the Board executed a Consent Agreement ("03/10 CAn) to resolv
Complaint No. 2006-0083.
9.
The 03/10 CA included tre following stipulations:
11
a. 36 months of clinical supervision
12
d. Submit the name of the proposed clinical supervisor within 30 days
13
c. Take and pass a 3-semester credit hour graduate level course in basi
14
counseling skills iii the helping relationship.
15
16
17
18
19
20
21
22
23
24
25
10.
Respondent failed to submit the name of the proposed clinical supervisor an
failed to respond to multiple attempts by Board staff to communicate with her. .
11.
On 05/28/10, the Board opened Complaint No. 2010-0124 against Responden
based on non-compliance with the 03/10 CA.
12.
On 08/09/10, the Board !€ xecuted
a new Consent Agreement ("08/10 CAn) t
resolve Complaint Nos. 2006-0083 and 2010-0124.
13.
The st!pulations required in the 08/10 CA were the same stipulations required i
the 03/10 CA.
14.
On 12121/11, the Board received Complaint No. 2012-0086 against Respondent,
which alleged the following.
a. A client ("Client 3") began treatment with Respondent in 05/10.
-4­
K:\PREYNOLDS\Consent Agreements\CA.Hannah.Susan.2012-0086. yolsurr.2.doc 1
b. Client 3 and Respondent began a personal relationship in 07/10 or 08/10.
2
c. In 09/10, Client 3 gave Respondent $3,000 to $6,000 so Respondent coul
3
pay her btlls.
4
d. In 09[10, Respondent and Client 3 traveled together to Philadelphia on
5
personal trip ..
6
e. On 10/29/11, Respondent and Client 3 were married in Pima County.
7
8
15.
Respondent has agreed to voluntarily surrender her licenses in lieu of providing
response or proceeding .in further invesiigation into this matter.
9
10
CONCLUSIONS OF LAW
1.
The Board has jurisdiction over Respondent pursuant to A,R.S. § 32-3251 et seq.
11
and the rules promulgated by the Board relating to Respondent's professional practice as
12
licensed behavioral health professional.
13
2.
The conduct and circumstances described in the Findings of Fact constitute
14
violation of A.R.S. § 32-3251 (12)(v), any sexual conduct between a licensee and a client
15
former client.
SURRENDER ORDER
16
17
18
19
20
0
Based upon the foregoing
Findin~~s
of Fact and Conclusion of Law, the parties agree t
the provision and penalties imposed as follows:
1.
Respondent's licenses, LPC-2288 and LlSAC-1393, shall be surrendered to th
Board, effective from the date of entry as signed below.
21
2.
The surrenders shall be cO:lsidered a revocation of Respondent's licenses.
22
3.
This Consent Agreement is conclusive evidence of the matters described herei
23
and may be considered by the Board in determining appropriate sanctions in the event
24
subsequent violation occurs.
25
-5­
K:\PREYNOLDS\Consent Agreements\CA.Hannah.Susan. 20 12·0086. volsurr.2 .doc
602-265.6866
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COHEN LAW FIRM
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PROFESStONAL ACCEPTS, SIGNS AND DAteS THIS CONSENT AOREdEN1'
3
SUSAIl HANNAA
4­
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BOARD ACCEPT&, SIGNS AND iDATES THIS CONSENT AOREalt:NT
6
7
8
oRKItNAL of the fOregOing filed ThIs J~ day of
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AI'fl!'.On3 eOarc.1 of Behavloral Health examlnere
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3443 N. CImtnII Ava., 8.1100
P1'IoeniK. AZ 85012
12
13
COPY of tte foregoing mailed Via InteraoencY Mall
1bI& J~ day or H luk'-0"'ryt
•• ' ;W~2, to;
14
~tIIrlt~ Ganersl
~ WestWashlngton
15
PhOIlnixt AItUJna 88007
18
COPY crf the ~ maH~ via
Certified mel! no. ,2 Oi I "2 <I 7 v:~W rrt>',} .
17
lbl& l{b
Marc H. HarrIB
de)' of
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:
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SUsenHaMa
Respondent
20
21
COPY of the fan!lg0ing maOed Via Mall
Tn•• JA~ !Jay of •F-t b,,·... .. /".,
!..any' Cotten .
The Cohen Liew RIm
PO sox 10056 '
PhoenIx, AIbr>na 850e4
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01-25-2012
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2
Q
09:31:17a.m.
602~1e11
.20120, to:
2/2
uL
BEFORE THE ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
2
3 In the Matter of:
4
5
6
7
CASE NO. 2006 ..0083 CASE NO. 2010-0124 SUSAN RASSAS,
LPC-2288, Licensed Professional
Counselor, USAC-1393, Licensed
Substance Abuse Counselor,
In the State of Arizona.
CONSENT AGREEMENT AND ORDER Respondent
8
9
In the interest of a prompt and speedy settlement of the above captioned matter,
10
consistent with the public interest, statutory requirements and responsibilities of the Arizon
11
State Board of Behavioral Health Examiners ("Board"), and pursuant to AR.S. §§ 32-3281 (H
12
and 41-1092.07(F)(5), Susan Rassas
13
Agreement, Findings of Fact, Conclusions of Law and Order ("Consent Agreement") as a fina
14
("Respondent") and the Board enter into this Consen
disposition of this matter. 15
RECITALS 16
Respondent understands and agrees that:
17
1. Any record prepared in this matter, all investigative materials prepared or received b
18
the Board concerning the allegations, and all related materials and exhibits may be retained i
19
the Board's file pertaining to this matter.
20
2. Respondent has the right to a formal administrative hearing at which Responden
21
can present evidence and cross examine the State's witnesses. Respondent hereby irrevocabl
22
waives her right to such formal hearing concerning these allegations and irrevocably waives he
23
right to any rehearing or judicial review relating to the allegations contained in this Consen
24
Agreement, Findings of Fact, Conclusions of Law and Order.
25
•
-1­
3.
2
3
Respondent has the right to consult with an attorney prior to entering into thi
Consent Agreement
4.
Respondent acknowled~les and agrees that upon signing this Consent Agreemen
4
and returning it to the Board's Executive Director, Respondent may not revoke her acceptanc
5
of this Consent Agreement or make any modifications to it. Any modification of this origina
6
document is ineffective and void unless mutually approved by the parties in writing.
7
5. The findings contained in the Findings of Fact portion of this Consent Agreement ar
8
conclusive evidence of the facts stated herein and may be used for purposes of determinin
9
sanctions in any future disciplinary matter.
10
6. This Consent Agreement is subject to the Board's approval, and will be effective onl
11
when the Board accepts it.
12
Consent Agreement, this Consent Agreement is withdrawn and shall be of no evidentiary value,
13
nor shall it be relied upon or introd..iced in any disciplinary action by any party hereto, excep
14
that Respondent agrees that should the Board reject this Consent Agreement and this cas
15
proceeds to hearing, Respondent shall assert no claim that the Board was prejudiced by it
16
review and discussion of this document or of any records relating thereto.
17
7.
In the event the Board in its discretion does not approve thi
Respondent further understands that once the Board approves and signs thi
18
Consent Agreement, it shall constiiJte a public record that may be disseminated as a forma
19
action of the Board.
20
21
The Board issues the following Findings of Fact, Conclusions of Law and Order:
FINDINGS OF FACT
22
23 24
1.. Respondent is the holder of License No. LPC-2288 for the practice of professional
counseling in Arizona. 25
-2­
1
2
3
2. Respondent is also the holder of Ucense No. LlSAC-1393 for the practice of
substance abuse counseling in Arizona.
·3. In 07/04, Respondent was in private practice and began providing services to Client,
4
who had been recently hospitalized for a suicide attempt. Respondent diagnosed Client with
5
Major Depression and Borderline Personality Disorder and treated Client for 1.5 years during 57
6
7
.sessions.
4. In 02/06, Ms. Rassas decid3d to terminate services with Client by sending Client a
8
termination letter with 3 referral sources with no prior discussion or closure with Client.
9
5. While Respondent has acknowledged that Client's serious diagnoses would
10
reasonably result in Client experiencing feelings of abandonment, Respondent failed to discuss
11
the plan to terminate services directly with Client or with Client's psychiatrist in order to minimize
12
possible negative consequences for Client.
13
6. Respondent's records do not include any type of behavioral health assessment of 14
Client. Additionally, Respondent indicated that she 'does not usually conduct behavioral health 15
assessments in her practice unless it is required by an insurance company or the court. 16
17
18
7. Respondent did not document any ongoing regular risk assessments for Client, which were warranted due to Client's prior suicide ideation and instability. 8. Respondent did not develop or document any type of crisis plan for Client, though it 19
was reasonable to assume that, based upon Client's diagnoses, Client would experience a 20
higher than normal number of crises. 21
22
23
24
25
9. The consent for treatment form that Respondent had Client sign did not include the following required elements: a. Purpose of treatment. b. Procedures to be used in treatment, including benefits, limitations, and
potential risks.
c. The client's right to partiCipate in treatment decisions and in the development
and periodic review and revision of the client's treatment plan.
-3­
1D. Respondent did not maintain adequate treatment planning documentation for Client
2
3
4
and does not create adequate treatment ;Jlans for her current clients.
11. Respondent failed to document her consultations with Client's psychiatrist and returning Client's letters to Client as requested. 5
12. Respondent failed to document Client's diagnoses in Client's record.
6
13. Respondent failed to appropriately disclose a 1983 criminal conviction in response
7
8
9
to background questions on her 2003 license renewal application.
14. On March 9. 2010, the Board accepted a consent agreement ( "2010 CN) that included the following stipulations: 10
a. Respondent's licenses were placed on probation for 36 months.
11
b. Respondent was required to submit the name of a proposed clinical supervisor
12
for pre-approval within 30 days of the effective date of the 2010 CA.
13
c.
14
d. Respondent is required to pass a 3 semester credit hour graduate level course in
Basic Counseling Skills in the Helping Relationship.
15
16
Respondent is required to complete 36 months of clinical supervision.
15. Respondent failed to submit the name of a proposed clinical supervisor for
17 preapprova! within 30 days of the effective date of the 2010 CA.
18
16. Respondent failed to responcl to multiple attempts by Board staff to communicate
19 with her.
20
21
CONCLUSIONS OF LAW
1. The Board has jurisdiction OVE~r Respondent pursuant to A.R.S. § 32-3251 et seq.
22
and the rules promulgated by the Board relating to Respondent's professional practice as a
23
licensed behavioral health professional.
24 25
2. The conduct and circumstances described in the Findings of Fact constitute a
violation of A.R.S. § 32-3251 (12)(s), terminating behavioral health services to a client without
-4­
making an appropriate referral for continuation of care for the client if continuing behavioral
2
3
health services are indicated.
3. The conduct and circumstcmces described in the Findings of Fact constitute a 4 violation of ARS. § 32-3281(12)(1), any conduct, practice or condition that impairs the ability of
5
6
the licensee to safely and competently practice the licensee's profession.
4. The conduct and circumstcmces described in the Findings of Fact constitute a
7
violation of ARS. § 32-3281 (12)(k), any conduct or practice that constitutes a danger to the
8
health, welfare or safety of a client.
9
5. The conduct and circumstances described in the Findings of Fact constitute a
10
violation of ARS. § 32-3281 (12)(p), failing to conform to minimum practice standards as
11
developed by the Board, as it relates to the following:
12
13
14
15
AAG. R4-6-1101(2), a licensee shall document in writing for each client served the following elements of informed consent for treatment: a. Purpose of treatment b. General procedures to be used in treatment, including benefits, limitations, and potential risks c. The client's right to participate in treatment decisions and in the
development and periodic review and revision of the client's treatment
plan
16
17
18
19 AAG. R4-6-1102(1), a licensl~e shall work jointly with each client served or a
client's legal representative to prepare an integrated, individualized, written
treatment plan, based on the Jicensee's diagnosis and assessment of behavior
and the treatment needs, abilities, resources, and circumstances of the client.
AAC. R4-6-1103 (8)(7), a lic.~nsee shall ensure that a client record contains
documentation of the release of any information in the client record.
20
21
AAC. R4-6-1103 (8)(9), a licensee shall ensure that a client record contains
documentation of telephone or written contact with the client or another individual
that relates to the client's heaJth, safety, welfare, or treatment.
22
23 6. The conduct and circumstances described in the Findings of Fact constitute a
24 violation of ARS. § 32-3281 (12)(b), use of fraud or deceit in connection with rendering services
.
.
25
as a licensee or in establishing qualifications pursuant to this chapter.
----------------._----­
-5­
7. The conduct and circumsi:ances described in the Findings of Fact constitute a
2
violation of ARS. § 32-3231 (12)(n), failing to comply with a Board consent agreement.
ORDER
3
4
5
6
7
8
9
Based upon the foregoing Findings of Fact and Conclusions of Law, the parties agree t
the provisions and penalties imposed as follows:
1. Respondent's licenses, LPC-2233 and LlSAC-1393, will be placed on probation for a
minimum period of 36 months, effective from the date of entry as signed below.
Continuing Education
2. In addition to the continuing education requirements of ARS. § 32-3273, within the
10
first as months of probation, Respondent shall take and pass a three semester credit hour
11
graduate level Basic Counseling Skills in the Helping Relationship class from an accredited
12
college or university, pre-approved by the Counseling Credentialing Committee Chair or
13
designee. Upon completion, Respondent shall submit to the Board an official transcript
14
establishing completion of the required course.
15
16
Licensee Name
3. Respondent shall practice counseling using the name under which she is licensed. If
17
Respondent changes her name, sh'9 shall advise the Board of the name change as prescribed
18
under the Board's regulations and rules.
19
20
Clinical Supervision
4. While on probation, Respondent shall submit to clinical supervision for a minimum
21
period of 36 months by a masters or higher level behavioral health professional licensed at the
22
independent level. The clinical supervisor cannot work in Respondent's practice group. Within
23
30 days of the date of this Consent Agreement, Respondent shall submit the name of a clinical
24
supervisor for pre-approval by the Counseling Committee Chair or designee. Also within 30
25
days of the date of this Consent Ag-eement, the clinical supervisor shall submit a letter
-6­
disclosing his/her prior relationship to Hespondent. In that letter, the supervisor must address
2
why he/she should be approved, acknowledge that he/she has reviewed the Consent
3
Agreement and include the results of an initial assessment and a supervision plan regarding the
4
proposed supervision of Respondent. The letter from the supervisor shall be submitted to the
5
Board.
6
7
Focus and Frequency of Clinical Supervision
5. The focus of the supervision shall relate to clinical recordkeeping. Supervision shall
8
include regular reviews of Respondent's client charts to ensure Respondent's documentation
9
includes appropriate treatment plannin!;! and clinical assessment documentation. Respondent
10
shall meet in person with the supervisor at least 1 hour for every 40 hours worked.
Ouarterly Reports
11
12
6. Once approved, the supervis:)r shall submit quarterly reports for review and approval
13
by the Counseling Credentialing Committee Chair or designee. The quarterly reports shall
14
include issues presented in this consent agreement that need to be reported and the supervisor
15
shall notify the Board if more frequent supervision is needed. After 36 months, the supervisor
16
shall submit a final summary report forreview and approval by the Counseling Credentialing
17
Committee Chair or designee.
18
Change of Clinkal Supervisor During Probation
19
7. If, during the period of Respordent's probation, the clinical supervisor determines that
20
he/she cannot continue as the clinical supervisor, he/she shall notify the Board within 10 days of
21
the end of supervision and provide the Board with an interim final report. Respondent shall
22
advise the Counseling Committee chair or designee within 30 days of cessation of clinical
23
supervision by the approved clinical supl:!rvisor of the name of a new proposed clinical
24
supervisor. The proposed clinical supervisor shall provide the same documentation to the Board
25
as was required of the initial clinical supervisor.
-7­
Early Release
2
8. After 24 months and upon the supervisor's recommendation, Respondent may
3
request early release from the Consent A9reement and Order if all other terms of the Consent
4
Agreement and Order have been met
InvHstigative Costs
5
6
7
8
9
9.
Respondent shall reimburse the Board its investigation costs in the amount of
10.
Respondent's payment of Investigative costs shall be stayed so long as she
$1211.
remains compliant with the terms of the Order. If Board staff determines that Respondent is
10
noncompliant with the terms of the Order in any respect, the stay of the payment of the
11
investigative costs shall be automatically lifted. Payment of the investigative costs set forth
12
above shall then be made to the Board by certified check or money order payable to the Board
13
within 30 days after being notified in writing of the lifting of the stay.
14
11.
If within 10 days of being notified of the decision to lift the stay Respondent
15
makes a written request for the Board to review the decision, the Board will review the matter at
16
a regularly scheduled meeting for the sole purpose of determining whether the decision to lift
17
the stay is supported by substantial evidence. If the Board receives the written request within 10
18
days or less of the next regularly scheduled Board meeting, the request will not be heard at that
19
meeting, but will be heard at the next
20
a timely written request for a Board review of the decision, the time for remitting the investigativ
21
cost shall be tolled until the Board makes a final determination on Respondent's compliance
22
with the Order. Should the Board affirm staffs decision to lift the stay, Respondent shall then
23
make payment to the Board by certified check or money order payable to the Board within 20
24
days after being notified in writing of thEl Board's decision. The Board's decision on this matter
25
shall not be subject to judicial review.
re!~ularly
scheduled Board meeting. If Respondent makes
-8­
1
12.
The Board reserves the right to take further disciplinary action against
2
Respondent for noncompliance with this consent agreement after affording Respondent notice
3
and an opportunity to be heard. If a complaint is filed against Respondent for failure to comply
4
with the Order, the Board shall have continuing jurisdiction until the matter is final and the period
5
of probation shall be extended until the matter is final.
6
7
General Provisions
13. Unless Respondent is in private practice, Respondent shall, within 10 days of the
8
effective date of this Order, provide the Counseling Credentialing Committee Chair or designee
9
with a signed statement from RespOldent's employer confirming Respondent provided the
10
employer with a copy of this Consent Agreement and Order. If Respondent does not provide the
11
employer's statement to the Board within 10 days of the effective date, the Board will provide
12
Respondent's employer with a copy of the Consent Agreement and Order.
13
14. If, during the period of Respondent's probation, Respondent changes employment,
14
Respondent shall immediately inforrl the Board of the new employment and shall within 10 days
15
of starting each new employment, provide the Counseling Credentialing Committee Chair or
16
designee with a signed statement from Respondent's new employer confirming Respondent
17
provided the employer with a copy cf this Consent Agreement and Order. If Respondent does
18
not provide the employer's statement to the Board within 10 days of the effective date, the
19
Board will provide Respondent's employer with a copy of the Consent Agreement and Order.
20
15. Prior to the release of Respondent from probation, Respondent must submit a
21
written request to the Board for release from the terms of this Consent Agreement and Order at
22
least 30 days prior to the date she would like to have this matter appear before the Board.
23
Respondent may appear before the Board, either in person or telephonically. Respondent must
24
provide evidence that she has successfully satisfied all terms and conditions in this Consent
25
Agreement. The Board has the
SOlE!
discretion to determine whether all terms and conditions of
-9­
...... this Consent Agreement and Order haNe been mel and \l\lhether Respondent has adequately
2
demonstrated that she has addressed the issues contained in this Consent Agreement and
3
Order. In the event that the Board detfl!nnines that any or all terms and conditions of this
4
Consem Agreement and Order have not been met. the Board may conduct such further
I
1
5
proceedings as it determines are appropriate to address those matters.
6
16. Respondent shall not provide clinical supervision while under probation.
7
17. Respondent shall bear all costs relating
8
9
10
~o
probation terms required in this Consent
Agreement and Order.
18. Respondent shall be respI)nsible for ensuring that all documentation required in this
Consent Agreement and Order is provided to the Board in a timely manner.
11
19. This Consent Agreement ,md Order shall be effective on the date of entry be/ow.
12
20. This Consent Agreement and Order is conclusive evidence of the matters described
13
herein and may be considered by the Board in determining appropriate sanctions in the event a
1.4
subsequent violation occurs. 15 16
17
PROFESSIONAL ACCEPTS, SrGNS AND DATES THIS CONSENT AGREEMENT
~/v~
S-usan Rassas
18
19
BOARD ACCEPTS, SIGNS AND DATES THIS CONSENT AGRE;EMENT
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Dated this
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Av 7' (/ ;;±
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E>EB~Executive
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By:
,2010.
DIrector
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Arizona Board of Behavioral Heanh Examiners
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O~IGINAL of the fOregOi? flied
This
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S_____
,2010, with:
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Arizona Board of Behavioral Health Examiners 3443 N. Central Ave., Suite 1700 Phoenix, AZ 85012 4
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COPY of the foregoing mailed via
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Certified mail no.
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This q±y-:dayof
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Susan Rassas Address of Record Respondent 8
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f\pf'lVSi=
- oc;:,oo- bo94'- 07;>3
,2010,to:
Larry Cohen The Cohen Law Firm P:O. Box 10056
Phoenix, AZ 85064
Attorney for Respondent
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Compliance Officer
602-542-1832
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