Alaska Board Of Nursing Discipline Database

Board Meeting Name Case Number License/
certificate
June-07 Pamela J. Hansen 2306-04-011 Certified Nurse
Aide
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
Falsification of 2000-02 Application regarding
criminal conviction in 1997
June-07 Marlene C. Beard 2356-07-005 Temp Certified Falsification of Application regarding criminal
Nurse Aide conviction for disorderly conduct
June-07 Tnishna I. Burton 2356-07-004 Temp Certified Falsification of Application regarding criminal
Nurse Aide conviction for driving without license
June-07 2302-07-003 Licensed Practical Falsified application, CE requirements not
Nurse
completed
July-07 Myrinel J.
Uwekoolani
2306-07-011 Certified Nurse
Aide
September-07 Mildred I. Dyne 2306-07-012 Certified Nurse
Aide
December-07 Ryanlynch G.
Pacil
2306-07-014 Certified Nurse
Aide
October-08 Patrick Grieser 2356-08-004 Temp Certified
Nurse Aide
October-08 Judy Putt 2356-08-003 Temp Certified
Nurse Aide
October-08 Brittany Gaier 2356-08-005 Certified Nurse
Aide applicant
April-09 TJ Ivey 2356-09-00 Certified Nurse
Aide applicant
April-09 Serena L Streeper 2356-08-007 Certified Nurse
Aide applicant
MOA - Fine of $1,000 with $500 stayed, $500 due by 10-1 -7
(120 days); reprimand placed in certificate file; periodic interview
with the Board.
MOA - Fine of $500 payable within 120 days; reprimand placed
in certification file.
MOA - Fine of $500 payable within 120 days; reprimand placed
in certification file.
MOA - Fine of $3,000 with $1,500 suspended, to be paid in 90
days; meet continued competency requirements for 04-06
period; reprimand placed in certification file; mandatory audit of
compliance with CE requirement for next 2 renewal periods;
automatic suspension for violation of MOA.
Falsified criminal history on application MOA - Civil fine of $500 payable within 120 days; reprimand
placed in certification file; automatic suspension for violation of
MOA.
Falsification of Application regarding criminal
conviction
Falsification of Application regarding criminal
conviction
MOA - Civil fine of $500 payable within 120 days; reprimand
placed in certification file.
MOA - Civil fine of $500.00 payable within 120 days; reprimand
placed in licensure file.
Falsification of application regarding misconduct MOA - Civil fine of $500 payable within 120 days; reprimand
involving a controlled substance.
placed in certification file.
Falsification of application regarding DWI MOA - Civil fine of $500 payable within 120 days after issuance
of permanent certificate; reprimand placed in certification file.
Falsification of application by failing to disclose a
criminal conviction for disorderly conduct in another
state
Falsification of application regarding failing to report
misdemeanor of Reckless Driving.
Falsification of Application regarding 2 criminal
convictions for driving without license and issuing a
bad check in MT.
MOA - Civil fine of $500 payable within 120 days after issuance
of permanent certificate; reprimand placed in certification file.
CA- Civil fine of $500.00 within 120 days after CA is accepted by
the Board, reprimand place in certificate file.
CA- Civil fine of $500.00 within 120 days after CA is accepted by
the Board, reprimand place in certificate file.
1

Board Meeting Name Case Number License/
certificate
April-09 Kristal L.
Hammack
2306-08-009 Certified Nurse
Aide
October-09 Angela R. Price 2306-09-005 Certified Nurse
Aide
October-09 Giovanni R. Ortiz 2356-09-006 Certified Nurse
Aide applicant
October-09 MicheaShea N.
Theus
2352-09-002 Certified Nurse
Aide
October-09 Casey Meatier 2306-08-015 Certified Nurse
Aide
January-10 Richard W.
Reuben
2356-09-002 Temporary
Certified Nurse
Aide # NUA T
2519
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
Falsified application, CE requirements not
completed
Falsified reinstatement application regarding
respondent was convicted of Assault in the 4th
degree in the Haines Magistrate Court on June 10,
1998 under court case number MHA 98-64
Falsified application for permanent certification as a
CAN-10-16-01 conviction of driving without a valid
operator license
Falsified application for a conviction on June 1, 2005
of theft in the 3rd degree in Anchorage District Court
under case number #3AN-05-3518CR
Falsified application, CE requirements not
completed
Falsified application for failure to disclose 4th degree
misdemeanors in the District Court of Kotzebue
dating May7, 2006 and November 13, 2006 and
violation of release for a felony, court case number
2KB-S06-715 November 13, 2006.
CA-Civil fine of $1,500 with $900.00 being suspended, to be
paid in full 90 days of date of CA after being adopted by the
Board. Meet continuing competency with continuing education
requirements. Reprimand be placed in file. Mandatory audit of
compliance with continuing education requirements for next 2
renewal periods
CA-Civil fine of $500 to be paid in full 120 days after the date of
CA is accepted by the Board. Reprimand placed in file.
CA-Civil fine of $500 to be paid in full 120 days after issuance
of CNA certificate. Public reprimand
CA-Civil fine of $500 to be paid in full 120 days after this CA is
adopted by the Board. Public reprimand.
CA-Civil fine of $1,500 with $1250.00 being suspended, for a
total unsuspended fine of $750 to be paid in full within 90 days
of date of CA being adopted by the Board. Provide
documentation of 22 hours of continuing education. Reprimand
issued. Mandatory audit of compliance with the continuing
education requirement for the next 2 renewals.
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board
2

Board Meeting Name Case Number License/
certificate
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
January-10 Kathryn K. Crain 2306-09-006 Temporary Falsified application for failure to disclose conviction
Certified Nurse
Aide # NUA T2909
of theft in the State of Ohio on November 21, 1999.
January-10 Valerie J.
Johnson
2356-09-007 Certified Nurse
Aide applicant by
endorsement
April-10 Deina R. Davis 2356-10-007 Certified Nurse
Aide applicant by
examination
April-10 Jocelyn L.
Mendoza
April-10 Summberbreeze
Hutchins
2356-10-003 Certified Nurse
Aide # NUA A
11566
2352-09-003 Certified Nurse
Aide # NUA A
5883
April-10 Lee Sanders 2356-10-002 Expired
Temporary
Certified Nurse
Aide # NUA T
2913
Falsified application for failure to disclose conviction
of illegal possession of a controlled substance on
February 10, 1976
Falsified application for failure to report a conviction
of driving without a license on June 6, 2000
Falsified application for failure to report a previous
CA from July 22, 2009.
Falsified reinstatement application for failure to
report a conviction of theft in the Magistrate Court at
Palmer under Court Case Number 94-1553 on July
27, 1994.
Falsified application for failure to disclose a guilty
conviction of violating UCMJ Article 086-absent
without leave and dishonorable discharged from the
US. Navy on March 9, 1990.
April-10 Elise Demello 2356-10-006 Temporary Falsified application for failure to disclose conviction
Certified Nurse of failure to obey citation to appear in court and no
Aide #NUA T 3017 motor vehicle liability insurance on December 11,
2008
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board and a public reprimand.
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board and a public reprimand.
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board and a public reprimand.
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board and a public reprimand.
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board and a public reprimand.
CA-Civil fine $500 payable within 120 days after this CA is
accepted by the Board and a public reprimand.
CA-Civil fine $500 payable within 120 days after the issuance of
a permanent certificate and public reprimand.
3

Board Meeting Name Case Number License/
certificate
April-10 Giovanni Ortiz 2356-10-005 Certified Nurse
Aide # NUA A
11728
July-10 Denise Teal 2010-000385 Expired
Temporary
Certified Nurse
Aide # NUA T
3053
July-10 Sharilyn Notti 2356-10-011 Expired
Temporary
Certified Nurse
Aide # NUA T2811
July-10 Renee L. Jordan 2306-10-003 Certified Nurse
Aide # NUKA A
8212
July-10 Lauren H. Stalder 2356-10-012 Expired temporary
Certified Nurse
Aide certificate #
NUA T 3046
October-10 Rebecca
Cameron
2010-000868 Expired CNA
certificate applying
for reinstatement
October-10 Kevin D. Cotton 2010-000807 Expired CNA
certificate applying
for reinstatement
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
Falsified application for failure to report a previous
CA from October 21, 2009.
Falsified application for failure to report a no contest
plea to a misdemeanor violation of Improper Use of
Evidence of Registration/Title on November 14,
2002
CA-Civil fine $500 within 120 days after this CA is accepted by
the Board and a public reprimand
CA-Civil fine$500, public reprimand
Falsified application for failure to report in October CA-Civil fine$500, public reprimand
2003 pled no contest to driving without a valid
driver's license, minor consuming alcohol and driving
after minor consuming
Falsified renewal application for failure to report was
on a CA on July 23, 2009 for falsifying her
continuing education requirements for her CAN
renewal during the period of 2008-10
CA-Civil fine$500, public reprimand
Falsified application for failure to report a July 23, CA-Civil fine$500, public reprimand
2008 conviction of driving without a valid operator
license in Fairbanks District Court under case # 4FA-
08-1747
Respondent admits to answering no on the CNA
reinstatement application. November 19, 1986
Respondent was gulity of DWI and DWI while on a
suspended license September 22, 1987
Respondent admits to answering No on the CNA
reinstatement application.June 11, 2001 guilty of
driving without a license on June 11, 2001 for an
arrest that occurred on April 12, 2001. November 1,
1996 was guilty of driving while intoxicated for an
arrest on September 29, 1996 in addtion 3 other
violations from 1990, 1993 and 1995.
CA-Civil fine $500, public reprimand
CA-Civil fine $500, public reprimand
4

Board Meeting Name Case Number License/
certificate
October-10 Sarah M. Earhart 2010-000818 Expired CNA
certificate applying
for application for
a CAN by
Examination
October-10 Lorena Johnson 2010-000867 Application for
CNA by
Examination
October-10 Jamie Kriska 2010-000626 Application for
CNA by
Examination
October-10 April E. Phillips 2010-000738 Expired CNA
certificate applying
for reinstatement
October-10 Michelle Fleming 2010-000879 Expired CNA
certificate applying
for reinstatement
April-11 Suzette L. Becker 2011-000106 Application for
CNA by
Examination
April-11 Terry J. Ditty 2011-000102 Application for
CNA by
Examination
April-11 Amber L. Griffin 2011-001033 Application for
CNA permanent
certificate
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
Respondent admits to answering No on the CNA by
examination application. Respondent pled guilty to
permitting unauthorized person to drive on
September 26, 2001 for an offense that occurred on
September 7, 2006.
CA-Civil fine $500, public reprimand.
Repspondent Falsified application for failure to CA- Civil fine $500, public reprimand
report being found gulity to obey citation to appear in
Court in Craig, AK on December 6, 1995.
Respondent falsifed application by answering no on
the CNA by examination application. Respondent
pled no contest to leaving the scene of an accident
involving vehicular damage on November 1, 1999.
Respondent was not aware the offense prior to age
18 needed to be disclosed.
Respondent admits to answering no on the CNA
application for reinstatement. Respondent failed to
report June 17, 2006 and November 10, 2009 guilty
of DUI and working without a current CNA certificate
fromMarch 11, 2010 to August 16, 2010.
Respondent falsifed application by answering no on
the CNA by reinstement. Respondent was found
guilty of disorderly conduct on June 15, 2007.
Respondent falsified CNA application by failing to
report conviction of a misdemeanor in Florida in
1974.
Respondent falsified CNA application by failing to
report conviction of a misdemeanor in Anchorage in
1992.
Respondent Falsified application for failure to report
three criminal convictions, which are all dated
December, 2001.
CA- Civil fine $500, public reprimand
CA- Civil fine $500, public reprimand
CA- Civil fine $500, public reprimand
CA - Civil fine $500, public reprimand
CA - Civil fine $500, public reprimand
CA - Civil fine $500, public reprimand
5

Board Meeting Name Case Number License/
certificate
April-11 Felicia R. Kayotuk 2010-001277 Application for
CNA permanent
certificate
April-11 Martha Lockuk 2011-000342 Application for
reinstatement of
CNA certification
April-11
Carolyn Cooper 2010-001390 CNA certificate #
NUA A 2641
April-11
April-11
April-11
April-11
July-11
Delores Gonzalez 2011-000260 CNA certificate #
NUA A1535
Belynda Gregg 2010-001388 CNA certificate
#NUA A 4948
Sylvia Lamb 2011-000235 CNA certificate #
NUA A 6805
Valaree Nilsen 2010-001432 CNA certificate #
NUA A 7941
Maria Rodriguez-
Gallardo
2011-000258 CNA certificate #
NUA A 10338
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
Respondent falsified application for failing to report
criminal conviction in the State of Alaska for Driving
Without a Valid Operator License from June 2006.
Respondent falsified application for failing to report
misdemeanor DWI conviction in the State of Alaska
from 1996.
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNAs
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNAs
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNAs
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNAs
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
CA - Civil fine $500, public reprimand
CA - Civil fine $500, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of
$462.50, compliance with CEU requirement, mandatory audit for
next 2 renewal periods, public reprimand
CA, civil fine of $1500with $1250 suspended plus $50 per
uncompleted credit hourup to $500 maximum for a total
suspended fine of $750, compliance with CEU requirement,
mandatory audit for next 2 renewal periods, public reprimand,
suspension of nurse aide certificate until completion of CEU
requirement
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total of $375 total unsuspended,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand.
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand, suspension of nurse aide
certificate until completion of CEU requirement
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
6

Board Meeting Name Case Number License/
certificate
July-11
July-11
October-11 Rosecelie D.
Benigno
Kimberly Wiehl 2011-000267 CNA certificate #
6103
Elizabeth A. Lind 2010-001044 Application for
CNA permanent
certificate
2011-000873 CNA certificate #
NUA A 7733
October-11 Shawna R. Lowe 2010-001391 CNA certificate #
NUA A 10143
October-11 Jacqueline Yunak 2011-000265 CNA certificate #
NUA A 10898
October-11 Miranda Davison 2011-000253 CNA certificate #
NUA A 7561
October-11 Carolene E. Hall 2010-001434 CNA certificate #
NUA A 9836
October-11 Myrna J.
Katchatag
2010-001435 CNA certificate #
NUA A 10056
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's. Respondent has not currently been working
as a CNA but would like to keep her certification.
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand, suspension of nurse aide
certificate until completion of CEU requirement
Respondent falsified application for failing to CA - Civil fine $500, public reprimand
disclose a criminal conviction of Operating Under the
Influence in 2008 & failure to disclose a brief
outpatient treatment program at Cook Inlet Recovery
Services in 2009.
Respondent failed to disclose an investigation for
her falsified nurse application previously resolved in
a consent agreement
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
CA- Civil fine $500, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $500,
suspension of license until training is completed, compliance
with CEU requirement, mandatory audit for next 2 renewal
periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
suspension of license until training is completed, compliance
with CEU requirement, mandatory audit for next 2 renewal
periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $600,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of
$412.50, compliance with CEU requirement, mandatory audit for
next 2 renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
7

Board Meeting Name Case Number License/
certificate
October-11 Katarina Leavitt 2010-001401 CNA certificate #
NUA A 11349
October-11 Gary Mayforth 2011-000261 CNA certificate #
NUA A 1372
October-11 Elizabeth H.
Paddock
2010-001380 CNA certificate #
NUA A 6025
October-11 Ivan Reutov 2010-001429 CNA certificate #
NUA A 3291
October-11 Ahna Simonds 2010-000255 CNA certificate #
NUA A 513
October-11 Christy Ann
Clark
January-12 Debbie L.
Hickman
2011-000430 Revoked CNA
License # NUA
A 8553
2011-000857 Application of CNA
certification
January-12 Christal Hillman 2010-001400 CNA certificate #
NUA A 11405
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
Respondent had license revoked for continuing
education non-compliance issues on March 9, 2007.
Respondent has admitted to accusation and has
submitted an application for license reinstatement.
Respondent falsified application for failing to
disclose criminal convictions of Concealment of
Mechandise in October, 1981, and Shoplifting in
July,1983, in the State of Alaska.
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
suspension of license until training is completed, compliance
with CEU requirement, mandatory audit for next 2 renewal
periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $450,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $550,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $2,000 with $1,250 suspended, meet continuing
competency requirements, public reprimand, mandatory audit
next two renewal periods
CA, civil fine of $500, a public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $350,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
8

Board Meeting Name Case Number License/
certificate
March-12 Mary E. Stone 2011-000237 CNA certificate #
NUA A 9473
April-12 Amy M. Watson 2010-001386 CNA certificate #
NUA A 9257
April-12 Rosemarie C.
Abad
2011-000277 CNA certificate #
NUA A 8847
April-12 Mary Ellen Fritz 2010-001426 CNA certificate #
NUA A 3199
April-12 Jessica A. Wicks 2010-001433 CNA certificate #
NUA A 8129
July-12 Kay Turner 2012-000339 CNA certificate #
NUA A 11080
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
In a random audit, respondent failed to provide
sufficient documentation of completion of the
mandatory Continuing Education Requirements for
CNA's
Respondent failed to report on her application a DUI
in the State of Alaska on 11/12/10. Respondent also
failed to disclose a substance abuse problem.
CA, civil fine of $1500 with $1250 suspended plus $50 pere
uncompleted credit hour for a total unsuspended fine of $462.50
to be paid in 90 days, compliance with CEU requirement,
mandatory audit for next 2 renewal periods, public reprimand.
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $350,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA, civil fine of $1500 with $1250 suspended plus $50 per
uncompleted credit hour for a total unsuspended fine of $750,
compliance with CEU requirement, mandatory audit for next 2
renewal periods, public reprimand
CA , civil fine $500, public reprimand, probation for 5 years,
notify the Board if leaving the community for more than 7 days,
notify the Board if leaving the state for more than 30 continuous
days or 60 aggregate days, report if respondent is not a resident
of Alaska or does not hold an active license, participate in an
ongoing program of rehabilitative & psychotherapy counseling
with quarterly reports submitted to the Board. Consume no
controlled drugs, submit to random urinalysis & blood tests,
monitoring by personal health care provider, attend Narcotics
Anonymous or Alcohol Anonymous meetings, restriction of
remote employment & limitation of access to controlled drugs,
employer reports & supervision, permanent total abstinence
from drugs.
9

Board Meeting Name Case Number License/
certificate
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
October-12 Kamea Hale 2012-000917 CNA lapsed Respondent failed to report on her application being
certificate # NUA A found guilty of Operating Under the Influence in the
9585
State of Alaska on 12/03/08.
October-12 Maria Rodriguez-
Gallardo
2012-000381 CNA certificate #
NUA A 10338
January-13 Annette Alessi 2012-000441 CNA certificate #
NUA A 2256
January-13 Kristal L.
Hammack
January-13 Dana G.
Ruottinen
2012-001120 CNA certificate #
NUA A 6107
2012-001184 CNA certificate #
NUA A 13348
Respondent failed to report on her application a
previous consent agreement in question number
one.
Respondent answered yes on question #2 and
disclosed a criminal history when renewing her
license on October 14, 2011. However, respondent
failed to disclosed criminal violations on the previous
four applications. Respondent has the following
criminal convictions: Shoplifting, Driving with a
Suspended License twice, and Theft in the Fourth
Degree.
Respondent failed to report on her application two
DUIs reduced to reckless driving misdemeanors in
1992 and 1996 on her original application on
11/20/98. Respondent failed to show 160 of
employment at the time of renewal.
Respondent failed to report on his application a
previous consent agreement with the Alaska Board
of Barbers and Hairdressers in question number
one. Respondent was suspended for noncompliance
with the agreement.
April-13 Shirley L. Agcaoili 2013-000416 CNA lapsed Respondent failed to report on her application a
certificate # NUA A previous consent agreement in question number
670
one. Respondent failed to report a criminal
conviction for disorderly conduct in the State of
Alaska on 2/22/1996.
April-13 Stacie L. Joseph 2013-000514 CNA lapsed Respondent failed to report on her application a DUI
certificate # NUA A in the State of Alaska on 10/16/2008 and a DWI
7973
11/14/2008.
CA, civil fine of $500, a public reprimand
CA, civil fine of $500, a public reprimand. The previous
suspension of $1,250 for CA 2011-000258 will remain in effect.
CA, civil fine of $2,000 with $1,500 suspended, a public
reprimand.
CA, civil fine of $500, a public reprimand.
CA, civil fine of $500, a public reprimand.
CA, civil fine of $1,000, a public reprimand.
CA, civil fine of $500, a public reprimand.
10

Board Meeting Name Case Number License/
certificate
April-13 Martha
Kaiakokonok
2013-000466 Application for
CNA by
examination
April-13 Madeline K. Notti 2013-000371 Application for
CNA by
examination
(Rev. 04/25/13)
Alaska Board of Nursing
Discipline Database
Falsification of Application - CNA
Violation Discipline
Respondent failed to report on her application
convictions of Disorderly Conduct on 10/31/2001,
Harrassment on 8/27/2007, and a DUI on 8/5/2008.
Additionally, respondent was assessed for Alcohol
Dependence on 11/19/2012.
Respondent failed to report on her application two
criminal convictions of Violation of Conditions of
Release and a Domestic Violence Protective Order
dated 7/4/2003.
CA - probation for 5 years, notify the Board if leaving the
community for more than 7 days, participate in an ongoing
program of drug rehabilitative & psychotherapy counseling with
quarterly reports submitted to the Board, consume no controlled
drugs or alcohol, AA or NA meetings 3 times a week, random
urinalysis & blood tests, monitoring by personal health care
provider, restriction of remote employment & limitation of access
to controlled drugs, employer reports & supervision, permanent
total abstinence from drugs or alcohol.
CA, civil fine of $500, a public reprimand.
11