Preview
FILED: ALBANY COUNTY CLERK 07/05/2022 11:00 AM INDEX NO. 905064-22
NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 07/05/2022
REQUEST FOR JUDICIAL INTERVENTION UCS-840
(rev. 02/01/2022)
SUPREME
_______________ ALBANY
COURT, COUNTY OF _______________
Index No: _______________ Date Index Issued: _______________ For Court Use Only:
CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet.
IAS Entry Date
BEST HELP HOMECARE, INC; CAREAIDE DIRECT INC.; CAREFIRST CDPAP, CORP; EASY CHOICE AGENCY INC.; HARBOR
CARE LLC; HOME CHOICE LLC; SAFE HAVEN HOME CARE, INC; AND SILVER LINING HOMECARE AGENCY, INC.
Plaintiff(s)/Petitioner(s) Judge Assigned
-against-
NEW YORK STATE DEPARTMENT OF HEALTH, and MARY T. BASSETT, MD, MPH, RJI Filed Date
in her official capacity as Commissioner of Health of the State of New York
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
COMMERICIAL MATRIMONIAL
Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contested
Contract NOTE: If there are children under the age of 18, complete and attach the
Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M).
UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
Other Commercial (specify): _______________________________________________ REAL PROPERTYSpecify how many properties the application includes:
_______
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d),
Condemnation
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Mortgage Foreclosure (specify): Residential Commercial
TORTS Property Address: ____________________________________________________
Asbestos NOTE: For Mortgage Foreclosure actions involving a one to four-family,
Child Victims Act owner-occupied residential property or owner-occupied condominium,
complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
Environmental (specify): __________________________________________________
Medical, Dental or Podiatric Malpractice Partition
Motor Vehicle NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P).
Products Liability (specify): ________________________________________________
Tax Certiorari (specify):
Section:________
Block:________ Lot:________
Other Negligence (specify): ________________________________________________
Tax Foreclosure
Other Professional Malpractice (specify): _____________________________________
Other Real Property (specify): __________________________________________
Other Tort (specify): ______________________________________________________ OTHER MATTERS
SPECIAL PROCEEDINGS Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section]
Child-Parent Security Act (specify):
Assisted Reproduction Surrogacy Agreement Emergency Medical Treatment
CPLR Article 75
Arbitration [see NOTE in COMMERCIAL section] Habeas Corpus
CPLR Article 78
Proceeding against a Body or Officer Local Court Appeal
Election Law
Extreme Risk Protection Order Name Change/Sex Designation Change
MHL Article 9.60 Pistol Permit Revocation Hearing
MHL Article 10Sex Offender Confinement (specify): Initial Review Sale or Finance of Religious/Not-for-Profit Property
MHL Article 81 (Guardianship) Other (specify):
______________________________________________________
Other Mental Hygiene (specify):
____________________________________________
Other Special Proceeding (specify):
_________________________________________
STATUS OF ACTION OR PROCEEDING Answer YES or NO for every question and enter additional information where indicated.
YES NO
Has a summons and complaint or summons with notice been filed? If yes, date filed:
___________________
Has a summons and complaint or summons with notice been served? If yes, date served:
___________________
Is this action/proceeding being filed post-judgment? If yes, judgment date: ___________________
NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
Extreme Risk Protection Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice
Date Issue Joined:
___________________
Notice of Motion Relief Requested:
______________________________
Notice of Petition Relief Requested:
______________________________
Order to Show Cause Relief Requested:Annul FOIL determination; stay
______________________________ Return Date: TBD by Court
Other Ex Parte Application Relief
Requested: ______________________________
Partition Settlement Conference
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify):
____________________________________________________________________________
1 of 2
FILED: ALBANY COUNTY CLERK 07/05/2022 11:00 AM INDEX NO. 905064-22
NYSCEF
RELATED DOC.
CASES NO.List6any related actions.
For Matrimonial cases, list any related criminal or Family Court cases.RECEIVED
If none, leaveNYSCEF:
blank. 07/05/2022
If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A).
Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case
NY Advocates for Home Care et al. v. 910456-21 Albany County Supreme Court Hon. Gerald Connolly Both cases involve FOIL requests to DOH concerning
RFO #20039; some denied requests overlap
NY State Dep't of Health, et al.
PARTIES - , phone number and email in the space provided.
If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A).
Un- Parties Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers
Rep List parties in same order as listed in the
For represented parties, provide attorney
name, firm name, address, phone and For each defendant,
For each defendant,
caption and indicate roles (e.g., plaintiff,
email. For unrepresented parties, provideaddress, phone and email. indicate if issue has
indicate insurance
defendant, 3rd party plaintiff, etc.) been joined. carrier, if applicable.
Name: Best Help Homecare, Inc Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: CareAide Direct Inc Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: Carefirst CDPAP, Corp Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: Easy Choice Agency Inc. Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: Harbor Care LLC Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: Home Choice LLC Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: Safe Haven Home Care, Inc. Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite
Silver Lining Homecare Agency, Inc.
Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO
Petitioner
Name: NY State Department of HealthHon. Letitia James, Attorney General of the State of New
Role(s): York, New York State Capitol, Albany, NY 12224 YES NO
Respondent
Name: Mary T. Bassett, MD, MPH Hon. Letitia James, Attorney General of the State of New
Role(s): York, New York State Capitol, Albany, NY 12224 YES NO
Respondent
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS,
EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS ACTION OR PROCEEDING.
Dated: 07/05/2022 _______________________
Signature
5976790
________________________________________________________ Derek Adams
Attorney Registration Number Print Name
2 of 2
Preview
FILED: ALBANY COUNTY CLERK 07/05/2022 11:00 AM INDEX NO. 905064-22 NYSCEF DOC. NO. 6 RECEIVED NYSCEF: 07/05/2022 REQUEST FOR JUDICIAL INTERVENTION UCS-840 (rev. 02/01/2022) SUPREME _______________ ALBANY COURT, COUNTY OF _______________ Index No: _______________ Date Index Issued: _______________ For Court Use Only: CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date BEST HELP HOMECARE, INC; CAREAIDE DIRECT INC.; CAREFIRST CDPAP, CORP; EASY CHOICE AGENCY INC.; HARBOR CARE LLC; HOME CHOICE LLC; SAFE HAVEN HOME CARE, INC; AND SILVER LINING HOMECARE AGENCY, INC. Plaintiff(s)/Petitioner(s) Judge Assigned -against- NEW YORK STATE DEPARTMENT OF HEALTH, and MARY T. BASSETT, MD, MPH, RJI Filed Date in her official capacity as Commissioner of Health of the State of New York Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated. COMMERICIAL MATRIMONIAL Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contested Contract NOTE: If there are children under the age of 18, complete and attach the Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M). UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13). Other Commercial (specify): _______________________________________________ REAL PROPERTYSpecify how many properties the application includes: _______ NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), Condemnation complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Mortgage Foreclosure (specify): Residential Commercial TORTS Property Address: ____________________________________________________ Asbestos NOTE: For Mortgage Foreclosure actions involving a one to four-family, Child Victims Act owner-occupied residential property or owner-occupied condominium, complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). Environmental (specify): __________________________________________________ Medical, Dental or Podiatric Malpractice Partition Motor Vehicle NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P). Products Liability (specify): ________________________________________________ Tax Certiorari (specify): Section:________ Block:________ Lot:________ Other Negligence (specify): ________________________________________________ Tax Foreclosure Other Professional Malpractice (specify): _____________________________________ Other Real Property (specify): __________________________________________ Other Tort (specify): ______________________________________________________ OTHER MATTERS SPECIAL PROCEEDINGS Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] Child-Parent Security Act (specify): Assisted Reproduction Surrogacy Agreement Emergency Medical Treatment CPLR Article 75 Arbitration [see NOTE in COMMERCIAL section] Habeas Corpus CPLR Article 78 Proceeding against a Body or Officer Local Court Appeal Election Law Extreme Risk Protection Order Name Change/Sex Designation Change MHL Article 9.60 Pistol Permit Revocation Hearing MHL Article 10Sex Offender Confinement (specify): Initial Review Sale or Finance of Religious/Not-for-Profit Property MHL Article 81 (Guardianship) Other (specify): ______________________________________________________ Other Mental Hygiene (specify): ____________________________________________ Other Special Proceeding (specify): _________________________________________ STATUS OF ACTION OR PROCEEDING Answer YES or NO for every question and enter additional information where indicated. YES NO Has a summons and complaint or summons with notice been filed? If yes, date filed: ___________________ Has a summons and complaint or summons with notice been served? If yes, date served: ___________________ Is this action/proceeding being filed post-judgment? If yes, judgment date: ___________________ NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated. Extreme Risk Protection Order Application Note of Issue/Certificate of Readiness Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined: ___________________ Notice of Motion Relief Requested: ______________________________ Notice of Petition Relief Requested: ______________________________ Order to Show Cause Relief Requested:Annul FOIL determination; stay ______________________________ Return Date: TBD by Court Other Ex Parte Application Relief Requested: ______________________________ Partition Settlement Conference Poor Person Application Request for Preliminary Conference Residential Mortgage Foreclosure Settlement Conference Writ of Habeas Corpus Other (specify): ____________________________________________________________________________ 1 of 2 FILED: ALBANY COUNTY CLERK 07/05/2022 11:00 AM INDEX NO. 905064-22 NYSCEF RELATED DOC. CASES NO.List6any related actions. For Matrimonial cases, list any related criminal or Family Court cases.RECEIVED If none, leaveNYSCEF: blank. 07/05/2022 If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A). Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case NY Advocates for Home Care et al. v. 910456-21 Albany County Supreme Court Hon. Gerald Connolly Both cases involve FOIL requests to DOH concerning RFO #20039; some denied requests overlap NY State Dep't of Health, et al. PARTIES - , phone number and email in the space provided. If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A). Un- Parties Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers Rep List parties in same order as listed in the For represented parties, provide attorney name, firm name, address, phone and For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provideaddress, phone and email. indicate if issue has indicate insurance defendant, 3rd party plaintiff, etc.) been joined. carrier, if applicable. Name: Best Help Homecare, Inc Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: CareAide Direct Inc Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: Carefirst CDPAP, Corp Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: Easy Choice Agency Inc. Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: Harbor Care LLC Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: Home Choice LLC Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: Safe Haven Home Care, Inc. Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: Derek Adams; Potomac Law Group; 1300 Pennsylvania Avenue, NW Suite Silver Lining Homecare Agency, Inc. Role(s): 700, Washington, DC 20004; dadams@potomaclaw.com; 202-558-5557 YES NO Petitioner Name: NY State Department of HealthHon. Letitia James, Attorney General of the State of New Role(s): York, New York State Capitol, Albany, NY 12224 YES NO Respondent Name: Mary T. Bassett, MD, MPH Hon. Letitia James, Attorney General of the State of New Role(s): York, New York State Capitol, Albany, NY 12224 YES NO Respondent Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS ACTION OR PROCEEDING. Dated: 07/05/2022 _______________________ Signature 5976790 ________________________________________________________ Derek Adams Attorney Registration Number Print Name 2 of 2