Hyunsook Highland v. Virginia Board of Nursing

Court of Appeals of Virginia·Decided November 19, 2019·No. 0368194·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA UNPUBLISHED

Present: Chief Judge Decker, Judges Humphreys and Russell Argued at Leesburg, Virginia

HYUNSOOK HIGHLAND

MEMORANDUM OPINION* BY

v. Record No. 0368-19-4 JUDGE ROBERT J. HUMPHREYS NOVEMBER 19, 2019

VIRGINIA BOARD OF NURSING

FROM THE CIRCUIT COURT OF FAIRFAX COUNTY Richard E. Gardiner, Judge

Howard L. Highland for appellant.

Charis A. Mitchell, Assistant Attorney General (Mark R. Herring, Attorney General; Allyson K. Tysinger, Senior Assistant Attorney General, on brief), for appellee.

On August 14, 2017, appellant Hyunsook Highland (“Highland”) submitted an application to the Virginia Board of Nursing (“Board”) for licensure by endorsement to practice practical nursing. The Board held an informal conference before a Special Conference Committee on February 20, 2018. The Committee denied Highland’s application. Highland appealed the Committee’s decision, and the Committee’s order was vacated. Pursuant to the Virginia Administrative Process Act (“VAPA”), Code § 2.2-4020, the Board held a formal administrative hearing on May 14, 2018, to determine if Highland satisfied the statutory requirements to receive a practical nursing license.

*

Pursuant to Code § 17.1-413, this opinion is not designated for publication.

At that hearing, Highland submitted evidence and testimony that she completed a registered nursing (“R.N.”)1 education program at Chonnam National University in Korea and was a licensed practical nurse (“L.P.N.”) in New York. However, after the formal hearing, the Board denied her application. Specifically, the Board found that Highland had “not completed an approved practical nursing program as required by [the] laws and regulations of [the] Virginia Board of Nursing,” nor had she provided “evidence from the [Commission on Graduates of Foreign Nursing Schools (“CGFNS”)] that the education program she graduated from in Korea was comparable to those required by the Commonwealth.”

Highland appealed the Board’s decision to the Circuit Court of Fairfax County (“circuit court”). After argument, the circuit court held that the Board committed no error of law in denying Highland’s application. Thereafter, Highland filed a motion for reconsideration. The circuit court suspended its order to reconsider the appeal. After reconsideration, the circuit court denied the motion in part and granted it in part, remanding to the Board to decide whether Highland was eligible for licensure pursuant to 18 VAC 90-19-120(A)(2)(a). Highland now appeals that decision to this Court.

I. BACKGROUND

A. Application and Hearings Before the Board As part of her application for licensure by endorsement as a practical nurse, Highland submitted a validation from CGFNS that she was licensed as a registered nurse in Korea in 1975. Her application also contained reference to a New York L.P.N. license that Highland obtained in 2017. Additionally, she submitted a letter from CGFNS dated September 12, 2017, that verified the authenticity of documents Highland submitted to that organization. Most notably, however,

1 The Code uses “registered” and “professional” nursing interchangeably. See, e.g., Code § 54.1-3000. Those terms, however, are distinguishable from practical nursing. Id.

the letter concluded that it did “NOT provide an evaluation of [Highland’s] education and licenses, or a comparison to U.S. standards of education and licensure for their profession.”

At the formal hearing before the Board on May 14, 2018, Highland testified that she sought a New York L.P.N. license not because she planned to move to New York, but because she thought getting her license there would be the “easiest” way to get her license in a different state. To obtain an L.P.N. license in New York, Highland submitted verification of her R.N. education “using CGFNS’s Credential Verification Service for New York State,” which New York accepted to grant her an L.P.N. license.

Highland also testified that she had not practiced as a “hands on” nurse since 1976, except for taking care of her family and friends. In her testimony and the outline of her argument presented to the Board, Highland argued that her R.N. education met the educational requirements of 18 VAC 90-19-120(A)(2) and 18 VAC 90-19-130 because she “utilized the CGFNS Credential Verification Service for New York State,” obligating the Board to determine that she met the educational requirements in the Commonwealth. However, at least one Board member was concerned that if granted a license, Highland would not stay within the practice limitations of an L.P.N. because she “know[s] a lot of R.N. information.”

After the formal hearing, the Board issued an order containing six findings of fact and a conclusion of law. Among other things, the Board found that “Ms. Highland has not completed an approved practical nursing program as required by [the] laws and regulations of [the] Virginia Board of Nursing.” Additionally, it found that “she did not present evidence from the CGFNS that the education program she graduated from in Korea was comparable to those required by the Commonwealth.” From these findings, the Board concluded that Highland “does not meet the requirements of Virginia Code § 54.1-3020(2) and 18 VAC 90-19-130(C)(1) of the Regulations Governing the Practice of Nursing.” The Board denied Highland’s application.

B. Proceedings in the Circuit Court In her prayer for relief to the circuit court, Highland requested:

1. That this court REVERSE the Board’s erroneous findings of fact and conclusion of law . . . and thereupon COMPEL the Board to grant Ms. Highland’s original application for an LPN license by endorsement based on a finding that evidence of Ms. Highland’s education as an RN completes her application by meeting the educational requirements of Va. Code § 54.1-3020(A)(2), 18 VAC 90-19-130(C)(1); and/or 18 VAC 90-19-120(A)(2)(a);

2. Alternatively, that this court SET ASIDE the Board’s finding that Ms. Highland’s education as an RN does not meet the standard set at 54.1-3020(A)(2) and 18 VAC 90-19-130(C)(1); and REMAND this case for further proceedings in accordance with law as determined by this Court;

3. That this Court grant such other relief as may appear just and proper.

In the Board’s memorandum in opposition to petition for appeal, the Board included in the “facts” section that “[a]t the hearing, Highland submitted evidence of a [CGFNS] credentials certification stating that her education was comparable to a registered/professional nursing education program.” However, that evidence was not actually presented at the hearing.2 The Board further stated that Highland “did not submit evidence of completion of or comparability to a practical nursing education program.”

At oral argument before the circuit court, the court inquired into the evidence in the record to support this misstatement of fact. The Board’s counsel agreed with the court’s inquiry, stating, “I also do not see that evidence in the record so I do agree with Your Honor with that question mark as far as where that verification occurred.” Moreover, she argued, “[Q]uite frankly, Your Honor, it does not matter because she applied for licensure as a Practical Nurse.

2 The only evidence presented at the hearing from CGFNS was the letter verifying the authenticity of the documents Highland submitted to CGFNS, explicitly stating that it was not a credentials comparison, and the verification of her South Korean R.N. license.

So, whether she has been educated as an R.N. or not, she doesn’t qualify for licensure as a Practical Nurse.”

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Hyunsook Highland v. Virginia Board of Nursing, (Va. Ct. App. 2019).

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