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  "last_updated": "2023-07-14T22:04:57.079883+00:00",
  "provenance": {
    "date_added": "2019-08-29",
    "source": "Harvard",
    "batch": "2018"
  },
  "casebody": {
    "judges": [],
    "parties": [
      "RUSSELL A. MORGAN, Plaintiff-Appellant, v. THE DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION et al., Defendants-Appellees."
    ],
    "opinions": [
      {
        "text": "JUSTICE McBRIDE\ndelivered the opinion of the court:\nThis is an appeal from an order of the circuit court affirming the revocation of Dr. Russell Morgan\u2019s license to practice clinical psychology by the Illinois Department of Financial and Professional Regulation. For the reasons that follow, we affirm.\nI. BACKGROUND\nOn February 23, 2005, the Illinois Department of Financial and Professional Regulation filed a petition praying for the summary suspension of Dr. Russell Morgan\u2019s clinical psychologist license based upon allegations that he engaged in inappropriate sexual conduct with four of his female patients by touching their breasts and vaginas during treatment sessions. Three of these violations occurred at the Royal Oaks Care Center, a residential facility, in Kewanee, Illinois, with which plaintiff had contracted to provide psychological services to its patients. Because of this conduct, the Department asserted that Dr. Morgan\u2019s continued practice of clinical psychology posed an imminent danger to the public and prayed that his license be temporarily suspended pending proceedings before the Clinical Psychologists Licensing and Disciplinary Board. The record on appeal does not reveal whether plaintiff received notice of this petition.\nThat same day, the Department also filed an administrative complaint against Dr. Morgan alleging, in part, that he engaged in inappropriate sexual behavior with four female patients. The Department specifically alleged that: (1) on or about October 15, 2004, plaintiff placed his hands under the clothing of an 84-year-old patient named H.L., fondled her breast and digitally penetrated her vagina; (2) in or about December 2004, plaintiff instructed a 56-year-old patient named J.L. to lift up her shirt, sucked on her nipple, and placing his finger upon and in her vagina, digitally stimulated her vaginal area; (3) in or about December 2004, plaintiff instructed a 26-year-old patient named K.T. to lie on her bed and listen to relaxation tapes and while she was complying with these instructions, he reached under her blouse and fondled her breast and reached inside her pants and touched her vagina; and (4) in or about December 2004, plaintiff instructed a 38-year-old patient named S.G.-N. to lie on her bed and listen to relaxation tapes, and while she was complying with these instructions, he reached under her blouse and fondled her breast and reached inside her pants and touched her vagina.\nThe Department alleged that each act of misconduct violated six separate professional regulations and accordingly charged plaintiff with 24 counts of misconduct relating to those acts, six counts per patient. In doing so, the Department relied on its authority under section 15(7) of the Clinical Psychologist Licensing Act (Licensing Act) (225 ILCS 15/15(7) (West 2004)), which grants it the authority to discipline a psychologist for \u201c[ujnethical, unauthorized, or unprofessional conduct as defined by rule.\u201d In counts I, VII, XIII, and XIX, the Department sought the suspension or revocation of plaintiffs license under section 1400.80(i) of Title 68 of the Illinois Administrative Code (68 Ill. Adm. Code \u00a71400.80(i), amended at 28 Ill. Reg. 358, eff. December 19, 2003), which grants the agency the power to discipline a psychologist for committing \u201cany act of sexual misconduct, sexual abuse or sexual relations\u201d with a client or patient.\nThe Department also filed charges against plaintiff for violating five specific provisions of the \u201cEthical Principles of Psychologists and Code of Conduct\u201d (2003) (hereinafter Ethics Code) which the Administrative Code incorporates by reference. 68 Ill. Adm. Code \u00a71400.80(k), as amended at 28 Ill. Reg. 358, eff. December 19, 2003. In counts II, VIII, XIV and XX, the Department alleged that plaintiff\u2019s conduct with the four victims violated section 3.03 of the Ethics Code, which proscribes psychologists from knowingly engaging in \u201cbehavior that is harassing or demeaning to persons with whom they interact in their work based on facts such as those persons\u2019 age, gender, gender identity, race, ethnicity, race, culture, national origin, religion, sexual orientation, disability, language or socioeconomic status.\u201d In counts III, IX, XV and XXI, the Department claimed that plaintiff\u2019s conduct violated section 3.04 of the Ethics Code, which requires psychologists to \u201ctake reasonable steps to avoid harming their clients/patients *** and to minimize harm where it is foreseeable and unavoidable.\u201d In counts IV X, XVI, and XXII, the Department alleged that plaintiffs conduct violated section 3.08 of the Ethics Code, which proscribes psychologists from exploiting \u201cpersons over whom they have supervisory, evaluative, or other authority such as clients/patients.\u201d In counts V XI, XVII, and XXIII, the Department alleged that plaintiffs conduct with these four patients violated section 10.05 of the Ethics Code, which prohibits psychologists from engaging in \u201csexual intimacies with current therapy clients/patients.\u201d In counts VI, XII, XVIII, and XIV the Department alleged that plaintiffs conduct with these four patients violated section 10.08 of the Ethics Code, which bars psychologists from engaging in \u201csexual intimacies with former clients/patients for at least two years after cessation or termination of therapy.\u201d Counts VI, XII, XVIII, and XIV were subsequently withdrawn by the Department.\nThe Department also charged plaintiff in counts XXV and XXVI with failing to maintain proper medical records for patients K.T. and S.G.-N. respectively, in violation of section 6.01 of the Ethics Code, which obligates psychologists to \u201ccreate, and to the extent the records are under their control, maintain, disseminate, store, retain, and dispose of records and data relating to their professional and scientific work in order to (1) facilitate provision of services later by them or by other professionals, (2) allow for replication of research design and analyses, (3) meet institutional requirements, (4) ensure accuracy of billing and payments, and (5) ensure compliance with law.\u201d\nOn February 23, 2005, an ex parte hearing was held before the Department\u2019s director on the petition for summary suspension, at which neither plaintiff nor his attorney was present. At the hearing, the director heard the testimony of a department investigator, William Disselhorst, who stated that he investigated the complaints of H.L., J.L., K.T., and S.G.-N., and learned that plaintiff had inappropriately touched their breasts and vaginas and failed to maintain treatment records for K.T. and S.G.-N. He also asserted that based on this conduct, plaintiff posed an imminent danger to the public. On the basis of this testimony, the director found that \u201cthe interests of safety and welfare imperatively require[d] emergency action to prevent the continued practice of clinical psychology by the plaintiff and that the plaintiffs actions constitute^] an immediate danger to the public\u201d and entered an order summarily suspending his license to practice psychology pending proceedings before the Department\u2019s Clinical Psychologist Licensing and Disciplinary Board.\nOn March 8, 2005, an administrative law judge (ALJ) commenced a hearing on the charges against plaintiff that continued on March 9, 10, 16, and April 8, 2005. At that hearing, S.G.-N, one of the Department\u2019s complaining witnesses, testified that she moved into the Royal Oaks Care Center in Kewanee, Illinois, on July 17, 2004, and that plaintiff visited her there four or five times in her room. On one of these visits, she claimed that she fell asleep on her bed listening to a relaxation tape given to her by plaintiff and, when she awoke, found plaintiffs hand inside her clothing \u201cplaying\u201d with her \u201cprivates.\u201d She claimed that she was afraid of him because he had told had her that he \u201cwas working for the government\u201d and she was afraid that \u201che was some kind of CIA agent,\u201d and went to the bathroom. She soon returned to the bed, however, to \u201clet him finish\u201d because she was afraid he was going to hurt her if she did not. S.G.-N. testified that after the incident she told a fellow resident named Krissy about it and reported the encounter to Angie Harris, an administrator at the home, and Elsie Sail, the facility\u2019s director of nursing. S.G.-N. asserted that she had been taking her medications at the time of the incident.\nAt the conclusion of the direct examination of S.G.-N., plaintiff moved to strike the entirety of her testimony because she did not testify as to when the incident occurred and therefore did not \u201clink\u201d her claims to the allegation in the administrative complaint that the incident occurred \u201cin or about December 2004.\u201d In response, the Department stated:\n\u201cShe has testified to the period during which she has been residing at the home. She testified to the location of the event. Whether the event occurred in July when she was a resident at the home or occurred in any other month, say August, September, October, November, December, January, February, she testified that the event occurred. The event occurred during the period of her residency at the home. It occurred during any potential limitations period. The question of the date on which it occurred is one of simply whether or not there is any type of alibi that the doctor may have. It doesn\u2019t go to whether or not the event occurred.\u201d\nIn reply, plaintiff noted that Royal Oaks only engaged his psychological services on September 3, 2004, when the parties entered into a psychological service agreement, which was admitted into evidence, and thus he would have prepared his defense differently had he received notice that the incidents for which he was charged were to have occurred prior to that time. The ALJ denied the motion to strike and the proceeding continued.\nOn cross-examination, plaintiff asked S.G.-N. if she had been diagnosed with bipolar disorder. The Department objected to the question on grounds that the witness was not a medical doctor, which the ALJ sustained. In response, plaintiff argued that any disorders S.G.-N. suffered were relevant to the ALJ\u2019s evaluation of her ability to correctly observe the incident and noted that the Department had asked her about her medications on direct examination. The ALJ stated that the Department did not \u201cmention any particular diseases\u201d and ruled that it was not going to let plaintiff \u201cgo into any medical history of this woman,\u201d but would allow him to examine S.G.-N. with respect to her medications.\nPlaintiff thereupon asked S.G.-N. what medications she was taking at the time of the incident and she stated that she was taking Xanax, Neurotin, and Risperdal. S.G.-N. admitted that patients at Royal Oaks are required to sign consent forms granting the facility permission to administer a particular medication to them and that she had signed some of those forms. Plaintiff then asked her if she was aware that some of the forms that she signed, which were not offered into evidence, stated that her medications could cause side effects including confusion and hallucinations, and she answered in the negative. Plaintiff offered into evidence a portion of S.G.-N.\u2019s medical record, which contained a report stating that she suffered from \u201ca long history of schizoaffective disorder with intermittent paranoid ideation about being poisoned by her stepfather.\u201d Her medical record also included a note stating that on December 26, 2004, the day before she reported plaintiff\u2019s conduct, she became loud and belligerent toward facility staff members and indicated that she was paranoid that the staff members were \u201cout to get her.\u201d\nPlaintiffs attorney then asked S.G.-N. whom she told about the incident and she responded that she informed two administrators at Royal Oaks, Angela Harris and Elsie Sail, a fellow resident named K.T., as well as other individuals whom she could not identify. She did not remember speaking to an investigator or police officer about the incident, but indicated that she could have told a male resident of the facility or a staff member. The cross-examination continued:\n\u201cQ. Did you ever give Ms. Harris or anybody on staff at the nursing home a signed statement about the incident?\nA. Yes.\nQ. Do you remember when you signed that statement?\nA. No.\nALJ CANAVAN: Do you want to take \u2014 Mr. Rhine, where are you going *** with this?\nTHE WITNESS: This is ridiculous.\nALJ CANAVAN: What are you trying to prove?\nTHE WITNESS: This is badgering.\nMR. RHINE: Well, the witness isn\u2019t able to object to me as badgering. I noticed Mr. Draznin [Department\u2019s counsel] hasn\u2019t objected to it. I have a statement that purports to be a signed statement by this witness with her account of the\u2014\nALJ CANAVAN: You have already brought out the fact that she\u2019s been on medication.\nMR. RHINE: Now, this is a signed statement about the incident.\nALJ CANAVAN: Okay. Hurry up and finish this up. This lady has been sitting here for an hour.\nMR. RHINE: I\u2019m entitled to represent my client. I have been limited in my examination. I have not been accused by Mr. Draznin of harassing the witness.\nMR. DRAZNIN: Yet.\nMR. RHINE: I think if you look at the questions I have asked, they have not been excessive and they have not been in any way harassing. But I do want to present full evidence since that is my belief on how I can best represent my client in this matter.\nALJ CANAVAN: All right. Well, continue.\nMR. RHINE: Are we taking a break for this witness or can I show her the statements that I contend she signed regarding the incident that is the subject of this case.\nALJ CANAVAN: Mr. Draznin[?]\nMr. DRAZNIN: I would ask that we take a five minute break.\nALJ CANAVAN: Why don\u2019t you get her some water or coffee or something downstairs.\u201d\nThereafter a brief recess was had and the ALJ stated, \u201cAll right. The witness has been crying for approximately 20 minutes. She\u2019s obviously under a great deal of stress, and I am going to limit the cross-examination to 10 or 15 minutes upon the end of our five-minute break.\u201d In response, plaintiff\u2019s attorney stated, \u201cThat is over the objection of Plaintiff who feels that this is cross-examination, Plaintiffs license is at issue, and he should be entitled to flesh out the very vague and general allegations that have been testified to by this witness.\u201d The cross-examination of S.G.-N. then continued.\nOn further examination, plaintiff\u2019s counsel asked S.G.-N. about her belief that plaintiff was working for the CIA. and that she claimed he told her he worked for the government prior to the incident. She further admitted that she did not know the date of the incident or what time of day it occurred. She stated that her clothes were not unbuttoned, unzippered, or in any way torn or ripped when she woke up while plaintiff was touching her. The examination continued:\n\u201cQ. When you awoke, you got up and went to the bathroom; is that correct?\nA. Yes.\nQ. And at the time you got up, where was Dr. Morgan\u2019s hand?\nA. Inside of my underwear.\nQ. So even though his hand was inside your underwear, you were able to get up without tearing or ripping your underwear; is that correct?\nA. He jerked his hand out of my underwear.\nQ. How soon after you woke up did he jerk his hand out of your underwear?\nA. You are asking me ridiculous questions.\nMR. RHINE: Your Honor, there is no objection from Mr. Draznin on a legal basis. The witness is not in a position to object to my questions.\nALJ CANAVAN: Well, she can answer or not answer it. She can answer it any way she wants. I can\u2019t tell her how to answer a question.\nMR. RHINE: I think you can advise her that she has to answer.\nALJ CANAVAN: She could answer to the best of her ability. If you could answer the question, please answer. If you don\u2019t know the answer or don\u2019t know, just say I don\u2019t know. Repeat the Question.\nMR. RHINE: Could the court reporter read the question back.\n(Record read as requested).\nTHE WITNESS: Probably a second, a couple of seconds. I don\u2019t know. I don\u2019t really know. I can\u2019t take this. This is tearing me apart.\nMR. DRAZNIN: Judge, we resumed 12 minutes ago.\nALJ CANAVAN: Okay. Alright. Is [sic] there any other follow-up questions you have quickly.\nMR. RHINE: Yes, I have questions. For the record, I object to a limitation on my cross-examination of this witness.\nALJ CANAVAN: You have already done that, I think, haven\u2019t you? How many questions do you have do you think?\nMR. RHINE: It depends on the answers, but I have a few more. I\u2019m still asking questions.\nALJ CANAVAN: I\u2019ll give you five more minutes. That\u2019s it. ***\nMR. RHINE: Do you want me to continue with the witness in her current state or did you want me to take a break?\nALJ CANAVAN: Well, yes, I think you might as well.\nMR. RHINE: Okay.\nALJ CANAVAN: It is up to you.\nMR. RHINE: I will continue.\nTHE WITNESS: I can\u2019t take this.\nALJ CANAVAN: All right.\nMR. RHINE: I would like the record to reflect that the witness did not cry during her direct examination when she addressed the incident.\nBY MR. RHINE:\nQ. Ms. [N.], after Dr. Morgan jerked his hand out of your underpants, did you get off the bed and go the washroom?\nA. I went to\u2014\nMR. DRAZNIN: Mr. Rhine is asking questions that the witness has testified to already.\nMR. RHINE: On direct, not on cross.\nMR. DRAZNIN: And obviously, it does nothing to question credibility to ask the same \u2014 to repeat simply the testimony from earlier. If Mr. Rhine has questions that are appropriate, he should ask them. I would object to him simply restating earlier testimony.\nMR. RHINE: Judge, I am entitled to ask questions that may have been asked on direct examination during cross-examination.\nALJ CANAVAN: Yes, you are; but you are not entitled to ask them over and over again. I know there\u2019s been many objections, but please wrap this up.\nObviously, Ms. [N.] is unable to testify any more unless you have another question that she could answer.\nMR. RHINE: Well, I don\u2019t think cross-examination is limited to what the witness wants to be asked or answer. I have questions.\nTHE WITNESS: Do you realize that I have been molested before and when you have been through it so many times, you get kind of used to it happening to you but this ridiculous questioning is absurd.\nMR. DRAZNIN: Your Honor, I would ask that that be stricken from the record because there was not question pending; and Judge, if Mr. Rhine wants to continue asking questions while the witness has indicated that she\u2019s unable to answer them, then I would simply like the record to reflect that she is sitting her crying and has been crying for most of the last 16 minutes since we came back from break and that if the witness is unable to answer one of the questions Mr. Rhine asks because of her condition on the stand, would the record simply reflect that she\u2019s unable to answer them because of her condition.\nALJ CANAVAN: Why don\u2019t you talk to the witness.\nMR. DRAZNIN: I\u2019ve spoken with Ms. [N.] And she has said she\u2019s not able to answer any more questions at this time.\nALJ CANAVAN: Would you put something in the record, Mr. Draznin, and you can put whatever objections you may have on in the record, too, Mr. Rhine. At this time, the witness is going to leave the room. Is she going to leave?\nMR. DRAZNIN: Yes. Yes.\nALJ CANAVAN: She has been deemed unable to continue testifying under the cross-examination of Mr. Rhine. She\u2019s been crying for about half an hour and can\u2019t continue any longer.\nMr. Draznin, did you want anything in the record?\nMR. DRAZNIN: Judge, I would simply state for the record what you had just said concerning her condition and then at your instruction, I spoke with the witness to find out if she was capable of testifying. I asked her to try to continue, if she could, and she indicated that she\u2019s not able to answer any more questions.\nMR. RHINE: I would ask that the witness\u2019 testimony be stricken because she was not subject to full cross-examination and she left because of her condition even though I was not allowed to go into her medical condition on cross-examination so she has been allowed to leave the room based on her own determination that she could not continue, and she never testified to a date about when this incident occurred.\nThe Department is required to give us proper notice about when the alleged incident took place. ***\nSo the grounds for striking her testimony are two-fold. No.l, she did not complete cross-examination which limits the defense; and No. 2, she never identified a date of the alleged incident, therefore, we have gotten improper notice. That again limits us in preparing a defense to the charges.\nALJ CANAVAN: Thank you, Mr. Rhine. That oral motion will be denied.\u201d\nThe Department\u2019s next complaining witness, J.L., testified that she was a resident of Royal Oaks and met with plaintiff on December 16, 2004, in the activities office in the facility. J.L. stated that she has certain abnormalities on her breasts, which she related in her conversation with plaintiff and he asked if he could see them. She agreed and when she lifted her blouse, plaintiff grabbed her left breast and \u201cstarted suckling it like a baby would when it was nursing\u201d and inserted his finger into her vagina. J.L. stated that she told a staff member about the incident 45 minutes after it happened, but could not recall who specifically she told because \u201cthis is three months later and I have had different medication put into my system and I\u2019ve lived on so many medications through the years that I\u2019m lucky to be upright.\u201d\nThe Department also admitted into evidence, over plaintiffs objection, a report drafted by two Illinois State Police investigators after their interview of J.L. on January 11, 2005. The report indicates that the investigators found her to be very lucid and exhibiting normal thought processes. She stated that she had been sexually abused in her past by her father and by two African American boys, and she stated, \u201cI was also abused by a minister, a black man raped me named Jim and two security guards.\u201d The report also indicated that J.L. told the investigators that during her second treatment session with plaintiff, she asked him about her nipple abnormalities and he sucked her breast for \u201cmaybe one and a half minutes.\u201d She stated to police that he then asked her to pull her pants down but she refused, and he put his hand into her pants and touched her clitoris. The report indicates that she told police, \u201coh this is beautiful. I wanted him to stop, but...he did it long enough for me to orgasm.\u201d She told police that he eventually stopped, told her not to tell anyone, and she agreed not to. J.L. also told investigators, however, that \u201cthe more I thought about that evening, the more I thought I should tell and he should lose his license.\u201d J.L. claimed that K.T. and S.G.-N. told her that plaintiff had done similar things to them.\nOn cross-examination, J.L. admitted that she had been diagnosed with paranoid schizophrenia and takes, among other medications, Depakote, but denied suffering from \u201cpersecutory\u201d delusions. Her medical records were received into evidence and notes included in those records indicated that she suffered from \u201cpersecutory\u201d delusions and that she felt unfairly threatened or attacked by others. J.L. stated on further cross-examination that she informed a nurse on the date of the incident, and that she also told Angie Harris, an administrator at Royal Oaks, about the matter within \u201ca couple of days\u201d and was subsequently interviewed by the Illinois State Police and two other \u201cgentlemen.\u201d She stated that she told S.G.-N. and K.T. about the incident the morning after it happened, before she told Harris.\nPlaintiff\u2019s attorney then asked J.L. whether she had previously told anyone that she reached climax as a result of plaintiffs touching, to which the Department objected on grounds that it was beyond the scope of direct examination and that any such prior statement was not impeaching of her testimony at trial. This objection was sustained by the ALJ. Plaintiff\u2019s counsel then asked J.L. if she ever told anyone that she did not tell plaintiff to stop because \u201cit was so beautiful and it felt good,\u201d to which the witness was permitted to answer, over the Department\u2019s objection, that she told Harris and a priest that \u201cit was beautiful and it felt good.\u201d Plaintiffs counsel then asked whether she told anyone other than Harris and the priest that she climaxed during the incident and she replied that Sail, another administrator, was in the room when she told Harris. She also conceded that she told a State Police officer \u201cthe more I thought about that evening, the more I thought I should tell and he should lose his license.\u201d\nK.T., the Department\u2019s third complaining witness, testified that she lived at Royal Oaks and met with plaintiff three or four times. K.T. claimed that she met with him on December 16, 2004, in her room and he \u201cgot up in my shirt and started feeling my breasts and he got into my pants and started feeling my vagina.\u201d He then told her not to say anything about it. K.T. stated that she was taking her medications on the day of the incident and told Sail and Harris on December 27 or 28, 2004.\nThe Department also offered into evidence, over plaintiffs objection, a report drafted by two investigators from the Illinois State Police, who interviewed K.T. on January 11, 2005. The report indicated that K.T. told the investigators that she had met plaintiff in a courtyard of the facility approximately four weeks before the incident and talked to him on that occasion. K.T. alleged that plaintiff subsequently met with her in her room, and at that time, he touched both of her breasts. She indicated to police that she did not like his touching and he put his hand down her pants and rubbed her clitoris until she told him to stop. The report shows that plaintiff told her not to tell anyone and she told him that she would not. K.T. also told investigators that she had another encounter with plaintiff in her room on December 16, 2004, and at that time, plaintiff made her take her clothes off and lay completely naked on the bed and again touched her breasts and clitoris. She told him to stop and again he told her not to tell anyone. K.T. told investigators that she did tell a case manager at the facility named Deb Richter within \u201ca couple days after December 16th.\u201d She also stated that she spoke with her fellow resident J.L. about their respective encounters with plaintiff, but K.T. insisted that her recollection of plaintiffs conduct with her was not influenced by J.L.\u2019s story.\nOn cross-examination, K.T. claimed that plaintiff had touched her sexually during his last two visits, the final visit occurring on December 16, 2004. She stated that she expected to see him on December 16, 2004, because he told her that he was going to bring her reading material about her disorders that day. When asked if she kept the documents he gave her, however, she asserted that she did not remember. K.T. denied telling S.G.-N. and J.L. about the incident. K.T. testified that she was taking Depakote, Klonopin, Ativan, but denied that the medications caused her to suffer from confusion or hallucinations. K.T. was then shown various forms that she signed prior to receiving these medications, which were received into evidence, that stated that some of her medications could cause confusion. K.T.\u2019s medical records, which were admitted into evidence, show that she suffers from schizophrenia and auditory hallucinations. She admitted that she suffered from hallucinations, but insisted that she did not hallucinate plaintiffs conduct. K.T. denied that plaintiff told her to take off her clothes and lay completely naked in her bed and disagreed that she told investigators that he did. K.T. acknowledged that she had previously suffered from addictions to alcohol and crack cocaine. She stated that she did not tell plaintiff to stop when he was touching her breasts, but did so when he touched her vagina and he left the room. K.T. later stated that she told him to stop while he was touching her breasts.\nOn redirect examination, K.T. explained that she could not have hallucinated plaintiffs fondling because her hallucinations are visual in nature and do not give her the sensation of being touched.\nThe Department called Elsie Sail, the director of nursing at Royal Oak Care Center, who testified that, on December 16, 2004, residents of the facility informed her of plaintiffs actions with S.G.-N., J.L., and K.T. She stated that, thereafter, she called plaintiff several times to request that he submit progress notes in connection with his treatment of S.G.-N. and K.T., which had not been completed as required. In response, plaintiff told her that he did not complete progress notes for the two patients because he had treated them on a pro bono basis. Sail claimed that she instructed plaintiff to complete the notes because they were needed regardless of whether the patients were treated on a pro bono basis, but she never received the notes from him.\nOn cross-examination, plaintiffs attorney asked Sail to review a record maintained by the nurses in the facility which tracked when physicians visited the facility and which patients they saw. After reviewing the document, Sail stated that the document did not show that plaintiff visited S.G.-N. or K.T., but did indicate that he visited J.L. on December 16 and 23, 2004. Sail was then asked about her testimony on direct examination that she was informed of the incidents on December 16, 2004, and she stated that she was so advised on December 27 and 28, when J.L., K.T., and S.G.-N. came to her individually. She claimed that J.L. was the first to inform her of plaintiffs conduct and that K.T. and S.G.-N. separately advised her of their respective encounters with him the next day. Sail testified that after being so informed, she immediately initiated an investigation and reviewed facility records to determine which patients plaintiff had seen. During her review of the charts, she called plaintiff to ask about the progress notes and he admitted that he had seen K.T. and S.G.-N.\nThe Department also called Dr. Susan Zoline, a licensed clinical psychologist, to testify to the professional ethics applicable to the misconduct charged against plaintiff. Dr. Zoline first testified that section 6.01 of the Ethics Code requires a psychologist to maintain records concerning his treatment of a patient. Plaintiff then stipulated that \u201cit would be a violation of the code of ethics for a psychologist in a professional relationship to fondle a breast, suck a breast, or place his hand in the vagina of a female patient.\u201d Dr. Zoline next stated that a psychologist would violate section 3.04, which requires psychologists to \u201ctake reasonable steps to avoid harming their clients/patients *** and others with whom they work, and to minimize harm where it is foreseeable and unavoidable,\u201d by placing his hand upon the breast of a female client, suck on her nipple or breast, place his hand upon her pelvic area, or insert his finger into her vagina. She further testified that such conduct would violate section 3.08 of the Code, which prohibits psychologists from exploiting \u201cpersons over whom they have supervisory, evaluative, or other authority such as clients/patients,\u201d and section 10.05 of the Code, which bars psychologists from engaging in sexual intimacies with a patient.\nOn cross-examination, Dr. Zoline stated that a psychologist is obligated to maintain records concerning the treatment of any individual with whom he or she has a professional relationship. Plaintiffs counsel then asked Dr. Zoline about her interpretation of the phrase \u201cforeseeable and unavoidable\u201d in section 3.04, which requires psychologists to \u201ctake reasonable steps to avoid harming their clients/patients *** and others with whom they work, and to minimize harm where it is foreseeable and unavoidable.\u201d Dr. Zoline stated that she interpreted \u201cforeseeable\u201d harm to include harm that a psychologist can foresee will occur, but that is not certain to occur.\nPlaintiffs counsel then asked if the phrase \u201cand unavoidable\u201d immediately following the word \u201cforeseeable\u201d changed her interpretation. Dr. Zoline indicated that she did not understand the question and stated, \u201cThat is not an issue I\u2019m comfortable answering. *** I\u2019m not a linguist. I\u2019m a psychologist.\u201d Plaintiffs counsel then objected, stating that he did not believe it was appropriate for her to avoid answering the question because she was uncomfortable doing so, to which the ALJ responded that Dr. Zoline did not understand the question. Plaintiff\u2019s counsel then asked her if she had a professional understanding of the word \u201cunavoidable,\u201d the Department\u2019s counsel objected on grounds that the question had previously been asked and answered, and the ALJ sustained that objection. Plaintiffs counsel then asked Dr. Zoline about a different rule and then indicated he had no further questions on cross-examination.\nPlaintiff testified both as an adverse witness for the Department and on his own behalf. When called by the Department, plaintiff stated that he evaluated J.L. on December 16, 2004, in an office at Royal Oaks, but denied touching her or sucking on her breast. He also reported that J.L. told him that she had made multiple false allegations of sexual abuse against males in the past. Plaintiff acknowledged that he may have spoken to K.T. \u201cfor a few minutes here and there,\u201d along with other residents who approached him while he was working at the facility, but insisted that he never treated her as a patient, entered her room, or touched her in any way. Plaintiff also denied treating S.G.-N., entering her room, or touching her. He claimed that S.G.-N. approached him while he was working at the facility and told him that \u201cpeople were touching her, doing things to her, having sex with her, that she smelled like sex.\u201d The Department\u2019s attorney then asked the circumstances in which S.G.-N. approached him and the following colloquy was had:\n\u201cTHE WITNESS: As you\u2019re going through the facility through different sections to see people, there are people that are floating and moving out through the environment. They may come up to you anywhere within the facility and ask you something. You could either blow them off say I don\u2019t care to talk to you, which this guy may do, or you could talk to them. I did listen to them on occasion throughout weeks of going on. They tell you things. You hear them. You absorb them. You are going to call these people. You are going to ask them things. They are going to say things which are unreliable. I\u2019m telling you exactly from the standpoint of a scientist, not a psychotic person who is hallucinating or delusional, who makes up things, makes up lies, makes up police records, everything else under the sun. I\u2019m telling you what I see accurately as a scientist.\nQ. You\u2019re telling us that as somebody who was disciplined by the Department twice before for sexual misconduct.\nMR. RHINE: Objection.\nWITNESS: First of all, I didn\u2019t do anything wrong. Your Department was wrong. I find your Department to be unreliable, unethical, corrupt and criminal, making things up. I can go through all the points of it but I did nothing. And it is up for civil litigation. We\u2019re going to look at that. People made things up. They hid evidence. They didn\u2019t introduce evidence that they were supposed to that would have exonerated me. You had investigators lying, making things up, saying they were at a place they weren\u2019t at, they talked to people that weren\u2019t there and presenting the witnesses that lied to the prosecutor, different lies that my attorney, a former administrative law judge, told me about, and then came into this court told a further different lie and then added a little part of another lie. I have see a lot of this within the context of the Department.\nBY MR. DRAZNIN:\nQ. Everybody else is lying or delusional?\nA. Not everybody else. Some.\nQ. The people who were your victims, who have been found to be victims of prior cases were lying, the people who have made the allegations against you in this case are lying or delusional and the Department is corrupt in prosecuting you?\nA. Everybody knows the Department is corrupt. You\u2019re not an independent judge. You are a judge who works for the Department.\nALJ CANAVAN: Sir, I have had enough of that. Just be responsive to the questions.\u201d\nDuring examination by his own counsel, plaintiff reviewed the medical chart of J.L., which was admitted into evidence, and stated that she suffered from bipolar disorder, mixed emotions with psychotic features. Plaintiff explained that this diagnosis indicated that the patient\u2019s mood could range from \u201cbipolar, which involves perceiving things that are not there and engaging in risky kinds of behavior for pleasure, to depression.\u201d He further stated that the patient suffered from hallucinations and delusions, which involves \u201chearing things that aren\u2019t there, and making things up because the perception is wrong, it is off, it is not reality based.\u201d Plaintiff observed that her chart indicated that she suffered from tardive dyskinesia, which is a disorder which can develop when a patient uses antipsychotic medications for a long period of time and causes unusual mouth and tongue movements.\nPlaintiff also testified on his own behalf later in the hearing and claimed that he never had a psychologist-patient relationship with S.G.-N. or K.T. and never entered their rooms. He further denied that he ever told anyone at Royal Oaks that he provided pro bono services to patients with the initials S.G.-N. or K.T. Plaintiff acknowledged that he treated J.L. on two occasions and stated that she admitted during his evaluations that she suffered from hallucination and had been diagnosed with schizophrenia and tardive dyskinesia. Plaintiff denied that he ever touched the breasts or vagina of S.G.-N., J.L., or K.T.\nPlaintiff called as an adverse witness William Disselhorst, a Department investigator, who stated that he interviewed J.L., K.T., and S.G.-N. in connection with his investigation of plaintiffs conduct. Disselhorst stated that during his interview with J.L., she told him that the incident with plaintiff occurred just before Christmas 2004, during her last treatment session with him, but did not give a specific date. He acknowledged that the report he completed after the interview did not indicate that J.L. stated that the incident occurred during her last treatment session and did not give a specific date that the incident allegedly occurred. Disselhorst asserted that his investigation revealed that J.L. informed Royal Oaks staff of the incident in the last week of 2004.\nDisselhorst further testified that during his interview with K.T., she told him that plaintiff fondled her breasts and put his hand in her pants during two treatment sessions, but she did not give specific dates for those sessions. He further asserted that K.T. told him that she told the staff of the facility about plaintiffs conduct before she told other residents. Plaintiffs counsel then asked Disselhorst if K.T. indicated during the interview that \u201crelaxation tapes given to her by Dr. Morgan were used during the sessions that she had with him,\u201d and he answered in the affirmative.\nDisselhorst also interviewed S.G.-N., who told him that she had three treatment sessions with plaintiff, but she could not remember the specific dates of those sessions. He acknowledged that the report he completed thereafter stated that plaintiff asked her if she wanted to listen to relaxation tapes, she answered affirmatively, and he went to his car to get a cassette tape and cassette tape player. Disselhorst stated that S.G.-N. told him that she was unsure whether plaintiff had penetrated her vagina with his fingers.\nPlaintiff then called Angela Harris, who averred that she is the administrator at Royal Oaks and oversees the day-to-day operation of the facility. She stated that the facility maintains medical records for each of its residents and that care providers, including psychologists, who visit patients at the facility make notations in the resident\u2019s chart. Harris testified that the facility investigates all incidents of neglect or abuse and that all aspects of the investigation are documented. She testified that after she was informed of the complaints against plaintiff, she interviewed all residents who had a physician\u2019s order to see plaintiff, and then interviewed every other patient after she discovered that he had seen some patients without a physician\u2019s order. On December 27, 2004, an 1 \u2018Abuse/Neglect Interview Form\u201d was completed in connection with J.L.\u2019s complaint against plaintiff, and the next day, similar forms were completed in connection with the complaints of K.T. and S.G.-N. All three reports were signed by Harris and submitted into evidence. Harris also identified various medical records for J.L., K.T., and S.G.-N. that were maintained by Royal Oaks, which were admitted into evidence. Harris acknowledged that the facility\u2019s records showed that plaintiff visited J.L. on December 23, 2004, and asserted that plaintiff would not be allowed to see J.L. if she had complained of inappropriate conduct before that date.\nOn June 22, 2005, the ALJ issued its report and recommendations. In doing so, he noted that J.L. testified that in or about December 2004 plaintiff fondled her breasts and vagina during a treatment session, that K.T. testified that in or about December 2004 plaintiff fondled the breasts and vagina while she was listening to relaxation tapes, and that S.G.-N. testified that in or about December 2004 plaintiff fondled the breasts and vagina. The ALJ found this testimony \u201ccredible and forthcoming.\u201d The ALJ also found that plaintiff failed to compose progress notes in connection with his treatment of K.T. and S.G.-N. for their respective medical files. The ALJ noted that plaintiffs behavior during the hearing was \u201cargumentative, erratic\u201d and that he \u201cchallenged the authority of the Administrative Law Judge and the Department\u2019s ability to enforce or discipline his license.\u201d\nThe ALJ specifically found that plaintiffs conduct violated: section 1400.80(i) of title 68 of the Illinois Administrative Code (68 Ill. Adm. Code \u00a71400.80(i), amended at 28 Ill. Reg. 358, eff. December 19, 2003), which grants the agency the power to discipline a psychologist for committing \u201cany act of sexual misconduct, sexual abuse or sexual relations\u201d with a client or patient (counts VII, XIII, and XIX); section 3.03 of the Ethics Code, which proscribes psychologists from knowingly engaging in \u201cbehavior that is harassing or demeaning to persons with whom they interact in their work based on facts such as those persons\u2019 age, gender, gender identity, race, ethnicity, race, culture, national origin, religion, sexual orientation, disability, language or socioeconomic status\u201d (counts VIII, XIV and XX); section 3.04 of the Ethics Code, which requires psychologists to \u201ctake reasonable steps to avoid harming their clients/patients *** and to minimize harm where it is foreseeable and unavoidable\u201d (counts IX, XV and XXI); section 3.08 of the Ethics Code, which proscribes psychologists from exploiting \u201cpersons over whom they have supervisory, evaluative, or other authority such as clients/patients\u201d (counts X, XVI, and XXII); section 10.05 of the Ethics Code, which prohibits psychologists from engaging in \u201csexual intimacies with current therapy clients/patients\u201d (counts XI, XVII, and XXIII); and section 6.01 of the Ethics Code, which obligates psychologists to \u201ccreate, and to the extent the records are under their control, maintain, disseminate, store, retain, and dispose of records and data relating to their professional and scientific work\u201d (counts XXV and XXVI). On the basis of these conclusions, the ALJ recommended that plaintiffs psychologist\u2019s license be revoked for a minimum of five years.\nOn September 1, 2005, the Department\u2019s Clinical Psychologist Licensing and Disciplinary Board entered a two-page order adopting the ALJ\u2019s recommended findings of fact and conclusions of law and recommended to the director that plaintiffs license be revoked for five years and that he be ordered to pay an additional fine in the amount of $44,000.\nOn September 16, 2005, plaintiff filed a petition for rehearing and the Department filed a response on October 12, 2005. On October 31, 2005, the Department filed a motion to set a due date for plaintiffs reply brief, and plaintiff filed his brief on November 1, 2005. On November 17, 2005, the Director denied the motion for rehearing and entered a final decision. He specifically found that because the Board failed to file its recommendation within 60 days of the ALJ\u2019s recommendation, he was obligated to base his findings on the recommendations of the ALJ. The Director then adopted the findings of fact, conclusions of law, and recommendation of the ALJ and additionally found that plaintiff showed a disregard for the truth when he stated on cross-examination that he did not know why he had been previously disciplined by the Department and showed a \u201ccomplete\u201d lack of credibility when he stated that the \u201cDepartment is unreliable, unethical, corrupt, criminal, and manufactures evidence.\u201d The Director further held that plaintiff\u2019s credibility was undermined by the fact that he claimed that he never treated S.G.-N. and K.T., despite Sail\u2019s testimony that she called plaintiff to ask for progress notes for those patients and plaintiff told her he did not need to complete such notes because he had treated them on a pro bono basis. The Director also stated in his decision: \u201cThe testimonies of patients J.L., S.G.-N., and K.T. were lucid and forthright. None of these witnesses displayed an inability to answer questions posed despite their mental illness and use of prescription medication. I find the testimony of each of the witnesses, J.L., S.G.-N., and K.T., regarding the sexual abuse at the hands of the Plaintiff to be credible.\u201d On the basis of these conclusions, the Director revoked plaintiffs license for a minimum of five years.\nOn December 8, 2005, plaintiff filed a complaint for administrative review in the circuit court of Cook County and on March 21, 2007, the court affirmed the Director\u2019s decision. Plaintiff now appeals.\nII. ANALYSIS\nAdministrative decisions made by the Department of Financial and Professional Regulation pursuant to the Clinical Psychologist Licensing Act are subject to judicial review pursuant to the provisions of the Administrative Review Law. 225 ILCS 15/22 (West 2004); 735 ILCS 5/3 \u2014 101 et seq. (West 2004). Under the Administrative Review Law, this court may review \u201call questions of law and fact presented by the entire record,\u201d but may not consider new or additional evidence in making its determination. 735 ILCS 5/3 \u2014 110 (West 2004). In reviewing the propriety of the Department\u2019s decision, the agency\u2019s findings and conclusions on questions of fact are deemed to be prima facie true and correct. 735 ILCS 5/3 \u2014 110 (West 2004). Thus, we may not substitute our judgment for that of the administrative agency, but must ascertain whether the findings and decisions of the agency are against the manifest weight of the evidence. Abrahamson v. Illinois Department of Professional Regulation, 153 Ill. 2d 76, 88 (1992). An administrative agency decision is against the manifest weight of the evidence only if the opposite conclusion is clearly evident; if the record contains evidence to support the agency\u2019s decision, it should be affirmed. Abrahamson, 153 Ill. 2d at 88.\nPlaintiff raises numerous claims on appeal. He contends that the Director failed to include in his decision specific findings of fact as required by the Illinois Administrative Procedure Act (5 ILCS 100/ 1 \u2014 1 et seq. (West 2004)), that the Director\u2019s credibility determinations were arbitrary and capricious, and that the Director\u2019s conclusion that plaintiff committed various ethical violations by inappropriately touching J.L., K.T., and S.G.-N. was against the manifest weight of the evidence. Plaintiff further asserts that numerous evidentiary rulings made by the ALJ during the hearing were erroneous. He also claims that the administrative complaint filed by the Department provided him with insufficient notice of the charges against him in contravention of Illinois law and principles of due process. Last, plaintiff contends that his right to due process of law was violated by the Department\u2019s failure to enter a final agency decision until November 17, 2005, 222 days after the hearing before the ALJ was completed on April 8, 2005.\nA. Nonconstitutional Arguments\nWe will not reach constitutional issues presented in a case if the matter can be resolved on other grounds (Lyon v. Department of Children & Family Services, 209 Ill. 2d 264, 271 (2004)), and accordingly, we will address plaintiff\u2019s nonconstitutional arguments first. Plaintiff initially contends that the Department\u2019s findings in this case are so sparse that they failed to meet the requirements of the Illinois Administrative Procedure Act (5 ILCS 100/1 \u2014 1 et seq. (West 2004)). He specifically claims that the Director\u2019s decision, which incorporated the ALJ report by reference, was insufficient because it contained \u201cwholly conclusory\u201d credibility findings and did not include an explicit statement of the facts underlying its legal conclusions. Plaintiff further asserts that the Department\u2019s decision was arbitrary and capricious because the ALJ report found the testimony of S.G.-N., J.L., and K.T. to be \u201ccredible and forthcoming,\u201d but did not specifically address the fact that each witness gave prior inconsistent statements to investigators, suffered from mental disorders, and took medication that could possibly cause confusion. We disagree that the Department\u2019s findings were inadequate. In that regard, we note, \u201c[a]n agency is not required to make a finding on each evidentiary claim, and its findings need be only specific enough to permit an intelligent review of its decision.\u201d Merrifield v. Ulinois State Police Merit Board, 294 Ill. App. 3d 520, 528 (1997).\nIn this case, the ALJ summarized the testimony of the complaining witnesses in his statement of facts and stated that he deemed the testimony to be \u201ccredible and forthcoming.\u201d The ALJ also noted the testimony of Sail that plaintiff failed to complete medical progress notes for S.G.-N.\u2019s and K.T.\u2019s charts and the testimony of Dr. Zoline that plaintiff\u2019s conduct breached multiple provisions of the Ethics Code. Based on these findings, the ALJ concluded that the Department had met its burden of establishing that plaintiff had violated numerous regulations governing the conduct of psychologists and recommended that plaintiffs license be revoked.\nThe Board incorporated the ALJ\u2019s recommendations in its decision and the matter proceeded to the Director, who also incorporated the recommendations. The Director made further findings of fact in his decision, finding that plaintiff showed a \u201cdisregard for the truth when testifying on cross-examination that he did not know the reason why he had been previously disciplined by the Department,\u201d that plaintiff showed \u201ca complete lack of credibility when stating that the Department is unreliable, unethical, corrupt, criminal, and manufactures evidence,\u201d that plaintiffs credibility was further damaged by the testimony of Sail that plaintiff admitted to him that he treated S.G.-N. and K.T., that the testimonies of J.L., S.G.-N., and K.T. were \u201clucid and forthright,\u201d and that J.L., S.G.-N., and K.T. did not display \u201can inability to answer questions posed despite their mental illness and use of prescription medication.\u201d When read together, the ALJ report, which was incorporated by reference by the Director\u2019s decision, and the Director\u2019s additional findings of fact were \u201cspecific enough to permit an intelligent review of its decision\u201d and thus complied with the requirements of the Act. Merrifield, 294 Ill. App. 3d at 528.\nPlaintiff next argues that the Director\u2019s findings were against the manifest weight of the evidence. He specifically contends that the Director erred in accepting as credible the testimony of K.T., J.L., and S.G.-N. that plaintiff touched them inappropriately even though all three witnesses were impeached by the fact that they suffered from mental disorders, took medication that can cause confusion, and gave prior inconsistent statements to investigators. With regard to S.G.-N., plaintiff specifically notes that her medical records show that she suffers from a schizo-affective disorder with intermittent paranoid ideation about being poisoned and that, on December 26, 2004, the day before she reported plaintiff\u2019s conduct, she became loud and belligerent toward facility staff members and indicated that she was paranoid that the staff members were \u201cout to get her.\u201d He also observes that S.G.-N. stated at trial that she was afraid of plaintiff because she thought he was \u201csome kind of CIA agent,\u201d and that she did not remember meeting with Disselhorst despite the investigator\u2019s testimony that he interviewed her. Plaintiff further asserts that S.G.-N.\u2019s claim at trial that she was listening to relaxation tapes when he touched her was impeached by her earlier statements to the facility staff and Disselhorst that plaintiff left the room to get the tapes.\nPlaintiff contends that J.L.\u2019s testimony was impeached as well. He notes that her medical records showed that she suffered from delusions, had a history of feeling unfairly threatened or victimized by people, and took medication that could cause confusion. Plaintiff asserts that J.L. also exhibited a poor memory when she stated at trial that she could not recall the person to whom she reported plaintiffs conduct. He further argues that J.L. was inconsistent in her statements regarding when she met with him, observing that she first testified that she did not see him prior to December 16, 2004, but then changed her testimony to claim that she had. Plaintiff argues that J.L. was also impeached by the fact that she claimed that she did not see him again after her December 16, 2004, meeting, even though facility records showed that he met with her on December 23, 2004. Plaintiff also claims that J.L.\u2019s statements to the Illinois State Police that she had 15 previous sexual encounters and had been abused by two \u201cblack boys, a minister, a black man named Jim and two security guards\u201d were incredible, as was her claim that she mentioned her abnormal breasts to plaintiff. Plaintiff asserted that J.L.\u2019s credibility was further undermined by the fact that she claimed at trial that she reported plaintiffs abuse to facility staff within 45 minutes of its occurrence on December 16, 2004, and told the facility administrator within 48 hours, despite the fact that facility records indicate that she was seen by plaintiff on December 23, 2004, and that she did not report the abuse until December 27 or 28, 2004.\nPlaintiff contends that KT.\u2019s testimony was impeached as well. He notes that K.T.\u2019s medical records show that she suffers from schizophrenia and auditory hallucinations, and takes medications that can cause confusion. Plaintiff further observes that K.T. made numerous statements at trial that were inconsistent with earlier statements she made to those investigating her claims. He specifically notes that K.T. told Disselhorst, a Department investigator, that plaintiff made her lie naked on her bed and told police that she was listening to relaxation tapes when he touched her, but recanted both claims at trial. Plaintiff further contends that KT.\u2019s testimony that plaintiff touched her during two sessions was impeached because the claim was inconsistent with her earlier statement during an interview with facility staff that he touched her during only one session and also contended that her testimony was illogical given the fact that she presumably would refuse to see plaintiff again after he molested her during an earlier session. He also argues that K.T.\u2019s claim that she met with plaintiff on December 16, 2004, so that he could give her documents about her disorders was undermined by the fact that she did not remember if she kept the documents. Plaintiff also notes that K.T. changed her testimony about when she told plaintiff to stop touching her, initially stating that she told him to stop after he touched her vagina, but later saying that she told him to stop after he touched her breasts.\nAlthough the record shows that S.G.-N., J.L., and K.T. suffered from mental disorders, took medication that could cause confusion, and gave prior inconsistent statements to those investigating plaintiffs conduct, we cannot say that the Director erred in finding credible their claims that plaintiff fondled their breasts and vaginas. We note that it \u201cis for the Director, as the trier of fact, to evaluate all evidence, judge the credibility of witnesses, resolve any conflicts in the evidence, and draw reasonable inferences and conclusions from the facts.\u201d Anderson v. Department of Professional Regulation, 348 Ill. App. 3d 554, 561 (2004). The Director may accept or reject as much or as little of a witness\u2019s testimony as he pleases. People v. Sullivan, 366 Ill. App. 3d 770, 782 (2006). It is not the function of this court to \u201creevaluate witness credibility or resolve conflicting evidence,\u201d but rather to determine only \u201cwhether the findings of fact are supported by the manifest weight of the evidence.\u201d Ulysse v. Lumpkin, 335 Ill. App. 3d 886, 893 (2002).\nIn this case, the ALJ found the testimony of S.G.-N., J.L., and K.T. to be \u201ccredible and forthcoming,\u201d and in the final agency decision, the Director stated that he reviewed the record and concluded that their testimony was \u201clucid and forthright\u201d and that \u201c[n]one of these witnesses displayed an inability to answer questions posed despite their mental illness and use of prescription medication.\u201d Furthermore, despite the fact that portions of the witnesses\u2019 testimony were contradicted by statements made to investigators before the hearing, the Director found that S.G.-N., J.L., and K.T. credibly testified that plaintiff touched them inappropriately and we will not disturb these credibility determinations on review. Lumpkin, 335 Ill. App. 3d at 893.\nNext, plaintiff argues that the ALJ acted in an arbitrary and capricious manner when he failed to consider the credibility of plaintiff and S.G.-N. in a consistent manner. He observes that the ALJ found plaintiff to be an incredible witness because his behavior during the hearing was \u201cargumentative, erratic\u201d and that he \u201cchallenged the authority of the Administrative Law Judge and the Department\u2019s ability to enforce or discipline his license,\u201d but found S.G.-N.\u2019s testimony to be not erratic despite the fact that she complained that plaintiffs counsel\u2019s questions on cross-examination were ridiculous, absurd, and badgering. As noted above, the evaluation of witness credibility lies within the province of the Director. Anderson, 348 Ill. App. 3d at 561. In determining the respective credibility of S.G.-N. and plaintiff, the ALJ could have considered their general demeanor on the witness stand, the inflection of their voices, and emotional and physical reactions to questions propounded, considerations that would not be apparent from the written record. People v. Stankovich, 119 Ill. App. 2d 187, 194-95 (1970). Even if both S.G.N. and plaintiff exhibited some \u201cerratic\u201d behavior on the stand, as plaintiff suggests, such conduct would have been only one factor for the ALJ to consider in determining the credibility of each witness. Therefore, we reject plaintiff\u2019s argument that the ALJ was arbitrary and capricious in weighing the respective credibility of S.G.-N. and plaintiff.\nThe testimony of S.G.-N., J.L., and K.T. that plaintiff touched them inappropriately, together with Dr. Zoline\u2019s testimony regarding the ethical principles of her profession applicable to the conduct of plaintiff, support the Director\u2019s conclusions that plaintiff engaged in sexual intimacies with three patients in violation of section 1400.80 (i) of title 68 of the Illinois Administrative Code (68 Ill. Adm. Code \u00a71400.80(i), amended at 28 111. Reg. 358, eff. December 19, 2003), which grants the agency the power to discipline a psychologist for committing \u201cany act of sexual misconduct, sexual abuse or sexual relations\u201d with a client or patient (counts VII, XIII, and XIX), section 10.05 of the Ethics Code, which prohibits psychologists from engaging in \u201csexual intimacies with current therapy clients/patients\u201d (counts IX, XVII, and XXIII), and section 3.03 of the Ethics Code, which bars psychologists from engaging in behavior that is \u201charassing or demeaning to persons with whom they interact in their work\u201d based on their gender (counts VIII, XIV( and XX). The evidence also supports the Director\u2019s determination that plaintiff violated section 3.04 of the Ethics Code, which requires psychologists to take reasonable steps to avoid harming their patients (counts IX, XV\u00a1 and XXI). See Farber v. North Carolina Psychology Board, 153 N.C. App. 1, 16, 569 S.E.2d 287, 298-99 (2002) (psychologist\u2019s suggestion to patient that a romantic relationship was possible between them violated ethical standard, which \u201cadmonishes psychologists to \u2018take reasonable steps to avoid harming their patients or clients...and to minimize harm where it is foreseeable and unavoidable\u2019 \u201d).\nThe evidence supports the Director\u2019s conclusion that plaintiff\u2019s conduct violated section 3.08 of the Ethics Code, which bars psychologists from entering into exploitative relationships and specifically states that psychologists \u201cdo not exploit persons over whom they have supervisory, evaluative, or other authority such as clients/patients\u201d (counts X, XVI, and XXII). The evidence shows that plaintiff used his position as a treating psychologist to gain individual access to S.G.-N., K.T., and J.L. in the privacy of their rooms. Furthermore, J.L. specifically testified that during her treatment session with plaintiff, the subject of her breast abnormalities arose and that she showed plaintiff her breasts after he asked to see them. S.G.-N. claimed she fell asleep on her bed listening to a relaxation tape given to her by plaintiff and, when she awoke, she found plaintiffs hand inside her clothing \u201cplaying\u201d with her \u201cprivates.\u201d This evidence provided a proper basis for the Director to find that plaintiff used his position as a treating psychologist to exploit K.T., J.L., and S.G.-N.\nThe evidence also supports the Director\u2019s conclusion that plaintiff violated section 6.01 of the Ethics Code, which requires psychologists to \u201ccreate, and to the extent the records are under their control, maintain *** records and data relating to their professional and scientific work.\u201d At the hearing, Angela Harris, an administrator at Royal Oaks, testified that the facility maintains medical records for each of its residents and that care providers, including psychologists, who visit patients at the facility make notations in the resident\u2019s chart after each visit. Elsie Sail, the director of nursing at the facility, testified that she called plaintiff several times after she learned that he had treated K.T. and S.G.-N. to request that he submit progress notes in connection with those patients, which had not been completed as required. She claimed that after plaintiff told her that he did not complete progress notes for the two patients because he had treated them on a pro bono basis, she instructed him to complete the notes because they were needed regardless of whether the patients were treated on a pro bono basis, but she never received the notes from him. Thus, the evidence supports the conclusion that plaintiff treated J. L. and S.G.-N. and had access to their charts, but did not maintain a record of his sessions with them as required under section 6.01 of the Ethics Code. Consequently, the Director\u2019s conclusions as to counts XXIV and XXV were not contrary to the manifest weight of the evidence.\nPlaintiff nevertheless contends that the Director\u2019s decision was against the manifest weight of the evidence because the ALJ decision, which was incorporated by reference by the Director, found: (1) S.G.-N. was touched by plaintiff in or about December 2004, even though S.G.-N. never testified as to the date of the incident, (2) K.T. was listening to relaxation tapes when plaintiff touched her, even though K. T. testified that she was not listening to tapes at the time of the incident; and (3) none of the complaining witnesses displayed an inability to answer questions posed despite their mental illness and use of medication, despite the fact that the Department\u2019s attorney sought to strike a statement made by S.G.-N. while she was crying on the stand stating, \u201cif the witness is unable to answer one of the questions Mr. Rhine asks because of her condition on the stand, would the record simply reflect that she\u2019s unable to answer them because of her condition,\u201d and J.L. stated \u201cI\u2019ve lived on so many medications through the years that I\u2019m lucky to be upright.\u201d\nWe note, however, that even if these specific conclusions of the Director were in error, the fact remains that the unwavering testimony of the complaining witnesses that plaintiff fondled their breasts and vaginas supports the Director\u2019s ultimate conclusion that plaintiff violated various professional regulations by inappropriately touching these patients. Abrahamson v. Illinois Department of Professional Regulation, 153 Ill. 2d 76, 88 (1992). Similarly, these three findings do not undermine the Director\u2019s conclusion that plaintiff failed to maintain medical records as required.\nPlaintiff next contends that the ALJ made numerous erroneous evidentiary decisions that prejudiced him. First, he argues that the ALJ erroneously prevented him from cross-examining S.G.-N. about whether she had been diagnosed with bipolar disorder on grounds that the subject was outside the scope of direct examination. A licensee has the right to cross-examine an adverse witness at an administrative hearing as a matter of fairness (Abrahamson, 153 Ill. 2d at 95) and may seek to undermine a witness\u2019s credibility based on her mental condition (People v. Phipps, 98 Ill. App. 3d 413, 416 (1981)). We note, however, that the ALJ\u2019s refusal to allow plaintiff to examine S.G.-N. about her mental condition did not constitute reversible error because he has not demonstrated that he was prejudiced by that decision. Village of Stickney v. Board of Trustees of the Police Pension Fund, 347 Ill. App. 3d 845, 852-53 (2004) (Board\u2019s decision to exclude cross-examination conducted by party was not reversible error because the party did not show that it was prejudiced by that ruling). In this case, S.G.-N.\u2019s medical records were admitted into evidence which stated that she suffered from \u201ca long history of schizoaffective disorder with intermittent paranoid ideation about being poisoned by her stepfather\u201d and stated that, on December 26, 2004, the day before she reported plaintiffs conduct, she became loud and belligerent toward facility staff members and indicated that she was paranoid that the staff members were \u201cout to get her.\u201d This evidence established that S.G.-N. suffered from a mental disease and, accordingly, plaintiff was not prejudiced by the fact that the ALJ did not allow his attorney to ask her about her diagnosis.\nNext, plaintiff contends that the ALJ erred in allowing Dr. Zoline to avoid answering some of his attorney\u2019s questions on cross-examination, thus improperly limiting his cross-examination of the Department\u2019s expert witness. He specifically refers to a portion of his attorney\u2019s cross-examination when Dr. Zoline was asked about her interpretation of the phrase \u201cforeseeable and unavoidable\u201d in section 3.04, which requires psychologists to \u201ctake reasonable steps to avoid harming their clients/patients *** and others with whom they work, and to minimize harm where it is foreseeable and unavoidable.\u201d Dr. Zoline stated that she interpreted \u201cforeseeable\u201d harm to include harm that a psychologist can foresee will occur, but that is not certain to occur. The colloquy continued:\n\u201cQ. But does the word \u2018unavoidable,\u2019 does the terminology \u2018and unavoidable\u2019 immediately following \u2018foreseeable\u2019 in any way change your opinion?\nALJ CANAVAN: Do you understand the question?\nTHE WITNESS: I\u2019m not sure I do.\nALJ CANAVAN: I don\u2019t think I understand it either. Do you want to get a Webster dictionary so we can go through each word? I don\u2019t understand what you\u2019re trying to get at here. I\u2019ll let you go on. See if you can answer the question. If you can\u2019t answer the question, just say that you can\u2019t answer the question.\nBY MR. RHINE:\nQ. Does the terminology \u2018and unavoidable\u2019 which immediately follows the word \u2018foreseeable\u2019 in any way change your opinion of what the word \u2018foreseeable\u2019 means?\nA. I can\u2019t answer that question.\nQ. Why can you not answer that question?\nALJ CANAVAN: Mr. Rhine, she\u2019s answered. She said she cannot answer the question.\nMR. RHINE: I want to see if the problem is the way I\u2019m phrasing it or if there\u2019s some other reason.\nTHE WITNESS: I think we\u2019re leading into an issue of semantics here. That is not an issue I\u2019m comfortable answering. This feels like a semantic question and it is beginning to move away from asking my judgment about the ethical code. I\u2019m not a linguist. I\u2019m a psychologist.\nBY MR. RHINE:\nQ. So it\u2019s your contention that you would have to be a linguist to understand the terminology \u2018foreseeable and unavoidable\u2019 as used in the code of ethics?\nA. No. That\u2019s not my contention. I cannot answer your question however.\nALJ CANAVAN: Ask another question, Mr. Rhine.\nMR. RHINE: Well, just for the record, I would indicate I don\u2019t think it\u2019s appropriate for the witness to avoid answering the question because she feels uncomfortable.\nALJ CANAVAN: Well, this witness has testified that she cannot answer your question. She doesn\u2019t understand the question.\nMR. RHINE: Well, she didn\u2019t say that. I think she said she\u2019s not a linguist.\nTHE WITNESS: I take that back. I\u2019ll retract that. I do not understand your answer clearly enough to feel that I should answer it.\nBY MR. RHINE:\nQ. Within the context of this rule, do you as a professional psychologist have an understanding of the word \u2018unavoidable\u2019?\nMR. DRAZNIN: Objection, your Honor, asked and answered.\nALJ CAN AVAN: The objection is sustained.\u201d\nPlaintiffs counsel then asked Dr. Zoline about a different rule and then indicated he had no further questions on cross-examination.\nEven if the ALJ improperly limited plaintiffs cross-examination of Dr. Zoline as plaintiff contends, this fact alone would not require the reversal of the Director\u2019s decision because plaintiff has not shown that he was prejudiced by this ruling. Strino v. Premier Healthcare Associates, P.C., 365 Ill. App. 3d 895, 902 (2006) (\u201cWe will not reverse a judgment based on a ruling on cross-examination unless the court abused its discretion and the ruling prejudiced the appellant\u201d). Plaintiff contends that the ALJ wrongfully deprived his attorney of the opportunity to probe Dr. Zoline regarding her interpretation of the phrase \u201cand unavoidable\u201d in section 3.04, which, as previously discussed, requires psychologists to \u201ctake reasonable steps to avoid harming their clients/patients *** and others with whom they work, and to minimize harm where it is foreseeable and unavoidable.\u201d We note, however, that the charges of inappropriate touching of K.T., J.L., and S.G.-N. violated the portion of the provision that required plaintiff to \u201ctake reasonable steps to avoid harming\u201d his patients and not the latter portion of the section, requiring him to \u201cminimize harm where it is foreseeable and unavoidable,\u201d that was the subject of his attorney\u2019s examination of Dr. Zoline. Consequently, the ALJ\u2019s ruling limiting the cross-examination of Dr. Zoline as to the latter portion, even if erroneous, provides no basis for the reversal of the Director\u2019s decision.\nPlaintiff next asserts that the ALJ erred in refusing to allow his attorney to cross-examine J.L. regarding her earlier statement to Harris that she climaxed while plaintiff was touching her vagina, which was memorialized in an \u201cAbuse/Neglect Interview\u201d form completed by Harris on December 27, 2004. This claim, however, is belied by the record. After a brief colloquy, the ALJ permitted plaintiffs counsel to ask J.L. whether she told anyone that she did not ask plaintiff \u201cto stop because it was so beautiful and it felt good\u201d and the witness stated that she told Harris and a priest that \u201cit was beautiful and it felt good.\u201d Plaintiffs counsel was also permitted to ask J.L. whether she told anyone other than Harris and the priest that she climaxed during the incident and she replied that Sail was in the room when she told Harris. Thus, the record reveals that plaintiff s counsel was able to ask J.L. about her prior statement to Harris and plaintiffs argument that the ALJ prevented this examination fails.\nPlaintiff next argues that the ALJ erred in allowing into evidence, over his objection, reports completed by the Illinois State Police and the Streator police department during the course of their investigations of plaintiffs interactions with K.T. and J.L. because the documents contained inadmissible hearsay statements the two patients made to police. In its brief, the Department concedes that police reports were not admissible under the hearsay rule, but correctly observes that the improper admission of hearsay evidence does not constitute prejudicial error if there is sufficient competent evidence to support the Director\u2019s decision. Abrahamson v. Illinois Department of Professional Regulation, 153 Ill. 2d 76, 94 (1992). In this case, as noted above, the statements of J.L. and K.T. contained in the police reports elaborate on the testimony of the two women at the hearing that plaintiff touched them inappropriately, and thus plaintiff was not prejudiced by their admission.\nPlaintiff next contends that S.G.-N.\u2019s testimony should have been stricken because he was not afforded the opportunity to complete his cross-examination of the witness. As noted above, while plaintiffs counsel cross-examined S.G.-N., the witness started to cry and a recess was called for her to regain her composure. At the recess, the ALJ told plaintiffs counsel that he would allow him to cross-examine her for an additional 15 to 20 minutes. Twelve minutes after the cross-examination resumed, S.G.-N. stated \u201cI can\u2019t take this. This is tearing me apart,\u201d and the ALJ directed plaintiffs counsel to quickly finish his cross-examination. Plaintiffs counsel told the ALJ that he had a \u201cfew more questions\u201d and asked one more question before S.G.-N. left the stand because she was unable to continue.\nWhile a witness\u2019s testimony on direct examination must generally be stricken if the witness is not subjected to cross-examination, when a witness is unable to sit for complete cross-examination due to illness, her direct testimony need not be stricken if that cross-examination has been substantially completed. Marcotte v. Harrison, 443 A.2d 1225, 1233-34 (RI. 1982), quoting E. Cleary, McCormick on Evidence \u00a719, at 45-46 (2d ed. 1972) (no error in admitting into evidence deposition of deceased individual even though she was not subjected to complete cross-examination before close of deposition testimony because record showed that the cross-examination was \u201c \u2018so substantially complete as to satisfy the requirement of opportunity to cross-examine\u2019 \u201d); Fuller v. Rice, 70 Mass. (4 Gray) 343, 345 (1855) (if cross-examination of witness is substantially complete, \u201cand the witness is prevented by sickness or death from finishing his testimony ***, it ought not to be rejected, but submitted to the jury with such observations as the particular circumstances may require\u201d); Banks v. Commonwealth, 312 Ky. 297, 300, 227 S.W.2d 426, 427 (1950) (court did not abuse its discretion in refusing to discharge jury after prosecution witness collapsed during cross-examination because \u201ccross-examination was, to all intents and purposes, completed when the witness collapsed\u201d); 5 J. Wigmore, Evidence \u00a71390, at 134-36 (Chadbourn rev. ed. 1974) (\u201cwhere the death or illness prevents cross-examination under such circumstances that no responsibility of any sort can be attributed to either the witness or his party, it seems harsh measure to strike out all that has been obtained on the direct examination\u201d; by general concession, courts hold that \u201ca cross-examination begun but unfinished suffices if its purposes have been substantially accomplished\u201d).\nIn this case, plaintiff\u2019s counsel was afforded a substantial opportunity to cross-examine S.G.-N. After the Department asked S.G.-N. approximately 40 questions on direct examination, plaintiff\u2019s counsel was permitted to ask approximately 85 questions on cross-examination and was allowed to inquire about the side effects of her medications, her prior outbursts with facility staff, her belief that plaintiff was a CIA agent, and specific details of the incident itself. Plaintiffs counsel was also able to establish that S.G.-N. did not remember her interview with Investigator Disselhorst and could not recall the date or time of her encounter with plaintiff. Just before the cross-examination was halted, plaintiffs counsel admitted to the ALJ that he only had a \u201cfew questions\u201d left to ask. Because plaintiffs cross-examination of S.G.-N. was substantially completed when she left the stand, her testimony on direct examination need not be stricken.\nWe further note that even if the testimony of S.G.-N. were stricken, plaintiffs suspension would nevertheless be warranted by his proven abuse of K.T. and J.L. Therefore, plaintiff has failed to show that the result of the hearing would have been different had the testimony of S.G.-N. been stricken as he contends.\nB. Constitutional Arguments\nPlaintiff next argues that the administrative complaint provided him with insufficient notice of the charges against him in contravention of Illinois law and principles of due process. He specifically contends that the Department was required to allege the specific dates of plaintiffs inappropriate conduct with J.L., K.T., and S.G.-N. We note, however, that the Illinois Administrative Procedure Act requires only that the complaint contain \u201ca short and plain statement of the matters asserted.\u201d 5 ILCS 100/10 \u2014 25(4) (West 2004). Furthermore, in order to satisfy due process requirements, \u201ccharges filed before an administrative agency need not be drawn with the precision required of pleadings in judicial actions,\u201d but instead \u201cneed only be drawn sufficiently so that the alleged wrong-doer is reasonably apprised of the case against him to intelligently prepare his defense.\u201d Rasky v. Department of Registration & Education, 87 Ill. App. 3d 580, 585 (1980). Due process \u201cis a flexible concept and requires only such procedural protections as fundamental principles of justice and the particular situation demand.\u201d Siddiqui v. Department of Professional Regulation, 307 Ill. App. 3d 753, 760 (1999).\nHere, the complaint set forth allegations that \u201cin or about December 2004,\u201d plaintiff: (1) \u201cengaged in the inappropriate sexual touching of *** J.L., in that he instructed her to lift her shirt; he sucked on her nipple; and he placed his finger upon and in her vagina and digitally stimulated her vaginal area\u201d; (2) \u201cengaged in inappropriate sexual touching of a twenty-six-year-old, female patient, K.T., in that after providing relaxation tapes to K.T., he instructed her to lie upon her bed listening there and while K.T. was following such instructions, he put his hand under blouse and fondled her breast and placed his hand inside her pants and upon her vagina\u201d; and (3) \u201cengaged in the inappropriate sexual touching of a thirty-eight year-old, female patient, S.G.-N., in that after providing relaxation tapes to S.G.-N., he instructed her to lie upon her bed listening thereto and while S.G.-N. was following such instructions, placed his hand inside her pants and upon her vagina.\u201d\nIn determining whether plaintiff has adequate notice of charges brought by an administrative agency, \u201cthe court may consider the discovery and other materials available to the plaintiff.\u201d Siddiqui v. Department of Professional Regulation, 307 Ill. App. 3d 753, 760 (1999) (although administrative complaint charging that doctor improperly allowed another individual to use his medical license did not allege specific dates that the individual saw patients, doctor\u2019s due process right to notice was not violated because he was given a list of patients and could have discovered those dates from his medical records). In this case, plaintiff conceded at the hearing that he treated J.L., and his attorney acknowledged that he possessed her medical records in a discovery disclosure sent to the Department on March 7, 2005, the day before the hearing began. The records, which were attached to plaintiffs disclosure, include a notice of privacy rights signed by J.L. on December 16, 2005, and a note indicating that plaintiff examined her on December 16, 2004. From these documents, plaintiff could have reasonably determined the date he saw J.L. and therefore determined the specific date the incident allegedly took place. Siddiqui, 307 Ill. App. 3d at 760.\nThe record also contains a memorandum dated March 3, 2005, which indicates that the Department sent plaintiffs attorney a series of investigative reports completed during the investigation of the claims against plaintiff. One investigative report, completed by an investigator with the Illinois State Police, indicates that K.T. told the investigator that plaintiff touched her on December 16, 2004, and that J. L. told her that plaintiff had done the same thing to her that same day. From this report, plaintiff could have learned the specific date K. T. alleged the incident took place. Siddiqui, 307 Ill. App. 3d at 760.\nAlthough the record does not reveal that plaintiff received any notice of the date of the incident with S.G.-N. aside from the complaint that alleged the incident took place \u201cin or about December 2004,\u201d that notice was sufficient to reasonably apprise him of the case against him so as to allow him to intelligently prepare his defense. Talman v. Department of Registration & Education, 78 Ill. App. 3d 450, 455-56 (1979) (complaint in administrative action brought pursuant to Pharmacy Practice Act (Ill. Rev. Stat. 1975, ch. 91, par. 55.7 \u2014 6) gave pharmacist adequate notice of charges against him even though it alleged that he had improperly dispensed 194 bottles of a controlled substance to a single family in an eight-month period and dispensed 1,000 tablets of another drug during a one-year period). As noted above, due process is a \u201cflexible concept and requires only such procedural protections as fundamental principles of justice and the particular situation demand\u201d (Siddiqui, 307 Ill. App. 3d at 760), and we cannot say that in light of all the information plaintiff was given about the claim of S.G.-N., that the notice was insufficient simply because the Department gave a general time period in which the incident occurred, instead of a specific date.\nIn making this determination, we reject plaintiffs interpretation of Burns v. Police Board, 104 Ill. App. 3d 612 (1982), which he reads to support the proposition that a complaint in an administrative action must allege a specific date of an incident of misconduct. There the court held that a police officer received insufficient notice of the charges against him because, although he was given the date of the alleged transgression, he was given only the vague allegation that he took \u201ca bribe\u201d or \u201ca sum of money\u201d from \u201caliens,\u201d and was not informed of the location of the occurrence, a time frame in which it took place or the name or description of the victim. Burns, 104 Ill. App. 3d at 615. In this case by contrast, plaintiff received the initials and a description of each victim, and detailed descriptions of his alleged conduct with each victim. Furthermore, plaintiff was able to review police reports, medical records, and other documents prior to the hearing, which helped him to prepare his defense.\nWe also find misplaced plaintiffs reliance on Kalman v. Walsh, 355 Ill. 341, 346-47 (1934), which reversed the Department of Registration and Education\u2019s suspension of the licenses of three dentists on grounds that the Department lacked jurisdiction to execute such discipline because the dentists were not notified of specific charges against them as was required by statute, but were instead given notice that they were to attend a \u201chearing in the nature of an inquisition similar to any investigation by a grand jury.\u201d In making this decision, the court noted:\n\u201cWhile it is not necessary that charges of professional misconduct *** should be drawn with the same accuracy and certainty as an indictment or information in a criminal case or with the refinements, niceties and subtleties of the pleadings in courts of record, yet such charges should be so drawn as to bring the alleged act of misconduct clearly within the purview of the statute and should specify the time and place when and where such prohibited act was committed. The right to proper notice and a sufficient and explicit charge is not procedural but substantive. In the absence of such charges being filed, the State Board of Dental Examiners would have no jurisdiction either to proceed with the hearing against the accused or to make a decision therein.\u201d Kalman v. Walsh, 355 Ill. at 346-47.\nIn this case, by contrast, the complaint contained specific allegations of misconduct, specific citations to regulatory provisions alleged to have been violated, and a general time period, \u201cin or about December 2004\u201d in which they were alleged to have occurred. Thus, the administrative complaint and subsequent discovery materials plaintiff received prior to the hearing provided plaintiff with adequate notice of the charges against him.\nNext, plaintiff contends that the Department violated his right to due process by failing to issue a final agency decision in a prompt manner. He notes that the Director summarily suspended his license after an ex parte hearing, at which only a Department investigator testified, based merely on the fact that the Department showed that it possessed evidence \u201cthat the continuation of practice by the clinical psychologist would constitute an imminent danger to the public.\u201d 225 ILCS 15/21.6 (West 2006). Plaintiff contends that because the Director summarily suspended his license on the basis of such cursory proof, the Department was obligated under principles of due process to afford to him a prompt hearing on the matter, at which the Department would be required to prove the allegations against him by a preponderance of the evidence, and to promptly issue a final decision on the matter. He does not assert that he was deprived of a prompt hearing, but insists that the Department violated his right to due process by unjustifiably and unreasonably taking 222 days to issue a final agency decision while his license remained suspended on a summary basis, depriving him of the ability to practice his chosen profession.\nIn support of this argument, plaintiff cites our supreme court\u2019s decision in Lyon v. Department of Children & Family Services, 209 Ill. 2d 264 (2004). In that case, the Department of Children and Family Services received a report that Lyon, a high school chorus teacher, had abused two students. Lyon, 209 Ill. 2d at 268. On April 11, 2000, the Department completed its investigation of those claims, determined that they were supported by \u201ccredible evidence,\u201d and as a result listed Lyon as an \u201cindicated\u201d child abuser on the State Central Register. Lyon, 209 Ill. 2d at 268. Lyon was informed of this listing on July 19, 2000, and on August 29, 2000, he appealed, seeking the expungement of his name from the register. Lyon, 209 Ill. 2d at 268. On September 13, 2000, the Department denied Lyon\u2019s request, and on September 15, 2000, he requested an evidentiary hearing before an ALJ. Lyon, 209 Ill. 2d at 268. An evidentiary hearing on the matter commenced on November 1, 2000, but was not completed until January 24, 2001, due to two continuances \u2014 one by agreement of the parties and another necessitated by an automobile accident involving the ALJ. Lyon, 209 Ill. 2d at 268-69. On February 9, 2001, the administrative law judge found the claims substantiated as to one of the children and on March 23, 2001, the Director of the Department issued his decision adopting the conclusions of the ALJ. Lyon, 209 Ill. 2d at 269. Lyon filed a complaint in the circuit court seeking administrative review, the circuit court set the Department\u2019s decision aside for a discovery violation, and the appellate court affirmed, but on different grounds. Lyon, 209 Ill. 2d at 269-70.\nOn appeal, the supreme court affirmed the appellate court\u2019s decision on grounds that Lyon\u2019s due process rights were violated by the combination of the Department\u2019s use of the credible-evidence standard to initially determine that he was an \u201cindicated\u201d offender and the Department\u2019s delays in issuing its final resolution of the administrative appeal. Lyon, 209 Ill. 2d at 282-83. In reaching this decision, the court observed that \u201cstate\u201d procedural deadlines provide a useful reference in determining whether the time taken by an agency to issue its final decision violates principles of due process, and noted that the Department was required by statute to issue its final agency decision within 45 days of the end of the evidentiary hearing and within 90 days of the request for the hearing. Lyon, 209 Ill. 2d at 274-75. The court found that the Department failed to meet these requirements, noting that even after taking into account the two continuances of the hearing, the Director issued his decision 58 days after the end of the hearing and 117 days after the hearing request. Lyon, 209 Ill. 2d at 275-76.\nThe court then observed that, in order to determine whether an agency\u2019s failure to comply with a procedural provision offends due process, the court should consider: \u201cthe importance of the private interest and the harm to the interest because of the delay; the government\u2019s justification for the delay and its connection to the underlying government interest; and the likelihood that the interim decision may be mistaken.\u201d Lyon, 209 Ill. 2d at 277, citing Federal Deposit Insurance Corp. v. Mallen, 486 U.S. 230, 242, 100 L. Ed. 2d 265, 279, 108 S. Ct. 1780, 1788 (1988). Applying these factors, the court held that Lyon had a significant interest in not having his name placed on the Department\u2019s registry because it jeopardized his teaching career, and further found that he had \u201ca significant interest in obtaining a hearing and a final decision in a prompt and efficient manner,\u201d so that the report, if mistaken, could be expunged as quickly as possible in order to minimize its damaging impact. Lyon, 209 Ill. 2d at 277-78. The State, the court noted, possessed a similarly significant interest in protecting the welfare of children with the utilization of its register. Lyon, 209 Ill. 2d at 278. With regard to the reasonableness of the Department\u2019s delay, the court noted that the issue could not be resolved merely by comparing the length of the delay to delays in other cases, but that the standard of proof involved must also be considered. Lyon, 209 111. 2d at 278.\nThe court then turned to the last Mallen factor, the \u201clikelihood that the interim decision may be mistaken,\u201d and considered whether the Department violated Lyon\u2019s right to due process by utilizing the credible-evidence standard in deciding to initially list Lyon as an \u201cindicated\u201d offender on its register in light of the agency\u2019s failure to strictly comply with the procedural deadlines for issuing its final decision. Lyon, 209 Ill. 2d at 278-79. In doing so, the court observed that the risk of an erroneous decision is directly related to the standard of proof applied in a particular proceeding \u2014 when a higher burden of proof is applied, the risk of finding an innocent person guilty decreases and the risk of acquitting a guilty person increases. Lyon, 209 Ill. 2d at 279. In the context of the protection of children from sexual abuse, the court concluded that \u201cit is appropriate to place more of the risk of error on adults, who may suffer mistaken employment hardship, than on children, who may suffer additional abuse.\u201d Lyon, 209 Ill. 2d at 279. The court noted, however, that the application of the credible-evidence standard, which required only that the Department find that \u201c \u2018the available facts, when viewed in light of the surrounding circumstances, would cause a reasonable person to believe that a child was abused or neglected,\u2019 \u201d placed a \u201cnot insignificant\u201d risk that the indicated finding was erroneous entirely upon the subject of an indicated finding. Lyon, 209 Ill. 2d at 279-81, quoting 89 Ill. Adm. Code \u00a7 300.20, amended at 29 Ill. Reg. 21065, eff. December 8, 2005. The court nevertheless found this risk of error permissible, holding:\n\u201c[T]he use of the credible-evidence standard to indicate a report and to consider a first-stage appeal does not automatically deprive a subject of due process because the second-stage appeal is conducted under the more stringent preponderance standard. [Citation.] By using a weaker standard of proof, the state is equipped to respond more quickly to allegations of abuse and neglect. We find that it is constitutionally acceptable to place the entire risk of error, through use of the credible-evidence standard, on the subject for the finite period of the administrative appeal because the appeal is finally determined under the preponderance standard, which balances the risk of error equally.\u201d Lyon, 209 Ill. 2d at 282.\nThe court continued:\n\u201cNevertheless, this distribution of the risk of error becomes problematic when the subject is not accorded a prompt appeal. We conclude that it is constitutionally inappropriate to allow indicated reports based on credible evidence, with their damaging effects on subjects, to persist past the deadlines the General Assembly and the Department itself decided to impose upon the administrative appeals process given the high risk of error inherent in the use of the credible-evidence standard. Thus, we *** hold that a subject\u2019s due process rights are violated by the use of the credible-evidence standard to indicate a report and to resolve a first-stage appeal when combined with delays in the final resolution of the administrative appeal.\u201d Lyon, 209 Ill. 2d at 282-83.\nThe court then rejected the Department\u2019s claim that this holding was too inflexible because the applicable administrative provisions themselves allowed for some flexibility in the conduct of the proceedings. Lyon, 209 Ill. 2d at 283. The court stated:\n\u201c[W]e require strict statutory and regulatory compliance only if the Department uses the credible-evidence standard to indicate a report and to consider a first-stage appeal. *** If strict compliance is too burdensome, the Department is free to amend its regulations to, for example, require the preponderance of the evidence standard throughout to provide subjects with due process. [Citation.] The Department has a choice: (1) apply the credible-evidence standard to indicate a report and to decide a first-stage appeal and comply with applicable statutory and regulatory provisions; or (2) apply the preponderance-of-the-evidence standard during all stages of inquiry and provide reasonable process, which is not dependent on compliance with all requirements during the administrative appeal. Either option strikes an appropriate balance between the competing interests of subjects and children, by placing the risk of error to a slightly greater degree on subjects, to reflect our characterization of the societal importance of these interests.\u201d Lyon, 209 Ill. 2d at 283-84.\nApplying the principles of Lyon to the case at bar, we conclude that the Department did not violate plaintiffs right to due process by issuing its final agency decision approximately 222 days after the conclusion of the hearing before the ALJ. In reaching this conclusion we initially note that plaintiff had a substantial interest in being able to continue the practice of his chosen profession and that interest is protected by the due process clause of the fourteenth amendment. Lyon, 209 Ill. 2d at 272 (\u201c \u2018It is a well-established constitutional principle that every citizen has the right to pursue a trade, occupation, business or profession. This inalienable right constitutes both a property and liberty interest entitled to the protection of the law as guaranteed by the due process clauses of the Illinois and Federal constitutions\u2019 \u201d), quoting Coldwell Banker Residential Real Estate Services of Illinois, Inc. v. Clayton, 105 Ill. 2d 289, 297 (1985). Under Lyon, once the Director summarily suspended his license to practice clinical psychology, based only on the fact that the Department had shown that it possessed evidence \u201cthat the continuation of practice by the clinical psychologist would constitute an imminent danger to the public,\u201d the Department was obligated to issue a final agency decision in strict compliance with applicable statutory and procedural requirements.\nIn this case, however, the Department was not required by statute to issue its decision within a precise number of days, as was the Department of Children and Family Services in Lyon. See Lyon, 209 Ill. 2d at 275 (Department required by statute to issue its final agency decision within 45 days of the end of the evidentiary hearing and within 90 days of the request for the hearing). Indeed, the Licensing Act does not provide for any deadlines in the administrative proceedings, except for requiring that the Board issue its recommendation to the Director within 60 days of the date that the ALJ issues his recommendation. See 225 ILCS 15/16.1 (West 2004) (\u201cThe Board shall have 60 days after receipt of the report to review the report of the hearing officer and to present its findings of fact, conclusions of law and recommendations to the Director\u201d). We note, however, that section 15.2 of the Licensing Act (225 ILCS 15/15.2 (West 2004)), incorporates by reference the Illinois Administrative Procedure Act (5 ILCS 100/1 \u2014 1 et seq. (West 2004)). Section 10 \u2014 65(d) of the Illinois Administrative Procedure Act, in turn, provides:\n\u201c[N]o agency shall revoke, suspend, annul, withdraw, amend materially, or refuse to renew any valid license without first giving written notice to the licensee of the facts or conduct upon which the agency will rely to support its proposed action and an opportunity for a hearing in accordance with the provisions of this Act concerning contested cases. *** If, however, the agency finds that the public interest, safety, or welfare imperatively requires emergency action, and if the agency incorporates a finding to that effect in its order, summary suspension of a license may be ordered pending proceedings for revocation or other action. Those proceedings shall be promptly instituted and determined.\u201d (Emphasis added.) 5 ILCS 100/10 \u2014 65(d) (West 2004).\nThus, although the Department\u2019s determination of plaintiff\u2019s case was not required by a specific deadline, the Director was required to issue a final agency decision in a prompt manner.\nIn this context, the word \u201cpromptly\u201d has been defined as \u201cwithout appreciable delay.\u201d Barry v. Barchi, 443 U.S. 55, 66, 61 L. Ed. 2d 365, 376, 99 S. Ct. 2642, 2650 (1979) (holding that after state agency imposed interim suspension on harness racing trainer based upon the unilateral testimony of a state official, the agency was required under principles of due process to afford trainer a \u201cprompt postsuspension hearing, one that would proceed and be concluded without appreciable delay\u201d). Furthermore, Black\u2019s Law Dictionary states that \u201cthe meaning of the word [\u2018prompt\u2019] depends largely on the facts in each case, for what is \u2018prompt\u2019 in one situation may not be considered such under other circumstances and conditions. To do something \u2018promptly\u2019 is to do it without delay and with reasonable speed.\u201d Black\u2019s Law Dictionary 1214 (6th ed. 1990).\nIn the case at bar, we believe that the Department decided plaintiffs case in a prompt manner. We note that, under the Licensing Act, the administrative procedure consists of three steps \u2014 the matter is first heard by an administrative law judge who considers the evidence and issues a recommendation to the Board, then the Board reviews the matter and issues its own recommendation, and finally the Director considers the Board\u2019s decision and issues a final agency decision. 225 ILCS 15/16.1 (West 2004). In this case the ALJ, Board, and Director took 75, 71, and 77 days, respectively, to finish their administrative responsibilities. When the administrative process is viewed overall, the 222 days taken by the Department may be considered \u201cprompt.\u201d\nTurning first to the ALJ, we observe that he issued his decision within 75 days of the end of the hearing, a period we find to be reasonable under the circumstances. We note that the ALJ in this case was required to consider 22 counts against plaintiff, which together alleged the violation of 7 different ethical guidelines. In reaching his conclusions, the ALJ had to weigh the testimony of four complaining witnesses, each of whom suffered from serious mental illness. Before making credibility determinations as to these witnesses, the ALJ had to take a reasonable period of time to familiarize himself with each woman\u2019s medical records and prescription drug forms and consider their testimony in light of that evidence. We also observe that a transcript of the parties\u2019 closing arguments on the last day of the hearing was not produced by the court reporter until 21 days later. Those arguments, during which the parties\u2019 attorneys marshaled and analyzed the evidence presented, would have been particularly useful to the ALJ given the substantial amount and complicated nature of evidence he was required to consider. Although plaintiff argues that the Department retained the court reporter and thus could have controlled the speed of the transcription, the record on appeal contains no evidence to support this contention. Overall, under the circumstances presented, we believe the ALJ acted with \u201creasonable speed\u201d in issuing his recommendation and thus acted with sufficient promptness.\nSimilarly, we believe that the Director acted with sufficient promptness in executing his duties within 77 days considering the fact that plaintiff filed a motion for rehearing 15 days after the Board issued its recommendation and the Director decided the motion and issued his final ruling within 16 days after plaintiff filed his reply brief. We observe that the Licensing Act does not provide a movant with authority to file a brief in support of his motion for rehearing and that the rules of practice governing administrative hearings for the Department merely provide that when a written motion such as a motion for rehearing is filed, the \u201cDirector may allow oral argument if this is deemed necessary to a fuller understanding of the issues presented.\u201d 68 Ill. Adm. Code \u00a71110.210(b), amended at 28 Ill. Reg. 7642, eff. May 21, 2004. However, because plaintiff filed a brief with his motion for rehearing, fairness required that the Department be given an opportunity to submit a brief as well, which it did 26 days later. Plaintiff filed a reply 20 days later, apparently of his own free will. Thus, if we subtract the 46 days between the date plaintiff filed his motion for rehearing and the date he filed his reply brief in support thereof, the Director took 31 days to complete his work, a period of time that was entirely reasonable given the complexity of this case.\nPlaintiff contends, however, that the Director should have decided the case more promptly because he was required to begin his deliberations 60 days after the ALJ issued his decision, regardless of whether the Board took more time to reach its decision. In support of this proposition, he cites section 16.1 of the Licensing Act, which states: \u201cThe Board shall have 60 days after receipt of the report to review the report of the hearing officer and to present its findings of fact, conclusions of law and recommendations to the Secretary. If the Board fails to present its report within the 60 day period, the Secretary may issue an order based on the report of the hearing officer.\u201d 225 ILCS 15/16.1 (West 2006). We find plaintiffs argument unpersuasive. The provision does not obligate the Director to begin his deliberations 60 days after the ALJ issues his recommendation, but merely provides that the Director \u201cmay\u201d issue an order based on the ALJ\u2019s recommendation if the Board does not do so. Thus, the language is permissive, leaving to the Director\u2019s discretion whether to issue his decision based upon the ALJ\u2019s recommendations or wait until the Board issues its decision to begin his deliberations. See People v. Reed, 177 Ill. 2d 389, 393 (1997) (\u201cLegislative use of the word \u2018may\u2019 is generally regarded as indicating a permissive or directory reading, whereas use of the word \u2018shall\u2019 is generally considered to express a mandatory reading\u201d); People v. Resnick, 373 Ill. App. 3d 163, 165 (2007) (use of permissive \u201cmay\u201d in section 5 \u2014 5\u20146(e) of the Unified Code of Corrections (730 ILCS 5/5\u2014 5 \u2014 6(e) (West 2004)), which provides that when restitution is ordered, \u201c[t]he court may require the defendant to apply the balance of the cash bond, after payment of court costs, and any fine that may be imposed to the payment of restitution\u201d indicates that \u201cthe payment of restitution from a defendant\u2019s bail bond lies within the discretion of the trial court\u201d); Owens v. Snyder, 349 Ill. App. 3d 35, 44 (2004) (trial court had discretion to deny complaint for mandamus even though defendant failed to challenge it because section 14 \u2014 103 of the Code of Civil Procedure (735 ILCS 5/14 \u2014 103 (West 2002)) provides that \u201c \u2018[i]f the defendant defaults, judgment by default may be entered by the court.\u2019 \u201d (Emphasis in original.)). Therefore, we reject plaintiffs argument that the Director did not act promptly because he waited for the Board to reach its decision before beginning his deliberations.\nHaving determined that the ALJ and Director acted promptly as required by statute, we turn next to the conduct of the Board. Although the Board took 11 more days to complete its responsibilities than the 60 days allotted to it by statute (225 ILCS 15/16.1 (West 2006)), this delay, in and of itself, did not deprive plaintiff of his right to due process. We observe that the Board was obligated to decide the case at an open meeting under section 2 of the Open Meetings Act (5 ILCS 120/2 (West 2004)), which states that \u201c[a]ll meetings of public bodies shall be open to the public\u201d unless otherwise specified by statute. The Department observes that the Board\u2019s first regularly scheduled meeting after the ALJ\u2019s June 22, 2005, recommendation was issued did not occur until July 29, 2005. Although an argument could be made that it was unreasonable for the Board to wait such a long period before meeting in light of the fact that it could have rescheduled the meeting for an earlier date, such an amendment in the meeting schedule would have required the Department to publish a notice of the change 10 days prior to any such meeting in an area newspaper of general circulation (5 ILCS 120/2.03 (West 2004)). If we were to require the Department to undertake such a step every time an ALJ issued his decision soon after a Board meeting, the expense to the Department could become unduly burdensome. Furthermore, the record shows that the Board members had each reviewed the extensive record by the time they met, which allowed them to make an oral decision on the matter at the July 29, 2005, meeting.\nPlaintiff argues, however, that the Board failed to explain why, if it reached its decision on the matter on July 29, 2005, it failed to issue its two-page decision until September 1, 2005. We do not believe that it was clearly unreasonable for the Board to take 34 days to issue a written ruling. We note that the Board did not merely adopt the recommendation of the ALJ, but instead had to explain the basis for its proposal that the Director impose an additional penalty upon plaintiff in the form of a $44,000 fine. Furthermore, we observe that after the two-page order was drafted, it had to be circulated to the other Board members, as evidenced by the fact that the Board decision contained in the record consists of three copies of the two-page order, each signed by one of the three Board members.\nThus, under the circumstances presented, we believe that the Department complied with the statutory requirement that it promptly determine plaintiffs case. Because we conclude that the Department complied with statutory mandates, the case is distinguishable from Lyon, where the supreme court found it \u201cconstitutionally inappropriate\u201d for the Department of Children and Family Services to allow a teacher\u2019s name to be listed as an indicated sex offender on its register, based only upon the Department\u2019s conclusion that the charges against him were supported by credible evidence, passed the specific statutory deadlines requiring the Department to issue its final decision within 45 days of the end of the evidentiary hearing and within 90 days of the request for the hearing. Lyon, 209 Ill. 2d at 274-75, 282. In this case, although plaintiffs license was suspended on a summary basis, he was afforded a prompt hearing and resolution of his case. Accordingly, we conclude that the 222 days it took the Director to issue the final agency decision after the conclusion of the hearing before the ALJ did not violate plaintiffs right to due process.\nPlaintiff contends that his suspension should be reversed based upon this court\u2019s decision in his previous appeal, Morgan v. Department of Financial & Professional Regulation, 374 Ill. App. 3d 275, 304-05 (2007) (hereinafter Morgan I), where we reversed the suspension of his license based on our conclusion that the Department did not decide his case in a sufficiently prompt manner after summarily suspending his license. In that case, however, the Department took approximately 13 months to issue a final decision suspending his license for 3 months and the circuit court intervened 6V2 months after plaintiffs summary suspension by issuing a temporary restraining order reinstating his license. Morgan I, 374 Ill. App. 3d at 282-85. We concluded that even if the ALJ and Director were each given the 60 days allotted to the Board under section 16.1 of the Licensing Act (225 ILCS 15/16.1 (West 2006)), giving the Department a total of 180 days from the end of the ALJ hearing in which to issue a final decision, a period we deemed unwarranted under the circumstances of that case, that period was exceeded by 14 days by the time the Director issued his decision. Morgan I, 374 Ill. App. 3d at 304.\nNowhere in Morgan I did this court imply that, under no circumstances, could the Department take longer than 180 days to issue a final decision. Indeed, in describing the \u201cpromptness\u201d requirement imposed by the Illinois Administrative Procedure Act (5 ILCS 100/10 \u2014 65(d) (West 2004)), we noted that the meaning of the word \u201cpromptly\u201d \u201c \u2018depends largely on the facts in each case, for what is \u201cprompt\u201d in one situation may not be considered such under other circumstances and conditions. To do something \u201cpromptly\u201d is to do it without delay and with reasonable speed.\u2019 \u201d Morgan I, 374 Ill. App. 3d at 298, quoting Black\u2019s Law Dictionary 1214 (6th ed. 1990). We further held that the use of the term \u201cpromptly\u201d in the Act was \u201cparticularly appropriate in light of the fact that the requirements of due process are variable in nature.\u201d Morgan I, 374 Ill. App. 3d at 298. Due process, the Supreme Court observed, \u201c \u2018unlike some legal rules, is not a technical conception with a fixed content unrelated to time, place and circumstances,\u2019 \u201d but rather is \u201c \u2018flexible and calls for such procedural protections as the particular situation demands.\u2019 \u201d Mathews v. Eldridge, 424 U.S. 319, 334, 47 L. Ed. 2d 18, 33, 96 S. Ct. 893, 902 (1976), quoted in Morgan I, 374 Ill. App. 3d at 298. We further concluded that \u201cwhat can be considered prompt will depend on the particular time, place, and circumstances involved.\u201d Morgan I, 374 Ill. App. 3d at 298.\nWe find the facts of Morgan I distinguishable from the case at bar. Unlike in Morgan I, where the ALJ, Board, and Director unreasonably took 106 days, 135 days, and 168 days respectively, to complete their steps of the administrative process, in this case, the ALJ, Board, and Director took considerably shorter and more reasonable 75-, 71-, and 77-day periods respectively to decide a more complicated case. While the number of days of testimony and exhibits to be considered by the ALJ in this case were only slightly greater those than in Morgan I (.Morgan I had four days of testimony and seven witnesses, whereas the hearing in this case lasted five days and involved nine witnesses), the ALJ in the earlier case was required to weigh the testimony of only one complaining witness, who was in good mental health. Morgan I, 374 Ill. App. 3d at 279 (complaining witness E.S. testified that she and her husband were referred to plaintiff for marriage counseling). In this case by contrast, the ALJ was required to consider the testimony of four complaining witnesses, each of whom suffered from serious mental illnesses. Before making credibility determinations as to these witnesses, the ALJ had to take a reasonable period of time to familiarize himself with each woman\u2019s medical records and prescription drug forms and consider their testimony in light of that evidence. Additionally, only five counts were considered by the ALJ in Morgan I, whereas here, the ALJ was required to consider 22 counts, which together alleged the violation of seven different ethical guidelines. In sum, Morgan I involved different circumstances and does not alter our conclusion that the Department did not violate plaintiffs right to due process in the instant matter.\nCONCLUSION\nIn sum, we find that the Director\u2019s decision to suspend plaintiffs license based upon his improper conduct with J.L., K.T., and S.-G.N. and his failure to maintain medical records was neither arbitrary and capricious nor contrary to the manifest weight of the evidence. We also reject plaintiffs claims that numerous evidentiary rulings made by the ALJ during the hearing were erroneous and that the administrative complaint failed to provide him with sufficient notice of the charges against him. Furthermore, we conclude that the Director did not violate plaintiffs right to due process by taking 222 days to issue his final agency decision. For all the foregoing reasons, we affirm the judgment of the circuit court.\nAffirmed.\nCAHILL, J., concurs.\nAfter an evidentiary hearing, the administrative law judge found that the Department failed to meet its burden with respect to plaintiffs alleged conduct with H.L. and this recommendation was adopted by the Board and director of the Department. Accordingly, the evidence, as it relates to any alleged misconduct of plaintiff toward H.L., need not be articulated here.\nDue to typographical error, counts V XI, XVII, and XXIII of the complaint originally charged plaintiff with violation of section 10.04 of the Ethics Code, which relates to providing services to patients who are receiving mental health services from other sources. On March 8, 2005, the first day of the administrative hearing, the court granted the Department\u2019s motion to amend the counts to charge plaintiff with violating section 10.05 of the Ethics Code.\nAs noted above, the ALJ found that the Department did not prove by clear and convincing evidence the counts against plaintiff with respect to his actions with H.L. (counts I, II, III, IV V, VI).\nAlthough the record contains a motion filed by the Department on October 31, 2005, requesting the Director to set a due date for plaintiffs reply brief, it does not appear that the Director ever ruled on the motion.",
        "type": "majority",
        "author": "JUSTICE McBRIDE"
      },
      {
        "text": "JUSTICE JOSEPH GORDON,\ndissenting:\nI cannot concur with the conclusion reached by the majority that the lag time of approximately nine months between the imposition of the interim summary suspension on February 23, 2005, and the final disposition on November 17, 2005, is justifiable under the standards imposed by our supreme court in Lyon v. Department of Children & Family Services, 209 Ill. 2d 264, 807 N.E.2d 423 (2004). Nor are the facts surrounding the delay sufficiently differentiated from those involved in Morgan v. Department of Financial & Professional Regulation, 374 Ill. App. 3d 275, 871 N.E.2d 178 (2007) (hereinafter Morgan I), to justify a departure from the conclusion reached in that earlier decision.\nAs respondent correctly notes, the facts underlying our decision in Morgan I are similar to those presented in the case at bar. In that case, as here, the Department filed an administrative complaint alleging that respondent engaged in unethical sexual conduct with a female patient and praying for the suspension of his license. Morgan I, 374 Ill. App. 3d at 277-78, 871 N.E.2d at 181-82. On November 4, 2003, the same day that the Department filed its complaint, the Director conducted an ex parte telephonic hearing at which only a Department investigator testified, and summarily suspended respondent\u2019s license to practice clinical psychology because that testimony indicated that his continued practice constituted a danger to public safety. Morgan I, 374 Ill. App. 3d at 278, 871 N.E.2d at 182. A full evidentiary hearing on respondent\u2019s suspension commenced on December 4, 2003, and continued on December 5, 11, 12, and 15, 2003. Morgan I, 374 Ill. App. 3d at 278-79, 871 N.E.2d at 182. On March 31, 2004, the ALJ issued her \u201creport and recommendation,\u201d in which she found that the Department had proven by clear and convincing evidence that respondent had engaged in unethical, unauthorized, or unprofessional conduct with regard to his treatment of a patient and recommended to the Board that his license be suspended for 60 days, and that he be required to serve a period of probation and complete 12 hours of continuing education on ethics. Morgan I, 374 Ill. App. 3d at 282-83, 871 N.E.2d at 186. No decision from the Board was forthcoming until August 13, 2004, at which time the Board recommended to the Director that he adopt the findings of fact of the ALJ and impose a 90-day suspension. Morgan I, 374 Ill. App. 3d at 284-85, 871 N.E.2d at 187. After the Board\u2019s decision, respondent filed a motion for rehearing, which the Director denied, and the Director issued a decision adopting the Board\u2019s recommendations on January 28, 2005, and deeming the 90-day suspension to be considered served by the previous summary suspension. Morgan I, 374 Ill. App. 3d at 285, 871 N.E.2d at 187.\nIn the interim, Morgan filed a motion for a temporary restraining order to stay his summary suspension, which the chancery division granted on June 29, 2004, barring the Department from enforcing the summary suspension because the Director had not yet filed his final decision. Morgan I, 374 Ill. App. 3d at 283-84, 871 N.E.2d at 186-87. Respondent appealed the matter to the circuit court, which affirmed the Director\u2019s decision. Morgan I, 374 Ill. App. 3d at 285, 871 N.E.2d at 187.\nOn appeal, respondent argued, in part, that the Department violated his right to due process by not issuing a final decision promptly after the summary suspension of his license. Morgan I, 374 Ill. App. 3d at 298-99, 871 N.E.2d at 197-98. In reliance on our supreme court\u2019s decision in Lyon v. Department of Children & Family Services, 209 Ill. 2d 264, 807 N.E.2d 423 (2004), we reversed the decision of the circuit court, which had affirmed the decision of the director. Morgan I, 374 Ill. App. 3d at 299-302, 871 N.E.2d at 197-201. As emphasized in Lyon, a professional\u2019s interest in his chosen profession is protected under the due process clause of our constitution, which is violated by an unjustifiably prolonged summary suspension. Lyon, 209 Ill. 2d at 281, 807 N.E.2d at 436.\nApplying the principles of Lyon, which is aptly summarized by the majority, this court in Morgan I reversed the Department\u2019s suspension of respondent on grounds that it failed to promptly issue a final agency decision after summarily suspending his psychologist\u2019s license. In so doing, we noted that, as in Lyon, the initial standard of proof employed by the Department in determining whether to suspend respondent\u2019s license on a summary basis, which required only that the evidence in the Department\u2019s possession, indicate \u201c \u2018that the continuation of practice by the clinical psychologist would constitute an imminent danger to the public,\u2019 \u201d was far less stringent than the preponderance standard. Morgan I, 374 Ill. App. 3d at 302, 871 N.E.2d at 200, quoting 225 ILCS 15/21.6 (West 2002). We continued:\n\u201cWhile, in Lyon, the statute and regulations themselves provided specific time frames in which the agency was supposed to act, the requirement that a hearing be held and determined without delay applies equally here, where the only specific time frame that the Act provides with regard to the agency\u2019s determination is the 60 days allotted to the Board to transmit its finding and recommendations to the Director (see 225 ILCS 15/16.1 (West 2002)). However, *** the Act further contains the overall requirement that proceedings following a summary suspension be \u2018promptly instituted and determined.\u2019 Accordingly, we address the other Mallen factors, the importance of the private interest and the government\u2019s justification for the delay, in light of Lyon\u2019s instruction that where an agency uses a lower standard of proof to support a prehearing deprivation, the necessity of acting promptly is heightened.\u201d Morgan I, 374 Ill. App. 3d at 302, 871 N.E.2d at 200.\nWe then observed that respondent\u2019s interest in being able to continue his profession was substantial, as was the Department\u2019s interest in preventing sexual misconduct by clinical psychologists licensed under its authority (Morgan I, 374 Ill. App. 3d at 302, 871 N.E.2d at 200), but concluded that the Department\u2019s delays in issuing its final decision, particularly the Director\u2019s failure to issue his decision until five months after the Board issued its recommendations, were without justification (Morgan I, 374 Ill. App. 3d at 302-03, 871 N.E.2d at 200-01). We acknowledged, however, that respondent\u2019s due process rights were only affected for 6V2 months after the conclusion of the hearing, because of the circuit court\u2019s entry of a temporary restraining order allowing respondent to continue the practice of his profession on June 29, 2004. Morgan I, 374 Ill. App. 3d at 303, 871 N.E.2d at 201. We concluded that this shortened period also violated respondent\u2019s due process rights because the Department could have promptly issued its final decision in, at the most, 120 days after the close of the hearing. Morgan I, 374 Ill. App. 3d at 303-04, 871 N.E.2d at 201-02. We specifically stated:\n\u201cAs noted, section 16.1 of the Act describes the three stages involved in reaching a final decision after a hearing: first, the hearing officer reports her findings to the Board and the Director; next, the Board has 60 days after receiving the hearing officer\u2019s report to issue its findings and a recommendation to the Director; and, third, the Director issues a final decision. See 225 ILCS 15/21.6 (West 2002). Additionally, if the Board does not issue its recommendation to the Director within 60 days, the Director may issue an order based on the hearing officer\u2019s report. See 225 ILCS 15/21.6 (West 2002). Thus, although presented in terms of an internal departmental deadline rather than a deadline directly affecting a subject\u2019s rights, the Act explicitly contemplates a delay of at least 60 days in reaching a decision after a hearing. It can be presumed that the Act also tacitly contemplates that the hearing officer (the ALJ in this case) and the Director will require a reasonable amount of time to complete their portions of the process.\nStrong argument can be made that those steps of the process designated to the ALJ and the Director should not each exceed the 60 days allotted to the Board. The ALJ, having presided over the hearing, presumably has a ready familiarity with the case by the time the hearing concludes. The same cannot be said of the Board, which may or may not have attended the hearing. *** Similarly, there is strong argument to be made that the Director\u2019s portion of the process should not exceed an additional 60 days since he would have received the ALJ\u2019s report contemporaneously with the Board and would, therefore, already be familiar with the matter. Thus, it would appear that the final decision could reasonably have been finalized in as little as four months, allowing 30 days for the ALJ, 60 days for the Board, and an additional 30 days for the Director thereafter.\u201d Morgan I, 374 Ill. App. 3d at 303-04, 871 N.E.2d at 201-02.\nWe then noted that even if it were reasonable for the ALJ and Director to each take 60 days to make their determinations, giving the Department 180 days total, that time frame would have been exceeded by approximately 14 days by the time the circuit court issued its temporary restraining order. Morgan I, 374 Ill. App. 3d at 304, 871 N.E.2d at 202.\nApplying these principles to the case at bar, I am compelled to find, contrary to the majority, that the Department did violate respondent\u2019s right to due process by failing to decide the matter in a prompt manner. The Director summarily suspended respondent\u2019s license to practice psychology on February 23, 2005, after concluding that the evidence produced by a Department investigator at an ex parte hearing indicated \u201cthat the continuation of practice by the clinical psychologist would constitute an imminent danger to the public.\u201d The low standard of proof applied at this stage of the proceedings, which was accompanied by a higher risk that respondent was erroneously found to be such a danger, did not automatically deprive respondent of his due process rights, because the Department was subsequently required to prove respondent\u2019s misconduct by the more stringent clear and convincing evidence standard. Lyon, 209 Ill. 2d at 282, 807 N.E.2d at 436. Nevertheless, this distribution of the risk of error became problematic when the Department failed to decide this matter in a prompt manner. Lyon, 209 Ill. 2d at 282, 807 N.E.2d at 436.\nAs noted in Morgan I, when an agency summarily suspends a license in an attempt to safeguard the public, as the Department did here, the subsequent proceedings must be \u201cpromptly instituted and determined.\u201d 5 ILCS 100/10 \u2014 65(d) (West 2004). According to Black\u2019s, \u201c[tjhe meaning of the word [\u2018promptly\u2019] depends largely on the fact in each case, for what is \u2018prompt\u2019 in one situation may not be considered such under other circumstances or conditions. To do something \u2018promptly\u2019 is to do it without delay and with reasonable speed.\u201d Black\u2019s Law Dictionary 1214 (6th ed. 1990), citing In re Application of Beattie, 54 Del. 506, 512, 180 A.2d 741, 744 (1962); see also New American Webster\u2019s Dictionary 365 (1972) (defining \u201cprompt\u201d as \u201cquick to act; given without delay; on time\u201d). Here, the Director failed to promptly issue his decision within the 120-day time frame articulated in Morgan I. The hearing on the suspension ended on April 8, 2005, but the ALJ did not issue his report until 75 days later, on June 22, 2005. The Board then took 71 days to issue its recommendations to the Director on September 1, 2005, and the Director took an additional 77 days to issue the final agency decision on November 17, 2005. Thus, 223 days transpired between the end of the hearing and the Director\u2019s decision, 103 days longer than the 120-day period we considered to be prompt in Morgan I. Morgan I, 374 Ill. App. 3d at 304, 871 N.E.2d at 202. Moreover, even if we were to consider that the 60 days allotted to the Board could also be extended to the ALJ and the Director, thus giving the Department a total of 180 days to make its decision, the final decision here would have been 43 days late.\nThe Department nevertheless argues that our holding in Morgan I notwithstanding, the Department in this case should not be bound to enter its final agency decision within 120 days following the hearing because of delays which were beyond its control. First, it argues that the ALJ had to wait until April 29, 2005, when a transcript of the last day of the hearing, April 8, 2005, was prepared, and therefore \u201cacted promptly when he issued his recommendation less than 60 days later on June 22, 2005.\u201d In support of its contention that the ALJ was entitled to a transcript to use in preparing his report, the Department cites section 19 of the Clinical Psychologist Licensing Act (225 ILCS 15/19 (West 2004)), which states that the Department, at its expense, shall preserve a record of all proceedings at any formal hearing of any case and section 10 \u2014 35(c) of the Administrative Procedure Act (5 ILCS 100/10 \u2014 35(c) (West 2004)), which requires that \u201c[findings of fact shall be based exclusively on the evidence and on matters officially noticed.\u201d\nWith due deference to the majority, I cannot find merit in this argument. First, Illinois law does not require that the ALJ have a transcript of the hearing to help him as he drafts his recommendations. Although the Clinical Psychologist Licensing Act requires the Department to preserve a record of all administrative proceedings (225 ILCS 15/19 (West 2004)), and the Civil Administrative Code requires the Department, at its expense, to provide a stenographer to take down the testimony and preserve a record of all proceedings at the hearing of any case in which a certificate may be revoked or suspended (20 ILCS 2105/2105 \u2014 115 (West 2004)), there is no indication that these requirements were imposed upon the ALJ as a prerequisite for drafting his recommendations. Indeed, both Acts state that the record of proceedings, which the Department is required to maintain, shall include the \u201creport of the Board\u201d (225 ILCS 15/19 (West 2004); 20 ILCS 2105/2105 \u2014 115 (West 2004)), a document drafted after the ALJ makes his recommendation (225 ILCS 15/21.6 (West 2004)). Likewise, I cannot agree with the Department\u2019s claim that the ALJ had to wait for the transcript because section 35(c) of the Illinois Administrative Procedure Act requires that \u201c[Qindings of fact shall be based exclusively on the evidence and on matters officially noticed\u201d (5 ILCS 100/10 \u2014 35(c) (West 2004)), as that statute merely stands for the proposition that the ALJ cannot base his decision on facts outside the record (see Mel-Park Drugs, Inc. v. Department of Revenue, 218 Ill. App. 3d 203, 223, 577 N.E.2d 1278, 1291 (1991) (recommendation of ALJ properly rejected because recommendation was based on data not introduced into evidence in contravention of section 11(c) of the Illinois Administrative Procedure Act (Ill. Rev. Stat. 1987, ch. 127, par. 1011(c)))).\nFurthermore, even if the ALJ was entitled to a complete transcript before drafting his report, in keeping with the strict time constrictions imposed under Lyon, the Department may not wait passively and indefinitely for such a transcript, but must act reasonably to request that the transcript be produced punctually. As noted above, the Department was statutorily obligated to bear the cost of the transcription services (20 ILCS 2105/2105 \u2014 115 (West 2004)), and presumably could have requested that the 124-page transcription of the portion of the hearing which occurred on April 8, 2005, be produced considerably sooner than April 29, 2005, three weeks after the close of evidence. Indeed, the feasibility of such a quick transcription is evidenced by the fact that the slightly longer 133-page transcription of the proceedings of March 9, 2005, took only one week to complete. Any burden that may have been imposed on the Department in securing the punctual transcription of the last day of proceedings was clearly outweighed by the respondent\u2019s interest in having the propriety of the summary suspension of his license promptly decided.\nMore significantly, in any event, the record reveals no compelling reason why the ALJ needed until June 22, 2005, to complete his recommendation after the transcript was completed on April 29, 2005. After presiding over the hearing, the ALJ presumably was readily familiar with the case, and could have quickly completed his recommendation after receiving the last transcript. Morgan I, 374 Ill. App. 3d at 304, 871 N.E.2d at 202. Accordingly, I find that the ALJ did not issue his recommendation with reasonable promptness, as required under Lyon.\nThe Department next argues, and the majority concurs, that the Board was reasonable in taking 71 days to issue its report after the ALJ issued its recommendations on June 22, 2005, instead of 60 days as contemplated by statute, because the Board was obligated to decide the matter at an open meeting under the Open Meetings Act (5 ILCS 120/1.02 (West 2006)), and its first meeting after the ALJ issued its recommendation was held on July 29, 2005. It notes that the Board members decided at that meeting to revoke respondent\u2019s license for a minimum of five years and fine him $44,000 and an order to that effect was signed on September 1, 2005.\nHowever, the Department offers no explanation as to why the Board did not issue its two-page decision, which merely incorporated the ALJ\u2019s recommendations and contained a brief explanation for its imposition of an additional fine, until September 1, 2005, after the 60-day period allotted to it by section 21.6 of the Clinical Psychologist Licensing Act (225 ILCS 15/21.6 (West 2004)) had expired, if the Board made its decision on July 29, 2005. To the extent the Board was prevented from issuing its recommendation within 60 days because of the fact that it did not have a regular meeting until 37 days after the ALJ issued his recommendation, I question why the Board could not have moved that meeting to an earlier date as long as it provided 10 days\u2019 prior notice to the public. 5 ILCS 120/2.03 (West 2004) (\u201cIf a change is made in regular meeting dates, at least 10 days\u2019 notice of such change shall be given by publication in a newspaper of general circulation in the area in which such body functions\u201d).\nThe Department next contends, and the majority agrees, that the Director acted reasonably when he issued his final decision on November 17, 2005, 77 days after the Board filed its recommendation on September 1, 2005, instead of within 30 days, a period which we determined to be reasonable in Morgan I. It argues that the 30-day period articulated in Morgan I failed to take into account the fact that section 20 of the Clinical Psychologist Licensing Act (225 ILCS 15/20 (West 2004)) permits a licensee to file a motion for rehearing within 20 days of the Board\u2019s decision and states that the Director may enter an order upon the denial of such a motion. In this case, the Department notes, respondent filed a motion for rehearing on September 16, 2005, the Department filed a response to the motion on October 12, 2005, respondent filed a reply in support of his motion on November 1, 2005, and the Director issued his final decision soon after on November 17, 2005. Under these circumstances, it argues, the Director\u2019s decision should be considered promptly issued.\nAlthough the Clinical Psychologist Licensing Act does permit a licensee to file a motion for rehearing, nothing in the Act grants the Department authority to file a response thereto. Indeed, the rules of practice governing administrative hearings for the Department of Financial and Professional Regulation state that when a written motion such as a motion for rehearing is filed, the \u201cCommittee, hearing officer or Director may allow oral argument if this is deemed necessary to a fuller understanding of the issues presented.\u201d 68 Ill. Adm. Code \u00a71110.210(b), amended at 28 Ill. Reg. 7642, eff. May 21, 2004. It does not state that the Department may file a response brief as it did in this case. Thus, after respondent filed his motion for rehearing on September 16, 2005, the Director had the discretion to call the parties to an oral argument on the motion or simply begin his deliberations on the motion and the final agency decision.\nMore overridingly, even if the Department was entitled to file a response, it should have been required to do so in no more than 20 days, the same amount of time respondent was given to file his initial motion under section 20 of the Clinical Psychologist Licensing Act (225 ILCS 15/20 (West 2004)). Even if we were to subtract those 20 days, as well as the 20 days it took respondent to voluntarily file his reply, from the time period between the last day of the hearing, April 8, 2005, and the Director\u2019s decision, November 17, 2005, the Department took 183 days to issue a final decision \u2014 an effort that cannot, even under the most overindulgent view, be said to be \u201cwithout delay and with reasonable speed.\u201d See Black\u2019s Law Dictionary 1214 (6th ed. 1990) (defining \u201cprompt\u201d).\nThe Department nevertheless argues that the requirement that it decide matters such as the one at bar in a prompt manner improperly benefits the worst offenders because there \u201cwould be more counts to their complaints and more testimony and exhibits for the Department to consider, and, therefore, more obstacles in the way of meeting the inflexible time frames\u201d imposed by Morgan I. I disagree. Whether an agency action will be considered prompt \u201cdepends largely on the facts in each case, for what is \u2018prompt\u2019 in one situation may not be considered such under other circumstances or conditions.\u201d Black\u2019s Law Dictionary 1214 (6th ed. 1990). My decision in this case is based, not on the Department\u2019s failure to meet an inflexible 120-day deadline, but rather the Department\u2019s failure to act with reasonable speed under the circumstances, as dictated by the supreme court in Lyon, which we applied in Morgan I.\nAlthough I fully recognize that respondent was found guilty of repetitive conduct which egregiously betrayed his patients\u2019 trust and the responsibilities of his profession, it cannot relieve our transcendent duty to enforce the procedural safeguards extended to every person under the due process clause of our constitution as promulgated by our supreme court in Lyon. These safeguards ultimately protect an innocent practitioner from the ravages to his chosen career which may accompany the unnecessarily prolonged disposition of a summary suspension based upon the ex parte presentation of an investigator\u2019s report, where he is ultimately vindicated after an evidentiary hearing is conducted under the preponderance standard. By diluting the strict due process standards imposed by Lyon, where, as in this case, the licensee\u2019s guilt is ultimately sustained under the preponderance standard, we dilute those standards for the licensee who is ultimately exonerated after an evidentiary hearing. We cannot maintain a dual standard. Setting aside the ultimate disposition where the delay was unjustifiable for the culpable licensee is the only means by which to expedite the process for the licensee who is ultimately vindicated. Otherwise, such vindication may be hollow after the licensee\u2019s professional career may have been irretrievably damaged by the unjustifiably prolonged summary suspension. Obviously, such damage to a licensee who is ultimately exonerated cannot be undone by setting aside his ultimate disposition since it is the ultimate disposition that established his innocence. Thus, only by setting aside the ultimate disposition of the culpable licensee can the rights of the innocent licensee be protected against unjustifiably prolonged summary suspension.\nFor that reason, and only that reason, finding the remainder of the majority\u2019s opinion thoughtful and well reasoned, I respectfully dissent.",
        "type": "dissent",
        "author": "JUSTICE JOSEPH GORDON,"
      }
    ],
    "attorneys": [
      "Alan Rhine, of Law Offices of Alan Rhine, of Chicago, for appellant.",
      "Lisa Madigan, Attorney General, of Chicago (Michael A. Scodro, Solicitor General, and Jan E. Hughes, Assistant Attorney General, of counsel), for appellees."
    ],
    "corrections": "",
    "head_matter": "RUSSELL A. MORGAN, Plaintiff-Appellant, v. THE DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION et al., Defendants-Appellees.\nFirst District (6th Division)\nNo. 1 \u2014 07\u20141058\nOpinion filed February 13, 2009.\nGORDON, JOSEPH, J., dissenting.\nAlan Rhine, of Law Offices of Alan Rhine, of Chicago, for appellant.\nLisa Madigan, Attorney General, of Chicago (Michael A. Scodro, Solicitor General, and Jan E. Hughes, Assistant Attorney General, of counsel), for appellees."
  },
  "file_name": "0633-01",
  "first_page_order": 649,
  "last_page_order": 703
}
