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1 <br />Centralina <br />Council of Governments <br />REQUEST FOR REMOVAL OF <br />COMMUNITY ADVISORY COMMITTEE MEMBER(S) <br />TO: CIerWCounty Manager: Kay Honeycutt/ John Day <br />FROM: Debi L. Lee, Lead Regional Long Term Care Ombudsman <br />Volunteer: Margie Norris <br />Date: Apri121, 2009 <br />County Committee Assignment: _ Adult Care Home X Nursing Home Joint <br />Date of Appointment: -October 20, 2008 <br />Reason for Request <br />Volunteers are a vital part of the services that support older adults in your county. However, the volunteer <br />indicated above is not eligible for continued service for the following reason: <br />Conflict of Interest <br />1. G.S. 131 E-128 (f) Nursing Home <br />2. G.S. 131 D-31 (g) Adult Care Home <br />X_ Failure to complete required orientation and training <br />1. G.S. 131 E- 128 (g) Nursing Home <br />2. G.S. 131 D- 31 (h) Adult Care Home <br />3. Regional Long Term Care Ombudsman Memo dated July 17, 1998 <br />"If a new member does not complete the training and in facility <br />orientation within three months from the date of appointment, the <br />County Commissioners will be asked to replace the committee <br />member. <br />Dates offered: November 14 and December 5, 2008, March 6, 2009 <br />Other (documentation will be attached) <br />1. As determined by the N.C. Division of Aging State Long Term Care <br />Ombudsman Program Policies and Procedures <br />2. As determined by the N.C. Attorney General's Office <br />3. As determined by the committee by-laws. <br />4. As determined by policy set by the County Commissioners. <br />5. As determined by resignation of the member <br />6. Death of member <br />This is an official request to the Board of Commissioners to have this individual removed from service <br />on the above-mentioned board. Should you have any questions, please contact Debi L. Lee, Lead <br />Regional Ombudsman, 704-348-2714. Thank you in advance for your prompt attention t this matter. <br />!Llidtown Pla_a Building - 1300 Baxter Street, Suite 450 <br />PO Box 35008, Charlotte, North Carolina 28235 <br />Phone: 70-1-372-2416 Fax: 70-1-347-4710 , <br />www.centralina. org <br />Attachment number 1 <br />Page 178 of 199 ' <br />H-5 <br />