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Centralina <br /> <br />Council of Governments <br /> <br /> REQUEST FOR REMOVAL OF <br />COMMUNITY ADVISORY COMMITTEE MEMBER(S) <br /> <br />Adult Care Home x Nursing Home <br /> <br />TO: Clerk/County Manager. Susie Bonds <br />FROM: Debi L. Lee, Lead Regional Long Term Care Ombudsman <br /> <br />Volunteer Opal Burris <br />Date 12-5-03 <br /> <br />County. Carbarrus <br /> <br />Committee Assignment <br /> <br />Adult Care Home <br /> <br />Date of Appointment <br /> <br />8-18-03 <br /> <br />Reason for Request <br /> <br />Resignation by member due to family obligations <br /> <br />Volunteers are a vital part of the services that support older adults in your county. However, the <br />volunteer indicated above is not eligible for continued service for the following reason: <br /> <br />Conflict of Interest 1. G.S. 131 E-128 (f) Nursing Home <br /> 2. G.S. 131 D-31 (g) Adult Care Home <br /> <br />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, <br /> 1998 "Ifa new member does not complete the training and in- <br /> facility orientation within three months from the date of <br /> appointment, the County Commissioners will be asked to replace <br /> the committee member." <br /> <br />Dates offered: <br /> <br />Other (documentation will be attached) 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 the resignation of the member. <br /> 6. Non-acceptance of re-appointment. <br /> <br />This is an official request to the Board of Commissioners to have this individual removed from service on <br />the above-mentioned board. Should you have any questions, please contact Debi L. Lee, Lead Regional <br />Ombudsman, 704-348-2714. Thank you in advance for your prompt attention to this matter. <br /> <br />Centralina Area Agency on Aging/Ombudsman Program <br />Midtown Plaza Building - 1300 Baxter Street, Suite 450 <br />PO Box 35008, Charlotte, North Carolina 28235 <br /> Phone: 704-372-2416 Fax: 704-347-4710 <br /> www. centralina, org ],~- I <br /> <br /> <br />