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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 CareHome 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 Darcie Bergandine <br />Date 6-30-04 <br /> <br />Joint <br /> <br />County Cabarrus <br /> <br />Committee Assignment <br />Date of Appointment <br /> <br />Adult Carq Home <br />6-17-02 <br /> <br />Reason for Request <br /> <br />Resignatiop of member <br /> <br />Volunteers are a vital part of the services that support older adults in your,county. However, the volunteer indicated above is not <br />eligible for continued service for the following reason: <br /> <br />Conflict of Interest 1. G.S. 131 E-128 (f) Nursing Home - (Verification of mandate is attdched) <br /> 2. G.S. 131 D-31 (g) Adult Care Home - (Verification of mandate is attached) <br /> <br />Failure to complete required orientation and training 1. G.S. 131 E- 128 (g) Nursing Home - (Verification of mandate is attached) <br /> 2. G.S. 131 D- 31 (h) Adult Care Home -(Verification of mandate is attached) <br /> 3. Regional Long Term Care Ombudsman Memo dated July 17, 1998 "Ifa new member does not <br /> complete the training and in-facility orientation within three months from the date of appointment, <br /> the County Commissioners will be asked to replace the committee member." <br /> <br />Dates offered: <br /> <br />5 Other (documentation will be attached) <br /> <br />1. As determined by the N.C. Division of Aging State Long Term Care Ombudsman Program Policies <br /> 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 />7. Death of Committee Member <br /> <br />This is an official request to the Board of Commissioners to have this individual removed from service on the above-mentioned board. <br />Should you have any questions, please contact Debi L. Lee, Lead Regional Ombudsman, 704-348-2714. Thank you in advance for <br />your prompt attention to this matter. <br /> <br /> t <br /> <br /> CENTRAI. IN~ <br /> Area Agency on Aging <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 <br /> <br /> <br />