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' C--�O <br />Gr <br />' Centmlina Council of Covemments <br />' REQUEST FOR REMOVAL OF <br />COMMUNITY ADVISORY COMMITTEE MEMBER(S) <br />TO: Clerk/County Manager <br />' FROM: Debi L. Lee, Lead Regional Long Term Care Ombudsman <br />Volunteer <br />Date: March 1, 2011 <br />t County Committee Assignment Adult Care Home _Nursing Home Joint <br />Date of Appointment <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 />t 1. G.S. 131 E -128 (f) Nursing Home <br />2. G.S. 131 D -31 (g) Adult Care Home <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, 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 <br />_5_ 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 />' 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 to this matter. <br />525 North Tryon Street, Charlotte, NC 28202 <br />1-800-508-5777 Fax: 704 - 347 -4710 <br />www.centralina.org <br />I H -1 <br />Attachment number 1 <br />Page 322 <br />