ok st bd of examiners for long term care …

OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMINISTRATORS SHEPHERD CENTER, 2401 NW 23RD, STE 2H, OK CITY, OK 73107

APRIL 14, 2021 REGULAR BOARD MEETING 10:00 AM

THIS MEETING, INCLUDING ANY EXECUTIVE SESSION, WILL BE CONDUCTED ENTIRELY VIA TELECONFERENCING OR

VIDEOCONFERENCING PURSUANT TO 25 O.S. § 307.1 AND 311.

ALL MEMBERS AND STAFF WILL BE APPEARING VIA VIDEOCONFERENCE

PUBLIC VIEW AND ACCESS: https://www.gotomeet.me/OSBELTCA/board-meeting

You may also dial in using your phone United States: (646)749-3122 Access Code: 326-056-877

The videoconference will also be shown live in our conference room At 2401 NW 23rd Street, Suite 2H Oklahoma City, Oklahoma 73107

(Shepherd Center) And may be attended by Board members numbering less than a quorum and/or by

staff/public (see expected attendance matrix at the end of the Agenda).

AGENDA

The Board may discuss, vote to approve, vote to disapprove, vote to table, change the sequence of any agenda item, or vote to strike or not discuss any agenda item.

Public attendees - please “mute” your microphones during the meeting unless a Board Member addresses you directly with a question.

Public Comment is not permitted unless otherwise noted on the Agenda

1. Call to Order and Recording of Members Present and Absent -Compliance with Open Meeting Act and Authority

2. Welcoming Remarks, Ms. Jacki Millspaugh, (Chair) and/or Board Members

3. Approval of the Minutes for the 3-3-2021 Special Board Meeting

4. Review, Discussion and Possible Action Regarding Granting Long Term CareAdministrator’s License (Report of the Education Committee):

A. Pamela Boone, NHAB. Jessica Clayton, ADCC. Angelie Estuche-Sales, RCAL

When you see a blue underline in this packet, it's a "link" to the supporting document within the packet that you can follow. We also try to put a link BACK to the agenda at the beginning of that information.

4/14/2021 OSBELTCA Board Meeting

https://www.gotomeet.me/OSBELTCA/board-meeting

D. Shallon Gambling, ADCE. Bridgette Johnson, ADCF. Nola Jones, NHAG. Taffy Locke, ADCH. Kimberly Lockett, RCI. Danielle Prieto, NHAJ. Vickie Taylor, ADCK. Laura Vance, ADCL. Tara West, RCALM. Jennifer Williams, RCAL

5. Review, Discussion and Possible Action on the Probable Cause Committee’sRecommendations Regarding Whether Probable Cause Exists to File a FormalComplaint (Report of Probable Cause Committee)NO PROBABLE CAUSEKS,NR**20-041(P)KS,NRR21-002(D)CC,NP21-010(P)

*Two to One for Recommendation of No PC**Letter of ConcernH-OSDH Referral, HB-OSDH Notification/Referral, V-rec’d from ODVA, D-DHS Report,B-Board Initiated, P-Private Citizen Report

6. Review, Discussion and Possible Action Regarding the Report of the FinanceCommittee (Report of Finance Committee)

7. Review, Discussion and Possible Action Regarding the Report of the Rules/Legislative Committee (Report of the Rules/Legislative Committee)

8. Review, Discussion and Possible Action Regarding the Report of the PersonnelCommittee Relating to the Annual Evaluation of the Executive Director (Reportof the Personnel Committee)

9. Review, Discussion and Possible Action Regarding a Change in Board MeetingDate from August 18, 2021 to August 11, 2021.

10. Review, Discussion and Possible Action Regarding the Report of the ExecutiveDirector, Mr. Gaylord Z. ThomasA. CEU Audit UpdateB. Strategic Plan UpdateC. Occupational Licensing Advisory CommissionD. Wellington Parke Vs. OSBELTCAE. Upcoming Events/Dates


11 New Business – Any matter not known about or that could not have been reasonably foreseen prior to the time of posting the agenda

12. Adjournment

Expected Attendance Matrix:

Name Board Role Virtual

Virtual from

OSBELTCA Conf

Room*

Virtual from

OSBELTCA Office*

Not Expected

to Attend*

Jacki Millspaugh Chair X Keith Swanson Vice Chair X Nancy Poteete Sec/Treas X Susan Barnes Rules/Legislative Committee Chair X Susan Smith Education Committee Chair X Tony Fullbright Personnel Committee Chair X Colin Coburn Board Member X Tracy Copp Board Member X Thomas Essex Board Member X Diane Henry Board Member X Lisa Pever Board Member X Alan Phillips Board Member X Nathan Raith Board Member X Jonna Warrick Board Member X VACANT SEAT Board Member X Gaylord Z. Thomas Executive Director X Pam Duren Programs Officer X Ginger Dean Programs Officer X Thomas Grossnicklaus AAG (Advisor) X Liz Stevens AAG (Prosecutor) X Jon Williford AAG (Special Counsel) X

* Persons expected to attend from the office or conference room (or not expected to attend) may attendand participate by virtual means due to unforeseen circumstance.

Common Acronyms Used: ADC – Adult Day Care Services NAB – National Association of Long Term Care Administrator Boards NHA – Nursing Home Administrator AIT – Administrator-In-Training


AU – Administrators University CAA – Certified Assistant Administrator (not licensed) CE/CEUs – Continuing Education/Continuing Education Units DHS – Department of Human OSDH – Oklahoma State Department of Health PCC – Probable Cause Committee RC/AL – Residential Care/Assisted Living (commonly pronounced “ar-cal”) RC – Residential Care


OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMS 3-3-2021

1

MINUTES

A Special Board meeting of the Oklahoma State Board of Examiners for Long Term Care Administrators (OSBELTCA) was held, March 3, 2021 at 10:00 a.m. The meeting location was live at the Shepherd Center, 2401 NW 23rd, Ste 2 H, Oklahoma City, Oklahoma. Candidates and the public were welcome, however, encouraged to join remotely via GoToMeeting, https://www.gotomeet.me/OSBELTCA/board-meeting or they could dial in using their phone at (646)749-3122 with Access Code: 326-056-877. Ms. Jacki Millspaugh, Chair, presided over themeeting.

Advance notice of this special meeting was transmitted to the Oklahoma Secretary of State on February 24, 2021 and posted on the OSBELTCA website on February 28, 2021. The agenda was posted in a prominent public view on the front doors of the Shepherd Center located at 2401 NW 23rd, Oklahoma City, Oklahoma on February 28, 2021 at 9:00 a.m.

MEMBERS PRESENT

Ms. Jacki Millspaugh, Chair, OK City Dr. Keith Swanson, Vice-Chair, OK City, He was not in the OSBELTCA Conference Room as Published on the Agenda Ms. Nancy Poteete, Sec-Treasurer, Norman Dr. Susan Barnes, Edmond Mr. Collin Coburn, Tulsa Dr. Thomas Essex, Chickasha Mr. Tony Fullbright, OK City Ms. Diane Henry, OK City Ms. Lisa Pever, OK City Mr. Alan Phillips, Bartlesville Mr. Nathan Raith, Claremore Ms. Susan Smith, Glenpool Ms. Jonna Warrick, Edmond

MEMBERS ABSENT

Ms. Tracy Copp, Claremore (Note: She appeared to be present the entire meeting, including Executive Session, bus was inaudible and we heard no votes from her (however, her name was called every time.)

Return to Agenda


https://www.gotomeet.me/OSBELTCA/board-meeting


2

OTHERS PRESENT

Mr. Gaylord Z. Thomas, Executive Director Mr. Thomas Grossnicklaus, AAG, Board’s Legal Counsel Ms. Amanda Everett, AAG, Prosecuting Attorney for the Board Ms. Michelle Garrett Ms. Jamie Johnson Mr. Phillip Maxwell Ms. Charity Nyingi Mr. Blake Rhoden Ms. Jody Schochler Ms. Rachel Summers Ms. Legend Tate

Ms. Jacki Millspaugh, Chair, called the meeting to order and stated that we were in compliance with the amended Open Meeting Act and Authority.

Ms. Millspaugh asked Mr. Gaylord Z. Thomas, Executive Director, to call roll to establish a quorum.

Present were Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson, Ms. Jacki Millspaugh. There was a quorum.

Ms. Jackie Millspaugh asked the Board members to review the minutes of the 1-27-2021 Board meeting.

Motion was made by Dr. Keith Swanson, seconded by Dr. Susan Barnes, to approve the minutes of the 1-27-2021 Board meeting, to include the spelling revision of Dr. Susan Barnes name. Motion carried with voting as follows: Affirmative –Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson, and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Susan Smith, Chair of the Education Committee, led the review, discussion and possible action regarding granting the request of Long Term Care Administrator’s license.



3

Ms. Smith informed the Board that Ms. Michelle Garrett met the requirements for becoming a Residential Care/Assisted Living Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Nancy Poteete, to approve Ms. Michelle Garrett as a Residential Care/Assisted Living Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Smith informed the Board that Ms. Jamie Johnson met the requirements for becoming a Nursing Home Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Nancy Poteete, to approve Ms. Jamie Johnson as a Nursing Home Administrator. Motion carried with voting as follows: Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Smith informed the Board that Mr. Phillip Maxwell met the requirements for becoming a Nursing Home Administrator.

Motion was made by Ms. Susan Smith, seconded by Dr. Keith Swanson, to approve Mr. Phillip Maxwell as a Nursing Home Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Smith informed the Board that Ms. Charity Nyingi met the requirements for becoming a Residential Care/Assisted Living Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Nancy Poteete, to approve Ms. Charity Nyingi as a Residential Care/Assisted Living Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.



4

Ms. Smith informed the Board that Mr. Blake Rhoden met the requirements for becoming a Nursing Home Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Lisa Pever, to approve Mr. Blake Rhoden as a Nursing Home Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Smith informed the Board that Ms. Jody Schochler met the requirements for becoming a Nursing Home Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Nancy Poteete, to approve Ms. Jody Schochler as a Nursing Home Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Smith informed the Board that Ms. Rachel Summers met the requirements for becoming a Nursing Home Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Lisa Pever, to approve Ms. Rachel Summers as a Nursing Home Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright,Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Smith informed the Board that Ms. Legend Tate met the requirements for becoming a Residential Care/Assisted Living Administrator.

Motion was made by Ms. Susan Smith, seconded by Ms. Nancy Poteete, to approve Ms. Legend Tate as a Residential Care/Assisted Living Administrator. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.



5

Licensees were congratulated at this time and informed they would receive their license in the mail.

Mr. Gaylord Z. Thomas, Executive Director, led the review, discussion and possible action regarding the vacating of licenses of Long Term Care Administrators who failed to timely renew. (List attached to agenda).

Motion was made by Ms. Susan Smith, seconded by Ms. Lisa Pever, to approve the vacating of licenses of Long Term Care Administrators who failed to timely renew. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Amanda Everett, AAG, Prosecuting Attorney for the Board, led the review, discussion and possible action regarding OSBELTCA V. ADAM STEPHENS, License No. 3316, Case No. 19-052 (HB). Presentation of proposed Agreed Order. Possible motion to convene into and exitfrom Executive Session pursuant to 25. O.S. § 307(B)(7) (discussing any matter where disclosureof information would violate confidentiality requirements of state or federal law) AND/ORpursuant to 25 O.S.§307(B)(8) (engaging in deliberations or rendering a final or intermediatedecision in an individual proceeding pursuant to Article II of the Administrative Procedures Act).Possible action. This case was referred to us by the Oklahoma State Department of Health,therefore, Ms. Diane Henry, as the representative of this department, will be required to recusealong with the Committee that reviewed the case which was Ms. Nancy Poteete and Mr. CurtisAduddell, who is no longer on the Board. Ms. Henry and Ms. Poteete turned off their cameras andmicrophone during the presentation of this case.

Mr. Thomas Grossnicklaus was present to represent and advise the Board.

The Department of Health notified this Board of the results of a survey that had Substandard Quality of Care survey results. There were a number of issues raised on the survey and Ms. Everett boiled the administrator’s role down to 3 violations stemming around allegations of abuse:

Failure to report – It was well documented that no report had been filed. Failure to investigate – again, when the administrator learned of it, he not only did not report it, but he didn’t even look into it. And, Failure to take action to rectify the problem



6

The Survey Report (Form 2567) documented that the administrator stated to the surveyors that he was not aware that allegations must be reported if they were not substantiated. His terse response to the Board regarding this issue was that turnover was high at this facility (5 administrators in 4 years) and that the company had not given him authority to deal with staff issues appropriately ( he provided no documentation of his pleas regarding this – only referenced phone conversations) and that he was denied attempts to remedy the situation by the corporate level which he also said led to his resignation AND that he was also on vacation during the incident and survey. Yet, when he learned of the issues upon his return, the problem was that he still took none of the required steps to investigate, report or remedy the situation.

He has no prior history of discipline and agreed to the following terms:

Letter of Reprimand Fine of $400 per violation ($1200 total) 12 additional CEUS related to ethics, abuse, neglect or incident reporting Attorney fees of $1,250 This will be reportable to the NPDB and in the Board’s online Registry.

We would recommend that the Board approve this agreed order.

Motion was made by Ms. Lisa Pever, seconded by Dr. Thomas Essex, to accept the aforementioned Agreed Order. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None. Recusing – Ms. Diane Henry and Ms. Nancy Poteete.

Mr. Curtis Aduddell was on the committee as well, however, he is no longer a Board member.

Ms. Nancy Poteete, Chair of the Finance Committee, led the review, discussion and possible action regarding the Finance Report. Ms. Poteete informed the Board that she and Mr. Thomas had attended the virtual Finance meeting, Thursday, February 18th with Ms. Dana West from OMES. Ms. Poteete informed the Board that this report would be short and sweet as all the reports balanced and that we were currently operating under budget.

Dr. Susan Barnes led the review, discussion and possible action regarding the report of the Legislative Committee. Dr. Barnes informed the Board that Senate Bill 719 did not make it out of committee and all deadlines have passed. Discussion followed.



7

Mr. Gaylord Z. Thomas, Executive Director, led the review, discussion and possible action regarding the Executive Director’s Report.

1. RENEWALS UPDATE: I updated you at our January meeting (3 days before the extendedexpiration date of January 30th). I was actually amazed to see that a total of 6 people renewed…all of them doing so after we left the office that Friday evening with the expiration date onSaturday). So, the updated numbers are below, adding 1 to the CAAs and 5 to the RCALs. It ismy understanding that the CAA and 1 RCAL were tax compliance issues and the other 4 RCALadministrators renewed after learning of the Board’s decision not to penalize anyone if their CEUswere short in 2020.

2011 2012 2013 2014 2015 2016 2017 2018 2019

2020 (licensed for 2021)

NHA Renewed 682 681 687 678 683

693 679 685 697 695

Not Renewed 48 40 28 49 41 33 45 53 37 40

730 721

CAA's Renewed

First year 25 27 31 30 36 35 37 37 36

Not Renewed to

renew 10 2 1 3 2 8 7 3 3

RCAL Renewed

BA

SELI

NE

(gra

ndfa

ther

ed in

201

2)

353 303 273 265 267 292 278 277 270

Not Renewed N/A 68 54 31 23 12 38 30 22

RC Renewed 36 32 33 32 30 29 25 28 26

Not Renewed N/A 9 5 3 3 4 8 6 3



8

ADC Renewed 70 61 55 58 57 57 53 53 54

Not Renewed N/A 11 17 11 7 6 7 8 5

Total renewed 1110 1070 1068 1083 1092 1074 1092 1081

Total not renewed 118 126 89 68 74 117 84 73

If we were to take a minute to look at the non-renewed numbers over this time period, we would see that 2020 was actually a pretty good year for renewals (even if we discard the first couple of years in our averages which skewed the data a little bit due to “giving” those initial licenses to people at no charge (free). The number of people who did not renew those first couple of years skewed our numbers in those lines of service a little bit and we’re still trying to get a better understanding of what “normal” numbers are for those licenses. But the following chart just pulls the number of “vacated” licenses out for a comparison by year and license type and shows that 2020 was below average for the number of licenses being vacated in all types, even discounting the skewed years. Note: 2012 was not included in the average of the “Total” column since it was only NHAs and CAAs.

Vacated NHA CAA RCAL RC ADC Total

2012 35 10 0 0 0 45

2013 28 2 68 9 11 118 Skewed

2014 49 1 54 5 17 126 Years *

2015 37 3 31 3 11 85

2016 35 2 23 3 7 70

2017 46 8 12 4 6 76

2018 52 7 38 8 7 112

2019 37 3 30 6 8 84

2020 40 3 22 3 5 73 Current



9

Average: 39.89 4.33 34.75 5.13 9.00 93.00

Non-skewed Average: 26.00 4.50 7.33 83.33

Additionally, every year, Board members want to know WHY these people don’t renew…we have a “feel” for that and I’ve done some analysis (attaching it to this report).

2. AU UPDATE: The Spring term of AU started February 4th (first Thursday) and is set to be complete in May. We started with 32 students (26 NHA, 6 CAA…) and actually had 34 at one point but two appeared to not be ready to start yet so they’ll likely start in the next class. We already made a change in our syllabus to accommodate the weather, moving a week of pre-recorded classes to last week so nobody was on the road (we made that adjustment based on the forecast a week prior).

3. CEU AUDIT UPDATE: As mentioned, the Board decision last month may have encouraged a handful of administrators to renew. We will be starting our audits on our normal timeframe, getting the list in early March. We will provide the data from the review once we have gathered it.

4. STRATEGIC PLAN UPDATE: The one committee that has been most active this last month is the Rules/Legislative Committee. A lot of what they had “planned” to do is being put on “hold” due to SB719 requiring their attention at the moment. I just want to remind everyone that our plan is viewable online at www.focusandexecute.com and that anyone can access our plan using okexaminers as both the Username and Password (we have had this information publicly available on our website since we established this plan).

5. CABINET SECRETARY CHANGE: We were notified last week that there was a new Executive Order establishing a Secretary of Licensing and Regulation and that this Board now falls under that new Cabinet position. Susan Winchester was appointed to be the new Cabinet Secretary.

6. UPCOMING EVENTS/DATES:

Next Board Meetings –March 3rd (cancelled?), April 14th and May 26th

NAB Executive Committee Meeting – March 11th and 12th (virtual)


http://www.focusandexecute.com/


10

Mr. Gaylord Z. Thomas, Executive Director, informed the Board that the lease was expiring on our computers and that we had not been informed of this. He also informed the Board that the office staff was going to laptops and this would require new hardware. Mr. Thomas requested the expense of $3500 be added to the Budget for IT as it had not been accounted for previously. Discussion followed.

Motion was made by Ms. Nancy Poteete, seconded by Dr. Keith Swanson, to amend the Budget to include $3500 for IT. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Ms. Jacki Millspaugh led the Discussion, Vote and Possible action regarding convening into Executive Session pursuant to 25 O.S. §307(B)(4) (Confidential Communications between a public body and its attorney regarding a pending investigation, claim, or action).

Motion was made by Ms. Susan Smith, seconded by Ms. Lisa Pever, to convene into Executive Session. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Motion was made by Ms. Nancy Poteete, seconded by Ms. Lisa Pever, to convene into Open Session. Motion carried with voting as follows: Affirmative – Dr. Susan Barnes, Mr. Collin Coburn, Dr. Thomas Essex, Ms. Susan Smith, Mr. Tony Fullbright, Ms. Diane Henry, Ms. Lisa Pever, Mr. Alan Phillips, Mr. Nathan Raith, Ms. Jonna Warrick, Ms. Nancy Poteete, Dr. Keith Swanson and Ms. Jacki Millspaugh. Negative – None. Abstaining – None.

Meeting adjourned at 11:25 am.

Respectfully Submitted,

MS. NANCY POTEETE, SEC-TREASURER


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of 4

Pending Administrator ResponseIn DateCase Number

In DateCase Number

In DateCase Number

21-003(HB) 02-04-2021Date Given to PCC

Subcommittee Assigned

PCC Results Back

Notes

Survey on 1/19/21; letter dated 2/2/2021; F600, F607, F609, F610 (S/S: J, J, J, J) - case involves allegations of sexual abuse; alleged failures to investigate, alleged failures to report.

Description

21-011(D) 04-09-2021Date Given to PCC


PCC Results Back

Notes

Email report received from DHS regarding a substantiated report of "caretaker neglect" - email received 4/9/21; DHS received the referral 2/8/21; interviewed alleged victim 2/22/21; time of incident documented as 2/5/21. Documentation appears to say that the Administrator was acting on advice of the Ombudsman. Issue is that the Resident had a POA and revoked it and the allegation is that it was neglect to have permitted the resident to have revoked that POA. It's someone's opinion that "someone" prompted the resident to revoke the POA to avoid being moved back to a SNF from the ALF where she resided and they've attributed this to the respondent somehow while at the same time documenting that she was following advice from the Ombudsman. They've also documented that the resident, per the family, is stubborn and hard to deal with. Ombudsman alleged to have been involved stated that she did not advise the resident to revoke the POA but stated that she did say that if she understood what she was doing when revoking the POA that it could be done at any time.

Description

21-004(P) 01-21-2021Date Given to PCC


PCC Results Back

Notes

Received a fax detailing that respondent had been suspended pending investigation for allegations of misappropriation of multiple residents' medications (detailed on an incident report). The attachment (Part C continued) stated that the allegation was substantiated and that the respondent had resigned her position due to this finding. Atty response received'; indicated additional information may be coming (?). Verifying.

Description


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OK

LA

HO

MA

Stateo

fO

klahoma

4/1/202

1

6D

igitO

bjecto

fE

xpenditureR

eport17:51:03

PM

From:July

01,2020T

o:M

arch31,

2021Page

3From

Business

Unit:

50900T

oB

usinessU

nit:50900

Business

Unit

Major

Class

Sub

Class

Account

Current

Month

Fiscal

YT

D5

09

00

51

00

00

PE

RS

ON

AL

SE

RV

IC

ES

________

_____

___

__

__

__

__

__

__

___

__

_

SubC

lass519000

Total

66910398

Major

Class

510000T

otal22.66761

267,129.61

50900520000

TR

AV

EL

521000

521110In-State

Mileage-M

otorV

ehicle0.00

1,024.55521140

In-StateM

iscellaneousC

harges0.00

43.20521310

Travel

Reim

b.-Non-S

tateE

mpls.

0.00279.98

SubC

lass521000

Total

0.001,347.73

Major

Class

520000T

otal0.00

1,347.73

50900530000

AD

MIN

IST

RA

TIV

EE

XP

EN

SE

531000

531170Inform

ationalService

0.003,500.00

531180B

ankService

Charges

152.665,537.47

531210D

ataC

enterC

harges-

Portal89.00

1,321.00531230

ER

PSystem

Services

0.00243.50

531260M

embership

inO

rganizations0.00

202.50531310

Prem

-Property

orL

iab.Insur.0.00

403.17Sub

Class

531000T

otal241.66

11,207.64

532000532110

Rent

of Office

Space2.28645

20,578.05532140

Rent-E

quipment

And

Machinery

0.000.00

532160R

ent-Elec

Data

Processing

Eq.0.00

2,135.62Sub

Class

532000T

otal2,286.45

22,713.67

533000

533110M

tee-Rep.-B

ldgs-grnds-Vendor

0.00439.99

533130M

tce-Rep.-T

eI.Equip-V

endor0.00

312.00

Report

Nam

e:O

CG

LOO

6O

Query

Title:

OC

PG

LA

O6O

andO

CP

GL

BO

6OP

age3


,O

kLA

HO

MA

Stateo

fOklahom

a

4/1/2021

6D

igitO

bjecto

fE

xpenditureR

eportI7

:1:03

PM

From: July

01,2020T

o:M

arch31,

2021Page

4From

Business

Unit:

50900T

oB

usinessU

nit:50900

Business

Unit

Major

Class

Sub

Class

Account

Current

Month

Fiscal

YT

D50900

530000A

DM

INIST

RA

TIV

EE

XPE

NSE

533140M

tce-Rep.-D

PE

quip-Vendor

0.00481.40

533180H

ousekpg/Janit./Sanit.Sup,Mat

90.3090.30

SubC

lass533000

Total

90.301,323.69

534000534110

Food,Other

Kitchen

Sup.,Mat’ls

0.0039.56

SubC

lass534000

Total

0.0039.56

536000536110

Meeting

Refreshm

ents0.00

15.00536130

Office

SuppliesN

on-Expendable

834.301,582.40

536140O

fficeSupplies

(Expendable)

0.001,530.06

SubC

lass536000

Total

834.303,127.46

Major

Class

530000T

otal3.45271

38,412.02

50900540000

PR

OP

,FU

RN

,EQ

UIP

&R

EL

AT

ED

DE

BT

541000

541120D

ataP

rocessingE

quipment

0.002,524.00

SubC

lass541000

Total

0.002,524.00

546000

546220M

ajorM

tce,Repair

of

Equipm

ent0.00

31,870.83Sub

Class

546000T

otal0.00

31.87083

Major

Class

540000T

otalo,oo

34,394.83

50900550000

GE

NA

SST,

AW

DS,

PR

OG

-DIR

EC

TE

D552000

552140Incentive

Aw

ards0.00

143.00Sub

Class

552000T

otal0.00

143.00

Report

Nam

e:O

CG

LOO

6O

Query

Title:

OC

P_GL

AO

6Oand

OC

PG

LB

O6O

Page

4


OK

LA

HO

MA

Stateo

fO

klahoma

4/1/2021

6D

igitO

bjecto

fE

xpenditureR

eport17:5

1:03PM

FromJuly

01,2020To:

March

31,2021

Page5

FromB

usinessU

nit:50900

To

Business

Unit:

50900

Business

Unit

Major

Class

Sub

Class

Account

Current

Month

fiscalY

TD

Major

Class

550000T

otal0.00

143.00

Business

Unit

50900T

otal26,120.32

341,427.19

Grand

Total

byB

usinessU

nit26,120.32

341,427.19

Report

Nam

e:O

CG

LOO

6O

Query

Title:

OC

P_GL

AO

6Oand

OC

P_GL

BO

6OP

age5


Stateo

fO

klahoma

4/1/202

OI(L

AH

OM

AS

umm

aryof

Receipts

andD

isbursements

17:18:35PM

FromB

usinessU

nit50900

To

Business

Unit

50900P

age1

Forthe

Month

ofM

arch,2021

BU

SIN

ES

SU

NIT

50900

CL

AS

S200

Transfers

Out

Balance

Or

Change

inC

hangein

Net

Payroll

Debit

Changes

InR

evenueE

xpendituresL

iabilitiesR

eceivablesW

ithholdingsT

ransfersIn

621000.621150.Investm

entE

ndingA

cctg(C

redit)D

ebit(C

redit)D

ebit(Incr)

Decr

lncr(D

eer)(C

redit)D

ebit(C

redit)631200,

and(C

redit)D

ebitC

ashP

eriod4xxxxx

Sxxxxx2xxxxx

lxxxxx633xxx

631100and631150499600

632100B

alance

0-Beg

0.000.00

0.00424,129.13

1-Jul(18,092.60)

27,454.820.00

0.000.00

(1,187.17)0.00

0.00415,954.08

2-Aug

(42,966.35)40,679.30

(15.12)0.00

0.00(920.62)

0.000.00

419,176.87

3-Sep

(38,878.00)34,576.41

15.120.00

0.00(36,711.91)

0.000.00

460,175.25

4-Oct

(4,069.30)43,838.93

0.000.00

0.000.00

0.000.00

420,405.62

5-Nov

(2,364.05)33,507.6$

0.000.00

0.000.00

0.000.00

389,261.99

6-Dec

(50,242.65)64,560.86

0.000.00

0.000.00

0.000.00

374,943.78

7-Jan(138,517.08)

38,272.53(208.81)

0.000.00

0.000.00

0.00475,397.14

8-feb(65,533.47)

32.41634(6.543.78)

0.000.00

0.000.00

0.00515.05805

9-Mar

(34.125.62)26.12032

6,703.680.00

0.000.00

0.000.00

516.35967C

olumn

(394,789.12)341,427.19

(48.91)0.00

0.00(38.819.70)

0.00T

otals:

Current

Ledger

Balance

(48.91)0.00

Class/F

undB

alances:0.00

516,359.67

Current

Ledger

Balance-L

tabilities:(48.91)

*B

udgeted

Cash

Balan

ce:516,310.76

*Slould

agreew

ithC

ashB

alancefrom

Allotm

entB

udgetand

Cash

Balance

(AB

C)

report.

ReportN

ame:

OC

GL

OO

S9

Query

Title:

OC

P_GL

OO

S9Page

1


Stateo

fO

klahoma

4/1/2021

OIL

AH

OM

AS

umm

aryof

Receipts

andD

isbursements

17:18:35PM

From

Business

Unit

50900T

oB

usinessU

nit50900

Page2

Forthe

Month

of

March,

2021

BU

SIN

ES

StJN

IT50900

CL

AS

S79901

Transfers

Out

Balance

Or

Change

inC

hangein

Net

PayrollD

ebitC

hangesIn

Revenue

Expenditures

Liabilities

Receivables

Withholdings

Transfers

In621000.621150.

Investment

Ending

Acctg

(Credit)

Debit

(Credit)

Debit

(Incr)D

ecrIncr

(Decr)

(Credit)

Debit

(Credit)

631200.and

(Credit)

Debit

Cash

Period4xxxxx

5xxxxx2xxxxx

lxxxxx633xxx

631100and

631150499600

632100B

alance

0-Beg

0.000.00

0.0020,090.10

1-Jul(27,304.75)

0.000.00

0.000.00

0.000.00

0.0047,394.85

2-Aug

4,836.850.00

0.000.00

0.000.00

0.000.00

42,558.00

3-Sep38,128.70

0.000.00

0.000.00

0.000.00

0.004,429.30

4-Oct

1,$65.250.00

0.000.00

0.000.00

0.000.00

2,564.05

5-Nov

(53,093.60)0.00

0.000.00

0.000.00

0.000.00

55,657.65

6-Dec

(97,181.93)0.00

0.000.00

0.000.00

0.000.00

152,839.5$

7-Jan80,703.61

0.000.00

0.000.00

0.000.00

0.0072,135.97

8-Feb34,292.85

0.000.00

0.000.00

0.000.00

0.0037.84312

9-Mar

28,652.720.00

0.000.00

0.000.00

0.000.00

9,190.40

10-Apt

0.000.00

0.000.00

0.000.00

0.000.00

9,190.40

11-May

0.000.00

0.000.00

0.000.00

0.000.00

9.19040

12-Jun0.00

0.000.00

0.000.00

0.000.00

0.009,190.40

Colum

n10,899.70

0.000.00

0.000.00

0.000.00

Totals:

Current

Ledger

Balance:

0.000.00

Class/F

undB

alances:0.00

9,190.40

Current

Ledger

Balance-L

iabilities0.00

*B

ud

geted

Cash

Balan

ce:9,190.40

*Should

agreew

ithC

ashB

alancefrom

Allotm

entB

udgetand

Cash

Balance

(AB

C)

report.

ReportN

ame:

OC

GL

OO

59

Query

Title:

OC

P_G

L0059

Page

2


Stateo

fO

klahoma

4/1/2021

‘‘

OI(L

AH

OM

ASum

mary

ofR

eceiptsand

Disbursem

ents17:18:35

PM

FromB

usinessU

nit50900

To

Business

Unit

50900P

age.,

Forthe

Month

of

March,

2021

BU

SIN

ES

SU

NIT

50900

CL

AS

ST

ransfersO

utB

alanceO

rC

hangein

Change

inN

etP

ayrollD

ebitC

hangesIn

Revenue

Expenditures

Liabilities

Receivables

Withholdings

Transfers

In621000,621150.

Investment

Ending

Acctg

(Credit)

Debit

(Credit)

Debit

(lncr)D

ecrIncr

(Decr)

(Credit)

Debit

(Credit)

631200,and

(Credit)

Debit

Cash

Period

4xxxxxSxxxxx

2xxxxxlxxxxx

633xxx631100

and631150

499600632100

Balance

Colum

n(383.889.42)

341,427.19(48.91)

0.000.00

(38,819.70)0.00

Totals

PriorY

earA

PB

UB

alance:0.00

0.00

Current

AP

Business

Unit

Balance:

(48.91)0.00

Business

Unit

Balances:

0.00525,550.07

Report N

ame:

OC

GL

OO

59

Query’

Title:

OC

P_G

L0059

Page3


Executive Director’s Report April 14, 2021

A. CEU AUDIT UPDATE: We conducted our annual audits as required, and per directionfrom the Board (due to the pandemic), there will not be any punitive actions taken againstanyone for failing to meet the CEU requirements in 2020, but we do have the “statistics” fromthese audits and per the Board’s direction, are sharing them as “data.”

a. We audited a total of 51 administrators and CAAs (more than 5% as required by law).i. 13 of the 51 (25.5%) were short of the required number of CEUs.ii. 6 of the 51 “met” the requirement (on the nose).iii. 32 EXCEEDED the requirement for their license type.iv. Collectively, all 51 on average would have been .74 hours short of therequirements even though 38 (74.5%) met or exceeded the requirement.

b. Looking at the audits by line of service (LOS):i. 32 NHAs were audited; 7 (21.88%) were short of the requirement. Collectively,they exceeded the NHA requirement (24 hours) by .16 hours on average. OneNHA exceeded the requirement by 8.25 hours.ii. 2 CAAs were audited; 1 (50%) was short of the requirement. One was short ofthe requirement (24 hours) by 18 hours and the other exceeded the requirement by2.5 hours.iii. 13 RCAL administrators were audited; 3 (23%) were short of the requirement.Collectively, they were 1.17 hours short of the RCAL requirement (18 hours).iv. Only 1 RC administrator was audited and this individual exceeded therequirement (16 hours) by 11.75 hours.v. 3 Adult Day Care administrators were audited; 2 (67%) were short –accomplished zero CEUs) of the requirement (12 hours) for ADC. Collectively,Adult Day Care was short 4.83 hours on average.

c. 13 individuals being short is a pretty high number (we don’t typically see that manyshort of the requirements…3-4 is about as bad as it usually is and we’ve had years withzero (0) or one (1).

B. STRATEGIC PLAN UPDATE: The one committee that has been most active this lastmonth is the Rules/Legislative Committee working early on with SB719 and still met recently tohave an overview of the Strategic Plan and plot our way ahead.C. OCCUPATIONAL LICENSING ADVISORY COMMISSION: I received a request forinformation regarding our turn to be viewed by this commission. My response is due (for eachlicense and certification – NHA, RCAL, RC, Adult Day Care and CAA) by the 6th of May andthe “view” will be conducted (public meeting) at some time in June – schedule to be determinedand I’m supposed to be informed of it.D. WELLINGTON PARKE VS. OSBELTCA: We were notified on March 25th that ourMotion to Dismiss this case was granted by the Court. The other case remains open. TheExecutive Committee was informed of this occurrence on that date. If there are questions aboutit, we will schedule Mr. Williford to be at our next meeting.E. UPCOMING EVENTS/DATES:

Next Board Meetings – May 26th and June 30th

Gaylord Z. Thomas Executive Director


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