Ok St Bd of Examiners for Long Term Care Adms. 10-22-2014

OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMS. 10-22-2014

MINUTES

The Regular Board meeting of the Oklahoma State Board of Examiners for Long Term Care Administrators (OSBELTCA) was held October 22, 2014 at 10:25 a.m. The meeting location was at the Shepherd Mall Office Complex, 2401 NW 23rd, OSBELTCA Conference Room, Oklahoma City, Oklahoma. Ms. Susan Barnes, Chair, presided over the meeting.

Advance notice of this regularly scheduled meeting was transmitted to the Oklahoma Secretary of State on February 26, 2014 and posted on the OSBELTCA website on October 21, 2014. The notice and agenda were posted in prominent public view on the front doors of the Shepherd Mall Office Complex located at 2401 NW 23rd, Oklahoma City, Oklahoma on October 21, 2014 at 9:00 a.m.

MEMBERS PRESENT

Ms. Susan Barnes, Chair, Edmond Mr. Bill Pierce, Vice-Chair, OK City Ms. Nancy Poteete, Sec-Treasurer, Norman Ms. Nancy Atkinson, OK City Mr. Brett Coble, Ardmore Ms. Georgia Devening, Choctaw Ms. Nancy Pfeifer, Tulsa Ms. Denise Wilson, Langley

MEMBERS ABSENT

Mr. Curtis Aduddell, OK City Ms. Pat Bean, OK City Dr. Scott Calhoon, OK City Ms. Susan Haws, Glenpool Mr. Jim Jakubovitz, Tulsa Ms. Jacki Millspaugh, OK City Mr. Bill Weaver, OK City

OTHERS PRESENT

1 Mr. Gaylord Z. Thomas, Executive Director Ms.Tiffany Wythe, Assistant Attorney General Ms. Pam Duren Ms. Melissa Holland Ms. Heather Kay Ms. Jimmie Honeycutt Mr. Doug Keifer Ms. Sue Wantand Mr. Ed Hendrix Mr. Donald Tyler Ms. Jennifer Fitzpatrick Ms. Emilie Dempsey

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

Ms. Susan Barnes asked the public to introduce themselves to the Board members.

Ms. Barnes asked Ms. Pam Duren to call roll to establish a quorum.

Present were Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. There was a quorum.

Ms. Susan Barnes asked the Board members to review the minutes of the 9-24-2014 Board meeting.

Motion was made by Ms. Nancy Poteete, seconded by Ms. Nancy Pfeifer, to approve the minutes of the 9-24-2014 Board meeting. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce and Mr. Brett Coble. Negative – None. Abstaining – Ms. Denise Wilson.

In the absence of Mr. Curtis Aduddell, Chair of the Education Committee, Mr. Gaylord Z. Thomas, Executive Director, gave the Education Committee report.

Mr. Thomas led the review, discussion and possible action regarding granting the request of a Nursing Home Administrator’s license. Mr. Thomas informed the Board that Mr. Doug Keifer met the requirements for becoming a Nursing Home Administrator. OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMS. 10-22-2014

Motion was made by Mr. Bill Pierce, seconded by Ms. Nancy Poteete, to approve Mr. Dough Keifer as a Nursing Home Administrator. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Mr. Thomas led the review, discussion and possible action regarding granting the request of a Residential Care/Assisted Living Administrator’s License.

Mr. Thomas informed the Board that Ms. Jennifer Fitzpatarick met the requirements for becoming a Residential Care/Assisted Living Administrator effective January 1, 2015.

Motion was made by Ms. Nancy Poteete, seconded by Mr. Bill Pierce, to approve Ms. Jennifer Fitzpatrick effective January 1, 2015 as a Residential Care/Assisted Living Administrator. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Mr. Thomas informed the Board that Ms. Jimmie Honeycutt met the requirements for becoming a Residential Care/Assisted Living Administrator.

Motion was made by Ms. Nancy Pfeifer, seconded by Mr. Bill Pierce, to approve Ms. Jimmie Honeycutt as a Residential Care/Assisted Living Administrator. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Mr. Thomas informed the Board that Mr. Alan Phillips met the requirements for becoming an Adult Day Care Administrator.

Motion was made by Mr. Bill Pierce, seconded by Ms. Nancy Poteete, to approve Mr. Alan Phillips as an Adult Day Care Administrator. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None. Mr. Thomas informed the Board that Mr. Donald Tyler met the requirements for becoming an Adult Day Care Administrator effective January 1, 2015.

Motion was made by Mr. Bill Pierce, seconded by Ms. Nancy Poteete, to approve Mr. Donald Tyler effective January 1, 2015 as an Adult Day Care Administrator. Motion carried 3 with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Licenses were presented at this time.

In the absence of Mr. Curtis Aduddell, Chair of the Education Committee, Mr. Gaylord Z. Thomas, Executive Director, led the review, discussion and possible action regarding the request of the following continuing education seminars for Long Term Care Administrators:

OK Dept of Mental Health & Substance Abuse Services/ORALA 1200 NE 13th St, OK City, OK 2014 ORALA Fall Conference – Dedicated to Your Success Hard Rock Hotel, Catoosa, OK 10-28-2014 – Requesting 6.5 CEUs 10-29-2014 – Requesting 6.5 CEUs Requesting Total of 13 CEUs for both days

Motion was made by Ms. Nancy Poteete, seconded by Mr. Brett Coble, to approve the aforementioned seminar. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Workers Compensation for Less 4300 Highline Blvd., Ste. 332, OK City, OK How to Significantly Impact Your Bottom Line with a Culture of Safety 12-11-2014 – OK Safety Council, 2400 S. Vermont, OK City 12-12-2014 – 9810 E. 42nd St., South, Ste 207, Tulsa, OK Requesting 3 CEUs (Adm may attend only one seminar for CEUs)

There was discussion regarding this seminar due to the fact that it was the first time they had submitted a program for approval.

Motion was made by Mr. Bill Pierce, seconded by Ms. Denise Wilson, to approve the aforementioned seminar. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Ms. Nancy Poteete, Chair of the Finance Committee, informed the Board that the brief overview of the Financial Reports presented by Bobbie Moore and Steve Hawkins from the Office of Management and Enterprise Services (OMES) had been postponed due to the low attendance of the Board members and that it will be on the agenda for the November 19 th Board OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMS. 10-22-2014 meeting. Ms. Poteete also informed the Board that we continued to have ample funds to get through FY 2015.

Mr. Gaylord Z. Thomas led the review, discussion and possible action regarding the proposed Board meeting dates for Calendar Year 2015.

Motion was made by Ms. Nancy Pfeifer, seconded by Ms. Denise Wilson, to approve the proposed Board meeting dates for Calendar Year 2015. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Mr. Gaylord Z. Thomas led the review, discussion and possible action regarding the Probable Cause Committee Report.

Mr. Thomas referred to his Executive Director’s Report, Item No. 1. Probable Cause Change Update and informed the Board that the 3 month study regarding him reviewing the Oklahoma State Department of Health’s notifications, previously known as referrals, had now been concluded. After discussion, it was noted that the process had been successful and that this would be an agenda item to be voted on at the November 19th Board meeting.

Mr. Thomas informed the Board that the Probable Cause Committee recommended that there was no probable cause regarding 14-62(H) and 14-78(H).

Motion was made by Ms. Nancy Poteete, seconded by Mr. Brett Coble, to accept the recommendation of the Probable Cause Committee that there was no probable cause regarding the aforementioned cases. Motion carried with voting as follows: Affirmative – Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – Ms. Nancy Atkinson and Mr. Bill Pierce.

Mr. Thomas informed the Board that the Probable Cause Committee recommended that there was no probable cause regarding 14-68(H) and 14-85(H).

Motion was made by Mr. Brett Coble, seconded by Mr. Bill Pierce, to accept the recommendation of the Probable Cause Committee that there was no probable cause regarding the aforementioned cases. Motion carried with voting as follows: Affirmative – Ms. Susan Barnes, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – Ms. Nancy Atkinson and Ms. Georgia Devening,

5 Mr. Thomas informed the Board that the Probable Cause Committee recommended that there was no probable cause regarding 14-26(H) and 14-50(H).

Motion was made by Mr. Bill Pierce, seconded by Ms. Denise Wilson, to accept the recommendation of the Probable Cause Committee that there was no probable cause regarding the aforementioned cases. Motion carried with voting as follows: Affirmative – Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – Ms. Nancy Atkinson.

Mr. Thomas informed the Board that the Probable Cause Committee recommended that there was no probable cause regarding 14-63(H), however they would receive a letter of concern.

Motion was made by Mr. Brett Coble, seconded by Mr. Bill Pierce, to accept the recommendation of the Probable Cause Committee that there was no probable cause regarding the aforementioned case, however they would receive a letter of concern. Motion carried with voting as follows: Affirmative – Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – Ms. Nancy Atkinson.

Mr. Thomas informed the Board that the Probable Cause Committee recommended that there was no probable cause regarding 18-82(P) and 14-89(P).

Motion was made by Ms. Nancy Poteete, seconded by Ms. Denise Wilson, to accept the recommendation of the Probable Cause Committee that there was no probable cause regarding the aforementioned cases. Motion carried with voting as follows: Affirmative – Ms. Nancy Atkinson, Ms. Susan Barnes, Ms. Georgia Devening, Ms. Nancy Poteete, Ms. Nancy Pfeifer, Mr. Bill Pierce, Mr. Brett Coble and Ms. Denise Wilson. Negative – None. Abstaining – None.

Mr. Gaylord Z. Thomas, Executive Director, gave his report as follows:

1. PROBABLE CAUSE CHANGE UPDATE: ALL OSDH NOTIFICATIONS ARE FROM NURSING FACILITY SURVEYS – no other source (AL, RC, Adult Day Care: 0 notifications since August Board meeting) Reported at the August Board meeting: 6 notifications – 3 elevated for Probable Cause Committee (PCC) Review Reported at the September Board meeting: 6 notifications – 1 elevated for PCC Review Reviewed per consent of Board to process OSDH referrals prior to August 1 as “notifications.” Estimated it affected 22 cases at the Board meeting; there were actually 20 such cases… OK ST BD OF EXAMINERS FOR LONG TERM CARE ADMS. 10-22-2014

8 of these were already in the hands of the Probable Cause Committee for review - Asked that the committee continue to make those determinations (they’ve recommended “No Probable Cause” for 5 of these 8 (so far) Of the remaining 12 cases I reviewed as notifications…4 were elevated for PCC review That doubles the sample we had from August and September and the results are parallel Since the September Board Meeting: already 8 Notifications – 2 elevated for PCC Review (again, closely mirroring this trend) Totals in 3 months of study: 32 cases reviewed; 10 elevated (roughly 1 in 3 but not all of those will have probable cause either…) 2. RENEWALS: This year’s renewal season is set to open on November 1 and run through December 31 (pretty much as usual). We have “tested” the system more strenuously and expect it to have fewer problems than ever this year. We’ve even live-tested it with several administrators (Board members) having already pre-renewed their license as “guinea pigs” for us. We appreciate the help, the feedback and the patience and ultimately we think it’s going to go well this year. 3. AUDIT UPDATE: At the end of the June meeting (under “New Business”) I informed the Board that I had, that same morning, received notice from the Oklahoma Auditor & Inspector’s office that we were scheduled for an audit in FY2015. We still have not heard anything additional (nothing) about this audit since that letter of notification. If/When I hear more, I will update the Board on the details of that still pending audit. 4. NEW LEGISLATIVE LIAISON REQUIREMENT: Last week, Pam sent all Board members an email concerning a new requirement from the Ethics Commission, more or less a “heads up” of this legislative change that is affecting us. It’s actually affecting “me” more than anyone else as it requires a state employee fulfill this role so I’ve scheduled myself to attend the training to learn about the rules involved and meet this requirement. 5. REPORT ON INTERIM STUDIES: First meeting held yesterday, Tuesday, October 21. 6. UPCOMING EVENTS/DATES: Next Board Meetings: November 19, December 17 NAB Mid-Year Meeting – November 11-14 (SF) – [NAB funded travel] The presentation by Tiffany Wythe, Assistant Attorney General, was postponed due to the low attendance of Board members.

Under “New Business” it was decided to have an Agenda Item at the December Board meeting for discussion regarding the dismissal of probable cause cases due to nursing issues.

Meeting adjourned at 11:00 a.m.

Respectfully Submitted,

MS. NANCY POTEETE, SEC-TREASURER