Delaware Board of Nursing Home Administrators

CANNON BUILDING STATE OF DELAWARE TELEPHONE: (302) 744-4500 861 SILVER LAKE BLVD., SUITE 203 DEPARTMENT OF STATE FAX: (302) 739-2711 DOVER, DELAWARE 19904-2467 WEBSITE: WWW.DPR.DELAWARE.GOV DIVISION OF PROFESSIONAL REGULATION

PUBLIC MEETING MINUTES: BOARD OF EXAMINERS OF NURSING HOME ADMINISTRATORS

MEETING DATE AND TIME: Tuesday, November 13, 2007 at 2:00 p.m.

PLACE: 861 Silver Lake Blvd, Dover, Delaware Conference Room B, second floor of the Cannon Bldg.

MINUTES APPROVED: January 8, 2008

MEMBERS PRESENT

Jerrold Spilecki, Professional Member, President Carolyn Cotter, Public Member, Vice-President William Daisey, Public Member Fatima Woodard, Maria Simoes, Public Member Frances Wimbush, Healthcare Member

DIVISION STAFF/DEPUTY ATTORNEY GENERAL

Chris Spizzirri, Deputy Attorney General Debbie Heinsch, Administrative Specialist II Nicole M. Williams, Administrative Specialist II David Mangler, Executive Director

MEMBERS ABSENT Virginia Gray, Professional Member Lillie Mae Johnson, Public Member, Secretary

OTHERS PRESENT

Timothy Ballis Colette Storck

CALL TO ORDER

Mr. Spilecki called the meeting to order at 2:42 p.m. Ms. Woodard, a new board member, and Debbie Heinsch, Team A Board Liaison, were introduced. Delaware Board of Nursing Home Administrators Meeting Minutes – November 13, 2007 Page 2

REVIEW OF MINUTES

The Board reviewed the minutes of the July 10, 2007 meeting. Ms. Cotter made a motion, seconded by Ms. Wimbush, to approve the minutes as presented. The motion was unanimously carried.

UNFINISHED BUSINESS

Previously Tabled Application for NHA Licensure – Sister Carol Marie Ferrucci – Application was previously tabled, pending receipt of additional information. Chris Spizzirri, Deputy Attorney General, reviewed the New York Nursing Home Administration Rules and Regulations and determined that they are equivalent to Delaware’s Rules and Regulations. Mr. Daisey made a motion, seconded by Ms. Wimbush, to approve the application. The motion was unanimously carried.

Previously Tabled Applications for Continuing Education Activities – Provider is NAB Approved -

Institute for Natural Resources – Home Study Courses Pharmacological Interventions for Children with ADHD – Home Study – Ongoing – 3.0 hrs ADHD: Latest Diagnostic Guidelines – Home Study – 3.0 hrs Alternative and Behavioral Treatments of ADHD – Home Study – 3.0 hrs Learning Disabilities other than Dyslexia – Home Study – 3.0 hrs ADHD in Adults” – Home Study – 3.0 hrs Dyslexia in Adults – Home Study – 3.0 hrs Splitting the Brain – Home Study – 3.0 hrs Smart Drugs? – Home Study – 3.0 hrs Women’s Health: Chronic Pain” – 3 hrs Women’s Health: Depression – 3 hrs Women’s Health: Insomnia – 3 hrs Women’s Health: Menopause – 3 hrs Autism: Pervasive Developmental Disorder – 3 hrs Anti-Anxiety Drugs – 3 hrs Arthritis and Rheumatic Diseases – 3 hrs Brain and Stress: Disorders and Coping Strategies – 3 hrs Can You Type? Type 1 vs. Type 2 Diabetes – 3 hrs Chocolate: Food, Drug, or Preventative Medicines– 3 hrs Chronic Fatigue Syndrome: The Prognosis Improves – 3 hrs Cognitive Behavior Therapy – 3 hrs Eating Disorders: Anorexia, Bulimia, Binge Eating, & Orthorexia’ – 3 hrs Fibromyalgia – 3 hrs Food Cravings and Appetite Control – 3 hrs Head Ache – 3 hrs Heart Health – 3 hrs Hepatitis A – 3 hrs Hepatitis C – 3 hrs Herbs for Menopausal Women – 3 hrs High-Fat/High-Protein Diets – 3 hrs Loss of Control: Fighting Back with Full Strength – 3 hrs Memory and Amnesia – 3 hrs Mild Brain Injury – 3 hrs Delaware Board of Nursing Home Administrators Meeting Minutes – November 13, 2007 Page 3

Neurotransmitters: The Bridges of the Brain – 3 hrs Omega-3 Fatty Acids: A Clinical Update – 3 hrs The Pain Mutiny – 3 hrs The Pain Truth – 3 hrs Paradise Regained: Achieving Remission in Depression – 3 hrs Poles Apart: Unipolar vs. Bipolar Depression – 3 hrs Prevent Breast Cancer – 3 hrs Rx for Women – 3 hrs Snacking: An Opportunity for Better Health? – 3 hrs Some Nerve – 3 hrs Stop Losing Sleep – 3 hrs Sugar, Sugar: Management of Diabetes – 3 hrs Topic of Cancer – 3 hrs Virus Alert: Smallpox & West Nile Viruses – 3 hrs Vitamin C, E, and Folic Acid: Three Efficacious Vitamins – 3 hrs Wide Bodies: Children, Obesity, and Diabetes – 3 hrs Alzheimer’s: Prevention of the Disease and Other Dementias – 3hrs Medical Ethics: A Clinical Update – 3 hrs Non-HIV/AIDS Sexually Transmitted Diseases – 3 hrs Non-Traditional Approaches: Anxiety, Insomnia, & Depression – 3 hrs Obesity and Hormones – 3 hrs Over the Counter Pain Medication: A Clinical Update – 3 hrs Stimulants: Caffeine, Amphetamines, and Appetite Suppressants – 3 hrs Stop Gaining Weight – 6 hrs Stress and Eating – 3 hrs Successful Aging – 4 hrs Thyroid Disorders – 3 hrs The Common Cold and Flu – 3 hrs Food Allergies – 3 hrs Germs: Bacteria, Viruses, Fungi, Protozoa & Helminthes – 3 hrs HIV/AIDS – 3 hrs Irritable Bowel Syndrome & Inflammatory Gastrointestinal Disorders – 3 hrs Skin Allergies, Skin Care, and Wrinkles – 3 hrs Malpractice: An Update for Health Professionals – 3 hrs Low-Carb Diets – 3 hrs Obesity and Low Fat Diets – 3 hrs Arthritis, Diet, and Exercise – 3 hrs Asthma and Allergies – 3 hrs Autoimmune Disease and Multiple Sclerosis – 3 hrs Parkinson’s disease and ALS – 3 hrs

Mr. Daisey made a motion, seconded Ms. Wimbush, to approve the above listing. The motion was unanimously carried.

Strategic Planning

Discussion on Exam Results and License Issuance – When the Board approves that an applicant can sit for the exam, the results are sent to the Board office. Mr. Daisey made a motion, seconded Ms. Simoes, to approve board staff issuing licenses, upon successful examination results, without additional board approval. The motion was unanimously carried. Delaware Board of Nursing Home Administrators Meeting Minutes – November 13, 2007 Page 4

Discussion on Expired AIT’s – Mr. Spizzirri suggested that they put a ninety (90) day extension into the Rules and Regulations. Tabled pending review of the statute by Mr. Spizzirri.

Status of Complaint - Case 29-02-07 – Schedule Hearing Mr. Spilecki advised that the complaint has been turned over to the DAG’s office.

Case 29-01-07 – Ms. Gray - A hearing will be scheduled along with a work session for the same date.

Ms. Cotter asked if the Board information could be reviewed prior to the meeting dates to facilitate board business. Ms. Woodard and Ms. Cotter volunteered to assist with reviewing continuing education applications prior to meeting date and time. The information will be scanned/emailed to all Board members for review. Ms. Woodard and Ms. Cotter would like to meet one hour prior to each scheduled meeting time.

New Business Review of AIT Application: Lindsey C. Johnson – Review of SNF Preceptor and AIT Outline Charlotte J. Brown – Review of Final Progress Report for SNF Portion of AIT Program Laura Dittmar – Review of Final Progress Reports for AL and SNF Portions of AIT Programs, NHA application and Request to Sit for NAB Exam Mary F. Drandorff – Review of Completed Progress Report for AL Portion of AIT Program, Request to Sit for NAB Exam Lawrence Joseph Squire – Review of AIT Outline and AL and SNF Preceptor letters Kathleen M. Gibson – Review of AIT Outline and AL and SNF Preceptor letters. Lois M. Quinlan – Review of final progress reports for AIT program Joseph F. Kauczka – Review of final progress report for AIT program and review of NHA application to sit for NAB exam Timothy M. Ballas – Review of AIT application, outline and preceptor letters

Mr. Ballas stated that he has been an AL administrator for one year in Pennsylvania and that he does not have the experience yet in a skilled nursing facility. As well, his employer does not have a skilled section. Since Mr. Ballas is licensed in PA as an Assisted Living Administrator, the Board approved him to complete a 6 month AIT program with primary concentration in the Skilled Nursing Facility area.

Fernando T. Ollano – Review of AIT application and outline – Applicant did not initially receive a degree, but was later awarded a Doctor of Veterinary Medicine. Tabled

Motion made by Ms. Wimbush seconded Ms. Cotter to approve the above with the exception of Mr. Ollano, which was tabled for further discussion.

A motion was made by Mr. Spilecki, seconded by Mr. Daisey, to approve Mr. Ollano’s AIT application for nine months. Mr. Daisey, Ms. Simoes, Mr. Spilecki, and Ms. Wimbush voted in favor, Ms. Cotter and Ms. Woodard abstained. The motion was carried.

Review of Nursing Home Administrator Applications: John A. Clancy – Reciprocity – PA Tawnya L. Dennis – Review of Exam results Reginald Goring – Reciprocity – PA Jerome J. Joyner – Reciprocity – PA (pending payment) Delaware Board of Nursing Home Administrators Meeting Minutes – November 13, 2007 Page 5

Ms. Wimbush made a motion, seconded by Mr. Daisey, to approve the above applications. The motion was unanimously carried.

Review of Continuing Education Activities Delaware Health Care Facilities Association Signs, Symptoms and Self Care: Learning How to Manage Stress –10/24/2007 – 6.0 hrs Division of Long Term Care Residents Protection Reducing Pressure Ulcers – What Really Works – 8/9/2007 – 5.0 hrs Health Care Association of New Jersey (HCANJ) HCANJ 59th Annual State Health Care Convention and EXPO – 10/23, 24, 25/2007 – 8.0 hrs Center For Competitive Management Legal Background Checks: How to Limit Liability & Hire Smart – 8/20/2007 – 1.5 hrs Activities for Geriatric Enrichment (AGE) The Challenges and Rewards of Volunteer Program Design & Implementation – 5.0 hrs Wilmington College: Tawnya Dennis Law, Regulation and the Workplace – 9/10/07 - 10/22/07 Mondays – 35.0 hrs Alzheimer’s Association, DE Valley Chapter Caregivers Taking Care of Themselves – 11/16/2007 – 5.0 hrs Activities for Geriatric Enrichment The Challenges and Rewards of Volunteer Program Design & Implementation – Date TBA – 5.0 hours Delaware Health Care Facilities DHCFA’s Educational Seminar – 12/12/2007 – 3.0 hrs Harbor Healthcare “Family Matters”: Dealing with Family Issues and Job Related Stress – 11/2/2007 – 5.0 hrs

Ms. Cotter made a motion, seconded Mr. Daisey, to approve the above continuing education activities with the exception of Wilmington College. Wilmington College, Tawnya Dennis, is pending receipt of completion and instructor’s bio. The motion was unanimously carried.

Complaint 29-03-07 – Mr. Spilecki accepted the case.

Strategic Planning Online License Renewal - Assimilation of New Board Members Ensure Proper Procedures for Reciprocity Revise “Substantially Related” Crimes List Update, Clarify and Improved Remaining Regulations

Ms. Cotter made a motion, seconded by Ms. Simoes, to meet four consecutive months to address the strategic plan on non board meeting months (February and April) from 2:00 p.m. until 4:00 p.m. These meetings will not be for regular board business. The motion was unanimously carried.

Other Business before the Board (for discussion only)

PUBLIC COMMENT

Ms. Storck - When does the new statute apply? Answer – it is the date in which the applicant applies. Delaware Board of Nursing Home Administrators Meeting Minutes – November 13, 2007 Page 6

Mr. Mangler introduced himself.

SCHEDULED MEETING – The next meeting will be held on January 8, 2008 at 2:00 p.m. at 861 Silver Lake Boulevard, Cannon Building, Conference Room B, Dover, Delaware.

ADJOURNMENT

There being no further business, Mr. Daisey made a motion, seconded by Ms. Woodard, to adjourn the meeting. The motion was unanimously carried. The meeting adjourned at 5:05 p.m.

Respectfully submitted,

Debbie Heinsch Administrative Specialist II