--00000000000051a311064c485a38 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Hi Tim and Earl, I agree that we should conduct a full audit of our CG staff. To ensure we have quality caregivers in place, I have already been part of two terminations recently. I also need to review QA visits recently completed with Ashley and see if missed visits occurred as well. I will pull a report with a list of all current caregivers and speak with Pat and Ashley regarding the concerns raised. While I have witnessed Ashley having difficult conversations with CGs in the past, I would like to support her with these upcoming conversations to ensure they are handled effectively. I am speaking with team today in Milwaukee regarding this. More interventions to come. Amelia Howard On Thu, Mar 5, 2026, 7:32 AM Timothy Thomas wrote: > Sounds like we need to conduct a full audit of our CG staff. What are you= r > thoughts? > > Also is Ashley equipped to have these difficult conversations with CGs? > > On Thu, Mar 5, 2026 at 1:28=E2=80=AFAM Micah Jakoblich > wrote: > >> Hi all, >> >> I spoke with Earl this afternoon, and he requested an email summarizing >> today's meeting with Eastcastle Place (ECP) regarding their Preferred >> Service Providers (PSP) consideration. >> >> On March 4, 2026, Roy Merath and I represented TheKey at this meeting. >> >> Eastcastle Place was represented by: >> >> - Tracy Lappin (Director of Nursing) >> - Nicole Claas (Director of Social Services) >> - Teresa Jenkins (Director of Resident Services) >> - Ashley Orlinski (Healthcare Manager) >> - Greta (Social Worker) >> - Toni (Social Worker) >> >> Our 3 shared clients/residents currently receiving services at ECP are: >> Judith Hestoff (SOC: 4/15/2021) >> Rose Marie Baron (SOC: 1/31/2022) >> Lee Ann Hill (SOC: 6/12/2023) >> >> The purpose of the meeting was to audit and evaluate the PSPs with whom >> ECP will work. The deadline for finalizing these considerations is late >> March or early April. >> >> Our discussion centered around significant "quality-value" gaps and >> service delivery issues detrimental to the partnership. ECP was direct >> about a persistent decline in caregiver quality and service delivery, at= tributing >> this to a lack of operational accountability from the Caregiver Manager >> (CGM/Pat Echols) and Client Success Manager (CSM/Ashley Alford). >> >> On a positive note, the team highlighted the following: >> >> - Caregiver Excellence: Tandi is considered remarkable for her service >> delivery, communication, and adherence to our core values. >> - Leadership Value: ECP deeply values the expertise provided by Roy and >> me, noting the specific value we add in our respective roles. >> - Dr. Shadi's research and materials facilitated to staff by HCL and >> TheKey are of great value and interest to HM/DON >> >> *Role and Accountability Concerns* >> *Responsibility Concerns*: Teresa and team opened meeting level-setting = who >> is directly