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{
"text": "Sign.com Document ID: 31a46f14dc - Page 1/4\nJFS 00039 (11/2025) Page 1 of 4\nOhio Department of Job and Family Services\nWARN Notice Submission Form (JFS 00039)\nThank you for contacting Ohio's Rapid Response Unit to submit your WARN Notice. This submission\nform will help you successfully submit your WARN Notice for state processing and public posting\npurposes.\nPlease also include a Worker List with your completed WARN Notice submission form. (see page 3)\nIt is the employer’s responsibility to notify your elected government official for the county where this\nmass layoff or closure will take place, in addition to submitting this WARN Notice submission form. To\nlocate your municipal corporation and county elected government official, please visit: Ohio Elected Official Roster (pg. 22)\nWhen completed, please email this WARN Notice submission form, along with your Worker List, to the Rapid Response\nmailbox: rapdresp@jfs.ohio.gov. You will be notified within 24 hours (M-F) that the Rapid Response Unit received your\nWARN Notice. Next, a Rapid Response Coordinator will follow up to offer no-cost services, such as unemployment benefit\ninformation, re-employment and training assistance for your affected employees, through this time of transition and\nchange.\nPlease do not hesitate to contact the Rapid Response mailbox at any point during this submission process:\nrapdresp@jfs.ohio.gov. The state of Ohio is here to help!\nSection 1. Terms and Conditions\nThe Ohio Department of Job and Family Services (ODJFS) maintains this WARN Notice submission form (JFS 00039) when\npublicly accessed through the ODJFS WARN Notice website. By completing this WARN Notice submission form, you agree\nto these terms and grant ODJFS permission to distribute, reformat and publicly display your WARN Notice in accordance\nwith federal and state laws and regulations. As a public agency, ODJFS is subject to the requirements of the Ohio Public\nRecords Act. Please be aware your WARN Notice submission form (JFS 00039) is not confidential or an exempt record\nunder Ohio and federal laws and will be posted for public access. Information received via the ODJFS WARN website as\nwell as this WARN Notice submission form, should not be relied upon for personal, legal or financial decisions and you\nshould consult an appropriate professional for specific advice tailored to your situation. *Worker Lists submitted with\nemployee contact information are excluded from public access and will be handled confidentially; see page 3.\nI have read and agree to these Terms and Conditions: YES NO\nSignature Date\n04/29/2026\nSection 2. Employer Information\nEmployer Name\nOptalis Professional Services LLC\nEmployer Address (Street, City, Zip code)\n25500 Meadowbrook Rd. Suite 230, Novi, MI 48375\nFederal Employer Identification Number (FEIN) (If Available)\n84-2318500\nNorth American Industry Classification System (NAICS Code) (If Available)\nNursing Home\nPlease describe the actions taken to mitigate the impact of the employment loss.\nPickaway Manor will no longer be managed by Optalis Healthcare. Pickaway manor has hired a new management company.\nReceived: 4/29/2026 @ 11:23am\nSign.com Document ID: 31a46f14dc - Page 2/4\nJFS 00039 (11/2025) Page 2 of 4\nSection 3. Reason for Layoff/Closure (Check all appropriate)\nFinancial Difficulties YES Mergers and Acquisitions YES\nEconomic Downturn YES Strategic Shifts YES\nTechnological Advancements that impact Human Labor YES Supply Chain Issues YES\nMarket Competition YES Natural Disasters YES\nDecline in Demand for Product or Service YES Debt Obligations YES\nRegulatory Changes YES Other YES\nSection 4. Facility Information where Layoff/Closure is Taking Place\nIs the Layoff/Closure taking place at the Employer address listed in Section 2: Employer Information?\nYES NO\nIf the Layoff/Closure is NOT taking place at the Employer address in Section 2, please enter additional Facility\nlocation/s (Facility Name, Address, City, Zip code)\nPickaway Manor an Optalis Health and Rehabilitation Center ,391 Clark Drive , Circleville OH 43113\nContact Person/s for additional Facility address (Name, Email Address, Phone Number)\nTressa Sanders 25500 Meadowbrook Rd. Suite 230,Novi, MI 48375 , (248) 817-7640 tressa.sanders@optalishealthcare.com\n*If there is more than (1) Facility Location where Layoff/Closures are taking place, please include # of Affected Employees at each\nfacility location.\nSection 5. WARN Notice Details\nType of Notice (Temporary Layoffs lasting less than (6) months do not require WARN Notice Submission)\nClosure: YES Layoff: YES\nDoes this amend/change/update an existing WARN Notice already filed? YES NO\nIf this submission amends, changes, updates an existing WARN Notice, please explain how.\n(Date Change; Number of Affected Employees, etc.)\nThis Layoff/Closure will take place on (1) date for all affected employees: YES Layoff/Closure Date:\nThis Layoff/Closure will involve a phased series of layoffs (multiple dates) for all affected employees: YES\nPlease list your phased series of layoffs by Date of Layoff and Number of Affected Employees for each phase.\n(If layoffs occur at more than (1) facility, please list facility name per phase)\nDates and/or Date Ranges of Phased Layoffs\n# of\nAffected\nEmployees\nList Facility Location IF Layoff/Closure is Occurring\nat more than (1) Facility\n1.\n2.\n3.\n4.\n5.\n6.\n6/30/2026\nSign.com Document ID: 31a46f14dc - Page 3/4\nJFS 00039 (11/2025) Page 3 of 4\nSection 6. Affected Employees\nSection 7. Additional Information\nDoes your business have Union Representation?\nYES NO\nIf your business is represented by a Union/s, please provide the Union Name, Union Representative Name, Email\nAddress, Phone Number.\nN/A\nWill Bumping Rights be in Place for the Affected Employees?\nYES NO\nWill Severance be available for the Affected Employees?\nYES NO Unknown\nAnticipated Layoff Date\nPhone number and/or Email address\nTotal Number of Affected Employees (Enter Number)\n122\nPursuant to Ohio Revised Code Chapters 1347 and 149, and applicable federal confidentiality laws, all employee contact\ninformation provided to the Ohio Department of Job and Family Services (ODJFS) shall be treated as confidential and exempt\nfrom public disclosure. ODJFS shall not initiate contact with any listed employees without the employer’s prior consent\nand/or until after the effective layoff date. Employers retain full discretion over the timing and method of communication\nwith affected employees. Access to such information is restricted to authorized personnel and used exclusively for the\nadministration of workforce development programs, including Rapid Response services under the Workforce Innovation\nand Opportunity Act (WIOA).\nClick here: “Ohio WARN Notice Requirements & Forms” to download a WARN Notice Worker List Spreadsheet (JFS\n00040) for convenience. Attach Worker List when emailing your WARN Notice to: rapdresp@jfs.ohio.gov\nSign.com Document ID: 31a46f14dc - Page 4/4\nJFS 00039 (11/2025) Page 4 of 4\nSection 8. Company Contact\nSection 8. Company Contact\nSection 9. Employer Certification\nBy signing this form, I attest to the best of my knowledge that the WARN Notice information submitted on behalf of\nmy company is complete and accurate.\nSignature Date\n04/29/2026\nPlease send completed WARN Notice Submission Form and Worker List to rapdresp@jfs.ohio.gov\nWorker List:\nassistance, retraining programs, or counseling.\nEnter Company Contact Person’s Name, Phone Number and Email Address if the Ohio Department of Job and Family\nServices has additional questions pertaining to this WARN Notice.\nTressa Sanders (248) 817-7640 tressa.sanders@optalishealthcare.com",
"officialListingName": "Optalis Professional Services LLC",
"qualityWarning": "Direct official documents are refreshed; automatic discovery of the relocated Ohio listing remains unavailable."
}A source-linked public record. Secondary records are attributed to their provider and are not independently verified. For direct records, “Verified” means sourced from an official agency; it does not confirm the layoffs took place.
