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Home My WebLink AboutAgenda - 03-17-2009 - 4b3 1 ORANGE COUNTY BOARD OF COMMISSIONERS • ACTION AGENDA ITEM ABSTRACT Meeting Date: March 17, 2009 Action Agertsla Item No. I p- 3 SUBJECT: Nursing Home Community Advisory Committee--Reappointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Letter of Recommendation &Attendance Records Application(s)/Resume(s) of Person(s) Recommended Interest List PURPOSE: To consider making reappointments to the Nursing Home Community Advisory Committee. BACKGROUND: The Clerk's office has received recommendations for the reappointments to the Nursing Home Community Advisory Committee for the following people: Ed Flowers, Pat Revels and Art St. John. If reappointed Mr. Flowers and Ms. Revels will be serving their first full terms ending 06/30/2012. Mr. St. John will be serving his second full term ending 1/30/2012. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider making reappointments to the Nursing Home Community Advisory Committee. Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m.Every other 1st Monday starting with Jan. Terms: 2 Contact Person: Vibeke Talley,OTR/L Meeting Place: Seymour Center Positions: 12 Length:3 years Contact Phone: 919-968-2087 Description: All appointments are made by the Board of Commissioners.This committee helps to maintain the intent of the Residents'Bill of Rights,promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Mr. Arthur St. John Day Phone:919-968-3003 Sex: Male First Appointed: 01/24/2005 1 Evening Phone:919-968-3003 Race:Caucasian Current Appointment: 06/13/2006 101 Hayworth Drive FAX: Township: Chapel Hill Expiration: 01/30/2009 Chapel Hill NC 27517 E-mail:stl299 @bellsouth.net Resid/Spec Req:At-Large Number of Terms: 1 Special Repr:At-Large Mr Ed Flowers Day Phone:919-357-9256 S ex: Male First Appointed: 03/06/2008 2 Evening Phone:919-357-9256 Race:Caucasian Current Appointment: 03/06/2008 2813 Beckett's Ridge Drive FAX: Township: Hillsborough Expiration: 03/31/2009 Hillsborough NC 27278 E-mail: ED_FLOWERS @YAHOO.COM Resid/Spec Req:At-Large Number of Terms: Special Repr:At-Large Mrs. Patricia Revels Day Phone:(919)241-4071 Sex: Female First Appointed: 03/06/2008 3 Evening Phone:Same Race:Caucasian Curr e t ppo intment: 03/06/2008 329 West King Street FAX:N/A Township: Hillsborough Expiration: 03/31/2009 Hillsborough NC 27278 E-mail:prevels001 @nc.rr.com Resid/Spec Req:At-Large Number of Terms: Special Repr: At-Large Ms. Sharon Karnash Day Phone:919479-5661 Sex: Female First Appointed: 06/12/2007 4 Evening Phone:same Race:Caucasian Current Appointment: 10/07/2008 5513 Quail Hollow Drive FAX: Township: Little River Expiration: 06/30/2011 Hillsborough NC 27278 E-mail:sharon.karnash @duke.edu Resid/Spec Req:At-Large Number of Terms: 1 Special Repr: At-Large VACANT Day Phone: Sex: First Appointed: 5 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2008 E-mail: Resid/Spec Req:At-Large Number of Terms: Special Repr:Nursing Home Administration Wednesday,March 04,2009 Page 1 N Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m.Every other 1st Monday starting with Jan. Terms: 2 Contact Person: Vibeke Talley,OTR/L Meeting Place: Seymour Center Positions: 12 Length:3 years Contact Phone: 919-968-2087 Description: All appointments are made by the Board of Commissioners.This committee helps to maintain the intent of the Residents'Bill of Rights,promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Ms. Susan Taylor Day Phone:919-256-1048 Sex: Female First Appointed: 08/21/2007 6 Chair Evening Phone:919-357-6639 Race:Caucasian Current Appointment: 10/07/2008 • 2103 Baycourt Trail FAX: Township: Hillsborough Expiration: 09/30/2011 Hillsborough NC 27278 E-mail:staylor20 @nc.rr.com Resid/Spec Req:At-Large• Number of Terms: 1 Special Repr:Nursing Home Administration Ms. Sue Waters Day Phone:919-643-2040 Sex: Female First Appointed: 09/21/2004 7 Evening Phone:919-643-2040 Race:Caucasian Current Appointment: 10/07/2008 608 Red Fox Trail FAX: Township: Hillsborough Expiration: 09/30/2011 Hillsborough NC 27278 E-mail:ronwaters @earthlink.net Resid/Spec Req:At-Large Number of Terms: 2 Special Repr: At-Large Ms. Tiffany Washington Day Phone:(336)339-8144 Sex: Female First Appointed: 09/09/2008 8 Evening Phone: Race:African American Current Appointment: 09/09/2008 515 Hinton James Drive#138(mail:PO Box 7 FAX: Township: Chapel Hill Expiration: 09/30/2009 Chapel Hill NC 27514 E-mail:twashing @email.unc.edu Resid/Spec Req:At-Large Number of Terms: Special Repr:At-Large Ms. Mary Ann Peter Day Phone:919-732-6073 Sex: Female First Appointed: 06/03/2003 9 Vice-Chair Evening Phone:919-732-6073 Race:Caucasian Current Appointment: 06/12/2007 118 W.Tryon Street FAX: Township: Hillsborough Expiration: 06/30/2010 Hillsborough NC 27278 E-mail:maryannpeter @earthlink.net Resid/Spec Req:At-Large Number of Terms: 2 Special Repr: At-Large Ms. Patricia Koch Day Phone:942-6637 Sex: Female First Appointed: 06/19/2006 10 Evening Phone:same Race:Caucasian Current Appointment: 06/12/2007 1540 Ferrell Rd FAX: Township: Chapel Hill Expiration: 06/30/2010 Chapel Hill NC 27517 E-mail:pkoch @mindspring.com Resid/Spec Req:At-Large Number of Terms: 1 Special Repr: At-Large Wednesday,March 04,2009 Page 2 W Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m.Every other 1st Monday starting with Jan. Terms: 2 Contact Person: Vibeke Talley,OTR/L Meeting Place: Seymour Center Positions: 12 Length:3 years Contact Phone: 919-968-2087 Description: All appointments are made by the Board of Commissioners.This committee helps to maintain the intent of the Residents'Bill of Rights,promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Ms. Anne Winfield Day Phone:919-419-9139 Sex: Female First Appointed: 10/17/2006 11 Evening Phone: Race:Caucasian Current Appointment: 12/03/2007 6712 Pauline Drive FAX: Township: Chapel Hill Expiration: 12/31/2010 Chapel Hill NC 27514 E-mail:abwinfield @mindspring.com Resid/Spec Req:At-Large Number of Terms: 1 Special Repr:Nursing Home Administration Mrs. Carol Hierman Day Phone:919/644/8414 Sex: Female First Appointed: 10/17/2006 12 Evening Phone:same Race:Caucasian Current Appointment: 12/03/2007 1028 Lakeview Dr. FAX:same Township: Cedar Grove Expiration: 12/31/2010 Cedar Grove NC 27231 E-mail:donhierman@aol.com Resid/Spec Req:At-Large Number of Terms: 1 Special Repr:Nursing Home Administration • Wednesday,March 04,2009 Page 3 Page 1 of 1 5 Angela Thompson-Rockett From: JMPASSMORE @aol.com Sent: Wednesday, March 04, 2009 11:36 AM To: Angela Thompson-Rockett Cc: Vibeke Talley; susan.taylor @liposcience.com; maryannpeter @earthlink.net Subject: Nursing Home CAC Reappointments Dear Angela, The following 3 Nursing Home CAC members are in good standing and wish to be reappointed. I am including each member's name and attendance history for the past year. • Ed Flowers has attended 100% of meetings (5 out of 5)and made all of his facility visits. • Pat Revels attended 80% of meetings (4 out of 5)and made all of her facility visits. • Art St. John attended 80% of meetings (4 out of 5). Would you please let me know that you received this email and when the reappointments may go before the BOCC? (I know that it is a VERY busy time with budgets, etc.) I am happy to provide any additional information! Thank you! Jill Jill V. Passmore Region J Lead Long Term Care Ombudsman Triangle J Area Agency on Aging Triangle J Council of Governments PO Box 12276 RTP, NC 27709 Voicemail: 919.558.9401 • Email:jmpassmore@aol.com;jassmore @tjcog.orq A Good Credit Score is 700 or Above. See yours in just 2 easy steps! 3/4/2009 6 Page 1 of 1 Ed Flowers Volunteer Application Orange County Advisory Boards and Commissions Name: Mr Ed Flowers Name Called: Home Address: 2813 Beckett's Ridge Drive Hillsborough NC 27278 Phone: (Day) 919-357-9256 Phone: (Evening) 919-357-9256 Fax: Email: ED_FLOWERS @YAHOO.COM Place of Employment: Duke University Hospital Job Title: Senior Nuclear Medicine Technologist Township of Residence: Hillsborough Zone of Residence: . . . Sex: Male Ethnic Background: Caucasian Date of Birth: 2/10/1944 Boards/Commissions applied for: Work Experience: 1965 - 1970 Nuclear Medicine Technologist NC Baptist Hospital 1970 - 1976 Chief Nuclear Medicine Technologist Duke Medical Center 1976 - 1991 Technical Administrator- Nuclear Medicine - Duke Medical Center 1991 - prestnt Senior Nuclear Medicine Technologist Volunteer Experience: Durham Congregations in Action Yokefellows - Durham County - Alamance/Orange Counties Durham Nursery School Advisary Committee Blowing Rock Conference Center Board of Directors - Treasurer Education: High School - Southwest Forsyth College - Mars Hill Radiologic Technology - North Carolina Baptist Hospital Nuclear Medicine Technology- North Carolina Baptist Hospital Other Comments: Extensive experience with regulatory agencies (e.g., JCAHO, N.C.Radiation Safety, OSHA, Nuclear Regulatory Commission) STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Community Advisory Committee on 11/18/2007. ADDRESS VERIFICATION: 2813 Beckett's Ridge Drive, is Hillsborough Township. This application was current on: 11/18/2007 9:32:45 PM Date Printed: 3/4/2009 7 Page 1 of 2 Patricia Revels Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs. Patricia Revels Name Called: Home Address: 329 West King Street Hillsborough NC 27278 Phone: (Day) (919) 241-4071 Phone: (Evening) Same Fax: N/A Email: prevels001@nc.rr.com Place of Employment: Retired (June'06) Job Title: Township of Residence: Hillsborough Zone of Residence: Hillsborough Twnshp - In City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 9/29/1946 Boards/Commissions applied for: Hyconeechee Regional Library Work Experience: 30+years public education in TN,MS,SC,GA,KY 12years secondary classroom teacher--social studies 15years counselor (3 years k-8) (12 years secondary) 3years teacher/counselor in an Alternative School • Volunteer Experience: Foster Care Services Meals-on-Wheels Tutor--Each-One-Teach-One Reading program) Adult Education--preparation for GED Friends of the Library, Orange County, Historical Foundatin of Orange Co. and Chapel Hill. Currently serving on the Nursing Home Community Advisory Committee. Education: M.A. Vanderbilt University (23+ hrs. graduate studies) B.A. George Peabody College For Teachers High School Diploma, Louisville, KY Other Comments: Advocacy for people who often lack the skills and resources to effectively speak for themselves has always been an important part of my personal and professional life. I look forward to serving and working with others on behalf of nursing home clients. I have lived in different states and have diverse experience working with all people. I support 8 Page 2 of 2 Patricia Revels use of the library in personal and professional life. STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory Committee 1/24/2008. Applied for Hyconnechee Regional Library 3/27/09. ADDRESS VERIFICATION: 329 East King Street, Hillsborough, is in Hillsborough Township in the city limits. This application was current on: 1/24/2008 11:36:09 AM Date Printed: 3/4/2009 9 Page 1 of 1 Arthur St. John Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Arthur St. John Name Called: Home Address: 101 Hayworth Drive Chapel Hill NC 27517 Phone: (Day) 919-968-3003 Phone: (Evening) 919-968-3003 Fax: Email: st1299 @bellsouth.net Place of Employment: Retired Job Title: Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Male Ethnic Background: Caucasian Date of Birth: 1/17/1932 Boards/Commissions applied for: Work Experience: Real esatate appraiser Volunteer Experience: Education: BS Marine Engineering, US Coast Guard Academy MBA Wharton School, U of PA Other Comments: STAFF COMMENTS: Reapplied 7/20/2005 for the Board of Equalization and Review 2006. Originally applied for Nursing Home CAC 9/24/2004. ADDRESS VERIFICATION: 101 Hayworth Drive Chapel Hill, NC 27517 is in the Chapel Hill Township in the Chapel Hill City Limits. This application was current on: 9/22/2004 4:41:30 PM Date Printed: 3/4/2009 • 10 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Vibeke Talley,OTR/L Nursing Home Community Advisory Committee Contact Phone: 919-968-2087 Mr. Blake Burklin Day Phone: 919-812-4394 Sex: Male 117 Creel St. Evening Phone: 919-812-4394 Race: Caucasian Chapel Hill NC 27516 FAX: Township: Chapel Hill E-mail: burklin @email.unc.edu Date Applied: 02/03/2008 Skills: Habitat for Humanity Also Serves On: Skills: Sociology Major Also Serves On: Ms. Tammy Thacker Day Phone: 638-4387 Sex: Female 517 N.Hill Street Evening Phone: Race: African American Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: gr8tpay @yahoo.com Date Applied: 02/14/2006 Skills: Certified Nurses Aide Also Serves On: Wednesday,March 04,2009 Page 1 of 1