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Home My WebLink AboutAgenda - 06-07-2011 - 12aORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 7, 2011 Action Agenda Item No. I o~ - G SUBJECT: Adult Care Home Community Advisory Committee -Appointment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Membership Roster Letter Of Recommendation Application(s)/Resume(s) of Person(s) for Consideration Applicant Interest List Application(s)/Resume(s) of Person(s) on the Interest List INFORMATION CONTACT: Clerk's Office, 245-2130 PURPOSE: To consider making an appointment to the Adult Care Home Community Advisory Committee. BACKGROUND: The following appointments are for Board consideration: • Appointment to a one-year training term for Mr. Max Mason. If appointed Mr. Mason will be serving cone-year training term expiring 06/30/2012. Position Number S ecial Re resentation Ex iration Date 4 Mr. Max Mason At-Lar e 06/30/2012 FINANCIAL IMPACT: None RECOMMENDATION(S): The Board will consider making a new appointment to the Adult Care Home Community Advisory Committee. Board and Commission Members And Vacant Positions Adult Care Home Community Advisory Committee Meeting Times: 3:30 p.m. - 5:00 p.m. Bi-monthly Terms: 3 Contact Person: Charlotte Terwilliger Meeting Place: Central Orange Senior Center Positions: 13 Length: 2 years Contact Phone: 919-558-9401 Description: Members are appointed by the Board of Commissioners to at-large positions. There is an initial one-year training term with subsequent eligibility for three additional two-year terms. This committee works to maintain the intent of the Adult Care Home Residents' Bill of Rights for those residing in licensed adult care homes. The members of this committee also promote community involvement and cooperation with these homes to ensure quality care for the elderly and disabled adults. Dr. Mario Battigelli 1 1307 Wildwood Drive Chapel Hill NC 27514 Mr. Daniel Hatley Esq. 2 1439 Poinsett Dr. Chapel Hill NC 27517 Day Phone: 919-942-5756 Sex: Male First Appointed: 04/19/2011 Evening Phone: Race: Caucasian Current Appointment: 04/19/2011 FAX: Township: Chapel Hill Expiration: 03/31/2012 E-mail: mcbattigelli@gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: _._.. Day Phone: 919-200-0822 Sex: Male First Appointed: 08/17/2010 Evening Phone: 309-252-1169 Race: Caucasian Current Appointment: 08/17/2010 FAX: 888-514-4878 Township: Chapel Hill Expiration: 10/31/2011 E-mail: dan@hatleylawoffice.com Resid/Spec Req: At-Large Number of Terms: 1 __ Special Repr: mr Charles mcmullen _ Day Phone: 9197329083 __ _ Sex: Male First Appointed: 04/19/2011 3 Evening Phone: 9192603879 Race: Caucasian Current Appointment: 04/19/2011 108 Jones ave FAX: Township: Hillsborough Expiration: 03/31/2012 hillsborough NC 27278 E-mail: cmcmullenl@nc.rr.com Resid/Spec Req: At-Large Number of Terms: Special Repr: VACANT Day Phone: Sex: First Appointed: 4 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 10/30/2010 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Ms Sandra Dove Day Phone: 336-854-4948 __ _. Sex: Female First Appointed: 10%06/2009 5 Evening Phone: 919-563-9836 Race: African American Current Appointment: 10/06/2009 PO Box 1023 FAX: Township: Cheeks Expiration: 10/30/2011 Mebane NC 27302 E-mail: sandovey@mebtel.net Resid/Spec Req: At-Large Number of Terms: Special Repr: Tuesday, May 24, 2011 Page 1 N Board and Commission Members And Vacant Positions Adult Care Home Community Advisory Committee Meeting Times: 3:30 p.m. - 5:00 p.m. Bi-monthly Terms: 3 Contact Person: Charlotte Terwilliger Meeting Place: Central Orange Senior Center Positions: 13 Length: 2 years Contact Phone: 919-558-9401 Description: Members are appointed by the Board of Commissioners to at-large positions. There is an initial one-year training term with subsequent eligibility for tluee additiaral two-year terms. This committee works to maintain the intent of the Adult Care Home Residents' Bill of Rights for those residing in licensed adult care homes. The members of this committee also promote community involvement and cooperation with these homes to ensure quality care for the elderly and disabled adults. Mr Richard Gross Day Phone: 644-0157 __ Sex: Male First Appointed: 10/06/2009 6 Evening Phone: same Race: Caucasian Current Appointment: 10/06/2009 3006 Joshua Dr FAX: na Township: Eno Expiration: 10/30/2011 Hillsborough NC 27278 E-mail: na Resid/Spec Req: At-Large Number of Terms: _ Special Repr: Mr. Vince Stevens . Day Phone: 919-923-2561 Sex: Male First Appointed: 08/17/2010 7 Evening Phone: 919-933-3058 Race: Caucasian Current Appointment: 08/17/2010 101 Camille Ct FAX: Township: Chapel Hill Expiration: 10/30/2011 Chapel Hill NC 27516 E-mail: vstevens®nc.rr.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Dr. Mary Fraser _ Day Phone: 919-942-1657 __. __ Sex: Female First Appointed: 03/16/2010 g Cha1T .Evening Phone: 919-942-1657 Race: Caucasian Current Appointment: 04/19/2011 1901 N. Hawick Ct. FAX: Township: Chapel Hill Expiration: 03/31/2014 Chapel Flill NC 27516 E-mail: mefraser@unc.edu Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: VACANT Day Phone: Sex: First Appointed: 9 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 03/31/2009 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms Wendy Gellert Day Phone: 919-732-5906 Sex: Female First Appointed: 09/09/2008 10 Vice-Chair Evening Phone: 919-732-5906 Race: Caucasian Current Appointment: 10/06/2009 2202 Frank Perry Rd. FAX: Township: Hillsborough Expiration: 09/30/2011 Hillsborough NC 27278 E-mail: pumpkinlips@gmail.corn Resid/Spec Req: At-Large Number of Tei'ms: 2 Special Repr: At-Large Tuesday, May 24, 2011 Page 2 W Board and Commission Members And Vacant Positions Adult Care Home Community Advisory Committee Meeting Times: 3:30 p.m. - 5:00 p.m. Bi-mouthlY Terms: 3 Contact Person: Charlotte Terwilliger Meeting Place: Central Orange Senior Center Positions: 13 Length: 2 years Contact Phone: 919-558-9401 ~ Description: Members are appointed by the Board of Commissioners to at-large positions. There is an initial one-year training term with subsequent eligibility for three additional two-year terms. This committee works to maintaiq the intent of the Adult Care Home Residents' Bill of Rights for those residing in licensed adult care homes. The members of this committee also promote commuuity involvement and cooperation with these homes to ensure quality care for the elderly and disabled adults. VACANT Day Phone: Evening Phone: I1 FAX: E-mail: 12 VACANT Day Phone: Evening Phone: FAX: E-mail: __ Ms. Valerie Foushee 13 106 Claris Ct. Chapel Hill NC 27514 Sex: Race: Township: Resid/Spec Req: At-Large Special Repr: At-Large Sex: Race: Township: Resid/Spec Req: At-Large Special Repr: At-Large Sex: Female Race: Township: Chapel Hill Resid/Spec Req: At-Large Special Repr: B.O.C.C. (Liaison) Day Phone: 919-942-2661 Evening Phone: FAX: E-mail.: vfoushee@co.orange.nc.us First Appointed: Current Appointment: Expiration: 12/31 /2007 Number of Terms: First Appointed: Current Appointment: Expiration: 03/31/201 I Number of Terms: __ First Appointed: 02/10/2009 Current Appointment: 02/10/2009 Expiration: 12/31/2009 Number of Terms: Tuesday, May 24, 2011 Page 3 ~ Page 1 of 1 5 Jeanette Jones From: Charlotte Terwilliger [ctenvilliger@tjcog.org] Sent: Tuesday, May 24, 2011 9:23 AM To: Donna Baker; Jeanette Jones Subject: New Appointment Dear Jeanette and Donna, I am sending this email to recommend Max Mason for an appointment to a one year training term for the Orange County Adult Care Home Community Advisory Committee. Mr Mason has extensive long term experience and is interested in aging issues and advocacy. I have attached a copy of his application. Please let me know if you need additional information to move this recommendation forward. Thank you. Sincerely, Charlotte Charlotte Terwilliger Ombudsman -Orange and Chatham Counties Area Agency on Aging Triangle J Council of Governments PO Box 12276 /RTP, NC 27709 (o) 919-558-9401 / (f) 919-998-8101 cterwilliger a t'cog•org / www.ticog~ Street Addresss: 4307 Emperor Blvd., Suite 110, Durham, NC 27703 Charlotte Terwilliger Ombudsman-Orange and Chatham Counties Area Agency on Aging Triangle J Council of Governments PO Box 12276 /RTP, NC 27709 (o) 919-558-9401 / (f) 919-998-8.101 cterwilli~er@tlcog.org / www.tjcog.org Street Addresss: 4307 Emperor Blvd., Suite 110, Durham, NC 27703 E-Mail correspondence to and from this address is subject to the North Carolina Public Records Act and may be disclosed to third parties unless made confidential under applicable law. 5/24/2011 6 Page 1 of 2 Max Mason Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Ti#le: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Mr. Max Mason 821 Tinkerbell Rd. Chapel Hill NC 27517 9196497937 maxomason@yahoo.com Principle Long Term Care, Inc. Development Coordinator 1978 Chapel Hill Does not apply Male Caucasian 7/27/1977 Boards/Commissions applied for: Nursing Home Community Advisory Committee Work Experience: Development Coordinator for one of NC's largest long term care providers. Plan for development of nursing facilities, hospices, and home health agency. Administrator for residential recovery facility for pregnant women who struggled with substance abuse. Volunteer Experience: Serve on the Community Grantmaking Committee at the Triangle Community Foundation. Board Member, Chrysalis Foundation for Mental Health Member of APPLES Service Learning program at UNC-Chapel Hill as undergraduate. Education: BA, History, UNC-Chapel Hill MA, Slavic Languages & Literatures, UNC-Chapel Hill Current student (part-time): Masters of Healthcare Administration, UNC-Chapel Hill Gillings School of Public Health Other Comments: As noted, I am presently a student in public health and currently work in the field of long term care; thus, I have a great interest in the issues affecting nursing facility residents. Given my experience and familiarity with this segment of the health care system, I believe I would be a valuable addition to this committee. STAFF COMMENTS: Originally applied (1/24/2011) for Nursing Home Community Advisory Committee. ADDRESS VERIFICATION: 821 Tinkerbell Road is in Chapel Hill Township. Page 2 of 2 This application was current on: 1/25/2011 9:11:51 AM Max Mason Date Printed: 5/24/2011 8 Applicant Interest Listing by Board Name and by Applicant Name Adult Care Home Community Advisory Committee Contact Person: Charlotte Terwilliger Contact Phone: 919-558-9401 Ms Linda Bareham 201 Westbrook dr B 1 carrboro NC 27510 Skills: Ms Susan Fletcher 108 Woods Walk Court Carrboro NC 27510 Skills: Social Work Ms Joyce Jefferies 4820 NC Hwy 54 West Chapel Hill NC 27516 Skills: Administrative Assistant Day Phone: 919-259-1078 Sex: Female Evening Phone: 919-923-9263 Race: Caucasian FAX.: Township: Chapel Hill E-mail: Iindaanntoll@gmail.com Date Applied: 03/25/2011 Also Serves On: Day Phone: 919-475-6694 Sex: Female Evening Phone: 919-303-2543 Race: Caucasian FAX: Township: Chapel Hill E-mail: skfletch@email.unc.edu Date Applied: 03/14/2009 Also Serves On: Day Phone: (919k125-3597 Sex: Female Evening Phone: (919)720-6115 Race: African American FAX: (919)425-3529 Township: Chapel Hill E-mail: joyce~efferies@dentistry.unc.edu Date Applied: 11/03/2010 Also Serves On: Ms Sarah Lowman 316 Standish Drive Chapel Hill NC 27517 Skills: Community Educator Skills: Crisis Line Advocate Skills: Hospital Counselor Mr. Max Mason 821 Tinkerbell Rd. Chapel Hill NC 27517 Skills: Long-Term Care Skills: Public Health Day Phone: 919-259-0053 Sex: Female Evening Phone: same Race: Caucasian FAX: Township: Chapel Hill E-mail: sarah_lowman@med:unc.edu Date Applied: 11/05/2009 Also Serves Onc Nursing Home Community Advisory Committee Day Phone: 9196497937 Evening Phone: FAX: E-mail: maxomason@yahoo.com Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Chapel Hill Date Applied: 01/25/2011 Tuesday, May 24, 2011 Page 1 of 1 9 Page 1 of 1 Linda Bareham Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Ms Linda Bareham 201 Westbrook dr B1 carrboro NC 27510 919-259-1078 919-923-9263 lindaanntoll@gmail.com Prescription Music asst. director 2009 Chapel Hill Does not apply Sex: ~ Female Ethnic Background: Caucasian Date of Birth: 8/6/1952 BoardslCommissions applied for: Adult Care Home Community Advisory Committee Work Experience: I have been working with seniors at all levels of health for the past twelve years. Volunteer Experience: Education: BA, professional certifications Other Comments: STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory Committee, 3123/2011. ADDRESS VERIFICATION` 201 alVestbrook Dr., B1 is in carrboro Jurisdication, Chapel Hill Township. This application was current on: 3/25/2011 2:19:20 PM Date Printed: 5/24/2011 10 Page 1 of 1 Susan Fletcher Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Ms Susan Fletcher 108 Woods Walk Court Carrboro NC 27510 919-475-6694 919-303-2543 skfletch@email. unc.edu UNC Doctoral student, research associate 2008 Chapel Hill Sex: Female Ethnic Background: Caucasian Date of Birth: 10/10/1955 Boards/Commissions applied for: Advisory Board on Aging Adult Care Home Community Advisory Committee Work Experience: Adjunct Faculty, UNC School of Social Work: teach Aging and Public Policy course Research associate for Dr. Sheryl Zimmerman, UNC School of Social Work Volunteer Experience: Founder, Director Meet Me There (meetrnethere.org)a not-for-profit organization that designs, implements and- evaluates in#ergenerational and inter-cultural prog-rams. Adult Care Home Community Advisory Committee, New Hanover County Education: Doctoral candidate, UNC School of Social Work Hartford Doctoral Fellow MSW: UNC BA: Psychology and Sociology Baldwin Wallace College Other Comments: STAFF COMMENTS: Originally applied for Advisory Board on Aging & Adult Care Home community Advisory Committee 3/14/2009. ADDRESS VERIFICATION: 108 Woods Walk Court, Chapel Hill is Chapel Hill township, CA jurisdiction. This application was current on: 3/14/2009 10:18:19 PM Date Printed: 5/24/2011 11 Page 1 of 2 Joyce Jefferies Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Year of OC Residence: Ms Joyce Jefferies 4820 NC Hwy 54 West Chapel Hill NC 27516 (919)425-3597 (919)720-6115 (919)425-3529 joyceJefferies@dentistry.unc.edu UNC School of Dentistry Administrative Assistant Township of Residence: Chapel Hill Zone of Residence: Does not apply Sex: Female Ethnic Background: African American Date of Birth: 7/23/1955 Boards/Commissions applied for: Work Experience: Employed by UNC Hospitals and UNC-Chapel Hill since 1973 first as a dietary assistant now an Administrative Assistant in Dentistry where I perform a variety of functions including accounting, billing, preparing check requests to pay bills, arranging travel, coordinating meetings, preparing meeting agendas, ordering supplies, budgeting, preparing reports, drafting letters, etc. I would like to serve on the Advisory Boards because I am experiencing first-hand, in regards to my elderly mother, in trying to find an affordable assisted-living facility in good standard that really uphold the care and the best interest of their residents. Also the assurance of knowing that these facilities are being governed by guidelines, rules and regulations that they have to adi~ere to and that there are committees to visit these faciliteis to ensure that these guidelines are being carry out. It is difficult enough to have to place our elderly family members in a facility but having the reassurance in knowing that they are being well taken care of makes this transition a lot more bearable. Volunteer Experience: I volunteer at my church, Hospitality- serving guests of the Pastor and greeting members as they enter the church, Sisters of Jubilee- visiting the Women prisons in Raleigh, organizing birthday parties, prayer and fellowship, visiting the sick and shut in. Education: I received my GED from Durham Technical Institute and enrolled in the Business Administration Associate Degree Program, also at Durham Tech. 12 Page 2 of 2 Joyce Jefferies Other Comments: feel that I am at the place in my life mentally, physically and spiritually where I have a lot to offer in reaching out and assisting others through community involvement, etc. I look at volunteering as a personal committment just as rewarding to me as to the area that I am volunteering in. I get a joy in being able to be a contributor and not just to try and make a difference. I enjoy working with others in like causes and like minds, even though having different approaches but seeking to reach the same goal. STAFF COMMENTS: Originally applied 11-3-2010 for Adult Care Home Community Advisory Committee, Nursing Home Community Advisory Committee, Advisory Board on Aging. ADDRESS VERIFICATION: 4820 NC Highway 54 West is in Bingham Township and Orange County Jurisdiction. This application was current on: 11/3/2010 2:36:29 PM Date Printed: 5/24/2011 13 Page 1 of 2 Sarah Lowman Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Year of OC Residence: Ms Sarah Lowman 316 Standish Drive Ghapel Hill NC 27517 919-259-0053 same sarah_lowman@med. unc.edu UNC Chapel Hill, School of Medicine Project Coordinator 1994 Township of Residence: Chapel Hill Zone of Residence: .. . Sex: Female Ethnic Background: ,Caucasian Date of Birth: 4/18/1980 Boards/Commissions applied for: Advisory Board on Aging Adult Care Home Community Advisory Committee Work Experience: 2006- :Project Coordinator, UNC Center for Aging & Health 2003-2005: Editor, Kyiv Post newspaper, Kyiv, Ukraine Volunteer Experience: 2005-2006: Crisis Line Advocate, Hospital Counselor and Community Educator -Durham Crisis Response Center Education: MPH, UNC-CH, Dept of Health Behavior & Health Education, 2008 BA, Vassar College Other Comments: I have worked in aging research, education and program planning for nearly five years. Through that work, I have collaborated on projects focused on community-dwelling and institutionalized older adults. Now, I would be honored to utilize my skills and knowledge to serve nursing home residents, and their families, in my community. STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Committee, Advisory Board on Aging & Adult Care Home Community Advisory Committee 11/5/09. ADDRESS VERIFICATION: 316 Standish Drive, Chapel Hill, NC is Chapel Hill township, 14 Page 2 of 2 CH jurisdiction. Sarah Lowman This application was current on: 11/5/2009 9:53:25 PM Date Printed: 5/24/2011