HomeMy WebLinkAboutAgenda - 06-19-2012-11aORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 19, 2012
Action Agenda
Item No. I j - n
SUBJECT: Adult Care Home Community Advisory Committee — Appointments
DEPARTMENT: Board of Commissioners PUBLIC HEARING: (YIN) 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 appointments to the Adult Care Home Community Advisory
Committee.
BACKGROUND: The following appointments are for Board consideration:
• Appointment to a one year training term for Ms. Deborah Rider. If appointed Ms. Rider
will be serving a one year training term ending 06/30/2013.
• Appointment to a first full term for Mr. Max Mason. If appointed Mr. Mason will be
serving a first full term ending 06/30/2015.
Position Number
Special Representation
Expiration Date
3 Ms. Deborah Rider
At-Large
06/30/2013
4 Mr. Max Mason
At-Large
06/30/2015
FINANCIAL IMPACT: None
RECOMMENDATION(S): The Board will consider making new appointments 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: Chazloue Terwilliger
Meeting Place: Adult Positions: 12 Length:2 years Contact Phone: 919-558-9401
Description: Members aze appointed by the Boazd of Comm'ssioners to at-lazge positions. There is an iritial one-yeaz training term with subsequait eligibility for three additional two-yeaz
terms.This committee works to maintain the ictent of the Adult Caze Home Residents'Bill of Rights for those residing in licensed adultcaze homes. The members of this
committee also promote community involvement azd cooperation with these homes to ensure quality caze for the elderly and disablai adults.
Dr. Mario Battigelli Day Phone:919-942-5756 Sex:Male First Appointed: 04/19/2011
I Evening Phone: Race:Caucasian Current Appointment: 03/22/2012
1307 Wildwood Drive F�� Township: Chapel Hill Expiration: 03/31/2014
Chapel Hill NC 27514 E-mail:mcbattigelli@gmail.com Resid/Spec Req:At-Lazge Number of Terms: 1
Special Repr:
Mr. Daniel Hatley Esq. Day Phone:919-zoo-osaz Sex: Maie First Appointed: 08/17/2010
Z Evening Phone:309-252-1169 Race:Caucasian Current Appointment: 08/23/2011
1439 PoinsettDr. FAX: 888-514-4878 Township: Chapel Hill Expiration: 10/31/2013
Chapel Hill NC 27517 E-mail:dan@hatleylawoffice.com ResidlSpec Req:At-Large Number of Terms: 1
Special Repr:
VACANT Day Phone: Sex: First Appointed:
3 Evening Phone: Race: Current Appointment:
FAX: Township: Expiration: 03/31/2012
E-mail: Resid/Spec Req:At-Lazge Number of Terms:
Special Repr:
Mr. Max Mason Day Phone:9196497937 Sex:Male First Appointed: 06/07/2011
4 Evening Phone: Race:Caucasian Current Appointment: 06/07/2011
821 Tinkerbell Rd. F�� Township: Chapel Hill Expiration: 06/30/2012
Chapel Hill NC 27517 E-mail:ma�comason@yahoo.com Resid/Spec Req:At-Lazge Number of Terms: 2
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: 08/23/2011
PO Box 1023 FAX: Township: Cheeks Expiration: 10/30/2013
Mebane NC 27302 E-mail:sandovey@mebtel.net Resid/Spec Req:At-Large Number of Terms: 2
Special Repr:
Wednesday,May 30,2012 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: ChazloUe Terwilliger
Meeting Place: Adult Positions: 12 Length:2 years Contact Phone: 919-558-9401
Description: Members are appointed by the Boazd of Comm'ssioners to at-lazge positions. There is an iritial one-year training term with subsequart eligibility for three additional two-year
terms.This committee works to maintain the irtent of the Adult Caze Home Residents'Bill of Rights for those residing in licensed adultcaze homes. The members of this
committee also promote community involvement arrl cooperation with these homes to ensare quality care for the elderly and disablal adults.
Mr Richard Gross Day Phone:644-0157 Sex:Male First Appointed: 10/06/2009
6 Evening Phone:same Race:Caucasian Cunent Appointment: 08/23/2011
3006 Joshua Dr FAX:na Township: Eno Expiration: 10/30/2013
Hillsborough NC 27278 E-mail:na Resid/Spec Req:At-Large Number of Terms: 2
Special Repr:
VACANT Day Phone: Sex: First Appointed:
� Evening Phone: Race: Current Appointment:
F�� Township: Expiration: 10/30/2011
E-mail: Resid/Spec Req:At-Large Number of Terms:
Special Repr:
Dr. Mary Fraser Day Phone:919-942-1657 Sex: Female First Appointed: 03/16/2010
8 Chair Evening Phone:919-942-1657 Race:Caucasiari Current Appointment: 04/19/2011
1901 N.Hawick Ct. FAX: Township: Chapel Hill Expiration: 03/31/2013
Chapel Hill NC 27516 E-mail:mefraser@unc.edu Resid/Spec Req:At-Lazge Number of Terms: 1
Special Repr:
Ms. T. L. Crews Day Phone:919 732-6974 Sex:Female First Appointed: 03/22/2012
9 Evening Phone:919 732-6974 Race:African American Current Appointment: 03/22/2012
4921 Guess Rd FAX: Township: Little River Expiration: 03/31/2013
Rougmeont NC 27572 E-mail:crewsez@aol.com Resid/Spec Req:At-Large Number of Terms:
Special Repr:At-Lazge
VACANT Day Phone: Sex: First Appointed:
10 Evening Phone: Race: Current Appointment:
F�: Township: Expiration: 09/30/2013
E-mail: Resid/Spec Req:At-Lazge Number of Terms:
Special Repr:At-Lazge
Wednesday,May 30,2012 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-monthly Terms: 3 Contact Person: Chazlotte Terwilliger
Meeting Place: Adult Positions: 12 Length:2 years Contact Phone: 919-558-9401
Description: Members aze appointed by the Board of Comm'ssioners to at-large positions. There is an iritial one-year training term with subsequait eligibility for three additional two-yeaz
terms.This committee works to maintain the irtent of the Adult Care Home Residents'Bill of Rights for those residing in licensed adultcare homes. The members of this
committee also promote community involvement azd cooperation with these homes to ensare quality caze for the elderly and disablal adults.
VACANT Day Phone: Sex: First Appointed:
11 Evening Phone: Race: Current Appointment:
F�� Township: Expiration: 12/31/2007
E-mail: Resid/Spec Req:At-Lazge Number of Terms:
Special Repr:At-Large
t1ACAN'j' Day Phone: Sex: First Appointed:
12 Evening Phone: Race: Current Appointment:
F�: Township: Expiration: 03/31/2011
E-mail: Resid/Spec Req:At-Lazge Number of Terms:
Special Repr:At-Large
Wednesday,May 30,2012 Page 3 �,
G�
Jeanette Jones
From: Charlotte Terwilliger <cterwilliger @tjcog.org>
Sent: Friday, May 11, 2012 3:57 PM
To: Jeanette Jones
Subject: Recommendation for Appointments
Jeanette,
I am sending this email to recommend two appointments to the Adult Care Home Community Advisory Committee.
1. Max Mason for a first full term. During this past year Mr. Mason completed the CAC new member orientation,
attended 5 out of 6 business meetings and participated in all of his assigned quarterly adult care home facility
visitations. Mr. Mason has been a major asset to this committee. He has extensive health care experience and
is a strong advocate for residents living in long term facilities.
Deborah Rider for a one year training term. Ms. Rider has 30+ years experience as a social worker including
experience in the mental health, home health and policy analysis. She has a passion for working to improve the
quality of care and quality of life for older adults and she would be a valuable addition to this committee.
Please let me know if you need additional information to move these recommendations forward.
Thank you for your assistance in this matter.
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
cterwilligerPticos.org / www.t*cog.org
Street Address:
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.
Page 1 of 1
Deborah Rider
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:
Sex:
Ethnic Background:
Date of Birth:
Ms. Deborah Rider
2314 Red Oak CT.
Hillsborough NC 27278
919- 818 -6489
919- 732 -9476
drider1736 @gmail.com
Home Care Assistance
Care Giver
2005
Hillsborough
Hillsborough Town Limits
Female
Caucasian
3/3/1952
Boards /Commissions applied for:
Advisory Board on Aging
Board of Social Services
'Adult Care Home Community Advisory Committee
Work Experience:
30+ years with the state of Maryland from social services to policy analyzing, I did it all.
Volunteer Experience:
I have volunteered at various k -12 school functions for my daughter. Avid animal lover.
Cared for my parents until their deaths in 2000 and 2011.
Education:
Dundalk High School 1967 -1970 High School Diploma; University of Maryland Baltimore
County 1970 -1974 Bachelors in Social Work/Sociology; University of Maryland School of
Social Work 1981 -1983 Masters in Social Work and Community Planning
Other Comments:
STAFF COMMENTS: Applied 04/26/2012 for Advisory Board on Aging, Board of Social
Services, Adult Care Home Community Advisory Committee. ADDRESS
VERIFICATION: 2314 Red Oak Ct. is Hillsborough Township, Hillsborough Town Limits.
This application was current on: 4/26/2012 8:06:33 PM Date Printed: 5/15/2012
7
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 Title:
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: 5/30/2012
E
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 Bareharn
Day Phone: 919- 259 -1078
Sex:
Female
201 westbrook dr B 1
Evening Phone: 919- 923 -9263
Race:
Caucasian
carrboro NC 27510
FAX:
Township:
Chapel Hill
E -mail:
E -mail: lindaanntoll @gmail.com
Date Applied:
03/25/2011
Skills:
Also Serves On:
Ms Joyce Jefferies
4820 NC Hwy 54 West
Chapel Hill NC 27516
Skills: Administrative Assistant
Ms Sarah Lowman
316 Standish Drive
Chapel Hill NC 27517
Skills:
Community Educator
Skills:
Crisis Line Advocate
Skills:
Hospital Counselor
Day Phone:
(919)425 -3597
Sex:
Female
Evening Phone:
(919)720 -6115
Race:
African American
FAX:
(919)425 -3529
Township:
Chapel Hill
E -mail:
joyce _jefferies @dentistry.unc.edu
Date Applied:
11/03/2010
Also Serves On:
Also Serves On:
Day Phone:
919- 259 -0053 Sex:
Female
Evening Phone:
same Race:
Caucasian
FAX:
Township:
Chapel Hill
E -mail:
lowmanster @gmail.com Date Applied:
11/05/2009
Also Serves On:
Nursing Home Community Advisory Committee
Date Applied:
Ms. Deborah Rider
Day Phone: 919 - 818 -6489
Sex:
Female
2314 Red Oak CT.
Evening Phone: 919- 732 -9476
Race:
Caucasian
Hillsborough NC 27278
FAX:
Township:
Hillsborough
E -mail: drider1736 @gmail.com
Date Applied:
04/26/2012
Skills: Care Provider
Also Serves On:
Skills: Community Planning
Also Serves On:
Skills: Social Work
Also Serves On:
Ms. Tiki Windley
119 Cynthia Drive
Chapel Hill NC 27514
Skills: Financial Advisor
Day Phone: 919 - 969 -8583
Evening Phone: 919- 942 -4392
FAX:
E -mail: tiki_windley @yahoo.com
Also Serves On:
Sex:
Female
Race:
African American
Township:
Chapel Hill
Date Applied:
05/27/2010
Wednesday, May 30, 2012 Page 1 of 1
10
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:
Ms Linda Bareham
201 westbrook dr 131
carrboro NC 27510
919- 259 -1078
919- 923 -9263
lindaanntoll @gmail.com
Prescription Music
asst. director
2009
Township of Residence: Chapel Hill
Zone of Residence: Does not apply
Sex: Female
Ethnic Background: Caucasian
Date of Birth: 8/6/1952
Boards /Commissions applied for:
'Adult Care Home Community Advisory Committee
Work Experience:
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, 3/25/2011. ADDRESS VERIFICATION: 201 Westbrook Dr., 131 is in
Carrboro Jurisdication, Chapel Hill Township.
This application was current on: 3/25/2011 2:19:20 PM Date Printed: 5/30/2012
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:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms Joyce Jefferies
4820 NC Hwy 54 West
Chapel Hill NC 27516
(919)425 -3597
(919)720 -6115
(919)425 -3529
joyce jefferies @dentistry.unc.edu
UNC School of Dentistry
Administrative Assistant
1962
Chapel Hill
Does not apply
Female
African American
Date of Birth: 7/23/1955
Boards /Commissions applied for:
Adult Care Home Community Advisory Committee
Nursing Home Community Advisory Committee
Advisory Board on Aging
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 adhere 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.
12
Page 2 of 2
Joyce Jefferies
Education:
I received my GED from Durham Technical Institute and enrolled in the Business
Administration Associate Degree Program, also at Durham Tech.
Other Comments:
I 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 an on- looking
in seeing what needs to be done or what can be done but never makein an effort to try
and make a difference. I enjoy working with others in like causes and like minds, even
though having differenc appreaches but seeking to reach the same goal. STAFF
COMMENTS: Originally applied 11/03/2010 for Adult Care Home community Advisory
Committee, Nursing Home Communtiy Advisory Colmmittee, and Advisory Board on
Aging. ADDRESS VERIFICATION: 4820 NC Hwy 54 West is in Bingham Township and
Orange County Jurisdiction.
This application was current on: 11/3/2010 2:36:29 PM Date Printed: 5/30/2012
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:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Date of Birth:
Ms Sarah Lowman
316 Standish Drive
Chapel Hill NC 27517
919- 259 -0053
same
lowmanster @gmail.com
UNC Chapel Hill, School of Medicine
Project Coordinator
1994
Chapel Hill
Female
Caucasian
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:
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: 5/30/2012
15
Page 1 of 2
Tiki Windley
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:
Sex:
Ethnic Background:
Ms. Tiki Windley
119 Cynthia Drive
Chapel Hill NC 27514
919- 969 -8583
919- 942 -4392
tiki—windley@yahoo.com
MDC, inc.
Program Manager
2007
Chapel Hill
Female
African American
Date of Birth: 11/6/1971
Boards /Commissions applied for:
Board of Social Services
Nursing Home Community Advisory Committee
'Adult Care Home Community Advisory Committee
Human Relations Commission
Work Experience:
MDC, Inc. 2006 to Present Program Manager whose duties include meeting facilitation,
training, free tax preparation, asset - building and making presentations. Prior experience
includes teaching financial literacy to high school students and their families, housing
counseling, working with ex- offenders and community engagement and organization.
Current experience includes meeting facilitation, training, oral presentations, community
engagement and organization.
Prior experience includes teaching financial literacy to high school students, asset
education, free tax preparation an housing counseling.
Volunteer Experience:
Meeting facilitation, event planning, volunteer supervision Site coordinator for free tax
preparation site
Escort for Project Homeless Connect (Orange County)
Smith Middle School School Improvement Team
Triangle United Way Orange Accountability Committee
Triangle United Way Regional Initiative Task Force
ON
Page 2 of 2
Tiki Windley
NC Indian Economic Development Initiative Project G -7
Steering Committee
Assets Educator: Community Success Initiative
NC Second Chance Alliance Escort, Project Homeless Connect (Orange County) 2009
Chairman, Guest Outreach, Project Homeless Connect, 2010
Triangle United Way Orange Accountability Committee
Triangle United Way Regional Task Force Initiative
Assets educator, Community Success Initiative
Project G -7 Steering Committee, NC Indian Economic Development
NC Second Chance Alliance
NC Assets Alliance Escort, Project Homeless Connect (Orange County) 2009
Chairman, Guest Outreach, Project Homeless Connect, 2010
Triangle United Way Orange Accountability Committee
Triangle United Way Regional Task Force Initiative
Assets educator, Community Success Initiative
Project G -7 Steering Committee, NC Indian Economic Development
NC Second Chance Alliance
NC Assets Alliance
Escort, Project Homeless Connect (Orange County) 2009
Chairman, Guest Outreach, Project Homeless Connect, 2010
Triangle United Way Orange Accountability Committee
Triangle United Way Regional Task Force Initiative
Assets educator, Community Success Initiative
Project G -7 Steering Committee, NC Indian Economic Development
NC Second Chance Alliance
NC Assets Alliance
Education:
Bachelor of Science, Elizabeth City State University 1997
Master of Public Administration, NC Central University, 2010
Elizabeth City State University, 1997
Master in Public Administration
NC Central University, December 2010
Other Comments:
I would like to provide a voice for those citizens who feel they are unheard in our
community. STAFF COMMENTS: Originally applied for Commission for Women, Board
of Social Services & Adult Care Home Community Advisory Committee 10/6/09. Applied
for Human Relations Commission, Board of Social Services, & Nursing Home
Community Advisory Committee 05/27/2010. ADDRESS VERIFICATION: 119 Cynthia
Drive, Chapel Hill is Chapel Hill township, CH jurisdiction.
This application was current on: 5/27/2010 Date Printed: 5/30/2012