HomeMy WebLinkAboutAgenda - 03-19-2013-11f1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: March 19, 2013
Action Agenda
Item No. 11 -f
SUBJECT: Orange County Nursing Home Community Advisory Committee —Appointment
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
Application(s) /Resume(s) of Person(s) for
consideration
Applicant Interest List
Application(s) /Resume(s) of Person(s) on
the Interest List
PURPOSE: To consider making an appointment to the Orange County Nursing Home
Community Advisory Committee.
BACKGROUND: The following appointment is for Board consideration:
• Appointment to a first full term for Ms. Vicki Barringer. Ms. Barringer's one year training
term will expire 03/31/2013. If appointed, Ms. Barringer will be serving a first full term
expiring 03/31/2016.
Position Number
Special Representation
Expiration Date
6 Ms. Vicki Barringer
Nursing Home Administration
1 03/31/2016
FINANCIAL IMPACT: None
RECOMMENDATION(S): Consider making an appointment to the Orange County Nursing
Home Community Advisory Committee.
2
Board and Commission Members
And Vacant Positions
Nursing Home Community Advisory Committee
Meeting Times: 5:30 p.m. Every other 1 st Monday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger, MSW
Meeting Place: Seymour Center Positions: 12 Length: 3 years Contact Phone: 919 -558 -9401
Description: All appointments are made by the Board of Commissioners. This committee helps to maintain the intent of the Residents' Bill of Rights, promotes connnunity involvement and
provides public education on long -term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support.
U
Dr. Tracey Yap
834 Providence Glen Drive
Chapel Hill NC 27514
Mr Elijah (Ed) Flowers, III
2 Chair
2813 Beckett's Ridge Drive
Hillsborough NC 27278
Day Phone: 502.686.0016 Sex: Female First Appointed: 12/13/2011
Evening Phone: 919.240.4793 Race: Caucasian Current Appointment: 02/19/2013
FAX: Township: Chapel Hill Expiration: 01/30/2016
E -mail: tracey.yap @duke.edu Resid /Spec Req: At -Large Number of Terms: 1
Special Repr: At -Large
Day Phone: 919- 357 -9256 Sex: Male First Appointed: 03/06/2008
Evening Phone: 919 - 357 -9256 Race: Caucasian Current Appointment: 02/21/2012
FAX: Township: Hillsborough Expiration: 03/31/2015
E -mail: ed_flowers @yahoo.com Resid /Spec Req: At -Large Number of Terms: 2
Special Repr: At -Large
Mrs. Patricia Revels
Day Phone: (919) 241 -4071
Sex: Female
First Appointed:
03/06/2008
Evening Phone: Same
Race: Caucasian
Current Appointment:
02/21/2012
3
329 West King Street
FAX: N/A
Township: Hillsborough
Expiration:
03/31/2015
Hillsborough NC 27278
E -mail: prevelsOOI@nc.ir.com
Resid /Spec Req: At -Large
Number of Terms:
2
Special Repr: At -Large
Ms. Sharon Karnash
Day Phone: 919 - 479 -5661
Sex: Female
First Appointed:
06/12/2007
4
Evening Phone: same
Race: Caucasian
Current Appointment:
04/19/2011
5513 Quail Hollow Drive
FAX:
Township: Little River
Expiration:
06/30/2014
Hillsborough NC 27278
E -mail: Sharon.karnash @gmail.com
Resid /Spec Req: At -Large
Number of Terms:
2
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 06, 2013 Page 1
3
Board and Commission Members
And Vacant Positions
Nursing Home Community Advisory Committee
Meeting Times: 5:30 p.m. Every other 1 st Monday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger, MSW
Meeting Place: Seymour Center Positions: 12 Length: 3 years Contact Phone: 919 -558 -9401
Description: All appointments are made by the Board of Commissioners. This committee helps to maintain the intent of the Residents' Bill of Rights, promotes connnunity involvement and
provides public education on long -term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support.
6
7
8
9
IKE
Ms. Vicki Barringer Day Phone: 919 - 971 -9333
Evening Phone: 919- 971 -9333
3612 Old Vine Trail FAX:
Hillsborough NC 27278 E -mail: vbarringer @gmail.com
VACANT Day Phone:
Evening Phone:
FAX:
E -mail:
Dr. Mario Battigelli Day Phone: 919 - 942 -5756
Evening Phone:
1307 Wildwood Drive FAX:
Chapel Hill NC 27514 E -mail: mcbattigelli @gmail.com
Ms. Susan Deter
5512 Quail Hollow Drive
Hillsborough NC 27278
Dr Mary Ann Peter
118 W. Tryon St.
Hillsborough NC 27278
Day Phone: 919 -682 -4124
Evening Phone: 919 - 479 -0574
FAX: 919- 956 -7703
E -mail: susiedeter @yahoo.com
Day Phone: 919 - 732 -6073
Evening Phone:
FAX:
E -mail: maryannpeter @earthlink.net
Sex: Female
First Appointed: 03/22/2012
Race: Caucasian
Current Appointment: 03/22/2012
Township: Eno
Expiration: 03/31/2013
Resid /Spec Req: At -Large
Number of Terms:
Special Repr: Nursing Home Administration
Sex:
First Appointed:
Race:
Current Appointment:
Township:
Expiration: 06/01/2014
Resid /Spec Req: At -Large
Number of Terms:
Special Repr: At -Large
Sex: Male First Appointed: 03/16/2010
Race: Caucasian Current Appointment: 04/19/2011
Township: Chapel Hill Expiration: 03/16/2014
Resid /Spec Req: At -Large Number of Terms: 1
Special Repr: At -Large
Sex: Female First Appointed: 04/19/2011
Race: Caucasian Current Appointment: 03/22/2012
Township: Little River Expiration: 04/19/2015
Resid /Spec Req: At -Large Number of Terms: 1
Special Repr: At -Large
Sex: Female First Appointed: 01/24/2012
Race: Caucasian Current Appointment: 01/24/2012
Township: Hillsborough Expiration: 06/30/2013
Resid /Spec Req: At -Large Number of Terms: 1
Special Repr: At -Large
Wednesday, March 06, 2013 Page 2
0
Board and Commission Members
And Vacant Positions
Nursing Home Community Advisory Committee
Meeting Times: 5:30 p.m. Every other 1 st Monday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger, MSW
Meeting Place: Seymour Center Positions: 12 Length: 3 years Contact Phone: 919 -558 -9401
Description: All appointments are made by the Board of Commissioners. This committee helps to maintain the intent of the Residents' Bill of Rights, promotes connnunity involvement and
provides public education on long -term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support.
VACANT Day Phone: Sex: First Appointed:
11 Evening Phone: Race: Current Appointment:
FAX: Township: Expiration: 12/31/2010
E -mail: Resid /Spec Req: At -Large Number of Terms:
Special Repr: Nursing Home Administration
VACANT Day Phone: Sex: First Appointed:
12 Evening Phone: Race: Current Appointment:
FAX: Township: Expiration: 12/31/2010
E -mail: Resid /Spec Req: At -Large Number of Terms:
Special Repr: Nursing Home Administration
Wednesday, March 06, 2013 Page 3
Jeanette Jones
From: Charlotte Terwilliger <cterwilliger @tjcog.org>
Sent: Friday, February 22, 2013 3:26 PM
To: Jeanette Jones
Subject: Two Recommendations for Reappointments
Dear Jeanette,
The Nursing Nome Community Advisory Committee would like to recommend Ms. Vicki Barringer for a first full
term. Her current one year training term will be expiring 3/31/13. During the past year, Ms. Barringer attended 100%
of the committee's business meetings and actively participated in all of her assigned quarterly facility visits. Ms.
Barringer has a strong interest in improving the quality of life for Orange County residents living in long term care
facilities and she is a strong advocate.
The Adult Care Home Community Advisory Committee would like to recommend Ms. T L Crews for a first full
term. Her current one year appointment will be expiring on 3/31/13. During the past year Ms. Crews attended 5 out
of 6 business meetings and has actively participated in all of her assigned quarterly facility visits. Ms. Crews has a
passion and love for seniors living in long term care facilities and her input on this committee has been invaluable.
Please let me know if you need additional information to move these recommendations 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 @tico8.om / www.tocog.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.
1
Page 1 of 2
Vicki Barringer
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ms. Vicki Barringer
3612 Old Vine Trail
Hillsborough NC 27278
919- 971 -9333
919- 971 -9333
vbarringer @gmail.com
N/A
2000
Eno
Female
Ethnic Background: Caucasian
Boards /Commissions applied for:
Animal Services Advisory Board
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Work Experience: 1983 - 1984: Business and Finance Intern. 1984 - 1986: Assistant to
University controller, Duke Departments. 1987 - 1991: Finance Manager, Division of
Family Medicine, Duke -Watts Residency Training Program and Durham Health Care,
Inc. 1991 - 1994: Administrator, Division of Family Medicine, Duke University.
1994 - 2005 Director of Finance, The Forest at Duke, Inc., 2005 - 2008: Chief
Compliance Officer, Kuhn & Carson, Inc., Durham, NC. 2008: Director of Finance, Duke
University: the Fuqua School of Business. 2009 - 2011: Director of Finance and Chief
Financial Officer, Galloway Ridge, Inc., Pittsboro, NC
Volunteer Experience: Pet Pals, Member (Pet Assisted Therapy & Activities in Orange
County Schools). Finance Committee, First Baptist Church of Hillsborough, NC
Association of Non - Profit Homes for the Aging, Treasurer (1999 - 2001); NC Association
of Non - Profit Homes for the Aging, Board Member (2001 - 2003); Volunteer pet therapy
in assisted living and skilled nursing facilities.
Education: BA Accounting - NC State University (1983); Master of Business
Administration - Duke: the Fuqua School of Business (1990).
Other Comments:
7
Page 2 of 2
Vicki Barringer
1) 1 have both a passion for senior living as well as genuine love and respect for older
adults. 2) 1 love animals and want our county to allocate appropriate resources to
animal services for the protection of animals and citizens and humane treatment of the
animals. STAFF COMMENTS: Applied 01/27/2012 for Nursing Home Community
Advisory Committee and Animal Services Advisory Board. ADDRESS VERIFICATION:
Old Vine Trail is Orange County Jurisdiction, Orange Fire Tax, and Eno Township.
This application was current on: 1/27/2012 Date Printed: 3/4/2013
Applicant Interest Listing
Nursing Home Community Advisory Committee
Ms. T. L. Crews
4921 Guess Rd
Rougmeont NC 27572
Skills: School Principal
Skills: Tutor
Dr. Beverly Foster
2454 Springview Trail
Chapel Hill NC 27514
Skills: Nursing Management Education
Ms Joyce Jefferies
4820 NC Hwy 54 West
Chapel Hill NC 27516
Skills: Administrative Assistant
Ms. Sandra Jones
600 West Poplar Ave., Apt. 239
Carrboro NC 27510
Skills:
Skills: Geriatric Care
Skills: Nurse
Ms. Sandra Lemons
1321 Brookhollow Road
Efland NC 27243
Skills: Administrative Assistant
by Board Name and by Applicant Name
Contact Person: Charlotte Terwilliger, MSW
Contact Phone: 919 -558 -9401
Day Phone:
919 732 -6974 Sex:
Female
Evening Phone:
919 732 -6974 Race:
African American
Cell Phone:
Township:
Little River
E -mail:
crewsez @aol.com Date Applied:
08/21/2011
Also Serves On:
Adult Care Home Community Advisory Committee
Date Applied:
Day Phone: 919 966 -4995
Evening Phone: 919 967 -2930
Cell Phone:
E -mail: Bev_Foster @unc.edu
Also Serves On:
Sex:
Female
Race:
Caucasian
Township:
Chapel Hill
Date Applied:
02/10/2011
Day Phone:
(919)425 -3597
Sex:
Female
Evening Phone:
(919)720 -6115
Race:
African American
Cell Phone:
Township:
Chapel Hill
E -mail:
joyce ,Jefferies @dentistry.unc.edu
Date Applied:
11/03/2010
Also Serves On:
Day Phone:
828- 668 -9628
Sex:
Female
Evening Phone:
Race:
Caucasian
Cell Phone:
828- 712 -2362
Township:
Chapel Hill
E -mail:
None
Date Applied:
01/22/2013
Also Serves On:
Also Serves On:
Also Serves On:
Day Phone:
9199718385
Sex:
Female
Evening Phone:
9199718385
Race:
Caucasian
Cell Phone:
Township:
Cheeks
E -mail:
SandraL @umrh.org
Date Applied:
02/11/2011
Also Serves On:
Monday, March 04, 2013 Page 1 of 2
9
Applicant Interest
Listing
by Board Name and by Applicant Name
Contact Person:
Charlotte Terwilliger, MSW
Nursing Home Community A
Advisory Committee
Contact Phone:
919 -558 -9401
Mr. Max Mason
Day Phone:
9196497937
Sex:
Male
821 Tinkerbell Rd.
Evening Phone:
Race:
Caucasian
Chapel Hill NC 27517
Cell Phone:
Township:
Chapel Hill
E -mail:
maxomason @yahoo.com
Date Applied:
01/25/2011
Skills: Long -Tenn Care
Also Serves On:
Adult Care Home Community Advisory Committee
Skills: Public Health
Mr. Charles McMullen
Day Phone:
9197329083
Sex:
Male
108 Jones Avenue
Evening Phone:
9192603879
Race:
Caucasian
Hillsborough NC 27278
Cell Phone:
Township:
Hillsborough
E -mail:
cmcmullenI @nc.rr.com
Date Applied:
02/10/2011
Skills: Nursing Profession
Also Serves On:
Ms. Vickie Webb
Day Phone:
919 - 491 -1073
Sex:
Female
150 Lawndale Ave
Evening Phone:
919- 241 -4482
Race:
African American
Hillsborough NC 27278
Cell Phone:
Township:
Hillsborough
E -mail:
jb29 @nc.rr.com
Date Applied:
02/10/2011
Skills: Accounting Experience
Also Serves On:
Ms. Tiki Wlndley
Day Phone:
919 -969 -8583
Sex:
Female
119 Cynthia Drive
Evening Phone:
919- 942 -4392
Race:
African American
Chapel Hill NC 27514
Cell Phone:
Township:
Chapel Hill
E -mail:
tiki_windley @yahoo.com
Date Applied:
05/27/2010
Skills: Financial Advisor
Also Serves On:
Monday, March 04, 2013 Page 2 of 2
10
Page 1 of 2
T. L. Crews
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms. T. L. Crews
4921 Guess Rd
Rougmeont NC 27572
919 732 -6974
919 732 -6974
crewsez @aol.com
Retired Public School Adminstrator
Senior Director Programs for Exceptional Children
1996
Little River
Female
African American
Boards /Commissions applied for:
Human Relations Commission
Nursing Home Community Advisory Committee
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Work Experience: Currently serving as Executive Director for the Little River Community
Complex
Durham Public Schools worked in adminstrative leadership in the Exceptional Children's
Program. Retired in 2005 as Director of the system's Exceptional Children's Program; at
the request of the superintendent I returned to provide training and assistance to the new
Director when appointed.
Volunteer Experience: Worked with children in placement through Durham Social
Services and court system. I reviewed files and collected relevant data for attorneys to
use in court custody and placement hearings
Tutored young adults and children
Volunteered in a university sponsored child development center
Currently Executive Director of Little River Community Complex
11
Page 2 of 2
Education: M.ED in Special Education
BA in history with minor in education
Hold Principal Certification
State Licensed in areas of LD /BED /DD
T. L. Crews
Other Comments:
have spent most of my life working to better provide assistance to infants, children,
young adults, those at risk, and senior citizens. As a result of spending days and nights
in several nursing homes sitting with elderly parents and relatives, I've gained a deeper
understanding and compassion for elderly residents and workers in nursing facilities.
STAFF COMMENTS: 08/23/2011 Applied to serve on Human Relations Commission,
Adult Care Home Community Advisory Committee, and Nursing Home Community
Advisory Committee. ADDRESS VERIFICATION: 4921 Guess Road is in Little River
Township, Orange County Jurisdiction.
This application was current on: 8/21/2011 11:48:53 AM Date Printed: 3/4/2013
12
Page 1 of 2
Beverly Foster
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Dr. Beverly Foster
2454 Springview Trail
Chapel Hill NC 27514
919 966 -4995
919 967 -2930
Bev_Foster @unc.edu
UNC- Chapel Hill School of Nursing
Faculty and Undergraduate Program Director
1981
Chapel Hill
Does not apply
Female
Caucasian
Boards /Commissions applied for:
Nursing Home Community Advisory Committee
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Work Experience: Preparation of undergraduate baccalaureate students for nursing
licensure and practice; program administration and teaching. Direct patient care in the
areas of adult acute care and maternal child.
Volunteer Experience: Orange County Board of Health, member and chair.
Senior Center Wellness Advisory Board, member and chair.
North Carolina Board of Nursing, member and chair.
Governor's Task Force for Healthy Carolinians (current).
Foundation for Nursing Excellence, member and chair (current)
Program accreditor for nursing (CCNE) (current)
Education: BSN (1964), Syracuse University
MSN (1976), UCLA
MPH,(1981), University of Hawaii
PhD,(1993), UNC - Chapel Hill
Other Comments:
have not recently been involved in local community service and wish to again become
active locally. My mother was rather briefly in two skilled nursing facilities in Orange
County prior to her death a few years ago, and I became aware of the needs for
13
Page 2 of 2
Beverly Foster
monitoring and service improvement in this area. At my age I realize I may be a user of
these services myself! I believe my background in nursing education, accreditation and
regulation may be of use to the committee. STAFF COMMENTS: Originally applied for
Nursing Home Community Advisory Committee 2 -10 -2011. ADDRESS JURISDICTION:
2454 Springview Trail, CH, is in CH Township and CH Jurisdiction.
This application was current on: 2/10/2011 7:20:17 AM Date Printed: 3/4/2013
14
Page 1 of 2
Joyce Jefferies
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment
Job Title:
Ms Joyce Jefferies
4820 NC Hwy 54 West
Chapel Hill NC 27516
(919)425 -3597
(919)720 -6115
joyce_jefferies@dentistry.unc.edu
UNC School of Dentistry
Administrative Assistant
Year of OC Residence: 1962
Township of Residence: Chapel Hill
Zone of Residence: Does not apply
Sex: Female
Ethnic Background: African American
Boards /Commissions applied for:
Adult Care Home Community Advisory Committee
Nursing Home Community Advisory Committee
Advisory Board on Aging
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
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.
15
Page 2 of 2
Joyce Jefferies
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.
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
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: 3/4/2013
16
Page 1 of 2
Sandra Jones
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening):
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms. Sandra Jones
600 West Poplar Ave., Apt. 239
Carrboro NC 27510
828 - 668 -9628
828 - 712 -2362
None
Retired
RN, Teacher
2012
Chapel Hill
Carrboro City Limits
Female
Caucasian
Boards /Commissions applied for:
Nursing Home Community Advisory Committee
I have been an RN for 50 years with my specialty being geriatrics. I have
been in many positons in Nursing Homes from charge nurse, to
supervisory, inservice director, Director of Nursing and I was licensed in
Michigan as a Nursing Home Administrator. I also have degree in
Education (Allied Health).
Advisory Board on Aging
I am aged - recently became 70 - and I am slightly handicapped and live in
a senior independent apartment complex where I see the reality of aging at
every level - economically, socially, healthwise, mentally, emotionally. With
my background in geriatrics I can be very discerning as to the blessings and
problems of aging.
Community Activities /Organizational Memberships:
Volunteer at McDougle Elementary School - 2nd Grade Reading and Writing
Volunteer Leukemia & Lymphoma Society
Volunteer Ronald McDonald House (UNC Childrens Hospital)
Volunteer Literacy Council- Tutoring in Reading & Math for a 70 year old illiterate lady.
Active in my church.
Active in my Church
Past Service on Orange County Advisory Boards:
None
17
Page 2 of 2
Sandra Jones
Other Comments:
STAFF COMMENTS: Originally applied for Nursing Home Committee and Advisory
Board on Aging 01/24/2013. ADDRESS VERIFICATION: 600 West Poplar Avenue, Apt.
239, is Carrboro Jurisdiction, Carrboro City Limits, Chapel Hill Township.
This application was current on: 1/22/2013 Date Printed: 3/4/2013
W
Page 1 of 1
Sandra Lemons
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms. Sandra Lemons
1321 Brookhollow Road
Efland NC 27243
9199718385
9199718385
SandraL @umrh.org
Croasdaile Village
Administrative Assistant Plant Operations
1955
Cheeks
Female
Caucasian
Boards /Commissions applied for:
Nursing Home Community Advisory Committee
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Work Experience: UNC -CH Medical School Admissions Office 16 yrs; Orange County
Schools 7 yrs; Croasdaile Village 3 yrs
Volunteer Experience: School and Church
Education: Chapel Hill High School; King's College, Charlotte NC; King's College,
Raleigh NC
Other Comments:
Working for a large retirement center with several levels of care including skilled nursing,
know the importance of quality care for residents. I am required to complete online staff
development on Resident Rights, Preventing Resident Abuse, Sexual Harassment,
HIPPA, Corporate Compliance; Alzheimer's; Slips, Trips and Falls to name a few. I feel
that I could serve Orange County with this knowledge to make sure that the facilities in
our county give the best quality care and safest living environment to residents. STAFF
COMMENTS: Originally applied for Nursing Home Community Advisory Committee
02/11/2011. ADDRESS VERIFICATION: 1321 Brookhollow Road, Efland, NC is in
Orange County Jurisdiction, Cheeks Township.
This application was current on: 2/11/2011 8:48:46 AM Date Printed: 3/4/2013
19
Page 1 of 2
Max Mason
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening):
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
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
Boards /Commissions applied for:
Nursing Home Community Advisory Committee
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
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,
believe I would be a valuable addition to this committee. STAFF COMMENTS:
20
Page 2 of 2
Max Mason
Originally applied (1/24/2011) for Nursing Home Community Advisory Committee.
ADDRESS VERIFICATION: 821 Tinkerbell Road is in Chapel Hill Township.
This application was current on: 1/25/2011 9:11:51 AM Date Printed: 3/4/2013
21
Page 1 of 1
Charles McMullen
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment
Job Title:
Mr. Charles McMullen
108 Jones Avenue
Hillsborough NC 27278
9197329083
9192603879
cmcmullenl @nc.rr.com
retired
Year of OC Residence:
1993
Township of Residence:
Hillsborough
Zone of Residence:
Does not apply
Sex:
Male
Ethnic Background:
Caucasian
Boards /Commissions applied for:
Nursing Home Community Advisory Committee
Board of Health
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Work Experience: Almost 50 yrs in various fields of nsg.
Other Comments:
STAFF COMMENTS: Originally applied for Nursing Home Community Advisory
Committee, Adult Care Home Community Advisory Committee, and Board of Health
02/10/2011. ADDRESS VERIFICATION: 108 Jones Avenue is in Hillsborough
Jurisdiction, Hillsborough Township.
This application was current on: 2/10/2011 10:59:02 AM Date Printed: 3/4/2013
22
Page 1 of 2
Vickie Webb
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
Ethnic Background:
Ms. Vickie Webb
150 Lawndale Ave
Hillsborough NC 27278
919- 491 -1073
919- 241 -4482
jb29 @nc.rr.com
City of Durham
Billing Specialist
1989
Hillsborough
Does not apply
Female
African American
Boards /Commissions applied for:
Nursing Home Community Advisory Committee
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Work Experience: My work experience is limited to providing in home care to the elderly
who wish to remain in their homes as long as possible. I provided basic daily assistance
with medication, and personal hygiene, as well as food preparation.
Volunteer Experience: My volunteer experience is limited to the time I spent in a nursing
facility in which my mother was a resident, and I would go in a help with feedings and
companionship of some selected residents
Education: I have a high school diploma, and am currently enrolled in an online course to
obtain an Associates degree in Arts with a foundation in business, and am due to
graduate in September 2011.
Other Comments:
am interested in serving on this committee because I care about people. I especially
care about the people who can not longer care, or speak for themselves. During my
mothers stay at a local nursing home, I was an advocate for her as well as other
residents who either had no family or distant family. I got along well with the staff of the
facility and was very much respected as well as showing respect for the jobs they
performed. STAFF COMMENTS: Originally applied for Nursing Home Community
Advisory Committee 02/10/2011. ADDRESS VERIFICATION: 150 Lawndale Avenue is
23
Page 2 of 2
in Hillsborough Jurisdiction, Hillsborough Township.
Vickie Webb
This application was current on: 2/10/2011 10:20:40 PM Date Printed: 3/4/2013
24
Page 1 of 2
Tiki Windley
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone (Day):
Phone (Evening)
Phone (Cell):
Email:
Place of Employment:
Job Title:
Year of OC Residence:
Township of Residence:
Zone of Residence:
Sex:
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
Ethnic Background: African American
Boards /Commissions applied for:
Board of Social Services
Nursing Home Community Advisory Committee
Adult Care Home Community Advisory Committee
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
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
25
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:
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: 3/4/2013