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HomeMy WebLinkAboutAgenda - 02-04-2014-11c 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: February 4, 2014 Action Agenda Item No. 11-c SUBJECT: Nursing Home Community Advisory Committee -Appointments DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Recommendation Application(s) for Person(s) Recommended Interest List Application(s) of Person(s) on the Interest List PURPOSE: To consider making appointments to the Nursing Home Community Advisory Committee. BACKGROUND: The following appointments are for Board consideration: • Appointment to a one year training term for Ms. Sandra Jones • Appointment to a one year training term for Ms. Sandra Lemons • Appointment to a one year training term for Dr. Joanne Wilson POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 5 Ms. Sandra Jones At-Large — Training 01/23/2015 7 Ms. Sandra Lemons At-Large — Training 01/23/2015 11 Dr. Joanne Wilson At-Large — Training 01/23/2015 FINANCIAL IMPACT: None RECOMMENDATION(S): The Board will consider making appointments to the Nursing Home Community Advisory Committee. 2 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee L Meeting Times: 5:30 p.m. Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger, MSW Meeting Place: United Church of CH - 1321 ML King Blvd 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 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. 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 Ms. Teri I Driscoll 3 815 US Hwy 70A East, Apt. 323 Hillsborough NC 27278 Ms. Sharon Karnash 4 5513 Quail Hollow Drive Hillsborough NC 27278 VACANT 5 Day Phone: 502 - 686 -0016 Evening Phone: 919- 240 -4793 FAX: E -mail: tracey.yap @duke.edu Day Phone: 919 - 357 -9256 Evening Phone: 919- 357 -9256 FAX: E -mail: ed_ flowers @yahoo.com Day Phone: 919 - 245 -1127 Evening Phone: 919- 245 -1127 FAX: E -mail: drisco11323 (onc.rr.com Day Phone: 919 - 479 -5661 Evening Phone: same FAX: E -mail: Sharon.kamash @gmail.com Day Phone: Evening Phone: FAX: E -mail: Sex: Female First Appointed: 12/13/2011 Race: Caucasian Current Appointment: 02/19/2013 Township: Chapel Hill Expiration: 01/30/2016 Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Resid/Spec Req: At -Large Sex: Male First Appointed: 03/06/2008 Race: Caucasian Current Appointment: 02/21/2012 Township: Hillsborough Expiration: 03/31/2015 Resid/Spec Req: At -Large Number of Terms: 2 Special Repr: At -Large Resid/Spec Req: At -Large Sex: Female First Appointed: 09/17/2013 Race: Caucasian Current Appointment: 09/17/2013 Township: Hillsborough Expiration: 09/30/2014 Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Resid/Spec Req: At -Large Sex: Female First Appointed: 06/12/2007 Race: Caucasian Current Appointment: 04/19/2011 Township: Little River Expiration: 06/30/2014 Resid/Spec Req: At -Large Number of Terms: 2 Special Repr: At -Large Sex: First Appointed: Race: Current Appointment: Township: Expiration: 06/30/2008 Resid/Spec Req: At -Large Number of Terms: Special Repr: Nursing Home Administration Tuesday, December 10, 2013 Page 1 3 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee 2 7 8 7 10 Meeting Times: 5:30 p.m. Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger, MSW Meeting Place: United Church of CH - 1321 ML King Blvd 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 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. 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 Day Phone: 919 -682 -4124 Evening Phone: 919- 479 -0574 5512 Quail Hollow Drive FAX: 919 - 956 -7703 Hillsborough NC 27278 E -mail: susiedeter @yahoo.com Dr Mary Ann Peter Day Phone: 919 - 732 -6073 Evening Phone: 118 W. Tryon St. FAX: Hillsborough NC 27278 E -mail: maryannpeter @earthlink. net Sex: Female First Appointed: 03/22/2012 Race: Caucasian Current Appointment: 03/19/2013 Township: Eno Expiration: 03/31/2016 Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Resid/Spec Req: At -Large Sex: First Appointed: Race: Caucasian Race: Current Appointment: Expiration: 04/19/2015 Township: Expiration: 06/01/2014 Resid/Spec Req: At -Large Number of Terms: Special Repr: Nursing Home Administration 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: 06/18/2013 Township: Hillsborough Expiration: 06/30/2016 Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Tuesday, December 10, 2013 Page 2 0 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 p.m. Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Charlotte Terwilliger, MSW Meeting Place: United Church of CH - 1321 ML King Blvd 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 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. 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 Tuesday, December 10, 2013 Page 3 5 Dear Mr. Freeman, The Nursing Home Community Advisory Committee would like to recommend Ms. Sandra Jones for a one year training term. Ms. Jones has been an RN for over 50 yearswith her specialty being geriatrics. She has experience working in nursing homes as a charge nurse, supervisor, and Director of Nursing. In addition, she has served asa Nursing Home Administrator in Michigan. Her longterm care expertise will be valuable to the advocacy work of our committee. The Nursing Home Community Advisory Committee would also like to recommend Ms.Sandra Lemons for a one year training term. Ms. Lemons has worked at a large retirement center and knows the importance of quality of care for residents. She has participated in training on Fbsident Rights, Bder Abuse Prevention,and Dementia Care. Ms. Lemons has a passion for ensuring that longterm care residents receive the best quality of care in a safe living environment. The Policies and Procedures for the Nursing Home Community Advisory Committee state of that one- third of its members must be chosen from among persons nominated by a majority of the chief administrators of nursing homes in the County. However it goes onto state that if the nursing home administrators fail to make a nomination within 45 days after written notification these appointments maybe made by the Board of County Commissioners without nominations. Arequest for nominationswas sent to the county Nursing Home Administrators on 11/12/13. However,we are anticipating that we will not receive nominations from this group. Due to the provision outlined above, the Community Advisory Committee is requesting that Ms.Jones and Ms. Lemons be appointed to the vacancies that have been designated for Nursing Home Administration at the January,2014 BOCCmeeting. This will allow 45 days for the Nursing Home Administrators to make a nomination should they choose to. Please let me know if you need any further information from me to move these recommendations forward. Thank you for your assistance. Best F;bgards, Charlotte Charlotte Terwilliger, M31V Ombudsman—Orange and Chatham Counties Area Agency on Aging Triangle JCouncil of Governments 4307 Emperor Blvd., SAite 110, Durham, NC 27703 (o) 919-558-9401 / (f)919-998-8101 cterwilligerMicog.org/ www.tico4.ora 6 �lll Add)) PROTECT SENIORS Take a stand a nst IELDER. ABUSE. V V A 114 iC'uVF F 0 BFIla AM U�,F IIN rYi0" M"TofiC'uINo E Mail correspondence to and from this address is subject tot he North Carolina Public Records Act and maybe disclosed to third parties unless made confidential under applicable law. 7 Page 1 of 2 Sandra Jones Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Sandra Jones Name Called: Home Address: 600 West Poplar Ave., Apt. 239 Carrboro NC 27510 Phone (Day): 828-668-9628 Phone (Evening): Phone (Cell): 828-712-2362 Email: None Place of Employment: Retired Job Title: RN, Teacher Year of OC Residence: 2012 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: 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 8 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: 12/10/2013 9 Page 1 of 1 Sandra Lemons Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Sandra Lemons Name Called: Home Address: 1321 Brookhollow Road Efland NC 27243 Phone (Day): 919-971-8385 Phone (Evening): 919-971-8385 Phone (Cell): Email: SandraL @umrh.org Place of Employment: Croasdaile Village Job Title: Administrative Assistant Plant Operations Year of OC Residence: 1955 Township of Residence: Cheeks Zone of Residence: - Sex: Female Ethnic Background: 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, I 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: 12/10/2013 10 Thom Freeman From: Ed Flowers <ed_f lowers @yahoo.com> Sent: Tuesday,January 14, 2014 10:03 AM To: Thom Freeman Cc: Nursing Home Community Advisory Committee Subject: OCNHCAC committee appointment Attachments: Wilson Volunteer Application.pdf Thom The Orange County Nursing Home Community Advisory Committee voter to accept Dr. Joannne Wilson's application (attached file) to be appointed to our committee at our meeting on January 7, 2014. Please proceed with advising the BOCC of this decision. Please let me know when her appointment will be on the BOCC agenda. Once approved, we will proceed with having her attend orientation sessions which includes touring one of our nursing homes. Thanks Ed Flowers Chairperson, OCNHCAC i i I I 11 Page 1 of 1 Joanne Wilson Volunteer Application Orange County Advisory Boards and Commissions Name: Dr Joanne Wilson Name Called: Home Address: 104 Stoneridge Drive Chapel Hill NC 27514 Phone (Day): 919-810-2774 Phone (Evening): 919-932-5391 Phone (Cell): Email: anteel@earthlink.net Place of Employment: Duke Job Title: Physician Year of OC Residence: 1990 Township of Residence: Chapel Hill Zone of Residence: Rural Area Resident Sex: Female Ethnic Background: African American Boards/Commissions applied for: Board of Health Nursing Home Community Advisory Committee Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: None Other Comments: STAFF COMMENTS: Applied 07/15/2013 for Adult Care Home Community Advisory Committee, Advisory Board on Aging, and Board of Health. ADDRESS VERIFICATION: 104 Stoneridge Drive is Chapel Hill Township, Orange County Jurisdiction, and (RB) Rural Buffer Zoning. This application was current on: 7/15/2013 9:53:13 PM Date Printed: 12/10/2013 12 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Charlotte Terwilliger,MSW 1VLlYSlIZg Home C0112112111Z11y AfZVlSOYy Committee Contact Phone: 919-558-9401 Ms. Susan Adams Day Phone: 919-357-5541 Sex: Female 211 Hogan Woods Circle Evening Phone: 919-357-5541 Race: Caucasian Chapel Hill NC 27516 Cell Phone: Township: Chapel Hill E-mail: jaseradams@gmail.com Date Applied: 10/07/2013 Skills: Consultant Also Serves On: Ms. Martha Bell Day Phone: 919-968-4674 Sex: Female 100 Macrae Court Evening Phone: as above Race: Caucasian Chapel Hill NC 27516 Cell Phone: N/A Township: Chapel Hill E-mail: mbell968@yahoo.com Date Applied: 01/09/2014 Skills: Also Serves On: Ms. T. L. Crews Day Phone: 919732-6974 Sex: Female 4921 Guess Rd Evening Phone: 919 732-6974 Race: African American Rougmeont NC 27572 Cell Phone: Township: Little River E-mail: crewsez@aol.com Date Applied: 08/21/2011 Skills: School Principal Also Serves On: Adult Care Home Community Advisory Committee Skills: Tutor Nick Galvez Day Phone: 7274189921 Sex: Male 403 N Elliott Road Evening Phone: 7274189921 Race: Other Chapel Hill NC 27514 Cell Phone: 7274189921 Township: Chapel Hill E-mail: ngalvez1234@gmail.com Date Applied: 01/08/2014 Skills: Also Serves On: Ms. Sandra Jones Day Phone: 828-668-9628 Sex: Female 600 West Poplar Ave.,Apt.239 Evening Phone: Race: Caucasian Carrboro NC 27510 Cell Phone: 828-712-2362 Township: Chapel Hill E-mail: None Date Applied: 01/22/2013 Skills: Also Serves On: Skills: Geriatric Care Also Serves On: Skills: Nurse Also Serves On: Ms. Sandra Lemons Day Phone: 919-971-8385 Sex: Female 1321 Brookhollow Road Evening Phone: 919-971-8385 Race: Caucasian EYland NC 27243 Cell Phone: Township: Cheeks E-mail: SandraL@umrh.org Date Applied: 02/11/2011 Skills: Administrative Assistant Also Serves On: Friday,January 10,2014 Page 1 of 2 13 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Charlotte Terwilliger,MSW 1VLlYSlIZg Home C0112112111Z11y AfZVlSOYy Committee Contact Phone: 919-558-9401 Mrs Karen Schnell Day Phone: 919 304 5880 Sex: Female 4421 Lynch Store Rd Evening Phone: Race: Caucasian Mebane NC 27302 Cell Phone: Township: Cedar Grove E-mail: schnellkar@yahoo.com Date Applied: 06/06/2013 Skills: Consultant Also Serves On: Adult Care Home Community Advisory Committee Skills: Nurse Dr Joanne Wilson Day Phone: 919-810-2774 Sex: Female 104 Stoneridge Drive Evening Phone: 919-932-5391 Race: African American Chapel Hill NC 27514 Cell Phone: Township: Chapel Hill E-mail: anteel@earthlink.net Date Applied: 07/15/2013 Skills: Medical Doctor Also Serves On: Friday,January 10,2014 Page 2 of 2 14 Page 1 of 2 Susan Adams Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Susan Adams Name Called: Home Address: 211 Hogan Woods Circle Chapel Hill NC 27516 Phone (Day): 919-357-5541 Phone (Evening): 919-357-5541 Phone (Cell): Email: jaseradams @gmail.com Place of Employment: Self-employed Job Title: Consultant Year of OC Residence: 2004 Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Advisory Board on Aging I am energized by solving problems and taking on challenges. With over 1 person turning 50 every second due to the dramatic achievements in public health, Orange County is poised to see a 67% increase in persons over 65 and a 43% increase in persons over 85 in the next 10 years. This trend continues through 2030 when persons over 65 will again increase by 42% and over 85 by 70%. Orange county is a leader in serving its senior population and I want to contribute to preparing and meeting these needs throughout the next 20 years. Although I worked as a chemical engineer for 15 years, I recently returned to school to get a BA in Multidisciplinary studies, with an emphasis on social sciences and the Socio-Ecological Model which shows that the health of an individual is based not just on the person but withing the greater context of his relationships, his community and his society. Because of my interest in the aging process, I am currently completing a Masters in Gerontology from the University of Southern California. Through this program I have been able to receive the training and tools that will aid me in pursuing my goal of improving the disparity in the aging experience between the different economic classes. The research area where I am basing my concentration consists of early depression intervention for the home caregiver. Many home caregivers are thrust into their duties with little to no training and as more residents, especially in the rural areas, are deciding to age in place there will be a need for increased programs to address the adult child or spousal caregiver, many of whom are over 50. 1 am excited to be beginning this new phase of my life as I turn 50, and consider myself to be a life-long learner who believes that we are all part of something larger and there is purpose to all our lives. My belief system influences all I do and I value responsibility and high ethical standards. I 15 Page 2 of 2 Susan Adams believe that the strategic methods of problem solving I utilized as an engineer allows me to find and evaluate alternatives and seek innovative ways to get things done. I believe in community involvement as I was a member of the School Improvement Team (SIT)committee for McDougle Middle School for 2 years, worked as a volunteer at the Chapel Hill Museum for 3 years, and have been a member of the MAC-Mandarin Advisory Council for the dual language program in CHCCS since it began and my daughter has been part of the program for the past 8 years. As my children are growing up and moving on to new goals, I feel that I too must focus my time and energies on the future. I appreciate your time in considering me for this position. Nursing Home Community Advisory Committee I am graduating with my Masters of Arts in Gerontology in May 2014 from the University of Southern California. My BS is multi disciplinary in psychology and public health. My concentration of study is in environmental interventions to decrease agitation in persons with dementia. I currently volunteer at Galloway Ridge and care part time for my elderly parents who I relocated to Chatham County in 2008. Community Activities/Organizational Memberships: IFC - Orange County Homeless Shelter, Galloway Ridge - Volunteer, Care Ministry - Newman Center, Coastal Pines of North Carolina - troop 862 - Adult Volunteer, Treasurer 2007-2012, AARP, GSA - Gerontological Society of America MAC Committee - Mandarin Advisory Council for the Dual Language Program for Chapel Hill Carrboro City School District, Newman center outreach care ministry, MAC-dual language for Mandarin Chinese advisory board for school system, NAHB - National Home Builders Association Orange , Chatham and Durham counties - remodeler s council, National Gerontology Society, AARP, Past Service on Orange County Advisory Boards: Other Comments: STAFF COMMENTS: Applied 2/1/2013 for Advisory Board on Aging. Applied 10/4/2013 for Nursing Home CAC. ADDRESS VERIFICATION: 211 Hogan Woods Circle is Chapel Hill Township, Carrboro Jurisdiction, Carrboro City Limits. This application was current on: 10/7/2013 Date Printed: 12/10/2013 16 Page 1 of 2 Martha Bell Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Martha Bell Name Called: Home Address: 100 Macrae Court Chapel Hill NC 27516 Phone (Day): 919-968-4674 Phone (Evening): as above Phone (Cell): N/A Email: mbe11968 @yahoo.com Place of Employment: Retired Job Title: Registered Nurse - Director of Nursing Year of OC Residence: 1995 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Member, Sigma Theta Tau Vice Chair, DVAMC Veterans Mental Health Council Member, The Chapel of the Cross Volunteer, Ambulatory Care, DVAMC Member, Retired Officers Association Member, Army Nurse Corps Association (former Regional Director) Past Service on Orange County Advisory Boards: Nursing Home Community Advisory Committee Board of Health Boards/Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: After retiring from active duty with the Army Nurse Corps in 1995, accepted position of Director of Nursing, Carol Woods Retirement Community, serving in that capacity for 12 years, and then continued in special projects as identified by the President/CEO, Carol Woods, for another 5 years; also eventually had operational responsibility for assisted living, and infection control for the organization. Coordinated clinical assignments in long term care for nursing and nursing assistant students from DCC and NCCU. Taught fundamentals of elder care to staff and students; served as consultant with CARF and AAHSA reviewing health and service delivery standards. Reasons for wanting to serve on this board: Throughout the years at Carol Woods, I met many members of this Cmmunity Committee, through their advisory capacity; always impressed with their respect for the older adult and circumstances that lead a person(s)to seek long term care, I knew I was unable to serve this 17 Page 2 of 2 Martha Bell committee until I retired from the business of elder services. I ve continued to keep my nursing license current, attending related education offerings in the infection control, gerontology and health care for the years since retirement from full time work. While volunteering in Durham, I really want to serve my local community and continue to put my knowledge of aging services and long term care to good use. Conflict of Interest: Board of Health Background, education and experience relevant to this board: RN, BSN, MSN; attendance at 3.5 day infection control in long term care course offered by SPICE every two years; recent course attendance at offering regading CDiff; served as infection control consultant for Carol Woods Retirement Community 12 years while also serving as its Director of Nursing/Health Services. Reasons for wanting to serve on this board: Throughout the years at Carol Woods, I was often involved with Board of Health issues, including outbreak investigation, tuberculosis control, difficulties encountered in Infection Control for the older adult in a long term care/congregate living environment. I purposely kept my nursing license current despite my retirement from full time nurse because I hoped to eventually serve my community in some capacity related to my professional knowledge. I seek only an activity that will use my knowledge rather than any paid position. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 1/9/2014 11:27:53 AM Date Printed: 1/10/2014 18 Page 1 of 2 T. L. Crews Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. T. L. Crews Name Called: Home Address: 4921 Guess Rd Rougmeont NC 27572 Phone (Day): 919 732-6974 Phone (Evening): 919 732-6974 Phone (Cell): Email: crewsez @aol.com Place of Employment: Retired Public School Adminstrator Job Title: Senior Director Programs for Exceptional Children Year of OC Residence: 1996 Township of Residence: Little River Zone of Residence: - Sex: Female Ethnic Background: African American Boards/Commissions applied for: 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 Education: M.ED in Special Education BA in history with minor in education Hold Principal Certification 19 Page 2 of 2 T. L. Crews State Licensed in areas of LD/BED/DD Other Comments: I 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: 12/10/2013 20 Page 1 of 2 Nick Galvez Volunteer Application Orange County Advisory Boards and Commissions Name: Nick Galvez Name Called: Home Address: 403 N Elliott Road Chapel Hill NC 27514 Phone (Day): 7274189921 Phone (Evening): 7274189921 Phone (Cell): 7274189921 Email: ngalvez1234 @gmail.com Place of Employment: Bayada Home Care Job Title: Field Clinician/Physican Therapist Year of OC Residence: 2013 Township of Residence: Chapel Hill Zone of Residence: Sex: Male Ethnic Background: Other Community Activities/Organizational Memberships: To Whom It Concerns: I have worked in healthcare for over 15 years and have successfully managed operations and finances for medium and large healthcare organizations. I earned an MBA with a concentration in accounting in 2004. I also gained the CMA certification from the Institute of Management Accountants to further my knowledge and prepare for a Director level position. In my current position as a regional manager, I helped develop new markets (Georgia) and new programs for internal and external growth. I assisted the sales team to ensure operations and new business growth was aligned with the company5ETMs long term strategic plan. The region and company has grown significantly due to my focus on new markets and new programs. I have volunteer experiences that have also contributed to my professional development. I enjoyed serving on the Hillsborough County Healthcare Advisory Board for the past 4 years and have contributed to fiscal policy development for the county healthcare plan. I also serves on the Board of Directors for the Health Council of West Central Florida to serve their mission to educate consumers in the region about healthcare issues. I held this position for 2 years while living in Florida. I am excited about getting involved in the Chapel Hill community and sharing my experiences with other like minded citizens to improve out community. Sincerely, 21 Page 2 of 2 Nick Galvez Nick Galvez Past Service on Orange County Advisory Boards: none Boards/Commissions applied for: Board of Health Background, education and experience relevant to this board: I have a background in healthcare administration and business management. I believe the combination of operations and finances are vital to a successful healthcare organization. I believe local boards need to weigh the benefits and costs of those affected by the decisions by they make. I have a desire to improve our health as a society, in the community and in our family. I believe that I can affect the changes by becoming involved in local boards and talking with other professionals about health. The affordable health care act will inevitably affect those directly and indirectly in the field of health. Reasons for wanting to serve on this board: see above Conflict of Interest: na Nursing Home Community Advisory Committee Background, education and experience relevant to this board: I have a background in healthcare administration and business management. I have worked in nursing homes as a director of therapy and also as a regional director for therapy departments. I have worked with for profit and not for profit companies that own and operate nursing homes. I believe the combination of operations and finances are vital to a successful healthcare organization. I believe local boards need to weigh the benefits and costs of those affected by the decisions by they make. I have a desire to improve our health as a society, in the community and in our family. I believe that I can affect the changes by becoming involved in local boards and talking with other professionals about health. The affordable health care act will inevitably affect those directly and indirectly in the field of health. Reasons for wanting to serve on this board: see above Conflict of Interest: na Supplemental Questions: Other Comments: This application was current on: 1/8/2014 7:47:26 AM Date Printed: 1/10/2014 22 Page 1 of 1 Karen Schnell Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs Karen Schnell Name Called: Home Address: 4421 Lynch Store Rd Mebane NC 27302 Phone (Day): 919 304 5880 Phone (Evening): Phone (Cell): Email: schnellkar @yahoo.com Place of Employment: Blue Sky Health Concepts Consulting, LLP Job Title: RN, MSN, LNC Year of OC Residence: 2004 Township of Residence: Cedar Grove Zone of Residence: Agricultural Residential Sex: Female Ethnic Background: Caucasian Boards/Commissions applied for: Nursing Home Community Advisory Committee As a Masters prepared Advance Practice RN and Legal Nurse Consultant, I have the education and training. With my own business, Blue Sky Health Concepts Consulting LLP, and MBA, I have a strong business background to support my health care background. Community Activities/Organizational Memberships: NCNA Volunteer as Nurse of the Day for the General Assembly PRN Past Service on Orange County Advisory Boards: Other Comments: STAFF COMMENTS: 06/06/2013 -Applied for Nursing Home Community Advisory Committee and Solid Waste Advisory Board (Currently Not Accepting Applications). 06/06/2013 ADDITIONAL APPLICATION for Adult Care Home Community Advisory Committee. ADDRESS VERIFICATION: 4421 Lynch Store Road is Orange County Jurisdiction, Cedar Grove Township, and AR (Agricultural Residential). This application was current on: 6/6/2013 4:05:26 PM Date Printed: 12/10/2013