HomeMy WebLinkAboutAgenda - 05-20-2014-11aORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: May 20, 2014
Action Agenda
Item No. 11 -a
SUBJECT: Adult Care Home Community Advisory Committee — Appointment
DEPARTMENT: Board of Commissioners
ATTACHMENT(S): Under Separate Cover
Membership Roster
Recommendation
Application for Person Recommended
Applicant Interest List
Application for Person on the Interest List
PUBLIC HEARING: (Y /N) No
INFORMATION CONTACT:
Clerk's Office, 245 -2130
1
PURPOSE: To consider making an appointment to the Adult Care Home Community Advisory
Committee.
BACKGROUND: The following information is for Board consideration:
• Appointment to a second full term (Position #1) At -Large for Dr. Mario Battigelli ending
03/31/2017.
POSITION NO.
NAME
SPECIAL REPRESENTATIVE
EXPIRATION DATE
1
Dr. Mario Batti elli
At-Large
03/31/2017
FINANCIAL IMPACT: None.
RECOMMENDATION(S): The Board will consider making an appointment to the Adult Care
Home Community Advisory Committee.
2
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
L
Meeting Times: 3:30 p.m. - 5:00 p.m. Bi- monthly Terms: 3 Contact Person: Charlotte Terwilliger
Meeting Place: Positions: 12 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
1307 Wildwood Drive
Chapel Hill NC 27514
Mr. Daniel Hatley
2 Chair
317 W. University
Chapel Hill NC 27516
3
Ms. Deborah Rider
2314 Red Oak CT.
Hillsborough NC 27278
Mr. Max Mason
4 Vice -Chair
821 Tinkerbell Rd.
Chapel Hill NC 27517
5
Dr. Anthony John Vogt
713 W. Barbee Chapel Road
Chapel Hill NC 27517
Day Phone: 919- 942 -5756 Sex: Male First Appointed: 04/19/2011
Evening Phone: Race: Caucasian Current Appointment: 03/22/2012
FAX: Township: Chapel Hill Expiration: 03/31/2014
E -mail: mcbattigelli @gmail.com Resid/Spec Req: At -Large Number of Terms: 1
Special Repr:
Day Phone: 919- 200 -0822 Sex: Male First Appointed: 08/17/2010
Evening Phone: Race: Caucasian Current Appointment: 11/19/2013
FAX: 888- 514 -4878 Township: Chapel Hill Expiration: 10/31/2015
E -mail: dan @hatleylawoffice.com Resid/Spec Req: At -Large Number of Terms: 2
Special Repr: DD /MR
Day Phone: 919- 818 -6489 Sex: Female First Appointed: 06/19/2012
Evening Phone: Race: Caucasian Current Appointment: 09/17/2013
FAX: Township: Hillsborough Expiration: 06/30/2016
E -mail: drider1736 @gmail.com Resid/Spec Req: At -Large Number of Terms: 1
Special Repr:
Day Phone: 919- 649 -7937 Sex: Male First Appointed: 06/07/2011
Evening Phone: Race: Caucasian Current Appointment: 06/19/2012
FAX: Township: Chapel Hill Expiration: 06/30/2015
E -mail: maxomason @yahoo.com Resid/Spec Req: At -Large Number of Terms: 1
Special Repr:
Day Phone: 919- 929 -8646 Sex: Male First Appointed: 10/16/2012
Evening Phone: Race: Caucasian Current Appointment: 11/19/2013
FAX: NA Township: Chapel Hill Expiration: 10/31/2015
E -mail: ajvogt @earthlink.net Resid/Spec Req: At -Large Number of Terms: 0
Special Repr:
Monday, March 24, 2014 Page 1
3
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: Positions: 12 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.
Mr Richard Gross
Day Phone: 644 -0157
Sex: Male
First Appointed:
10/06/2009
Evening Phone:
Race: Caucasian
Current Appointment:
11/19/2013
6
3006 Joshua Dr
FAX: na
Township: Eno
Expiration:
10/31/2015
Hillsborough NC 27278
E -mail: na
Resid/Spec Req: At -Large
Number of Terms:
3
Special Repr:
MS Rosie Benzonelli
Day Phone: 919- 923 -7673
Sex: Female
First Appointed:
09/17/2013
Evening Phone:
Race: Caucasian
Current Appointment:
09/17/2013
7
837 Kenmore Rd
FAX:
Township: Chapel Hill
Expiration:
10/30/2014
Chapel Hill NC 27514
E -mail: rbenzonelli @gmail.com
Resid/Spec Req: At -Large
Number of Terms:
Special Repr:
Ms. Joyce Teston
Day Phone: n/a
Sex: Female
First Appointed:
09/17/2013
Evening Phone:
Race: Caucasian
Current Appointment:
09/17/2013
8
2326 Highway 86 South
FAX:
Township: Hillsborough
Expiration:
06/30/2014
Hillsborough NC 27278
E -mail: joyceteston @gmail.com
Resid/Spec Req: At -Large
Number of Terms:
Special Repr:
Ms. T. L. Crews
Day Phone: 919 732 -6974
Sex: Female
First Appointed:
03/22/2012
Evening Phone:
Race: African American
Current Appointment:
03/19/2013
9
4921 Guess Rd
FAX:
Township: Little River
Expiration:
03/31/2016
Rougmeont NC 27572
E -mail: crewsez @aol.com
Resid/Spec Req: At -Large
Number of Terms:
1
Special Repr:
Dr. Beverly Foster
Day Phone: 919 966 -4995
Sex: Female
First Appointed:
06/18/2013
Evening Phone:
Race: Caucasian
Current Appointment:
06/18/2013
10
2454 Springview Trail
FAX: 919 843 -6212
Township: Chapel Hill
Expiration:
06/30/2014
Chapel Hill NC 27514
E -mail: Bev_Foster @unc.edu
Resid/Spec Req: At -Large
Number of Terms:
Special Repr:
Monday, March 24, 2014
Page 2
0
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
M
12
Meeting Times: 3:30 p.m. - 5:00 p.m. Bi- monthly Terms: 3 Contact Person: Charlotte Terwilliger
Meeting Place: Positions: 12 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.
Mr James Bartow
118 Collums Rd
Chapel Hill NC 27514
Mrs Karen Schnell
4421 Lynch Store Rd
Mebane NC 27302
Day Phone: 919 932 -2682
Evening Phone:
FAX:
E -mail: jmsbartow @gmail.com
Day Phone: 919 304 5880
Evening Phone:
FAX:
E -mail: schnellkar @yahoo.com
Sex: Male First Appointed: 02/18/2014
Race: Caucasian Current Appointment: 02/18/2014
Township: Chapel Hill Expiration: 10/31/2014
Resid/Spec Req: At -Large Number of Terms: 0
Special Repr:
Sex: Female First Appointed: 09/17/2013
Race: Caucasian Current Appointment: 09/17/2013
Township: Cedar Grove Expiration: 10/30/2014
Resid/Spec Req: At -Large Number of Terms: 0
Special Repr:
Monday, March 24, 2014 Page 3
Thom Freeman
From: Charlotte Terwilliger <cterwilliger @tjcog.org>
Sent: Tuesday, March 18, 2014 10:05 AM
To: Thom Freeman
Subject: ACH CAC Reappointment Recommendation
Hi Thom,
The Adult Care Home Community Advisory Committee would like to recommend Dr. Mario Battigelli for a second full
term. During his current term Dr. Battigelli attended 11 out of 12 business meetings and participated in all of his
assigned quarterly facility visitations. His passion for the elderly and advocacy is evident in his committee work.
Please advise if you need anything else from me to move this recommendation forward.
Regards,
Charlotte
Charlotte Terwilliger, MSW
Regional Long Term Care Ombudsman
Area Agency on Aging
Triangle J Council of Governments
4307 Emperor Blvd., Suite 110, Durham, NC 27703
(o) 919 - 558 -9401 / (f) 919 - 998 -8101
cterwilliger @ticog.org / www.ticog.org
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
Mario Battigelli
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. Mario Battigelli
1307 Wildwood Drive
Chapel Hill NC 27514
919- 942 -5756
mcbattigelli @gmail.com
Retired
1965
Chapel Hill
Male
Caucasian
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Boards /Commissions applied for:
Supplemental Questions:
Work Experience: Practice medicine as faculty of medical school for 35 years. NHCAC 6
yrs
Volunteer Experience: IFC volunteer, Chapel Hill(1 year).
Education: MD, University of Florence Italy(1951), MPH, University Of Pittsburgh, PA.
Other Comments:
STAFF COMMENTS: Applied 2 -15 -01 for the Nursing Home Community Advisory
Committee. Reapplied for Adult Care Home Community Advisory Committee
10/19/2009. Reapplied for Nursing Home Community Advisory Committee 11/18/09.
ADDRESS VERIFICATION: 1307 Wildwood Drive, Chapel Hill is Chapel Hill township,
CH jurisdiction.
This application was current on: 11/18/2009 Date Printed: 3/24/2014
7
Applicant Interest Listing
Adult Care Home Community Advisory Committee
Miss Danielle Mosley
476 Melanie Court
Chapel Hill NC 27514
Skills: Club Nova
by Board Name and by Applicant Name
Contact Person: Charlotte Terwilliger
Contact Phone: 919 -558 -9401
Day Phone: 919- 309 -5685
Evening Phone:
Cell Phone:
E -mail: Dlynnm26@gmail.com
Also Serves On:
Sex:
Female
Race:
Caucasian
Township:
Chapel Hill
Date Applied:
06/26/2012
Monday, March 24, 2014 Page 1 of 1
Page 1 of 2
Danielle Mosley
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:
Miss Danielle Mosley
476 Melanie Court
Chapel Hill NC 27514
919- 309 -5685
Dlynnm26 @gmail.com
Year of OC Residence: 2011
Township of Residence: Chapel Hill
Zone of Residence: C.H. City Limits
Sex: Female
Ethnic Background: Caucasian
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Boards /Commissions applied for:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
Reasons for wanting to serve on this board:
Conflict of Interest:
Board of Health
Background, education and experience relevant to this board:
Reasons for wanting to serve on this board:
Conflict of Interest:
Agricultural Preservation Board
Background, education and experience relevant to this board:
Reasons for wanting to serve on this board:
Conflict of Interest:
Supplemental Questions:
Work Experience: Club Nova
Volunteer Experience: Club Nova
9
Page 2 of 2
Education: Attending school for ged
Other Comments:
Danielle Mosley
STAFF COMMENTS: Applied for Adult Care Home Community Advisory Committee,
Board of Health, and Agricultural preservation Board on 06/26/2012. ADDRESS
VERIFICATION: Melanie Court is Chapel Hill Township, Chapel Hill Town Limits.
This application was current on: 6/26/2012 11:06:45 AM Date Printed: 3/24/2014