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HomeMy WebLinkAboutAgenda - 05-20-2014-11gORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: May 20, 2014 SUBJECT: Nursing Home Community Advisory Committee — Appointment DEPARTMENT: Board of Commissioners ATTACHMENT(S): Under Separate Cover Membership Roster Recommendation Application for Person Recommended Interest List Application(s) of Person(s) on the Interest List Action Agenda Item No. 11 -g PUBLIC HEARING: (Y /N) No INFORMATION CONTACT: Clerk's Office, 245 -2130 1 PURPOSE: To consider making an appointment to the Nursing Home Community Advisory Committee. BACKGROUND: The following appointment is for Board consideration: • Appointment to a one year training term (Position #12) for Ms. Vibeke Talley ending 04/15/2015. POSITION NO. 12 NAME Ms. Vibeke Tall FINANCIAL IMPACT: None SPECIAL REPRESENTATIVE At -Large — Trainin TRAINING EXPIRATION DATE 04/15/2015 POSITION EXPIRATION DATE 12/31/2016 RECOMMENDATION(S): The Board will consider making an appointment 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 3 4 5 Ms. Teri J. Driscoll 815 US Hwy 70A East, Apt. 323 Hillsborough NC 27278 Ms. Sharon Karnash 5513 Quail Hollow Drive Hillsborough NC 27278 Ms. Sandra Jones 600 West Poplar Ave., Apt. 239 Carrboro NC 27510 Day Phone: 502 - 686 -0016 Evening Phone: FAX: E -mail: tracey.yap @duke.edu Day Phone: 919 - 357 -9256 Evening Phone: FAX: E -mail: ed_ flowers @yahoo.com Day Phone: 919 - 245 -1127 Evening Phone: FAX: E -mail: drisco11323 (onc.rr.com Day Phone: 919 - 479 -5661 Evening Phone: FAX: E -mail: Sharon.kamash @gmail.com Day Phone: 828- 668 -9628 Evening Phone: FAX: E -mail: None 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: Female First Appointed: 02/04/2014 Race: Caucasian Current Appointment: 02/04/2014 Township: Chapel Hill Expiration: 02/04/2015 Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Nursing Home Administration Friday, March 28, 2014 Page 1 3 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. Ms. Vicki Barringer Day Phone: 919- 971 -9333 Sex: Female First Appointed: 03/22/2012 Evening Phone: Race: Caucasian Current Appointment: 03/19/2013 6 3612 Old Vine Trail FAX: Township: Eno Expiration: 03/31/2016 Hillsborough NC 27278 E -mail: vbarringer @gmail.com Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Ms. Sandra Lemons Day Phone: 919 - 971 -8385 Sex: Female First Appointed: 02/04/2014 Evening Phone: Race: Caucasian Current Appointment: 02/04/2014 7 1321 Brookhollow Road FAX: Township: Cheeks Expiration: 02/04/2015 Efland NC 27243 E -mail: SandraL @umrh.org Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Nursing Home Administration Dr. Mario Battigelli Day Phone: 919- 942 -5756 Sex: Male First Appointed: 03/16/2010 Evening Phone: Race: Caucasian Current Appointment: 04/19/2011 8 1307 Wildwood Drive FAX: Township: Chapel Hill Expiration: 03/16/2014 Chapel Hill NC 27514 E -mail: mcbattigelli @gmail.com Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Ms. Susan Deter Day Phone: 919 - 682 -4124 Sex: Female First Appointed: 04/19/2011 Evening Phone: Race: Caucasian Current Appointment: 03/22/2012 9 5512 Quail Hollow Drive FAX: 919 - 956 -7703 Township: Little River Expiration: 04/19/2015 Hillsborough NC 27278 E -mail: susiedeter @yahoo.com Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Dr Mary Ann Peter Day Phone: 919 - 732 -6073 Sex: Female First Appointed: 01/24/2012 Evening Phone: Race: Caucasian Current Appointment: 06/18/2013 10 118 W. Tryon St. FAX: Township: Hillsborough Expiration: 06/30/2016 Hillsborough NC 27278 E -mail: maryannpeter @earthlink. net Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: At -Large Friday, March 28, 2014 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. Dr Joanne Wilson 11 104 Stoneridge Drive Chapel Hill NC 27514 VACANT 12 Day Phone: 919- 810 -2774 Sex: Female First Appointed: 02/04/2014 Evening Phone: Race: African American Current Appointment: 02/04/2014 FAX: Township: Chapel Hill Expiration: 02/04/2015 E -mail: anteel @earthlink.net Resid/Spec Req: At -Large Number of Terms: 1 Special Repr: Nursing Home Administration Day Phone: Sex: First Appointed: 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 Friday, March 28, 2014 Page 3 Thom Freeman From: Ed Flowers <ed_flowers @yahoo.com> Sent: Monday, March 17, 2014 9:29 PM To: Thom Freeman Cc: Charlotte Terwilliger Subject: Vibeke Tally Please request that the BOCC appoint Vibeke Tally to a one year term on the Orange County Nursing Home Committee. Please let me know if there are questions of if additional information is needed. Thanks Ed Flowers I Page 1 of 1 Vibeke Talley 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. Vibeke Talley 134E Tryon St Hillsborough NC 27278 9197323112 9197323112 9199718549 vibandjoe @hotmail.com Duke HomeCare and Hospice Occupational Therapist 1980 Hillsborough Hillsborough Town Limits Female Caucasian Community Activities /Organizational Memberships: Hillsborough Presbyterian Church, North Carolina Occupational Therapy Association. Past Service on Orange County Advisory Boards: I m not serving on any Advisory Board presently. In the past I have served on the Sportsplex Advisory Committee. Boards /Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: As an occupational therapist I have worked in skilled nursing facilities in the past. I worked for the Orange County Department on Aging for 10 years and was a liaison to this committee for a while. Reasons for wanting to serve on this board: The experiences mentioned above made me aware of the need for the community to take an interest in the welfare of the residents in nursing homes. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 2/5/2014 3:36:58 PM Date Printed: 3/28/2014 7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Nursing Home Community Advisory Committee Contact Phone: Charlotte Terwilliger, MSW 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 Chapel Hill E -mail: jaseradams@gmail.com Date Applied: 10/07/2013 Skills: Consultant Also Serves On: Skills: 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 01/08/2014 E -mail: mbell968@yahoo.com Date Applied: 01/09/2014 Skills: Also Serves On: Sex: Female Evening Phone: Ms. T. L. Crews 4921 Guess Rd Rougmeont NC 27572 Skills: School Principal Skills: Tutor Nick Galvez 403 N Elliott Road Chapel Hill NC 27514 Skills: Mrs Karen Schnell 4421 Lynch Store Rd Mebane NC 27302 Skills: Consultant Skills: Nurse Ms. Vibeke Talley 134 E Tryon St Hillsborough NC 27278 Skills: 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: 7274189921 Sex: Male Evening Phone: 7274189921 Race: Other Cell Phone: 7274189921 Township: Chapel Hill E -mail: ngalvez1234@gmail.com Date Applied: 01/08/2014 Also Serves On: Board of Health Day Phone: 919 304 5880 Sex: Female Evening Phone: Race: Caucasian Cell Phone: Township: Cedar Grove E -mail: schnellkar@yahoo.com Date Applied: 06/06/2013 Also Serves On: Adult Care Home Community Advisory Committee Day Phone: 9197323112 Evening Phone: 9197323112 Cell Phone: 9199718549 E -mail: vibandjoe@hotmail.com Also Serves On: Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 02/05/2014 Friday, March 28, 2014 Page 1 of 1 Page 1 of 2 Susan Adams 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. Susan Adams 211 Hogan Woods Circle Chapel Hill NC 27516 919- 357 -5541 919- 357 -5541 jaseradams @gmail.com Self- employed Consultant 2004 Chapel Hill Carrboro City Limits Female Caucasian 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: Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: 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 9 Page 2 of 2 Susan Adams 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. I 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 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. Reasons for wanting to serve on this board: Conflict of Interest: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: 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. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: 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: 3/28/2014 10 Page 1 of 2 ILYAMM TO,.M -11 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. Martha Bell 100 Macrae Court Chapel Hill NC 27516 919- 968 -4674 as above N/A mbe11968 @yahoo.com Retired Registered Nurse - Director of Nursing 1995 Chapel Hill Female 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 11 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: 3/28/2014 12 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 Community Activities /Organizational Memberships: Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: 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 13 Page 2 of 2 T. L. Crews Currently Executive Director of Little River Community Complex Education: M.ED in Special Education BA in history with minor in education Hold Principal Certification 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: 3/28/2014 14 Page 1 of 2 Nick Galvez 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: Nick Galvez 403 N Elliott Road Chapel Hill NC 27514 7274189921 7274189921 7274189921 ngalvez1234 @gmail.com Bayada Home Care Field Clinician /Physican Therapist 2013 Chapel Hill Male 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. 1 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, 15 Page 2 of 2 Nick Galvez Nick Galvez Past Service on Orange County Advisory Boards: none Boards /Commissions applied for: 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: 3/28/2014 16 Page 1 of 2 Karen Schnell 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 Mrs Karen Schnell 4421 Lynch Store Rd Mebane NC 27302 919 304 5880 schnellkar @yahoo.com Blue Sky Health Concepts Consulting, LLP RN, MSN, LNC 2004 Cedar Grove Agricultural Residential Female Caucasian Community Activities /Organizational Memberships: NCNA Volunteer as Nurse of the Day for the General Assembly PRN Past Service on Orange County Advisory Boards: Boards /Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: 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. Reasons for wanting to serve on this board: Conflict of Interest: Supplemental Questions: 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: 3/28/2014 17 Page 2 of 2 Karen Schnell