HomeMy WebLinkAboutAgenda - 06-17-2014-11aORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 17, 2014
Action Agenda
Item No. 11 -a
SUBJECT: Adult Care ❑ome Community Advisory Committee - Appointments
DEPARTMENT: Board of Commissioners
ATTACHMENT(S): Under Separate Cover
Membership Roster
Recommendations
Applications for Persons Recommended
Applicant Interest List
Applications for Persons on the Interest List
PUBLIC HEARING: (Y /N) No
INFORMATION CONTACT:
Clerkis Office, 245 -2130
1
PURPOSE: To consider making appointments to the Adult Care ❑ome Community Advisory
Committee.
BACKGROUND: The following information is for Board consideration: THE TWO
INDIVIDUALS LISTED BELOW HAVE SERVED THEIR ONE YEAR TRAINING
APPOINTMENT.
• Appointment to a first full term (Position #8) At -Large For Ms. Joyce Teston ending
06/30/2016.
• Appointment to a first full term (Position #10) At -Large for Dr. Beverly Foster ending
06/30/2016.
POSITION NO.
NAME
SPECIAL REPRESENTATIVE
EXPIRATION DATE
8
Ms. Joyce Teston
At -Large
6/30/2016
10
Dr. Beverly Foster
At-Large
6/30/2016
FINANCIAL IMPACT: None.
RECOMMENDATION(S): The Board will consider making appointments to the Adult Care
❑ome Community Advisory Committee.
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 17, 2014
Action Agenda
Item No. 11 -a
SUBJECT: Adult Care Home Community Advisory Committee - Appointments
DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): Under Separate Cover
Membership Roster
Recommendations
Applications for Persons Recommended
Applicant Interest List
Applications for Persons on the Interest List
INFORMATION CONTACT:
Clerk's Office, 245-2130
1
PURPOSE: To consider making appointments to the Adult Care Home Community Advisory
Committee.
BACKGROUND: The following information is for Board consideration: THE TWO
INDIVIDUALS LISTED BELOW HAVE SERVED THEIR ONE YEAR TRAINING
APPOINTMENT.
• Appointment to a first full term (Position #8) At-Large For Ms. Joyce Teston ending
06/30/2016.
• Appointment to a first full term (Position #10) At-Large for Dr. Beverly Foster ending
06/30/2016.
POSITION NO.
NAME
SPECIAL REPRESENTATIVE
EXPIRATION DATE
8
Ms. Joyce Teston
At-Large
6/30/2016
10
Dr. Beverly Foster
At-Large
6/30/2016
FINANCIAL IMPACT: None.
RECOMMENDATION(S): The Board will consider making appointments to the Adult Care
Home Community Advisory Committee.
2
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.
Dr. Mario Battigelli
Day Phone: 919 - 942 -5756
Sex: Male
First Appointed:
04/19/2011
1
Evening Phone:
Race: Caucasian
Current Appointment:
05/20/2014
1307 Wildwood Drive
FAX:
Township: Chapel Hill
Expiration:
03/31/2017
Chapel Hill NC 27514
E -mail: mcbattigelli @gmail.com
Resid/Spec Req: At -Large
Number of Terms:
2
Special Repr:
Mr. Daniel Hatley
Day Phone: 919 - 200 -0822
Sex: Male
First Appointed:
08/17/2010
2
Chair
Evening Phone:
Race: Caucasian
Current Appointment:
11/19/2013
317 W. University
FAX: 888 -514 -4878
Township: Chapel Hill
Expiration:
10/31/2015
Chapel Hill NC 27516
E -mail: dan @hatleylawoffice.com
Resid/Spec Req: At -Large
Number of Terms:
2
Special Repr: DD /MR
Ms. Deborah Rider
Day Phone: 919- 818 -6489
Sex: Female
First Appointed:
06/19/2012
3
Evening Phone:
Race: Caucasian
Current Appointment:
09/17/2013
2314 Red Oak CT.
FAX:
Township: Hillsborough
Expiration:
06/30/2016
Hillsborough NC 27278
E -mail: driderl736 @gmail.com
Resid/Spec Req: At -Large
Number of Terms:
1
Special Repr:
Mr. Max Mason
Day Phone: 919- 649 -7937
Sex: Male
First Appointed:
06/07/2011
4
Vice -Chair
Evening Phone:
Race: Caucasian
Current Appointment:
06/19/2012
821 Tinkerbell Rd.
FAX:
Township: Chapel Hill
Expiration:
06/30/2015
Chapel Hill NC 27517
E- mail: maxomason @yahoo.com
Resid /Spec Req: At -Large
Number of Terms:
I
Special Repr:
Dr. Anthony John Vogt
Day Phone: 919- 929 -8646
Sex: Male
First Appointed:
10/16/2012
5
Evening Phone:
Race: Caucasian
Current Appointment:
11/19/2013
713 W. Barbee Chapel Road
FAX: NA
Township: Chapel Hill
Expiration:
10/31/2015
Chapel Hill NC 27517
E -mail: ajvogt @earthlink.net
Resid/Spec Req: At -Large
Number of Terms:
0
Special Repr:
Thursday, June 05, 2014
Page 1
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
Meeting Tunes: 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.
Thursday, June 05, 2014
Day Phone: 644 -0157
Evening Phone:
FAX: na
E -mail: na
Day Phone: 919 - 923 -7673
Evening Phone:
FAX:
E -mail: rbenzonelli @gmail.com
Day Phone: n/a
Evening Phone:
FAX:
E -mail: joyceteston @gmail.com
Day Phone: 919 732 -6974
Evening Phone:
FAX:
E -mail: crewsez @aol.com
Day Phone: 919 966 -4995
Evening Phone:
FAX: 919 843 -6212
E -mail: Bev—Foster@une.edu
Sex: Male
Race: Caucasian
Township: Eno
Resid /Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Chapel Hill
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Hillsborough
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: African American
Township: Little River
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Chapel Hill
Resid/Spec Req: At -Large
Special Repr:
First Appointed: 10/06/2009
Current Appointment: 11/19/2013
Expiration: 10/31/2015
Number of Terms: 3
First Appointed: 09/17/2013
Current Appointment: 09/17/2013
Expiration: 10/30/2014
Number of Terms:
First Appointed: 09/17/2013
Current Appointment: 09/17/2013
Expiration: 06/30/2014
Number of Terms:
First Appointed: 03/22/2012
Current Appointment: 03/19/2013
Expiration: 03/31/2016
Number of Terms: 1
First Appointed: 06/18/2013
Current Appointment: 06/18/2013
Expiration: 06/30/2014
Number of Terms:
Page 2
3
Mr Richard Gross
6
3006 Joshua Dr
Hillsborough NC 27278
Ms Rosie Benzonelli
7
837 Kenmore Rd
Chapel Hill NC 27514
Ms. Joyce Teston
8
2326 Highway 86 South
Hillsborough NC 27278
Ms. T. L. Crews
9
4921 Guess Rd
Rougmeont NC 27572
Dr. Beverly Foster
10
2454 Springview Trail
Chapel Hill NC 27514
Thursday, June 05, 2014
Day Phone: 644 -0157
Evening Phone:
FAX: na
E -mail: na
Day Phone: 919 - 923 -7673
Evening Phone:
FAX:
E -mail: rbenzonelli @gmail.com
Day Phone: n/a
Evening Phone:
FAX:
E -mail: joyceteston @gmail.com
Day Phone: 919 732 -6974
Evening Phone:
FAX:
E -mail: crewsez @aol.com
Day Phone: 919 966 -4995
Evening Phone:
FAX: 919 843 -6212
E -mail: Bev—Foster@une.edu
Sex: Male
Race: Caucasian
Township: Eno
Resid /Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Chapel Hill
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Hillsborough
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: African American
Township: Little River
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Chapel Hill
Resid/Spec Req: At -Large
Special Repr:
First Appointed: 10/06/2009
Current Appointment: 11/19/2013
Expiration: 10/31/2015
Number of Terms: 3
First Appointed: 09/17/2013
Current Appointment: 09/17/2013
Expiration: 10/30/2014
Number of Terms:
First Appointed: 09/17/2013
Current Appointment: 09/17/2013
Expiration: 06/30/2014
Number of Terms:
First Appointed: 03/22/2012
Current Appointment: 03/19/2013
Expiration: 03/31/2016
Number of Terms: 1
First Appointed: 06/18/2013
Current Appointment: 06/18/2013
Expiration: 06/30/2014
Number of Terms:
Page 2
3
4
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.
11
Mr James Bartow
118 Collums Rd
Chapel Hill NC 27514
Day Phone: 919 932 -2682
Evening Phone:
FAX:
E -mail: jmsbartow @gmail.com
Mrs Karen Schnell Day Phone: 919 304 5880
12 Evening Phone:
4421 Lynch Store Rd FAX:
Mebane NC 27302 E -mail: schnellkar @yahoo.com
Sex: Male
Race: Caucasian
Township: Chapel Hill
Resid/Spec Req: At -Large
Special Repr:
Sex: Female
Race: Caucasian
Township: Cedar Grove
Resid/Spec Req: At -Large
Special Repr:
First Appointed:
02/18/2014
Current Appointment:
02/18/2014
Expiration:
10/31/2014
Number of Terms:
0
First Appointed:
09/17/2013
Current Appointment:
09/17/2013
Expiration:
10/30/2014
Ntunber of Terms:
0
Thursday, June 05, 2014 Page 3
5
Thom Freeman
From: Charlotte Terwilliger <cterwilliger @tjcog.org>
Sent: Thursday, May 29, 2014 8:24 AM
To: Thom Freeman
Subject: Reappointment recommendations to the ACH Community Advisory Committee
Dear Thom,
The Adult Care Home Community Advisory Committee would like to recommend Dr. Beverly Foster for a first full
term. Her current one year appointment will expire on 6/30/2014. During the past year Dr. Foster attended 5 out of 6
business meetings and has - actively participated -in all of her - assigned quarterly facility visitations. -in addition; she helped- -
coordinate a donation drive for activity supplies to be used at county long term care facilities. Her interest for
serving elders and her observational skills have been invaluable to the work of this committee..
- The Adult-Care-Home---Community Advisory Committee -would also-like to recommend Ms Joyce Teston fora first full - ..
term. Her current one year appointment will also expire on 6/30/2014. During the past year Ms. Teston attended 5
out of 6 business meetings and has actively participated in all of her assigned quarterly facility visitations. Ms. Teston
has been instrumental in educating the community to the work of this committee and she serves as a strong advocate
for residents living in long term care facilities.
Please let me know if you need anything else from me to move these recommendations forward.
Thank you.
Best Regards,
Charlotte
Charlotte Terwilliger, MSW
Regional Long Term Care Ombudsman
Area Agency on Aging
Triangle 1 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
Joyce Teston
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 Teston
2326 Highway 86 South
Hillsborough NC 27278
n/a
n/a
joyceteston @gmail.com
retired
Year of OC Residence: 1983
Township of Residence: Hillsborough
Zone of Residence: Orange County
Sex: Female
Ethnic Background: Caucasian
Community Activities /Organizational Memberships:
Patient Advocate Volunteer, Duke Hospital
Previous Hospice Vounteer, Hospice, Hillsborough, NC
Past Service on Orange County Advisory Boards:
none
Boards /Commissions applied for:
Supplemental Questions:
Other Comments:
STAFF COMMENTS: Originally (05/19/2013) applied for Adult Care Home Community
Advisory Committee. ADDRESS VERIFICATION: 2326 Highway 86 South is Orange
County Jurisdiction, Hillsborough Township, Rural Residential.
This application was current on: 5/19/2013 8:58:41 PM Date Printed: 6/5/2014
7
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
Community Activities /Organizational Memberships:
Past Service on Orange County Advisory Boards:
Boards /Commissions applied for:
Supplemental Questions:
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:
I 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
.:3
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: 2/1012011 7:20:17 AM Date Printed: 615/2014
M
Applicant Interest Listing
by Board Name and by Applicant Name
Contact Person: Charlotte Terwilliger
Adult Care Home Community Advisory Committee Contact Phone: 919 -558 -9401
Miss Danielle Mosley
Day Phone: 919 - 309 -5685
Sex:
Female
476 Melanie Court
Evening Phone:
Race:
Caucasian
Chapel Hill NC 27514
Cell Phone:
Township:
Chapel Hill
E -mail: Dlynnm26 @gmail.com
Date Applied:
06/26/2012
Skills: Club Nova
Also Serves On:
Thursday, June 05, 2014 Page 1 of 1
ilu
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
Page 2 of 2
Education: Attending school for ged
Danielle Mosley
11
Other Comments:
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: 6/5/2014