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HomeMy WebLinkAboutAgenda - 03-06-2008-10gORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: March 6, 2008 SUBJECT: Nursing Home Communit Committee-New Action Agenda Item No. ~r7- No DEPARTMENT: Board of Commissioners ents PUBLIC HEARING: (Y/N) ATTACHMENT(S): Under Separate Cover Membership Roster Letter of Recommendation Application(s)/Resume(s) of Person(s) Recommended Interest List Application(s)/Resume(s) of Person(s) on the Interest List INFORMATION CONTACT: Clerk's Office, 245-2130 PURPOSE: To consider making new appointments to the Nursing Home Community Advisory Committee. BACKGROUND: The Clerk's office has received recommendations from the Nursing Home Community Advisory Committee for the following people: Ed Flowers and Pat Revels. If appointed they will be serving cone-year training term, which will end on 2/28/2009. FINANCIAL IMPACT: None. RECOMMENDATION(S): Consider making new appointments to the Nursing Home Community Advisory Committee. 0 0 0 0 0 0 0 0 o a o 0 N 0 N 0 N 0 N ~ 0 N 0 N 0 N 0 N 0 N 0 N 0 N ~ ro N M O ^' O O .N-~ N 0 0 O O Mp N a O O O O O O O O O O O ~ O q o ~ G ~ p '~ ~ ~ ~ ~ ~ Q '~ ~ ~ i 1 ~ ~ ~ p •~ N ~ ~ ~ ~ ~ '~ ~ ~ ~ G .. ~ ~ '~ ~ ~ ~ ~ ~ ~ ° a . 2~ b a. d o a st ' w o ~ i ~^ d o a, x w o ~, p^ d o a, k . w o ,~ ~ a d o c~ x" w o ~ a d o a k" w o ,. a ~ G ~ dp' .o ~ da' .~ I ~ w da , °o ~ w ~ .o ~ dp' ,~ o :C w ~ ~ iw ~ Z ~ Z I ~ ~ ~, ~ ~ °o ~ m ~ ~ ~ ~ ~ i ~ • >+ ~ o o ob U ' i U U U U ~ N aFi ° ~ a.~ .~ i •° ~Ir o y <1-1 ~ y ~; o L: .~" ~ N ~ W N N J ~ N J tl ~ '~ J J tl ~ xi N ° M W F. ° ~ ° ~ A te •y ~ bQ ~D bA ~ b~A I ~ bap ~M N ti ~i ~ FA 'y W ~ bCA A , . P . ~ ro ~ ~ ~ ~ ~ ~ ~ a ~ ~ ~ ~ ~ ~ ~ y ~ ~ °, ~ U U d d d d d d w U a 6 d ~ U U d Z ~VI,~I ~" o o ~ ~ ~ aXi v °' a°i a aXi v a' ~ O, ~ aki v R' a°i R. aki v p" a~i i . ~ aXi ~ R' a°i a. y~ ° o ~ -. 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O ~ ~ N ~~ ~ as ~,~~ O .~ di d a ~ G a4 E=~ w ._o ~ ~ ~ •a N '~ ~ .L ~ °~' ~ ~~ ~Q ~D h O O O ~ O O O N N N ~ M ~-+ "~ o O N N ~ ~ O .o ~ ~~ ~ a '~ ~~^ o 0 Q W ~ ti w ~ ~ ~ z .~ d O N xi ~ bA dl y ~ ~„ ~ ~+ a ro ~ i. w U U d Z is ~ ~ `~ ~ ~ U N ~ o ~ '~ H ~ a ai ~ O bA .~ a b rn ~ rn b a, ~ a rn ~~ rn ro 0 0 <G `~ ~ a w ~ w .~ Q ~ w N v~ d' v~ ,~ N Qz ~ ~ a ;, ro ~ U ~O t`~ O O O .-~ O O O ~ M ~ '"_' o O N N ~ N O F .O ~ ~~ N a ~ H o a o Q ~ W ~ ti w ~ ~ G z U ~ .~ d ~ E N ~ N x N v~ 4. ~ C N U cC ~ '~ w U U d Z a~ ro ~ a' ~ ~ ~ ~ ~ ~ N ~ o a •~ ~~r~ ~r ~ v rn 0 rn y ~ b G G ~ ~~ a a w ~ w .~ Q ~ w U M A N az `~ C~ ~ v o ~ U M GJ cd~ a 0 0 N N w m b 5 Angela Thompson-Rockett From: Mary Ann Peter [maryannpeter@earthlink.net] Sent: Tuesday, January 22, 2008 5:45 PM To: Angela Thompson-Rockett; Jill Passmore Subject: Recommendation for Orange County Nursing Home Community Advisory Committee To the Baard of Orange County Commissioners, I would like to recommend Ed Flowers for membership in the Orange County Nursing Home Advisory Committee. He has attended a meeting of the committee in January and is an Orange ~.,,,,,+-,. ,-o~; ao„+- . ~ a, ~ Ro~ko+-t ~ ~ .u; ~nP nr; va ui 'i 'i Ghnrouah . NC . He has extensive experience in health care and in volunteer work. We currently have three committee vacancies and I'm certain that he will be an asset to our committee. Sincerely, Mary Ann Peter, Chair Orange County Nursing Home Community Advisory Committee January 22, 2008 Angela Thompson-Rockett From: Mary Ann Peter [maryannpeter@earthlink.net] Sent: Thursday, January 24, 2008 6:04 PM To: Angela Thompson-Rockett; Jill Passmore Subject: FW: Recorhmendation for Orange County Nursing Home Community Advisory Committee January 24, 2008 To the Orange County BOCC I would like to recommend Pat Revels for membership in the Orange County Nursing Home Community Advisory Committee. At the current time nine of 12 positions are filled. Ms. Revels has submitted an application, is a resident of Hillsborough, and has attended the January 14 meeting of the committee. RhP ; c a rat-irPri erinnai-nr anc~ i s well.-qualified for membership in this committee. We would like for her to be considered at the next opportunity. Thank you for your support of this committee and the important advocacy work that is being carried out on behalf of residents in Orange County nursing homes. Sincerely, Mary Ann Peter, RN, PhD Chair, Orange County Nursing Home Community Advisory Committee t Page 1 of 2 Ed Flowers Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Mr Ed Flowers 2813 Beckett's Ridge Drive Hillsborough NC 27278 919-357-9256 919-357-9256 ED_FLOW ERS@YAHOO.COM Duke University Hospital Senior Nuclear Medicine Technologist Hillsborough Does not apply Male Caucasian 2/10/1944 Boards/Commissions applied for: Nursing Home Community Advisory Committee Work Experience: 1965 - 1970 Nuclear Medicine Technologist NC Baptist Hospital 1970 - 1976 Chief Nuclear Medicine Technologist Duke Medical Center 1976 - 1991 Technical Administrator -Nuclear Medicine -Duke Medical Center 1991 - prestnt Senior Nuclear Medicine Technologist Volunteer Experience: Durham Congregations in Action Yokefellows -Durham County - Alamance/Orange Counties Durham Nursery School Advisary Committee Blowing Rock Conference Center Board of Directors -Treasurer Education: High School -Southwest Forsyth College -Mars Hill Radiologic Technology -North Carolina Baptist Hospital Nuclear Medicine Technology -North Carolina Baptist Hospital Other Comments: Extensive experience with regulatory agencies (e.g.; JCAHO, N.C.Radiation Safety, OSHA, Nuclear Regulatory Commission) STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Community Advisory Committee on 11/18/2007. ADDRESS VERIFICATION: 2813 Beckett's Ridge Drive, is Hillsborough Township. Page 1 of 2 Patricia Revels Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Mrs. Patricia Revels 329 West King Street Hillsborough NC 27278 (919) 241-407 Same N/A prevels001 @nc.rr.com Retired (June'06) Township of Residence: Hillsborough Zone of Residence: Hillsborough Twnshp - In City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 9!29/1946 Boards/Commissions applied for: Nursing Home Community Advisory Committee Work Experience: 30+years public education in TN,MS,SC,GA,KY 12years secondary classroom teacher--social studies 15years counselor (3 years k-8) (12 years secondary) 3years teacher/counselor in an Alternative School Volunteer Experience: Foster Care Services Meals-on-Wheels Tutor--Each-One-Teach-One Reading program) Adult Education--preparation for GED Education: M.A. Vanderbilt University (23+ hrs. graduate studies) B.A. George Peabody College For Teachers High School Diploma, Louisville, KY Other Comments: Advocacy for people who often lack the skills and resources to effectively speak for themselves has always been an important part of my personal and professional life. I look forward to serving and working with others on behalf of nursing home clients.STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory Committee 1/24/2008. ADDRESS VERIFICATION: 329 Est King Street, Hillsborough, is in Hillsborough Township in the city limits. Applicant Interest Listing Nursing Home Community Advisory Committee by Board Name and by Applicant Name Contact Person: Vibeke Talley, OTR/L Contact Phone: 919-968-2087 Mr. Blake Burlclin Day Phone: 919-812-4394 Sex: Male 117 Creel St. Evening Phone: 919-812-4394 Race: Caucasian Chapel Hill NC 27516 FAX: Township: Chapel Hill E-mail: burlclin@email.une.edu Date Applied: 02/03/2008 Skills: Habitat for Humanity Also Serves On: Skills: Sociology Major Also Serves On: MS. 7eanette C1arlc Day Phone: 919-620-8662 Sex: Female 221 Rencher St Apt 3 Evening Phone: 732-7856 Race: African American Hillsborough NC 27278 FAX: 6208662 Township: Hillsborough E-mail: Date Applied: 02/23/2005 Skills: Nursing Home Experience Also Serves On: Ms. Peggy Cohn Day Phone: 919-489-6624 Sex: Female 10 Bayswater Place Evening Phone: same Race: Caucasian Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: peggycolml@earthlinlc.net Date Applied: 10/10/2005 Skills: Geriatric Care Also Serves On: Adult Care Home Community Advi sory Committee Also Serves On: Advisory Board on Aging MS. ELIZABETH CRONER 1605 N. GREENBOROUGH ROAD CARI2BOR0 NC 27510 Skills: Retired Day Phone: Evening Phone: FAX: ' E-mail: Also Serves On: 919.933.862 Sex: Female Race: African American Township: Chapel Hill Date Applied: 11/05/2005 Mr Ed Flowers 2813 Beckett's Ridge Drive Hillsborough NC 27278 Skills: Children's Issues Skills: Nuclear Physicist Day Phone: 919-357-9256 Evening Phone: 919-357-9256 FAX: E-mail: ED_FLOWERS@YAHOO.COM Also Serves On: Also Serves On: Sex: Male Race: Caucasian Township: Hillsborough Date Applied: 11/18/2007 Thursday, February 21, 2008 Page 1 of 2 ~v Applicant Interest Listing Nursing Home Community Advisory Committee by Board Name and by Applicant Name Contact Person: Vibeke Talley, OTR/L Contact Phone: 919-968-2087 Ms. Jane Powell Day Phone: 910-474-9083 Sex: Female 656 Craige Dorm Evening Phone: 919-914-4924 Race: African American LJNC Chapel Hill FAX: Township: Chapel Hill Chapel Hill NC 27514 E-mail: japo@email.unc.edu Date Applied: 09/30/2004 Skills: Cashier Also Serves On: Skills: Community Service Volunteer Also Serves On: Skills: Customer Service Also Serves On: Mrs Patricia Revels 329 West King Street Hillsborough NC 27278 Skills: Meals-On-Wheels Volunteer Skills: Teacher Skills: Tutor Ms. Tammy Thacker 517 N. Hill Street Hillsborough NC 27278 Skills: Certified Nurses Aide Day Phone: (919) 241-407 Evening Phone: Same FAX; N/A E-mail: prevels001@nc.n•.com Also Serves On: Also Serves On: Also Serves On: Day Phone: 638-4387 Evening Phone: FAX: E-mail: gr8tpay@yahoo.com Also Serves On: Sex: Female Race: Caucasian Township: Hillsborough Date Applied: 01/24/2008 Sex: Female Race: African American Township: Hillsborough Date Applied: 02/14/2006 Thursday, February 21, 2008 Page 2 of 2 Page 1 of 1 Blake Burklin Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Mr. Blake Burklin 117 Creel St. Chapel Hill NC 27516 919-812-4394 919-812-4394 Burklin@email.unc.edu Johnny T Shirt Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Twnsp Sex: Male Ethnic Background: Caucasian Date of Birth: 11/15/1983 Boards/Commissions applied for: Orange County Planning Board Nursing Home Community Advisory Committee Work Experience: Harris Teeter Triangle Sportsplex Johnny T Shirt Volunteer Experience: UNC Hospital Habitat for Humanity Education: B.A. in Sociology from the University of North Carolina at Chapel Hill Other Comments: As an undergraduate sociology major I was able to design and implement IRB approved social research on stigmatized populations confidentially. (believe as a life long resident of the Chapel Hill/ New Hope area, that I will have some insight the Board might find valuable. STAFF COMMENTS: Originally applied for Orange County Planning Board Nursing Home Community Advisory Committee on 2/3/2008. ADDRESS VERIFICATION: 117 Creel St, Chapel Hill, is Chapel Hill township in CHP~ jurisdiction. This application was current on: 2/3/2008 10:53:29 PM Date Printed: 2/21/2008 ~~ Page 1 of 1 Jeanette Clark Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Jeanette Clark 221 Rencher St Apt 3 Hillsborough NC 27278 919-620-8662 732-7856 6208662 Central Family Care Supervisor in Charge Hillsborough Hillsborough ETJ Female African American 7/8/1955 Boards/Commissions applied for: Nursing Home Community Advisory Committee Joint Orange Chatham Community Action Agency Work Experience: I have been in the medical experience for about 12 yrs. I am a certified nurse assistant, and a certified medical technician. I have nursing home and adult care home experience. I supervise a group home now for mental residents Volunteer Experience:. I have no volunteer experience but I have done outreach before and I have a certificate for a class I took as an outreach worker. Education: GED Other Comments: STAFF COMMENTS: Originally applied for Nursing Home CAC and Adult Care Home Community Advisory Committee and JOCCA. ADDRESS VERIFICATION: 211 Rencher St is in Orange County in Hillsborough Township in Hillsborough ETJ. This application was current on: 2/23/2005 Date Printed: 2/21/2008 I3 Page 1 of 1 Peggy Cohn Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Peggy Cohn Peggy 10 Bayswater Place Chapel Hill NC 27517 919-489-6624 same peggycohn1 @earthlink.net retired Geriatric Care Manager Chapel Hill C.H. City Limits Female Caucasian 8/28/1938 Boards/Commissions applied for: Nursing Home Community Advisory Committee Work Experience: Community Health Nursing educator UNC and Penn State University Director of Family Ties, Geriatric Care Management, State College PA Volunteer Experience: Nursing Home visitation Non profit Boards in PA Education: BA, Wellesley BSN, Columbia University MPH, UNC PhD, Penn State University College of Health and Human Developmenet Other Comments: STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory Committee and NHCAC and Adv. Board on Aging 10/10!2005. ADDRESS VERIFICATION: Mailing address listed above. Residence is 233 McCauley Street in Chapel Hill city limits. This application was current on: 10/10/2005 11:34:21 AM Date Printed: 2/21/2008 1~ Page 1 of 1 ELIZABETH CRONER Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: MS. ELIZABETH CRONER 1605 N. GREENBOROUGH ROAD CARRBORO NC 27510 919.933.862 RETIRED Township of Residence: Chapel Hill Zone of Residence: Carrboro City Limits Sex: Ethnic Background: Date of Birth: Female African American 5/14/1934 Boards/Commissions applied for: Advisory Board on Aging Nursing Home Community Advisory Committee Work Experience: RETIRED FROM STATE OF OHIO, CLEVELAND DEVELOPMENTAL CENTER; STAFF SUPV. Volunteer Experience: CURRENTLY ASSISTING ABUNDANT LIFE CHURCH PANTRY Education: HIGH SCHOOL; CONTINUED EDUCATION; Other Comments: STAFF COMMENTS: Originally applied for Adv. Board on Aging, Nursing Home CAC, and Board of Social Services 11/8/2005. ADDRESS VERIFICATION: 1605 N. Greensboro St is in Carrboro City Limits in Orange County in the Chapel Hill Township. This application was current on: 11/5/2005 11:28:47 AM Date Printed: 2/21/2008 ~~ Page 1 of 1 Jane Powell Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Jane Powell 656 Craige Dorm UNC Chapel Hill Chapel Hill NC 27514 910-474-9083 919-914-4924 japo@email.unc.edu Wynnsong 15 Theatre Cashier Chapel Hill Chapel Hill Township within C.N. city limits Female African American 10/18/1983 Boards/Commissions applied for: Nursing Home Community Advisory Committee Affordable Housing Advisory Board Work Experience: Ocean Beach Club: waitress and secretary, Dairy Queen: cashier, Wynnsong 15: cashier. Volunteer Experience: Volunteer with Public Service Scholars. Volunteer at Dobbins Hill apartments on Mondays, Volunteer at UNC Hospital on Mondys. DO other volunteering when needed. Education: High School-Lumberton Senior High School, attending UNC Chapel, BS Nursing Other Comments: STAFF COMMENTS: Originally applied for Nursing Home Community Advisory Committee, Affordable Housing Advisory Board, and Animal Shelter Operations Task Force. ADDRESS VERIFICATION: 656 Craige Darm is on the campus of UNC-Chapel Hill and is located off of Manning Drive in Orange County, in the Chapel Hill Township in the City Limits. This application was current on: 9/30/2004 Date Printed: 2/21/2008 i~ Page 1 of 1 Tammy Thacker Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Tammy Thacker 517 N. Hill Street Hillsborough NC 27278 638-4387 gr8tpay@yahoo.com Aryzen Health and Wellness President and CAN II Hillsborough Hillsborough Town Limits Female African American 5/31 /1968 Boards/Commissions applied for: Nursing Home Community Advisory Committee Work Experience: I have been in Health Care for over 15 years and I have a good knowledge base about the elderly. I understand people need and what it takes to live in a safe environment. Volunteer Experience: I have volunteered in the classrooms of my children. Education: Certified CNA I and II. Certified EKG technician and Certified Medication Technician. Other Comments: STAFF COMMENTS: Originally applied for Adult Care Home and Nursing Home Care Advisory Boards and Advisory Board on Aging 2/14/2006. ADDRESS VERIFICATION: 517 Hill Street is in the Town of Hillsborough in Orange County. This application was current on: 2/14/2006 Date Printed: 2/21/2008