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Home My WebLink AboutAgenda - 10-06-2015-11a 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: October 6, 2015 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 INFORMATION CONTACT: Membership Roster Clerk's Office, 245-2130 Recommendations Attendance Records Applications for Persons Recommended Interest List Applications of Persons on the Interest List PURPOSE: To consider making appointments to the Adult Care Home Community Advisory Committee. BACKGROUND: The following information is for Board consideration: NOTE: These positions are all 2 year terms with a maximum of 3 terms (6 years total). • Appointment to a third full term (Position #2) At-Large DD/MR for Daniel Hatley expiring 10/31/2017. • Appointment to a second full term (Position #4) At-Large for Max Mason expiring 06/30/2017. • Appointment to a second full term (Position #5) At-Large for Dr. Anthony John Vogt expiring 10/31/2017. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 2 Daniel Hatley DD/MR 10/31/2017 4 Max Mason At-Large 06/30/2017 5 Dr. Anthony John Vogt At-Large 10/31/2017 NOTE - If the individuals listed above are appointed, the following vacancies remain: • *Position #1--- "At-Large" position----- expiring 03/31/2017. This position has been vacant since 09/21/2015. • *Position #9--- "At-Large" position----- expiring 03/31/2016. This position has been vacant since 07/21/2015. * All positions require a one year training period from date of appointment. 2 FINANCIAL IMPACT: None. SOCIAL JUSTICE IMPACT: Enable Full Civic Participation. Ensure that Orange County residents are able to engage government through voting and volunteering by eliminating disparities in participation and barriers to participation. RECOMMENDATION(S): The Manager recommends that the Board consider making appointments to the Adult Care Home Community Advisory Committee. 3 Board and Commission Members And Vacant Positions Adult Care Home Community AdvisoryCommittee Meeting Times: 3:30 pm-5:00 pm 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. VACANT Day Phone: Sex: First Appointed: 1 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 03/31/2017 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Mr. Daniel Hatley Day Phone: 919-200-0822 Sex: Male First Appointed: 08/17/2010 2 Evening Phone: 309-252-1169 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: 919-732-9476 Race: Caucasian Current Appointment: 09/17/2013 2314 Red Oak CT. FAX: Township: Hillsborough Expiration: 06/30/2016 Hillsborough NC 27278 E-mail: drider1736 @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 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: 1 Special Repr: Dr. Anthony John Vogt Day Phone: 919-929-8646 Sex: Male First Appointed: 10/16/2012 5 Evening Phone: 919-929-8646 Race: Caucasian Current Appointment: 11/19/2013 713 W.Barbee Chapel Road FAX: Township: Chapel Hill Expiration: 10/31/2015 Chapel Hill NC 27517 E-mail: ajvogt@earthlink.net Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Tuesday,September 22,2015 Page 1 4 Board and Commission Members And Vacant Positions Adult Care Home Community AdvisoryCommittee Meeting Times: 3:30 pm-5:00 pm 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. MI's Suzanne Haff Day Phone: 919-933-9329 Sex: Female First Appointed: 12/09/2014 6 Evening Phone: 919-933-9329 Race: Caucasian Current Appointment: 12/09/2014 107 Hunter Hill Road FAX: Township: Chapel Hill Expiration: 12/09/2015 Chapel Hill NC 27516 E-mail: suzhaff @gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: A Yvonne Mendenhall Day Phone: 919-968-7874 Sex: Female First Appointed: 12/09/2014 7 Evening Phone: 919-968-7874 Race: Caucasian Current Appointment: 12/09/2014 304 W Barbee Chapel Rd FAX: Township: Chapel Hill Expiration: 12/09/2015 Chapel Hill NC 27517 E-mail: menholiday @aol.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Ms. Joyce Teston Day Phone: Sex: Female First Appointed: 09/17/2013 8 Evening Phone: Race: Caucasian Current Appointment: 06/17/2014 2326 Highway 86 South FAX: Township: Hillsborough Expiration: 06/30/2016 Hillsborough NC 27278 E-mail:joyceteston @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: VACANT Day Phone: Sex: First Appointed: 9 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 03/31/2016 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Dr. Beverly Foster Day Phone: 919 966-4995 Sex: Female First Appointed: 06/18/2013 10 Evening Phone: 919 967-2930 Race: Caucasian Current Appointment: 06/17/2014 2454 Springview Trail FAX: 919 843-6212 Township: Chapel Hill Expiration: 06/30/2016 Chapel Hill NC 27514 E-mail: Bev_Foster @unc.edu Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Tuesday,September 22,2015 Page 2 5 Board and Commission Members And Vacant Positions Adult Care Home Community AdvisoryCommittee Meeting Times: 3:30 pm-5:00 pm 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 Day Phone: 919 932-2682 Sex: Male First Appointed: 02/18/2014 11 Evening Phone: 919 932-2682 Race: Caucasian Current Appointment: 10/21/2014 118 Collums Rd FAX: Township: Chapel Hill Expiration: 10/31/2017 Chapel Hill NC 27514 E-mail:jmsbartow @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: Deborah Stewart Day Phone: 919-210-4857 Sex: Female First Appointed: 12/09/2014 12 Evening Phone: 919-210-4857 Race: Caucasian Current Appointment: 12/09/2014 1405 Buckhorn Rd. FAX: Township: Cheeks Expiration: 10/30/2017 Mebane NC 27302 E-mail: deb.k.stewart@gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Tuesday,September 22,2015 Page 3 6 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Monday, September 21, 2015 1:00 PM To: Thom Freeman Subject: Reappointment - Daniel Hatley Dear Thom, Mr. Daniel Hatley's current term to the Adult Care Home Community Advisory Committee will be expiring on 10/31/15. We are recommending that Mr. Hatley be reappointed for another full term. During this past year Mr. Hatley attended 4 out of 6 business meetings. For the two meetings that he missed he was excused. The previous year he attended 100% of the business meetings and served as the Chair. He also participated in all of the quarterly facility visits assigned to his subcommittee and supported several projects. Mr Hatley is committed to the goals of this committee. He is a keen observer of concerns related to resident rights during facility visits and is devoted to the enhancement of quality care and life of the elderly and disabled. Please let me know if you need additional information 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.tocog.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. i 7 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Friday,June 05, 2015 2:43 PM To: Thom Freeman Subject: Reappointment for Max Mason = ACH CAC Dear Thom, Max Mason's current term to the Adult Care Home Community Advisory Committee will be expiring on 6/30/15. We are recommending that Mr. Mason be reappointed for a second full term. Mr. Mason has provided strong leadership to the committee in his role as chair and he is a major asset to the committee's success.. He is a strong advocate for the elderly and disabled individuals living in long term care facilities and serves as a role model for the members of this committee. Mr. Mason has attended 6 out of 7 business meetings during the past year and completes all quarterly facility visits assigned to his group. Lastly Mr. Mason has directly participated in several advocacy projects that the committee has sponsored and encourages other members to do the same. Please let me know if you need additional information from me to move this recommendation forward. 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.tocog.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. i 8 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Monday, September 21, 2015 12:04 PM To: Thom Freeman Subject: Reappointment - Dr.Vogt Dear Thom, Dr. Anthony John Vogt's current term to the Adult Care Home Community Advisory Committee will be expiring on 10/31/15. We are recommending that Dr. Vogt be reappointed for a second full term. Dr. Vogt has provided strong leadership to the committee in his role as Vice Chair and is a major reason for the committee's success. He is a skillful advocate, and has supported several projects that enhances resident quality of life,to include personalized music for residents with dementia. He also serves as a facilitator for facility staff training on dementia care. Dr. Vogt has attended 100%of the business meetings during the past year and completed all quarterly facility visits assigned to his group. Please let me know if you need any additional information 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.tocog.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. i 9 Attendance Record Current - Member Re-appointment Recommendation For BOCC Review Adult Care Home Community Advisory Committee - Sep /2014 — Sep /2015 Member Appointed Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Daniel Hatley 08/17/2010 P P E P P E P Max Mason 06/07/2011 P P E P P P P Dr. Anthony John Vogt 10/16/2012 P P P P P P P P: Present A:Absent E=Excused Current through-09/30/2015 10 Page 1 of 2 Daniel Hatley Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Daniel Hatley Name Called: Home Address: 317 W. University Chapel Hill NC 27516 Phone (Day): 919-200-0822 Phone (Evening): 309-252-1169 Phone (Cell): Email: dan @hatleylawoffice.com Place of Employment: Law Office of Daniel A Hatley Job Title: Owner Year of OC Residence: 2005 Township of Residence: Chapel Hill Zone of Residence: - Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Supplemental Questions: Work Experience: 2006-2009: Autism Society of North Carolina (Trainer) 2008-2009: Stark Law Group, PLLC. 2009: Law Office of Daniel A. Hatley Volunteer Experience: Current chair of the OC Adult Care Home CAC (member for last two+ years). Education: 1997-2001: North Mecklenburg High School (Diploma) 2001-2005: Bradley University, Peoria, Illinois (BS - Political Science) 2005-2008: UNC - Chapel Hill, School of Law (Juris Doctorate) Other Comments: I am a small business owner with an office in downtown Carrboro (209 Lloyd St.). I am interested in directing the growth of the community in sustainable ways. I also have a wealth of experience in adult care and would like to shape the way our county assists the elderly and adults with mental disabilities. STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory Committee, Carrboro Planning Board, Chatham/Orange Joint Planning Task Force 10/7/09. UPDATED APPLICATION FOR ADVISORY BOARD ON AGING 07/13/2012. ADDRESS VERIFICATION: 317 W. University, Chapel Hill is Chapel Hill Jurisdiction, Chapel Hill Towm Limits. 11 Page 2 of 2 Daniel Hatley This application was current on: 7/13/2012 Date Printed: 12/31/2013 12 Page 1 of 2 Max Mason Volunteer Application Orange County Advisory Boards and Commissions Name: Mr. Max Mason Name Called: Home Address: 821 Tinkerbell Rd. Chapel Hill NC 27517 Phone (Day): 919-649-7937 Phone (Evening): Phone (Cell): Email: maxomason @yahoo.com Place of Employment: Principle Long Term Care, Inc. Job Title: Development Coordinator Year of OC Residence: 1978 Township of Residence: Chapel Hill Zone of Residence: Does not apply Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: Boards/Commissions applied for: Supplemental Questions: Work Experience: Development Coordinator for one of NC's largest long term care providers. Plan for development of nursing facilities, hospices, and home health agency. Administrator for residential recovery facility for pregnant women who struggled with substance abuse. Volunteer Experience: Serve on the Community Grantmaking Committee at the Triangle Community Foundation. Board Member, Chrysalis Foundation for Mental Health Member of APPLES Service Learning program at UNC-Chapel Hill as undergraduate. Education: BA, History, UNC-Chapel Hill MA, Slavic Languages & Literatures, UNC-Chapel Hill Current student (part-time): Masters of Healthcare Administration, UNC-Chapel Hill Gillings School of Public Health Other Comments: As noted, I am presently a student in public health and currently work in the field of long term care; thus, I have a great interest in the issues affecting nursing facility residents. Given my experience and familiarity with this segment of the health care system, I believe I would be a valuable addition to this committee. STAFF COMMENTS: Originally applied 13 Page 2 of 2 Max Mason (1/24/2011) for Nursing Home Community Advisory Committee. ADDRESS VERIFICATION: 821 Tinkerbell Road is in Chapel Hill Township. This application was current on: 1/25/2011 9:11:51 AM Date Printed: 12/31/2013 14 Page 1 of 2 Anthony John Vogt Volunteer Application Orange County Advisory Boards and Commissions Name: Dr. Anthony John Vogt Name Called: Home Address: 713 W. Barbee Chapel Road Chapel Hill NC 27517 Phone (Day): 919-929-8646 Phone (Evening): 919-929-8646 Phone (Cell): Email: ajvogt @earthlink.net Place of Employment: Retired -School of Government, UNC-CH Job Title: Adjunct Professor Year of OC Residence: 1973 Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Township within C.H. city limits Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Past Service on Orange County Advisory Boards: Vice Chair of Orange County Adult Care Home Community Advisory Committee. Boards/Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I have an interest in aging issues. This arise experience of my wife and I taking care of my mother. Besides service on the Adult Care Home Advisory Committee and prior service on the County Nursing Home Community Advisory Committee, I currently volunteer at Signature (formerly Chapel Hill Rehab) Nursing Home in Chapel Hill. Reasons for wanting to serve on this board: The Advisory Board on Aging plays a key advisory role in the county on aging issues. Home health care for the aging is very important, and neither the Adult Care Home nor the Nursing Home committees address home health care for the aging in a major way. The County Advisory Board on Aging can do this. Conflict of Interest: However, my wife and I are on the waiting list for the Carol Woods continuing Care Community. Supplemental Questions: Work Experience: I currently serve on the Human Relations Commission and wish to continue serving on that Commission. I've been on the HRC for several years now and feel I'm making a contribution. I've recently retired to Adjunct Professor status at the School of Government of UNC. Because of this, I have more time to devote to volunteer work and can serve on a second county committee. In the past, I served on the Nursing 15 Page 2 of 2 Anthony John Vogt Home Committee, found the experience to be rewarding, and feel that I made a valuable contribution. I would like to serve on either the Adult Care Home Committee or return to the Nursing Home Committee. My first choice is the Adcult Care Home committee. It has more vacancies, and there is less regulation than for nursing homes; this makes service on the adult care home committee to be potentially useful. 08/20/2012 UPDATE: Faculty, School of Government, UNC-CH 1973 - 2009; Budget Analyst, State Budget Office, Wisconsin 1968-1972 Volunteer Experience: Nursing Home Community Advisory Committee (2000-2006). Served about five years, including as chair of the committee for one year or so. Human Relations Commission: (2006-2012). UNC Health Care, ACC, (2011-2012); Kindred Nursing Home (2011-2012) Education: Ph.D., Cornell University, 1973; Court work at Cornell 1968-1970 MPIA, University of Pittsburgh, 1965 B. S., Georgetown University, 1963 Other Comments: The residents of adult care and nursing homes are too often neglected. Care in such facilities too often falls short of acceptable standards. Since leaving the Nursing Home Advisory Committee several years ago, I have continued to visit one or two friends. 08/20/2012: 1 have interest that is strong in care for elderly. Served as Chair of Nursing Home Committee for a year or two. STAFF COMMENTS: Reapplied 7/3/2005 for HRC Adult Care Home Community Advisory Committee and OPC Area Board. App. 1/12/2000 for Innovation and Efficiency Committee; REAOPPLIED FOR ADULT CARE COME COMMUNITY ADVISORY COMMITTEE 08/20/2012. ADDRESS VERIFICATION: 713 W. Barbee Chapel Road is Chapel Hill Jurisdiction; Chapel Hill Town Limits. Previous address-402 Yorktown Drive Chapel Hill. Updated application 09/24/2014. This application was current on: 9/24/2014 Date Printed: 9/24/2014 16 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Charlotte Terwilliger Adult Cate Home Community AdViSOryCOmmittee Contact Phone: 919-558-9401 Mr Stephen Bank Day Phone: 9199296369 Sex: Male 7404 Dodsons Xrd Evening Phone: 9199296369 Race: Caucasian Hillsborough NC 27278 Cell Phone: not used Township: Bingham E-mail: stevebank@gmail.com Res.Eligibility: County Date Applied: 07/28/2014 Skills: Also Serves On: 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 Res.Eligibility: C.H.City Limits Date Applied: 10/01/2014 Skills: Club Nova Also Serves On: Monday,July 20,2015 Page 1 of 1 17 Page 1 of 1 Stephen Bank Volunteer Application Orange County Advisory Boards and Commissions Name: Mr Stephen Bank Name Called: Home Address: 7404 Dodsons Xrd Hillsborough NC 27278 Phone (Day): 9199296369 Phone (Evening): 9199296369 Phone (Cell): not used Email: stevebank @gmail.com Place of Employment: retired Job Title: na Year of OC Residence: 2004 Township of Residence: Bingham Zone of Residence: Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: None. Graduated in 1966 with MA in psychology and completed all classes for PhD in psychology (did not complete dissertation). Have worked in mental health capacities from 1966 until retirement from Lutheran Family Services ACT Team in 2010. Past Service on Orange County Advisory Boards: none Boards/Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: As previously stated - Psychology graduate degree and work experience in field since 1966. Reasons for wanting to serve on this board: I know a little something about the field and might have significant insight. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 7/28/2014 3:39:35 PM Date Printed: 7/29/2014 18 Page 1 of 2 Danielle Mosley Volunteer Application Orange County Advisory Boards and Commissions Name: Miss Danielle Mosley Name Called: Home Address: 476 Melanie Court Chapel Hill NC 27514 Phone (Day): 919-309-5685 Phone (Evening): Phone (Cell): Email: Dlynnm26 @gmail.com Place of Employment: Job Title: 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 19 Page 2 of 2 Danielle Mosley Education: Attending school for ged 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: 12/27/2013