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Home My WebLink AboutAgenda - 01-21-2016-11-a - Adult Care Home Community Advisory Committee – Appointment 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: January 21 , 2016 Action Agenda Item No. 11-a SUBJECT: Adult Care Home Community Advisory Committee — Appointment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Board Roster INFORMATION CONTACT: Recommendation Clerk's Office, 245-2130 Application for Person Recommended Interest List Applications of Persons on the Interest List PURPOSE: To consider making an appointment 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 one year training term (Position #9) At-Large for William Lang expiring 01/21/2017. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 9 William Lang At-Large One Year Training 01/21/2017 Term 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. * All positions require a one year training period from date of appointment. * There are no additional applicants for Adult Care Home Community Advisory Committee. A Public Service Announcement has been sent out. FINANCIAL IMPACT: None. 2 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 an appointment to the Adult Care Home Community Advisory Committee. 3 Board and Commission Members And Vacant Positions Adult Care Home Community Advisory Committee 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: 10/06/2015 317 W.University FAX: 888-514-4878 Township: Chapel Hill Expiration: 10/31/2017 Chapel Hill NC 27516 E-mail:dan @hatleylawoffice.com Resid/Spec Req: At-Large Number of Terms: 3 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: 10/06/2015 821 Tinkerbell Rd. FAX: Township: Chapel Hill Expiration: 06/30/2017 Chapel Hill NC 27517 E-mail:maxomason@yahoo.com Resid/Spec Req: At-Large Number of Terms: 2 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: 10/06/2015 713 W.Barbee Chapel Road FAX: Township: Chapel Hill Expiration: 10/31/2017 Chapel Hill NC 27517 E-mail:ajvogt @earthlink.net Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Monday,December 28,2015 Page 1 4 Board and Commission Members And Vacant Positions Adult Care Home Community Advisory Committee 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. Mrs Suzanne Haff Day Phone:919-933-9329 Sex: Female First Appointed: 12/09/2014 6 Evening Phone:919-933-9329 Race:Caucasian Current Appointment: 12/15/2015 107 Hunter Hill Road FAX: Township: Chapel Hill Expiration: 10/31/2017 Chapel Hill NC 27516 E-mail:suzhaff @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 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: 12/15/2015 304 W Barbee Chapel Rd FAX: Township: Chapel Hill Expiration: 10/31/2017 Chapel Hill NC 27517 E-mail:menholiday @aol.com Resid/Spec Req: At-Large Number of Terms: I Special Repr: Mrs. Gloria Brown MSW Day Phone:919 537-7485 Sex: Female First Appointed: 12/15/2015 8 Evening Phone:919 245-1025 Race:African American Current Appointment: 12/15/2015 2200 Old Forest Drive FAX: Township: Hillsborough Expiration: 12/15/2016 Hillsborough NC 27278 E-mail:browng @piedmonthealth.org Resid/Spec Req: At-Large Number of Terms: 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: Monday,December 28,2015 Page 2 5 Board and Commission Members And Vacant Positions Adult Care Home Community Advisory Committee 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 Evening vening 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: Monday,December 28,2015 Page 3 6 Thom Freeman From: Charlotte Terwilliger <cterwilliger @tjcog.org> Sent: Thursday, December 17, 2015 2:53 PM To: Thom Freeman Subject: App't Recommendation for Mr Lang Dear Thom, The Adult Care Home Community Advisory Committee would like to recommend Mr. William Lang for a one year training term. Mr. Lang has a Masters in Public Health and has extensive experience with community based programs and services both at the state and federal levels. He has strong advocacy skills and is interested in working with all stakeholders to implement services that improve quality of care at adult care homes. Please let me know if you need any additional information to move this recommendation forward. Best 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 @tjcog.org/www.tjcog.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. 7 Page 1 of 2 William Lang Volunteer Application Orange County Advisory Boards and Commissions Name: Mr William Lang Name Called: Home Address: 106 Hayes Street Hillsborough NC 27278 Phone (Day): 2022151131 Phone (Evening): 2022151131 Phone (Cell): 2022151131 Email: wglang1954 @gmail.com Place of Employment: American Association of Colleges of Pharmacy Job Title: Senior Policy Advisor Year of OC Residence: 2013 Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Male Ethnic Background: Caucasian Community Activities/Organizational Memberships: Volunteer- Meals on Wheels/OCIM 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: Extensive experience in law and regulation associated with home and community-based programs and services both at the state (NC)and federal levels. Masters in Public Health. Former Director of Government Affairs for Association of home and hospice care of NC. Mentored by Karen Gottovi and Betty Wiser(former state representatives/Director of State Agency for Aging)...important advocates for older adults, disabled and those served by adult care homes and other community-based programs. Reasons for wanting to serve on this board: Adult care homes play an important role in the continuum of care for older adults and the disabled. The challenges of effective and efficient operation of adult care homes can only be met through partnership between home operators, regulators and community advocates. Bringing stakeholders together to create positive and sustained efforts for service and program improvement is an important aspect of my work that can be translated easily to my role as an advisory board member. Conflict of Interest: No Supplemental Questions: 8 Page 2 of 2 William Lang Other Comments: This application was current on: 11/4/2015 9:54:23 AM Date Printed: 11/5/2015 9 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 Mr William Lang Day Phone: 2022151131 Sex: Male 106 Hayes Street Evening Phone: 2022151131 Race: Caucasian Hillsborough NC 27278 Cell Phone: 2022151131 Township: Hillsborough E-mail: wglang1954 @grail.coin Res.Eligibility: Hillsborough Town Lien Date Applied: 11/04/2015 Skills: Also Serves On: Monday,January 04,2016 Page 1 of 1