HomeMy WebLinkAboutAgenda - 02-16-2016-11-d - Nursing Home Community Advisory Committee – Appointment 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: February 16, 2016
Action Agenda
Item No. 11-d
SUBJECT: Nursing Home Community Advisory Committee —Appointment
DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT:
Membership Roster Clerk's Office, 919-245-2130
Recommendation Hardin
Attendance Record for Recommendation
Application for Person Recommended
Interest List
Application of Person on the Interest list
PURPOSE: To consider making an appointment to the Nursing Home Community Advisory
Committee.
BACKGROUND: The following information is for Board consideration:
• Appointment to a partial term (Position #11) At-Large Nursing Home Administration
position for Maria Hardin expiring 12/31/2016.
POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE
11 Maria Hardin At-Large Nursing Home 12/31/2016
Administration
NOTE - If the individuals listed above are appointed, the following vacancies remain:
• *Position #6--- "At-Large" position expiring 03/31/2016. This position will be vacant
as of 03/31/2016.
• *Position #7--- "At-Large Nursing Home Administration" position expiring 06/30/2017.
This position has been vacant since 01/06/2016.
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 Nursing Home Community Advisory Committee.
2
Board and Commission Members
And Vacant Positions
Nursing Home Community Advisory Committee
Meeting Times: 5:30 pm Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Carolyn Pennington
Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-2703
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. Martha Bell Day Phone:919-968-4674 Sex: Female First Appointed: 10/06/2015
1 Evening Phone:919-968-4674 Race:Caucasian Current Appointment: 10/06/2015
100 Macrae Court FAX: Township: Chapel Hill Expiration: 10/06/2016
Chapel Hill NC 27516 E-mail:mbe11968 @yahoo.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
Ms. Molly Stein Day Phone:954-254-2865 Sex: Female First Appointed: 06/16/2015
2 Evening Phone:954-254-2865 Race:Caucasian Current Appointment: 06/16/2015
103 Stephens Street FAX: Township: Chapel Hill Expiration: 06/16/2016
Chapel Hill NC 27516 E-mail:msstein @live.unc.edu Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
Ms. Teri J. Driscoll Day Phone:919-245-1127 Sex: Female First Appointed: 09/17/2013
3 Chair Evening Phone:919-245-1127 Race:Caucasian Current Appointment: 10/07/2014
422 Hampton Pointe FAX: Township: Hillsborough Expiration: 09/30/2017
Hillsborough NC 27278 E-mail:drisco11323 @nc.rr.com Resid/Spec Req: At-Large Number of Terms: 1
Special Repr: At-Large
Mr. Jerry Schreiber Day Phone:919 967 2962 Sex: Male First Appointed: 10/07/2014
4 Trainee Evening Phone:919 967 2962 Race:Caucasian Current Appointment: 10/06/2015
1606 Pathway Dr FAX: Township: Chapel Hill Expiration: 06/30/2017
Carrboro NC 27510 E-mail:jrogerschreiber @gmail.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
Ms. Sandra Nash Day Phone: 828-668-9628 Sex: Female First Appointed: 02/04/2014
5 Evening Phone: Race:Caucasian Current Appointment: 03/03/2015
600 West Poplar Ave.,Apt.239 FAX: Township: Chapel Hill Expiration: 06/30/2017
Carrboro NC 27510 E-mail:None Resid/Spec Req: At-Large Number of Terms: 2
Special Repr: Nursing Home Administration
Monday,February 01,2016 Page 1
3
Board and Commission Members
And Vacant Positions
Nursing Home Community Advisory Committee
Meeting Times: 5:30 pm Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Carolyn Pennington
Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-2703
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
6 Evening Phone:919-971-9333 Race:Caucasian Current Appointment: 03/19/2013
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
VACANT Day Phone: Sex: First Appointed:
7 Evening Phone: Race: Current Appointment:
FAX: Township: Expiration: 06/30/2017
E-mail: Resid/Spec Req: At-Large Number of Terms:
Special Repr: Nursing Home Administration
Mrs. Jerry Ann Gregory Day Phone:919-644-8172 Sex: Female First Appointed: 12/09/2014
8 Evening Phone:919-644-8172 Race:Caucasian Current Appointment: 11/17/2015
2224 Lebanon Rd FAX: Township: Cheeks Expiration: 03/31/2017
Efland NC 27243 E-mail:harleyphn @yahoo.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
Ms. Susan Deter Day Phone:919-682-4124 Sex: Female First Appointed: 04/19/2011
9 Evening Phone:919-479-0574 Race:Caucasian Current Appointment: 03/22/2012
5512 Quail Hollow Drive FAX: 919-956-7703 Township: Little River Expiration: 06/30/2016
Hillsborough NC 27278 E-mail:susiedeter @yahoo.com Resid/Spec Req: At-Large Number of Terms: 1
Special Repr: At-Large
Ms GLenda FLoyd Day Phone: 812-205-6595 Sex: Female First Appointed: 11/17/2015
10 Training Term Evening Phone: 812-205-6595 Race:Caucasian Current Appointment: 11/17/2015
103 Culbreth Rd FAX: Township: Chapel Hill Expiration: 11/17/2016
Ghapel Hill NC 27516 E-mail:gkf1121@gmail.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
Monday,February 01,2016 Page 2
4
Board and Commission Members
And Vacant Positions
Nursing Home Community Advisory Committee
Meeting Times: 5:30 pm Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Carolyn Pennington
Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-2703
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.
Mrs. Maria Hardin Day Phone:9197326589 Sex: Female First Appointed: 03/03/2015
11 Evening Phone:9197326589 Race:Caucasian Current Appointment: 03/03/2015
2026 Black Walnut Farm Road FAX: Township: Eno Expiration: 03/03/2016
Hillsborough NC 27278 E-mail:mariaahardin @gmail.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: Nursing Home Administration
Ms. Vibeke Talley Day Phone:919-732-3112 Sex: Female First Appointed: 05/20/2014
12 Evening Phone:919-732-3112 Race:Caucasian Current Appointment: 05/20/2014
134 East Tryon Street FAX: 968-2017 Township: Hillsborough Expiration: 12/31/2016
Hillsborough NC 27278 E-mail:vibandjoe@hotmail.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: Nursing Home Administration
Monday,February 01,2016 Page 3
5
Thom Freeman
From: Charlotte Terwilliger <cterwilliger @tjcog.org>
Sent: Wednesday, December 30, 2015 9:20 AM
To: Thom Freeman
Subject: Reappointment- Maria Hardin, NH CAC
Attachments: Attendance Record Maria Hardin.xlsx
Dear Thom,
The Nursing Home Community Advisory Committee would like to recommend Maria Hardin for a first full term. Her
current one year appointment will expire on 03/03/2016. During the past year Ms. Hardin attended 4 out of 6
business meetings and has actively participated in all of her assigned quarterly facility visitations. Her strong interest
in serving elders and her advocacy skills have been invaluable to the work of this committee.
Please let me know if you need anything else from me to move this recommendation forward.
Thank you.
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
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
1
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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.
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Page 1 of 2 Maria Hardin
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Mrs. Maria Hardin
Name Called:
Home Address: 2026 Black Walnut Farm Road
Hillsborough NC 27278
Phone (Day): 9197326589
Phone (Evening): 9197326589
Phone (Cell): 9192595704
Email: mariaahardin @gmail.com
Place of Employment: Ebenezer Baptist Church
Job Title: Preschool Director
Year of OC Residence: 2006
Township of Residence: Hillsborough
Zone of Residence:
Sex: Female
Ethnic Background: Caucasian
Community Activities/Organizational Memberships:
I have been involved with The PTA, Character Ed. program in the middle schools,
outreach to Nursing/Assisted Living with our Church for many years, Durham Rescue
Mission as well.
Past Service on Orange County Advisory Boards:
I am not currently serving on any boards or have I in the past. My father is currently living
in a assisted living center in Hillsborough, and I would like to be a part of a group that is
helping.
Boards/Commissions applied for:
Nursing Home Community Advisory Committee
Background, education and experience relevant to this board:
I have always had a love for senior citizens they have so much wisdom to share, growing up my
Grandfather lived with us and I spent a lot of time at the senior center helping and as an adult
my Mom spend several years in both assisted living and nursing home, and now my Dad is living
in a memory care area of a assisted living center. I spend a lot of time each week with the
residents.
Reasons for wanting to serve on this board:
This is one of the most important boards that Orange Co. can have,we have so many Seniors
living at Nursing homes or assisted living that do not have family or friends who can help and
support them, our seniors are so important to our history of this town, state and country.
Conflict of Interest:
Supplemental Questions:
9
Page 2 of 2 Maria Hardin
Other Comments:
This application was current on: 11/5/2014 12:58:22 PM Date Printed: 11/6/2014
10
Applicant Interest Listing by Board Name and by Applicant Name
Contact Person: Carolyn Pennington
Nursing Home Community Advisory Committee
Contact Phone: 919-558-2703
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
E-mail: jaseradams @gmail.com Res.Eligibility: Carrboro City Limits
Date Applied: 06/02/2015
Skills: Consultant Also Serves On:
Mrs Judith Causey Day Phone: 9192604249 Sex: Female
2621 Beavertail Dr Evening Phone: 9192604249 Race: Caucasian
Hillsborough NC 27278 Cell Phone: 9192604249 Township: Hillsborough
E-mail: judithcausey@hotmail.com Res.Eligibility:
Date Applied: 01/25/2016
Skills: Also Serves On:
Monday,February 01,2016 Page 1 of 1
11
Page 1 of 3 Susan Adams
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Ms. Susan Adams
Name Called:
Home Address: 211 Hogan Woods Circle
Chapel Hill NC 27516
Phone (Day): 919-357-5541
Phone (Evening): 919-357-5541
Phone (Cell):
Email: jaseradams @gmail.com
Place of Employment: Self-employed
Job Title: Consultant
Year of OC Residence: 2004
Township of Residence: Chapel Hill
Zone of Residence: Carrboro City Limits
Sex: Female
Ethnic Background: 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,
•Received Masters of Gerontology from University of Southern California 2014 Magna
Cum Laude - Thesis title " Enviornmential and technological interventions to decrease
agitation in dementia patients"
•Eounded Consulting Business CareGiving Technologies - Safer Independent Living
•Received CAPS " Certified Aging in Place Specialist" Certification from Nathional Home
Builders Association 2014
•Received Universal Design Certification from National Home Builders Association 2014
•Asked to become board member of SHARP " Senior Health Advisory Resouce
Partnership" in Orange County executive director Healther Altman
•Working closely with Dr. Cheire Rosemond at UNC for Tax incentives for livable homes
as part of the Aging in Community Series
•Speaker at Caregiver's Conference Durham and Raleigh 2015
•Speaker at Alzheimer Association Fall Conference 2015
•Became Lively partner -Award winning passive senior Monitoring system
•Member of HART Health Aging Round Table
•Recently accepted position at Carolina Villages for director of Volunteer Services
12
Page 2 of 3 Susan Adams
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
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:
13
Page 3 of 3 Susan Adams
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: 6/2/2015 Date Printed: 6/2/2015
14
Page 1 of 2 Judith Causey
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Mrs Judith Causey
Name Called:
Home Address: 2621 Beavertail Dr
Hillsborough NC 27278
Phone (Day): 9192604249
Phone (Evening): 9192604249
Phone (Cell): 9192604249
Email: judithcausey @hotmail.corn
Place of Employment: Retired. UNC
Job Title: RN Center For Excellence
Year of OC Residence: 1999
Township of Residence: Hillsborough
Zone of Residence:
Sex: Female
Ethnic Background: Caucasian
Community Activities/Organizational Memberships:
Active RN License
PHRC
MADD
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 am 77. I have interacted with and nursed many geriatric patients. I have. Visited many long
term care facilities. I have placed patients into long term care facilities &continued to supervise
care &services on site
Reasons for wanting to serve on this board:
Serve in some capacity to help Orange County to be first class in services offered our citizens.
Conflict of Interest:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
Interacted with & nursed many seniors. I am a senior in good health
Reasons for wanting to serve on this board:
I have an interest in helping our citizens to age in their own homes
Conflict of Interest:
Supplemental Questions:
15
Page 2 of 2 Judith Causey
Other Comments:
This application was current on: 1/25/2016 11:39:33 PM Date Printed: 2/1/2016