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HomeMy WebLinkAboutAgenda - 08-21-2007-10aORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 21, 2007 Action Agenda Item No. SUBJECT: Nursing Home Community Advisory Committee- New Appointment DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) No 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 one appointment to the Nursing Home Community Advisory Board. BACKGROUND: The Clerk's office has received a letter of recommendation from the NHCAC for the appointment of Susan Taylor. If appointed, Ms. Taylor will be serving a one year training term, which will end 9/30/2008. FINANCIAL IMPACT: None. 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N ~ a ~ I [ .J C7 ~. b H ~ .~ a I ~ ~ N U ! ( IU N ° v • ~ a L1 ••r , ~ . ~ ~ N . ~ ~ ~ A _ , N M cV~ P, O N ti O N d ~v H Page 1 of 1 Angela Thompson-Rockett From: Donna Baker Sent: Monday, August 06, 2007 4:32 PM To: Angela Thompson-Rockett; Monica Evans Subject: FW: Nomination for Nursing Home Community Advisory Committee This was in my email from about 3 weeks ago -but just wanted to make sure this was followed up on. db From: JMPASSMORE@aol.com [mailto:JMPASSMORE@aol.com] Sent: Wednesday, July 18, 2007 7:36 PM To: Monica Evans; Donna Baker Cc: maryannpeter@earthlink.net; Vibeke Talley Subject: Nomination for Nursing Home Community Advisory Committee Dear Monica and Donna, I am forwarding a nomination from Mary Ann Peter, the chair of the Nursing Home Community Advisory Committee, requesting that the BOCC appoint Susan Taylor to the Committee. I would like to recommend the appointment of Susan Taylor to the Orange County Nursing Home Community Advisory Committee. She attended a meeting of the committee on Monday, July 9, has applied on-line for membership, and is well qualified for the committee's work. She is a resident of Orange County, has a BS degree in microbiology as well as an MBA. She is a volunteer member of the Orange County Rescue Squad (OCRs) and has spent hundreds of hours serving Orange County in this capacity. I have worked with her for two years when we were both members of the Board of Directors of the OCRs and 1 gained a great respect for her intelligence, judgment and commitment to the community. 1 hope that the BOCC will appoint her at their next meeting. Thank you. Sincerely, Mary Ann Peter Chair, OCNHCAC Please let me know if you need further information. We appreciate the BOCC's consideration of this request. Thank you! Jill Jill V. Passmore Region J Lead Long Term Care Ombudsman Triangle J Area Agency on Aging Triangle J Council of Governments PO Box 12276 RTP, NC 27709 Voicemail: 919.558.9401 Email: impassmare(a~aol.com; jpassmore(a7_ticog.org Get a sneak peek of the all-new AOL.com. 8/7/2007 Page 1 of 2 Susan Taylor 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. Susan Taylor 2103 Baycourt Trail Hillsborough NC 27278 919-256-1048 919-357-6639 staylor20@nc.rr.com LipoScience Inc. Marketing Manager, Systems Hillsborough Hillsborough Town Limits Female Caucasian 1 /1 /1963 Boards/Commissions applied for: Nursing Home Community Advisory Committee Work Experience: Trained as a Medical Technologist with specialty in microbiology. Five years of clinical laboratory experience. Eighteen years of experience in outside sales, marketing and product management for healthcare services and diagnostic products. Employers include LabCorp, BioMerieux, and Whatman. I also hold an adjunct faculty position at the UNC School of Medicine, Dept. of Clinical Laboratory Science. Volunteer Experience: Orange County Rescue Squad: Captain, NC registered Rescue Technician and EMT UNC Chapel Hill: Faculty Advisory Board and Development Committee Co-chair for Dept. of Clinical Laboratory Science Education: 1985 UNC Chapel Hill BS Medical Technology 1989 NCSU MS Microbiology 2000 MBA Pfeiffer University Other Comments: Have served on Orange County Rescue Squad Board of Directors for two years with Mary Ann Peter. STAFF COMMENTS: Originally applied for Nursing Home Comunity Advisory Committee 6/21 /2007. ADDRESS VERIFICATION: 2103 Baycourt Trail is in the Hillsborough City Limits in Orange County. Applicant Interest Listing by Board Name anal by Applicant Name Nursing Home Community Advisory Committee Ms. Jeanette Clark 221 Rencher St Apt 3 Hillsborough NC 27278 Skills: Nursing Home Experience Day Phone: 919-620-8662 Evening Phone: 732-7856 FAX: 6208662 E-mail: Also Serves On: Contact Person: Vibeke Talley, OTR/L Contact Phone: 919-968-2085 Sex: Female Race: African American Township: Hillsborough Date Applied: 02/23/2005 Ms. Peggy Cohn 10 Bayswater Place Chapel Hill NC 27517 Skills: Geriatric Care MS. ELIZABETH CRONER 1605 N. GREENBOROUGH ROAD CARRBORO NC 27510 Skills: Retired Day Phone: 919-489-6624 Sex: Female Evening Phone: same Race: Caucasian Fes; Township: Chapel Hill E-mail: peggycohnl@earthlink.net Date Applied: 10/10/2005 Also Serves On: Adult Care Home Community Advisory Committee Also Serves On: Advisory Board on Aging Day Phone: 919.933.862 Evening Phone: FAX: E-mail: Also Serves On: Ms. Jane Powell 656 Craige Dorm UNC Chapel Hill Chapel Hill NC 27514 Skills: Cashier Skills: Community Service Volunteer Skills: Customer Service Day Phone: 910-474-9083 Evening Phone: 919-914-4924 FAX: E_rnail: japo@email.unc.edu Also Serves On: Also Serves On: Also Serves On: Sex: Female Race: .African American Township: Chapel Hil] Date Applied: 11/05!2005 Sex: Female Race: African American Township: Chapel Hil] Date Applied: 09/30/2004 Ms. Susan Taylor Day Phone: 919-256-1048 Sex: Femate 2103 Baycourt Trail Evening Phone: 919-357-6639 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: staylor20@nc.n•.com Date Applied: 06/21/2007 Skills: Hillsborough City Limits Also Serves On: Tuesday, August 07, 2007 Page 1 of 2 x Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Nursing Home Community Advisory Committee Contact Phone: Ms. Tammy Thacker 517 N. Hill Street Hillsborough NC 27278 Skills: Certified Nurses Aide Day Phone: 638-4387 Evening Phone: FAX: E-mail: gr8tpay@yahoo.com Also Serves On: Vibeke Talley, OTR/L 919-968-2085 Sex: Female Race: African American Township: Hillsborough Date Applied: 02/14/2006 Tuesday, August 07, 2007 Page 2 of 2 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 1 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: 8/7/2007 I~ Page 1 of 1 Peggy Cohn . Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Peggy Cohn Name Called: Peggy Home Address: 10 Bayswater Place Chapel Hill NC 27517 Phone: (Day) 919-489-6624 Phone: (Evening) Fax: Email: Place of Employment: Job Title: same peggycohn1 @earthlink.net retired Geriatric Care Manager Township of Residence: Chapel Hill Zone of Residence: C.H. City Limits Sex: Female Ethnic Background: Caucasian Date of Birth: 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: 8/7/2007 Page 1 of 1 1 ELIZABETH CRONER f 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: 8/7/2007 Page 1 of 1 /~- Jan'e 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.H. 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 Dorm 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: 8/7/2007 13 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: 817/2007