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.
RECOMMENDATION(S): Consider making one new appointment to the NHCAC.
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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