HomeMy WebLinkAboutAgenda - 06-21-2016-11-e - Nursing Home Community Advisory Committee - Appointments 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 21 , 2016
Action Agenda
Item No. 11-e
SUBJECT: Nursing Home Community Advisory Committee —Appointments
DEPARTMENT: Board of Commissioners
ATTACHMENT(S): INFORMATION CONTACT:
Member Roster Donna Baker, Clerk to the Board
Recommendations 919-245-2130
Applications for Persons Recommended
Attendance Records
Applicant Interest List
Applications for Persons on the Interest
List
PURPOSE: To consider making appointments to the Nursing Home Community Advisory
Committee.
BACKGROUND: The following information is for Board consideration:
• Appointment to a partial term (Position #2) "At-Large" position for Molly Stein expiring
03/31/2018.
• Appointment to a second full term (Position #9) "At-Large" position for Susan Deter
expiring 06/30/2019.
NAME SPECIAL REPRESENTATIVE EXPIRATION DATE
POSITION NO.
2 Molly Stein At-Large 03/31/2018
9 Susan Deter At-Large 06/30/2019
NOTE - If the individuals listed above are appointed, the following vacancies remain:
*Position #7--- "At-Large Nursing Home Administration" position expiring 06/30/2017.
This position has been vacant since 01/06/2016.
* All positions require a one year training period from date of
appointment.
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.
2
RECOMMENDATION(S): The Manager recommends that the Board consider making an
appointment to the Nursing Home Community Advisory Committee.
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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.
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:mbel1968@yahoo.com Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
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:mssteinCalive.unc.edu Resid/Spec Req: At-Large Number of Terms:
Special Repr: At-Large
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
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
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,June 06,2016 Page 1
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.
Elijah(Ed) Flowers III Day Phone:919-357-9256 Sex: Male First Appointed: 04/19/2016
6 Evening Phone:919-357-9256 Race:Caucasian Current Appointment: 04/19/2016
2813 Beckett`s Ridge Drive FAX: Township: Hillsborough Expiration: 03/31/2019
Hillsborough NC 27278 E-mail:ed_flowers@yahoo.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
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
Susan Deter Day Phone:919-682-4124 Sex: Female First Appointed: 04/19/2011
g 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
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,June 06,2016 Page 2
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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.
VACANT Day Phone: Sex: First Appointed:
11 Evening Phone: Race: Current Appointment:
FAX: Township: Expiration: 12/31/2016
E-mail: Resid/Spec Req: At-Large Number of Terms:
Special Repr: Nursing Home Administration
V>beke 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,June 06,2016 Page 3
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May 16, 2016
To: Orange County Board of Commissioners
From: Teri Driscoll, Chair
Nursing Home Community Advisory Committee
Re: Reappointment of Molly Stein,Training Year Expiration 6/16/2016
On behalf of the Orange County Nursing Home Community Advisory Committee I would like to take the
opportunity to recommend Molly Stein for a three year reappointment on our committee. Ms. Stein has
served on our committee for the past year as a training member. She is a student at UNC and brings
youth and enthusiasm to the committee. I have assigned her to a different nursing home for each
quarterly site visit to enable her to see the different types of nursing homes that are available in Orange
County. She always attends our meetings and vocally contributes to them. She has prepared site visit
reports when asked to do so.
Please let me know if you need any additional information to move this reappointment forward.
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May 16, 2016
To: Orange County Board of Commissioners
From: Teri Driscoll, Chair
Nursing Home Community Advisory Committee
Re: Reappointment of SUSIE DETER-Expiration of first 3 yr. term 6/30/2016
On behalf of the Orange County Nursing Home Community Advisory Committee I would like to take the
opportunity to recommend Susie Deter for another 3 yr. term reappointment on our committee. Ms.
Deter is a very active member, always completing her site visits and reports. She attends our meetings
and is a very enthusiastic contributor. She is wonderful to work with, is very dedicated and has a
passion for ensuring that long term care residents receive the best quality of care in a safe living
environment.
Please let me know if you need any additional information to move this reappointment forward.
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Page 1 of 2 Molly Stein
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Ms. Molly Stein
Name Called:
Home Address: 103 Stephens Street
Chapel Hill NC 27516
Phone (Day): 954-254-2865
Phone (Evening): 954-254-2865
Phone (Cell): 954-254-2865
Email: msstein @live.unc.edu
Place of Employment: University of North Carolina at Chapel Hill
Job Title: Student
Year of OC Residence: 2012
Township of Residence: Chapel Hill
Zone of Residence:
Sex: Female
Ethnic Background: Caucasian
Community Activities/Organizational Memberships:
-Emergency Room Ambassador at Duke Regional Hospital
-Historian of Carolina Kickoff in the Campus YMCA
-Member of the Carolina Pre-Physician Assistant Association
Past Service on Orange County Advisory Boards:
N/A
Boards/Commissions applied for:
Nursing Home Community Advisory Committee
Background, education and experience relevant to this board:
I am currently a junior at the University of North Carolina at Chapel Hill studying to prepare to go
to Physician Assistant school. I have a true passion for helping people in any relation to
medicine. I cannot wait to be a physician assistant and look forward to any opportunities with
experience in the medical field before I attend graduate school. I have extensive shadowing
experience in many different realms of the medical world such as hospitals, nursing homes and
private practices. I am an emergency room ambassador at Duke Regional Hospital and have
experience interacting with patients. My grandfather is in an assisted living facility in Florida and I
am familiar with how nursing home and assisted living facilities work. Therefore, I have
experience from an employee s point of view(during nursing assistant clinicals) and from a
family member s point of view with my grandfather.
Reasons for wanting to serve on this board:
With my shadowing and volunteering experience, I am only able to do so much to help. I yearn
to be able to make a bigger difference in people s lives. I know that this position will help me do
that. Through my shadowing and nursing assistant clinicals, I saw some unjust situations which
really broke my heart and were wrong. This is what made me want to get into the field of patient
advocacy. I believe it is our responsibility to speak and act for those who cannot, especially
those susceptible to abuse and neglect. This is something that I have been wanting to do for a
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Page 2 of 2 Molly Stein
long time, and I hope that I am able to get the opportunity to help make a difference.
Conflict of Interest:
Supplemental Questions:
Other Comments:
This application was current on: 3/6/2015 4:29:11 PM Date Printed: 3/11/2015
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Page 1 of 2 Susan Deter
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Ms. Susan Deter
Name Called:
Home Address: 5512 Quail Hollow Drive
Hillsborough NC 27278
Phone (Day): 919-682-4124
Phone (Evening): 919-479-0574
Phone (Cell):
Email: susiedeter @yahoo.com
Place of Employment: Threshold
Job Title: Executive Director
Year of OC Residence: 1997
Township of Residence: Little River
Zone of Residence: Little River Twnsp
Sex: Female
Ethnic Background: Caucasian
Community Activities/Organizational Memberships:
Past Service on Orange County Advisory Boards:
Boards/Commissions applied for:
Supplemental Questions:
Work Experience: 1997 - Present: Executive Director - Threshold (Psychiatric
Rehabilitation); 1993 - 1997: Director, Crossroads Clubhouse (Psychosocial rehabilitation
program); 1993 - 1995: Family & Individual Therapy; 1986 - 1993: Clinical Supervisor
Macomb County Community Mental Health; 1985 - 1997: Greenacres-Woodward
Community Services; 1983 - 1997: Oakland County Special Olympics; 1983 - 1986: Pre-
Court Screener; 1980 - 1983: Psychosocial Rehabilitation Specialist Southwest Detroit
Community Mental Health; 1979 - 1980: Activity Therapist; 1977 - 1979: Aftercare Group
Leader Northeast Guidance Center; 1975 - 1977: Therapeutic Group Leader Salvation
Army Harbor Light; 1973 - 1974: Communications Director "Project Choices", Juvenile
Facilities Network; 1972 - 1974: Group Worker Model Cities Program, Metro Arts
Complex; 1970 - 1972: Project Coordinator, Enrichment Program - Neighborhood Youth
Corps.
Volunteer Experience: See Work Experience
Education: BA, MA, MSW, Certificate of Nonprofit Management - Duke; Certified
Rehabilitation Counselor
Other Comments:
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Page 2 of 2 Susan Deter
STAFF COMMENTS: Originally applied for Nursing Home Advisory Committee (1/10/11).
ADDRESS VERIFICATION: 5512 Quail Hollow Drive is in Orange County Jurisdication,
Little River Township.
This application was current on: 1/10/2011 Date Printed: 1/14/2014
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BOCC Attendance Report For Advisory Boards
Nursing Home Community Advisory Committee May 2015—May/2016
Member Appointed May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
Susie Deter 04/19/2011 x x E x x x x
Molly Stein 06/16/2015 x E x x x x x
X:Attended E:Excused U:Unexcused
Current through-05/31/2016
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Applicant Interest Listing by Board Name and by Applicant Name
Contact Person: Carolyn Pennington
Nursing Home Community Advisory Committee
Contact Phone: 919-558-2703
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:
Jacqulyn Podger Day Phone: 919-740-8814 Sex: Female
719 New Hope Church Rd. Evening Phone: 919-240-7633 Race: Caucasian
Chapel Hill NC 27516 Cell Phone: 919-740-8814 Township: Chapel Hill
E-mail: jacannpod @gmail.com Res.Eligibility: County
Date Applied: 05/23/2016
Skills: Also Serves On:
Monday,May 23,2016 Page 1 of 1
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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:
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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
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Page 1 of 2 Jacqulyn Podger
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Jacqulyn Podger
Name Called:
Home Address: 719 New Hope Church Rd.
Chapel Hill NC 27516
Phone (Day): 919-740-8814
Phone (Evening): 919-240-7633
Phone (Cell): 919-740-8814
Email: jacannpod @gmail.com
Place of Employment: retired
Job Title: former Duke employee 14 years
Year of OC Residence: 2008
Township of Residence: Chapel Hill
Zone of Residence: County
Sex: Female
Ethnic Background: Caucasian
Community Activities/Organizational Memberships:
1. Senior Health Insurance Information Program Counselor
2. A Helping Hand Volunteer and Pro Bono Hero
3. Board Member Junior Leadership of Durham
Past Service on Orange County Advisory Boards:
Former Adult Home Advisory Committee for Durham County
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
Previous experience with the Adult Care Home Advisory Committee in Durham County along
with current commitment to SHIIP and A Helping Hand. Both commitments are volunteer and I
work with seniors in Orange County and am aware of the problems facing an aging population. I
believe I can offer a perspective unique to my experience in providing front line services.
Reasons for wanting to serve on this board:
I have a passion for working with seniors and would like to contribute in a way that can influence
decision making at a county and state level.
Conflict of Interest:
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Page 2 of 2 Jacqulyn Podger
Advisory Board on Aging
Background, education and experience relevant to this board:
Durham County along with current commitment to SHIIP and A Helping Hand. Both
commitments are volunteer and I work with seniors in Orange County and am aware of the
problems facing an aging population. I believe I can offer a perspective unique to my experience
in providing front line services.
Reasons for wanting to serve on this board:
I have a passion for working with seniors and would like to contribute in a way that can influence
decision making at a county and state level.
Conflict of Interest:
Nursing Home Community Advisory Committee
Background, education and experience relevant to this board:
Durham County along with current commitment to SHIIP and A Helping Hand. Both
commitments are volunteer and I work with seniors in Orange County and am aware of the
problems facing an aging population. I believe I can offer a perspective unique to my experience
in providing front line services.
Reasons for wanting to serve on this board:
I have a passion for working with seniors and would like to contribute in a way that can influence
decision making at a county and state level.
Conflict of Interest:
Supplemental Questions:
Other Comments:
This application was current on: 5/23/2016 12:37:29 PM Date Printed: 5/23/2016