HomeMy WebLinkAboutAgenda - 09-06-2016-11-e - Nursing Home Community Advisory Committee – Appointment (2) 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 6, 2016
Action Agenda
Item No. 11-e
SUBJECT: Nursing Home Community Advisory Committee —Appointment
DEPARTMENT: Board of Commissioners
ATTACHMENT(S): INFORMATION CONTACT:
Member Roster Donna Baker, Clerk to the Board
Recommendation 919-245-2130
Application for Person Recommended
Applicant Interest List
Application for 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 one year training term (Position #7) "At-Large Nursing Home
Administration" position for Jacqueline Podger expiring 09/06/2017.
NAME SPECIAL REPRESENTATIVE EXPIRATION DATE
POSITION NO.
7 Jacqueline Podger At-Large Nursing Home 09/06/2017
Administration
NOTE - If the individuals listed above are appointed, the following vacancies remain:
*Position #11--- "At-Large Nursing Home Administration" position expiring
12/31/2016. This position has been vacant since 04/27/2016.
* 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.
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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: 06/21/2016
103 Stephens Street FAX: Township: Chapel Hill Expiration: 03/31/2018
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
Thursday,July 21,2016 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: 06/21/2016
5512 Quail Hollow Drive FAX: 919-956-7703 Township: Little River Expiration: 06/30/2019
Hillsborough NC 27278 E-mail:susiedeter@yahoo.com Resid/Spec Req: At-Large Number of Terms: 2
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
Thursday,July 21,2016 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
Thursday,July 21,2016 Page 3
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To: Orange County BOCC
From: Teri Driscoll, Chair of Orange County Nursing Home CAC
Re: Jacqueline Podger, New Applicant
Date: July 7, 2016
It gives me great pleasure to recommend that you appoint Jacqueline Podger to the Orange County
Nursing Home Community Advisory Committee for her one year training.
After speaking with Ms. Podger and reviewing her application, I believed that she would be a good fit for
our committee. I invited her to our July 5th meeting to meet everyone and tell them about her
background. She certainly has the experience to be an active member. Everyone was very receptive to
her and thought that she would be a good addition.
I have advised her that I would be sending you this recommendation.
It is a pleasure working with you and thank you all for being the great Board of County Commissioners
that you are.
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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
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:
Friday,August 12,2016 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