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Home My WebLink AboutAgenda - 09-20-2016-11-d - Nursing Home Community Advisory Committee – Appointment 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 20, 2016 Action Agenda Item No. 11-d 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 #11) "At-Large Nursing Home Administration" position for Dr. Carol Kelly expiring 09/20/2017. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE POSITION NO. 11 Dr. Carol Kelly At-Large Nursing Home 09/20/2017 Administration NOTE - If the individuals listed above are appointed, the following vacancies remain: *None * 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. RECOMMENDATION(S): The Manager recommends that the Board consider making an appointment 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: Autumn Pittman Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-9401 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 Tuesday,September 13,2016 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: Autumn Pittman Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-9401 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 Jacqulyn Podger Day Phone:919-740-8814 Sex: Female First Appointed: 09/06/2016 7 One Year Training Term Evening Phone:919-240-7633 Race:Caucasian Current Appointment: 09/06/2016 719 New Hope Church Rd. FAX: Township: Chapel Hill Expiration: 09/06/2017 Chapel Hill NC 27516 E-mail:jacannpod@gmail.com 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 Tuesday,September 13,2016 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: Autumn Pittman Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-9401 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 Tuesday,September 13,2016 Page 3 5 To: Orange County BOCC From: Teri Driscoll, Chair of Orange County Nursing Home CAC Re: Dr. Carol Kelly, New Applicant Date: September 7, 2016 It gives me great pleasure to recommend that you appoint Dr. Carol Kelly to the Orange County Nursing Home Community Advisory Committee for her one year training. After speaking with Dr. Kelly and reviewing her application, I believed that she would be a good fit for our committee. I invited her to our September 6th 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. 6 Page 1 of 2 Carol Kelly Volunteer Application Orange County Advisory Boards and Commissions Name: Dr Carol Kelly Name Called: Home Address: 104 Woodkirk Ln chapel hill NC 27514 Phone (Day): 919 360-0455 Phone (Evening): 919 360-0455 Phone (Cell): 919 360-0455 Email: ckellyco @msn.com Place of Employment: retired Job Title: retired Year of OC Residence: 1951 Township of Residence: Chapel Hill Zone of Residence: County Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Board President, A Helping Hand Member, Rethinking Guardianship Task Force (a state initiative through the Jordan Institute) Past Service on Orange County Advisory Boards: Adult Care Home Boards/Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: For 10 years I was a caregiver for three family members, two who were in local facilities. The past six years I have served as board president of a local organization that provides companions to aging adults. I also am an advocate for older adults through my work on rethinking guardianship. I am a retired school principal and school psychologist. Reasons for wanting to serve on this board: My life has been devoted to public service. After caring for family members, it has become clear that older adults are in need of strong advocates to ensure that they have highest quality of care and dignity. This is my passion. Conflict of Interest: No, my term with A Helping Hand ends in several months. Though a family member did reside in a facility in Orange County, he is deceased (and my relations with that facility was positive). Supplemental Questions: 7 Page 2 of 2 Carol Kelly Other Comments: This application was current on: 8/11/2016 5:01:33 PM Date Printed: 8/12/2016 8 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Autumn Pittman Nursing Home Community Advisory Committee Contact Phone: 919-558-9401 Dr Carol Kelly Day Phone: 919 360-0455 Sex: Female 104 Woodkirk Ln Evening Phone: 919 360-0455 Race: Caucasian chapel hill NC 27514 Cell Phone: 919 360-0455 Township: Chapel Hill E-mail: ckellyco@msn.com Res.Eligibility: County Date Applied: 08/11/2016 Skills: Also Serves On: Peggy Iris Lanier Day Phone: 919-815-2849 Sex: Female 103 Culbreth Road Apt.301 Evening Phone: 919-815-2849 Race: Caucasian Chapel Hill NC 27516 Cell Phone: 919-815-2849 Township: Chapel Hill E-mail: N/A Res.Eligibility: Date Applied: 08/18/2016 Skills: Also Serves On: Tuesday,September 13,2016 Page 1 of 1 9 Page 1 of 1 Peggy Iris Lanier Volunteer Application Orange County Advisory Boards and Commissions Name: Peggy Iris Lanier Name Called: Home Address: 103 Culbreth Road Apt. 301 Chapel Hill NC 27516 Phone (Day): 919-815-2849 Phone (Evening): 919-815-2849 Phone (Cell): 919-815-2849 Email: N/A Place of Employment: Retired Job Title: Retired Year of OC Residence: 2007 Township of Residence: Chapel Hill Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Citizen Police Academy Class for June - July 2016. 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: CNA- But due to sickness in family did not get certified. Worked in medical field - Medical Terminology Class in VA. Insurance coding. Reasons for wanting to serve on this board: I have the time now at age 79 to be active in my community. Trained in nursing home. Daughter is a P/T Resource Manager at Duke. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 8/18/2016 11:21:02 AM Date Printed: 8/23/2016