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Home My WebLink AboutAgenda - 12-13-2016-11-a - Nursing Home Community Advisory Committee – Appointment ORANGE COUNTY 1 BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 13, 2016 Action Agenda Item No. 11-a 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 Attendance Record 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 full first term (Position #12) "At-Large Nursing Home Administration" position for Vibeke Talley expiring 12/31/2019. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE POSITION NO. 12 Vibeke Talley At-Large Nursing Home 12/31/2019 Administration NOTE - If the individuals listed above are appointed, the following vacancies remain: *None * Ali 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 appointments 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: 11/15/2016 100 Macrae Court FAX: Township: Chapel Hill Expiration: 01/31/2019 Chapel Hill NC 27516 E-mail:mbel1968@yahoo.com Resid/Spec Req: At-Large Number of Terms: 1 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 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,November 22,2016 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 Evening Phone: 812-205-6595 Race:Caucasian Current Appointment: 11/15/2016 103 Culbreth Rd FAX: Township: Chapel Hill Expiration: 06/30/2019 Ghapel Hill NC 27516 E-mail:gkf1121 @gmail.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Tuesday,November 22,2016 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. Dr Carol Kelly Day Phone:919 360-0455 Sex: Female First Appointed: 09/20/2016 11 Training Term Evening Phone:919 360-0455 Race:Caucasian Current Appointment: 09/20/2016 104 Woodkirk Ln FAX: Township: Chapel Hill Expiration: 09/20/2017 chapel hill NC 27514 E-mail:ckellyco@msn.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Vlbeke 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,November 22,2016 Page 3 5 Hi Thom- Vibeke Tally has been a valuable member of the Nursing Home Community Advisory Committee. She is my Vice-Chair and certainly does want to continue on the committee. She plans to take over as Chair in March. Terri Driscoll Chair- Nursing Home Community Advisory Committee 6 Page 1 of 1 Vibeke Talley Volunteer Application Orange County Advisory Boards and Commissions Name: Ms. Vibeke Talley Name Called: Home Address: 134 E Tryon St Hillsborough NC 27278 Phone (Day): 9197323112 Phone (Evening): 9197323112 Phone (Cell): 9199718549 Email: vibandjoe @hotmail.com Place of Employment: Duke HomeCare and Hospice Job Title: Occupational Therapist Year of OC Residence: 1980 Township of Residence: Hillsborough Zone of Residence: Hillsborough Town Limits Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Hillsborough Presbyterian Church, North Carolina Occupational Therapy Association. Past Service on Orange County Advisory Boards: I m not serving on any Advisory Board presently. In the past I have served on the Sportsplex Advisory Committee. Boards/Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: As an occupational therapist I have worked in skilled nursing facilities in the past. I worked for the Orange County Department on Aging for 10 years and was a liaison to this committee for a while. Reasons for wanting to serve on this board: The experiences mentioned above made me aware of the need for the community to take an interest in the welfare of the residents in nursing homes. Conflict of Interest: Supplemental Questions: Other Comments: This application was current on: 2/5/2014 3:36:58 PM Date Printed: 2/6/2014 7 BOCCAttendanceReportForAdvisoryBoards NursingHomeCommunityAdvisoryCommitteeNov 2015—Nov 2016 Member Appointed Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Vibeke Talley 05/20/2014 x x x x x x x X:Attended E:Excused U:Unexcused Cu rrentthrough-11/30/2016 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 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,November 29,2016 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