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Home My WebLink AboutAgenda- 02-06-2018 11-b - Adult Care Home Community Advisory Committee - AppointmentORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: February 6, 2018 SUBJECT: Adult Care Home Community Advisory Committee - DEPARTMENT: Board of Commissioners ATTACHMENT(S): Membership Roster Recommendation Application for Person Recommended Applicant Interest List Applications of Persons on the Interest List Action Agenda Item No. 11 -b ointment INFORMATION CONTACT: Clerk's Office, 919 - 245 -2130 PURPOSE: To consider making an appointment to the Adult Care Home Community Advisory Committee. BACKGROUND: The following information is for Board consideration: (NOTE: As of July 1, 2017, a new bill was passed in the North Carolina Legislature regarding the training period for pending members of the "Adult Care Home Community Advisory Committee and Nursing Home Community Advisory Committee ". The bill is HB248 (see attachment) which reverses the appointment of the applicant to a one year training term. Applicants will be selected from our county "Applicant Interest List" for a more condensed training and if the applicant successfully completes the training, they would be recommended for appointment. Therefore, when an applicant is recommended for appointment, it would initially be for a one year preliminary term and their training will have already been completed. • Appointment to partial term (Position #5) "At- Large" position for Michael Zuber expiring 10/31/2019. POSITION NO. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE 5 Michael Zuber At -Large 10/31/2019 NOTE - If the individuals listed above are appointed, the following vacancies remain: (The Adult Care Community Advisory Committee is currently vetting applicants for open positions from recent resignations. We recently sent out a Public Service Announcement as well as social media postings to solicit additional applicants). • *Position #2 - -- "At- Large" position - - - -- expiring 10/31/2019. This position has been vacant since 10/31/2017. Public Service Announcements continue to go out along with posting on social media. • *Position #6 - -- "At- Large" position - - - -- expiring 10/31/2019. This position has been vacant since 08/17/2017. Public Service Announcements continue to go out along with posting on social media. • *Position #11 - -- "At- Large" position - - - -- expiring 10/31/2019. This position has been vacant since 10/31/2017. Public Service Announcements continue to go out along with posting on social media. 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 Adult Care Home Community Advisory Committee. 3 Board and Commission Members And Vacant Positions Adult Care Home Com m u n ity A dvisory Committee Meeting Times: 3:30 pm - 5:00 pm Bi- monthly Terms: 3 Contact Person: Autumn Cox Meeting Place: Positions: 12 Length: 2 years Contact Phone: 919 -558 -9401 Description: Members are appointed by the Board of Commissioners to at -large positions. There is an initial one -year training term with subsequent eligibility for three additional two -year terms. This committee works to maintain the intent of the Adult Care Home Residents' Bill of Rights for those residing in licensed adult care homes. The members of this committee also promote community involvement and cooperation with these homes to ensure quality care for the elderly and disabled adults. Mrs Cresha (Christine) Cianciolo Day Phone: 919 - 489 -8539 Sex: Female First Appointed: 06/21/2016 1 Evening Phone: 919 - 489 -8539 Race: white Current Appointment: 05/02/2017 7704 Amesbury Drive FAX: Township: Chapel Hill Expiration: 03/31/2019 Chapel Hill NC 27514 E -mail: c.a.cianciolo @gmail.com Resid/Spec Req: At -Large Number of Terms: Special Repr: VACANT Day Phone: Sex: First Appointed: 2 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 10/31/2019 E -mail: Resid/Spec Req: At -Large Number of Terms: Special Repr: DD/MR Deborah Rider Day Phone: 919 - 818 -6489 Sex: Female First Appointed: 06/19/2012 Evening Phone: 919 - 732 -9476 Race: white Current Appointment: 06/21/2016 3 2314 Red Oak CT. FAX: Township: Hillsborough Expiration: 06/30/2018 Hillsborough NC 27278 E -mail: driderl736 @gmail.com Resid/Spec Req: At -Large Number of Terms: 2 Special Repr: Max Mason Day Phone: 919 - 649 -7937 Sex: Male First Appointed: 06/07/2011 4 Chair Evening Phone: Race: white Current Appointment: 05/02/2017 821 Tinkerbell Rd. FAX: Township: Chapel Hill Expiration: 06/30/2019 Chapel Hill NC 27517 E -mail: maxomason @yahoo.com Resid/Spec Req: At -Large Number of Terms: 3 Special Repr: VACANT Day Phone: Sex: First Appointed: 5 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 10/31/2019 E -mail: Resid/Spec Req: At -Large Number of Terms: Special Repr: Thursday, January 25, 2018 Page 1 C! Board and Commission Members And Vacant Positions Adult Care Home Com m u n ity A dvisory Committee Meeting Times: 3:30 pm - 5:00 pm Bi- monthly Terms: 3 Contact Person: Autumn Cox Meeting Place: Positions: 12 Length: 2 years Contact Phone: 919 -558 -9401 Description: Members are appointed by the Board of Commissioners to at -large positions. There is an initial one -year training term with subsequent eligibility for three additional two -year terms. This committee works to maintain the intent of the Adult Care Home Residents' Bill of Rights for those residing in licensed adult care homes. The members of this committee also promote community involvement and cooperation with these homes to ensure quality care for the elderly and disabled adults. VACANT Day Phone: Sex: First Appointed: 6 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 10/31/2019 E -mail: Resid/Spec Req: At -Large Number of Terms: Special Repr: A Yvonne Mendenhall Day Phone: 919 - 968 -7874 Sex: Female First Appointed: 12/09/2014 Evening Phone: 919 -968 -7874 Race: white Current Appointment: 11/02/2017 7 304 W Barbee Chapel Rd FAX: Township: Chapel Hill Expiration: 10/31/2019 Chapel Hill NC 27517 E -mail: menholiday @aol.com Resid/Spec Req: At -Large Number of Terms: 2 Special Repr: Gloria Brown MSW Day Phone: 919 537 -7485 Sex: Female First Appointed: 12/15/2015 8 Evening Phone: 919 245 -1025 Race: African American Current Appointment: 05/02/2017 2200 Old Forest Drive FAX: Township: Hillsborough Expiration: 06/30/2018 Hillsborough NC 27278 E -mail: browng @piedmonthealth.org Resid/Spec Req: At -Large Number of Terms: Special Repr: William Lang Day Phone: 2022151131 Sex: Male First Appointed: 01/21/2016 9 Evening Phone: 2022151131 Race: white Current Appointment: 05/02/2017 106 Hayes Street FAX: Township: Hillsborough Expiration: 03/31/2019 Hillsborough NC 27278 E -mail: wglang1954 @gmail.com Resid/Spec Req: At -Large Number of Terms: Special Repr: Dr. Beverly Foster Day Phone: 919 966 -4995 Sex: Female First Appointed: 06/18/2013 0 Evening Phone: 919 967 -2930 Race: white Current Appointment: 06/21/2016 2454 Springview Trail FAX: 919 843 -6212 Township: Chapel Hill Expiration: 06/30/2018 Chapel Hill NC 27514 E -mail: Bev_Foster @unc.edu Resid/Spec Req: At -Large Number of Terms: 2 Special Repr: Thursday, January 25, 2018 Page 2 5 Board and Commission Members And Vacant Positions Adult Care Home Com m u n ity A dvisory Committee 12 Meeting Times: 3:30 pm - 5:00 pm Bi- monthly Terms: 3 Contact Person: Autumn Cox Meeting Place: Positions: 12 Length: 2 years Contact Phone: 919 -558 -9401 Description: Members are appointed by the Board of Commissioners to at -large positions. There is an initial one -year training term with subsequent eligibility for three additional two -year terms. This committee works to maintain the intent of the Adult Care Home Residents' Bill of Rights for those residing in licensed adult care homes. The members of this committee also promote community involvement and cooperation with these homes to ensure quality care for the elderly and disabled adults. VACANT Day Phone: Sex: First Appointed: Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 10/31/2019 E -mail: Resid/Spec Req: At -Large Number of Terms: Special Repr: Deborah Stewart Day Phone: 919 - 210 -4857 Sex: Female First Appointed: 12/09/2014 Evening Phone: 919 - 210 -4857 Race: white Current Appointment: 12/09/2014 1405 Buckhorn Rd. FAX: Township: Cheeks Expiration: 10/30/2017 Mebane NC 27302 E -mail: deb.k.stewart@gmail.com Resid/Spec Req: At -Large Number of Terms: Special Repr: Thursday, January 25, 2018 Page 3 C: January 19th, 2018 VIA ELECTRONIC MAIL Thom Freeman Assistant to the Clerk Orange County Board of Commissioners 200 South Cameron Street PO Box 8181 Hillsborough, NC 27278 Re: Michael Zuber Mr. Freeman, Please accept this correspondence as my recommendation that Mr. Michael Zuber be appointed to the Orange County Adult Care Home Community Advisory Committee. Mr. Zuber has completed all required trainings in accordance with HB248 for the Ombudsman Program. Mr. Zuber will be a strong asset to our team and is eager to get started in his advocacy efforts for the residents in Orange County. Thank you for your assistance with this matter. Should you have any questions, please just let me know. Sincerely, 14 4'� tl -(k t m' COX Autumn Cox Regional Long Term Care Ombudsman CC Max Mason Chairman, Orange County Adult Care Home Community Advisory Committee cc: Autumn Cox, Regional Ombudsman Page 1 of 2 Michael Zuber Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Mr. Michael Zuber 442 Melanie Court Chapel Hill NC 27514 9805222702 9805222702 9805222702 michaelalanzuber @gmail.com Investors Trust Company Vice President & Wealth Advisor 2017 Chapel Hill Male wh ite Community Activities /Organizational Memberships: Chapel Hill Tennis Club Chapel Hill - Carrboro Chamber of Commerce Estate Planning Council for Durham /Orange Counties, Greensboro, and High Point Habitat for Humanity Finance Committee Durham Arts Council Past Service on Orange County Advisory Boards: This would be my first Orange County Board volunteer opportunity. Boards /Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: Many people in the LTC community are concerned about running out of money, increasing healthcare costs, and whether they are making the right decisions as it relates to their health and money. My business provides peace of mind to people concerned about reaching their financial goals. Most of our clients are in Long Term Care Facilities and I regularly hear about their concerns. I have extensive training as it relates to working with people in their 60 s - 90 s. This includes concerns about their LTC options, Medicare, Medicaid, Social Security, etc. ACCREDITED ESTATE PLANNER(r) Certified Trust & Financial Advisor Masters In Trust & Wealth Management, Campbell University Financial Planning Certificate, Wake Forest University (2018) Alzheimer Foundation of America roadshow training Dementia Friendly Orange County training (10/20/2017) Reasons for wanting to serve on this board: 9 Page 2 of 2 Michael Zuber I want to have a better understanding of the strengths and challenges faced in local Long Term Care community. I want to hear directly from the caregivers and residents about their how we could better meet their needs. This is one of the fastest growing industries in America and it s important we listen carefully to those providing and receiving the local LTC services. We need to be vigilant in protecting the interest of Orange county LTC residents so all may receive the highest quality of care. Conflict of Interest: Advisory Board on Aging Background, education and experience relevant to this board: Many people in the LTC community are concerned about running out of money, increasing healthcare costs, and whether they are making the right decisions as it relates to their health and money. My business provides peace of mind to people concerned about reaching their financial goals. Most of our clients are in Long Term Care Facilities and I regularly hear about their concerns. I have extensive training as it relates to working with people in their 60 s - 90 s. This includes concerns about their LTC options, Medicare, Medicaid, Social Security, etc. ACCREDITED ESTATE PLANNER(r) Certified Trust & Financial Advisor Masters In Trust & Wealth Management, Campbell University Financial Planning Certificate, Wake Forest University (2018) Alzheimer Foundation of America roadshow training Dementia Friendly Orange County training (10/20/2017) Reasons for wanting to serve on this board: I want to have a better understanding of the strengths and challenges faced in local Long Term Care community. I want to hear directly from the caregivers and residents about their how we could better meet their needs. This is one of the fastest growing industries in America and it s important we listen carefully to those providing and receiving the local LTC services. We need to be vigilant in protecting the interest of Orange county LTC residents so all may receive the highest quality of care. Conflict of Interest: Supplemental Questions: Boards /Commissions appointments: Other Comments: This application was current on: 9/22/2017 5:13:55 PM Date Printed: 9/26/2017 i[f Applicant Interest Listing by Board Name and by Applicant Name Race: Contact Person: Autumn Cox Adult Care Home Com m u n ity A dvisory Committee Res. Eligibility: C.H. City Limits Contact Phone: 919 -558 -9401 Tiketha Collins Day Phone: 9193329917 Sex: Female 600 S. Churton Street Evening Phone: 9193329917 Race: African American Hillsborough NC 27278 Cell Phone: 9193329917 Township: Hillsborough E -mail: tikethacollins @gmail.com Res. Eligibility: Hillsborough ETJ Date Applied: 08/25/2017 Skills: Also Serves On: Ms. Stephanie Miller Day Phone: 6108026368 Sex: Female 105 Summerlin Drive Evening Phone: 6108026368 Race: white Chapel Hill NC 27514 Cell Phone: 6108026368 Township: Chapel Hill E -mail: stephjmiller @gmail.com Res. Eligibility: C.H. City Limits Date Applied: 12/15/2017 Skills: Also Serves On: Katy Stewart Day Phone:. 9196915555 Sex: Female 8407 NC 57 Evening Phone: 9196915555 Race: white Rougemont NC 27572 Cell Phone: 9196915555 Township: Hillsborough E -mail: katystewl @gmail.com Res. Eligibility: Date Applied: 03/31/2017 Skills: Also Serves On: Mr. Michael Zuber 442 Melanie Court Chapel Hill NC 27514 Skills: Day Phone: 9805222702 Evening Phone: 9805222702 Cell Phone: 9805222702 E -mail: michaelalanzuber @gmail.com Also Serves On: Sex: Male Race: white Township: Chapel Hill Res. Eligibility: C.H. City Limits Date Applied: 09/22/2017 Thursday, January 25, 2018 Page 1 of 1 11 Page 1 of 2 Tiketha Collins Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Tiketha Collins 600 S. Churton Street Hillsborough NC 27278 9193329917 9193329917 9193329917 tikethacollins @gmail.com Durham Nursing and Rehab Director of Social Services 2015 Hillsborough Female African American Community Activities /Organizational Memberships: None at this time. I have a great interest in the aging Past Service on Orange County Advisory Boards: none Boards /Commissions applied for: Advisory Board on Aging Background, education and experience relevant to this board: I have worked with the aging for over 10 years. I have studied gerontology on graduate level. Reasons for wanting to serve on this board: I desire to assist in the programs that directly affect the aging in my community. Conflict of Interest: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: I have worked with the aging for over 10 years. I have studied gerontology on graduate level. Reasons for wanting to serve on this board: I desire to assist in the programs that directly affect the aging in my community and ensure the well being of those in placement. . Conflict of Interest: iim Page 2 of 2 Durham Technical Community College Board of Trustees Background, education and experience relevant to this board: Tiketha Collins I have worked with children and adults in the education system. I previously worked as a GED instructor. Reasons for wanting to serve on this board: I desire to ensure the quality of education is available for all who desire and the process is easily to obtain the goal of additional education. Conflict of Interest: My son is currently attending Durham Tech. Supplemental Questions: Durham Technical Community College Board of Trustees What improvements do you believe can be made so that DTCC better serves the residents of Orange County? Increase the courses offered, enlarge the campus to accommodate additional students. Boards /Commissions appointments: Other Comments: This application was current on: 8/25/2017 10:45:59 AM Date Printed: 8/25/2017 13 Page 1 of 2 Stephanie Miller Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence Township of Residence: Zone of Residence: Sex: Ethnic Background Ms. Stephanie Miller 105 Summerlin Drive Chapel Hill NC 27514 6108026368 6108026368 6108026368 stephjmiller @gmail.com UNC Chapel Hill- Program on Aging, Long -term Ca Research Associate (Project Coordinator) 2011 Chapel Hill Female wh ite Community Activities /Organizational Memberships: Former volunteer with - Guardian ad Litem, District 15B - Orange County Animal Services Former community planning intern with Orange County Department on Aging (2015 -2016) under the supervision of Mary Fraser Past Service on Orange County Advisory Boards: I have not served in a board member capacity for any Orange County Advisory Boards. Boards /Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: I hold a graduate degree in social work, specific to community planning. I completed a graduate practicum by serving as a community planning intern with the Orange County Department on Aging. I am now employed with a UNC public health research group which conducts research primarily in geriatric long -term care settings (both nursing homes and adult care homes /assisted living) Reasons for wanting to serve on this board: As project coordinator, I do not spend as much time in the field as the data collectors (my supervisees) do. I feel disconnected from community based work in my research role and would like an opportunity to re- engage in a more direct way. With that being said, I do maintain an interest in policy and state -level decisions that influence the long -term care industry and aging populations. Ombudsman advocacy seems to touch on the importance of larger level issues while also incorporating resident -level input. Conflict of Interest: iiLl Page 2 of 2 Nursing Home Community Advisory Committee Background, education and experience relevant to this board: See above. Stephanie Miller Reasons for wanting to serve on this board: In my current work, I am primarily focused on assisted living. I would like to learn more about nursing home care and its structure. Conflict of Interest: Supplemental Questions: Boards /Commissions appointments: Other Comments: This application was current on: 12/15/2017 2:13:38 PM Date Printed: 12/18/2017 Page 1 of 2 Katy Stewart Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone (Day): Phone (Evening): Phone (Cell): Email: Place of Employment: Job Title: Year of OC Residence: Township of Residence: Zone of Residence: Sex: Ethnic Background Katy Stewart 8407 NC 57 Rougemont NC 27572 9196915555 9196915555 9196915555 katystewl@gmail.com Self employed RN 1997 Hillsborough Female Caucasian 15 Community Activities /Organizational Memberships: I am currently exploring ways to get involved with my community and advocate for the clientele that I have been caring for my whole career. I have been a nurse for 25 years. I have worked with the geriatric community during those years with 22 years spent in hospice care. I have recently decided to work for myself and care for those as I can. I am researching housing for the elderly and terminally ill. I want to provide a safe caring environment for this population. I believe I have many years of experience to offer. Past Service on Orange County Advisory Boards: None Boards /Commissions applied for: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: 25 years in nursing of the elderly. Head of hospice care during most of my career. As well as home health care, visiting most of all care homes in the 25 mile radius. Reasons for wanting to serve on this board: I would like to offer my knowledge that I have have gained in this field in a constructive, helpful way. I want to be a patient advocate, speak for a population I know very well. Conflict of Interest: 16 Page 2 of 2 Advisory Board on Aging Background, education and experience relevant to this board: Katy Stewart As I stated above, 25 years in nursing of the elderly. Head of hospice care during most of my career. As well as home health care, visiting most of all care homes in the 25 mile radius. I want to be a patient advocate, speak for a population I know very well. Reasons for wanting to serve on this board: I want to offer any knowledge I have gained to speak for this population. Conflict of Interest: Board of Health Background, education and experience relevant to this board: As I stated above, 25 years in nursing of the elderly. Head of hospice care during most of my career. As well as home health care, visiting most of all care homes in the 25 mile radius. I want to be a patient advocate, speak for a population I know very well. Reasons for wanting to serve on this board: I want to be a patient advocate, speak for a population I know very well. Conflict of Interest: Supplemental Questions: Boards /Commissions appointments: Other Comments: This application was current on: 3/31/2017 Date Printed: 6/9/2017