HomeMy WebLinkAboutAgenda- 09-04-2018 11-a - Adult Care Home Community Advisory Committee - Appointments
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 4, 2018
Action Agenda
Item No. 11-a
SUBJECT: Adult Care Home Community Advisory Committee - Appointments
DEPARTMENT: Board of Commissioners
ATTACHMENT(S):
Membership Roster
Recommendations
Applications for Persons Recommended
Applicant Interest List
Applications of Persons on the Interest List
INFORMATION CONTACT:
Clerk’s Office, 919-245-2130
PURPOSE: To consider making appointments to the Adult Care Home Community Advisory
Committee.
BACKGROUND: The following information is for Board consideration:
POSITION
NO.
NAME SPECIAL
REPRESENTATIVE
TYPE OF
APPOINTMENT
TERM
EXPIRATION
DATE
1 Tiketha Collins At-Large One Year Initial
Term
09/04/2019
2 Nancy
McCormick
At-Large One Year Initial
Term
09/04/2019
NOTE - If the individuals listed above are appointed, the following vacancies remain:
(SPECIAL NOTATION: ASIDE FROM THE RECOMMENDATIONS ABOVE,
NONE OF THE OTHER APPLICANTS HAVE BEEN SELECTED FOR THE
MANDATORY TRAINING PRIOR TO RECOMMEDATION TO APPOINTMENT.)
POSITION
NO.
POSITION
DESIGNATION
EXPIRATION
DATE
VACANCY INFORMATION
3 At-Large 10/31/2019 This position has been vacant since
3/19/2018.
6 At-Large 10/31/2019 This position has been vacant since
8/17/2017.
10 At-Large 06/30/2021 This position has been vacant since
6/30/2018.
11 At-Large 10/31/2019 This position has been vacant since
10/11/2017.
1
12 At-Large 10/31/2020 This position has been vacant since
3/16/2018.
(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.
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 Adult Care Home Community Advisory Committee.
2
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
Contact Person:Autumn Cox
Contact Phone:919-558-9401
Meeting Times:3:30 pm - 5:00 pm Bi-monthly
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.
Positions:12
Terms:3
Meeting Place:Length:2 years
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:03/31/2019
Number of Terms:
1
First Appointed:
Special Repr:
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:10/31/2019
Number of Terms:
2
First Appointed:
Special Repr:
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:06/30/2021
Number of Terms:
3
First Appointed:
Special Repr:
Race:white
Max Mason
821 Tinkerbell Rd.
Chapel Hill NC 27517
919-649-7937
maxomason@yahoo.com
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Male
Township:Chapel Hill
Resid/Spec Req:At-Large
Current Appointment:05/02/2017
Expiration:06/30/2019
Number of Terms:3
4
First Appointed:06/07/2011
Special Repr:
Chair
Race:white
Mr. Michael Zuber
442 Melanie Court
Chapel Hill NC 27514
9805222702
9805222702
michaelalanzuber@gmail.com
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Male
Township:Chapel Hill
Resid/Spec Req:At-Large
Current Appointment:02/06/2018
Expiration:10/31/2019
Number of Terms:
5
First Appointed:02/06/2018
Special Repr:
Tuesday, August 28, 2018 Page 1
3
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
Contact Person:Autumn Cox
Contact Phone:919-558-9401
Meeting Times:3:30 pm - 5:00 pm Bi-monthly
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.
Positions:12
Terms:3
Meeting Place:Length:2 years
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:10/31/2019
Number of Terms:
6
First Appointed:
Special Repr:
Race:white
A Yvonne Mendenhall
304 W Barbee Chapel Rd
Chapel Hill NC 27517
919-968-7874
919-968-7874
menholiday@aol.com
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Female
Township:Chapel Hill
Resid/Spec Req:At-Large
Current Appointment:11/02/2017
Expiration:10/31/2019
Number of Terms:2
7
First Appointed:12/09/2014
Special Repr:
Race:African American
Gloria Brown MSW
2200 Old Forest Drive
Hillsborough NC 27278
919 537-7485
919 245-1025
browng@piedmonthealth.org
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Female
Township:Hillsborough
Resid/Spec Req:At-Large
Current Appointment:06/19/2018
Expiration:06/30/2020
Number of Terms:1
8
First Appointed:12/15/2015
Special Repr:
Race:white
William Lang
106 Hayes Street
Hillsborough NC 27278
2022151131
2022151131
wglang1954@gmail.com
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Male
Township:Hillsborough
Resid/Spec Req:At-Large
Current Appointment:05/02/2017
Expiration:03/31/2019
Number of Terms:
9
First Appointed:01/21/2016
Special Repr:
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:06/30/2021
Number of Terms:
10
First Appointed:
Special Repr:
Tuesday, August 28, 2018 Page 2
4
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
Contact Person:Autumn Cox
Contact Phone:919-558-9401
Meeting Times:3:30 pm - 5:00 pm Bi-monthly
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.
Positions:12
Terms:3
Meeting Place:Length:2 years
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:10/31/2019
Number of Terms:
11
First Appointed:
Special Repr:
Race:
VACANT Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:
Township:
Resid/Spec Req:At-Large
Current Appointment:
Expiration:10/31/2020
Number of Terms:
12
First Appointed:
Special Repr:
Tuesday, August 28, 2018 Page 3
5
June 22, 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: Tiketha Collins and Nancy McCormick
Mr. Freeman,
Please accept this correspondence as my recommendation that Mrs. Tiketha Collins and Mrs.
Nancy McCormick be appointed to the Orange County Adult Care Home Community Advisory
Committee. Both have completed all required trainings in accordance with HB248 for the
Ombudsman Program. I feel both applicants 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,
Autumn Cox
Autumn Cox
Regional Long Term Care Ombudsman
CC
Max Mason
Chairman, Orange County Adult Care Home Community Advisory Committee
6
cc: Autumn Cox, Regional Ombudsman
7
Page 1 of 2
Volunteer Application
Tiketha Collins
Orange County Advisory Boards and Commissions
Name: Tiketha Collins
Name Called:
Home Address: 600 S. Churton Street
Hillsborough NC 27278
Phone (Day): 9193329917
Phone (Evening): 9193329917
Phone (Cell): 9193329917
Email: tikethacollins@gmail.com
Place of Employment: Durham Nursing and Rehab
Job Title: Director of Social Services
Year of OC Residence: 2015
Township of Residence: Hillsborough
Zone of Residence:
Sex: Female
Ethnic Background: 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 program s that directly affect the aging in my comm unity.
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 program s that directly affect the aging in my comm unity and ensure the
well being of those in placement. .
Conflict of Interest:
8
Page 2 of 2 Tiketha Collins
Durham T echnical Community College Board of Trustees
Background, education and experience relevant to this board:
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 T echnical 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: 05/02/2018 10:45:59 AM Date Printed: 05/02/2018
9
Volunteer Application
Orange County Advisory Boards and Commissions
Nancy McCormick Page 1 of 2
Home Address:920 Edgewater Circle
Township of Residence: Chapel Hill
Zone of Residence:
Ethnic Background:white
Sex:Female
Phone (Day):8033312560
Phone (Evening):8033312560
Phone (Cell):8033312560
Email:nancycm@live.com
Name: Nancy McCormick
Boards/Commissions applied for:
Chapel Hill NC 27516
Place of Employment: Retired
Job Title:Retired
Name Called:
Year of OC Residence:2018
Community Activities/Organizational Memberships:
I just moved to Chapel Hill. Prior to my retirement last fall, I was an attorney with
Protection and Advocacy for People with Disabilities, Inc. in Columbia, SC (P&A) (the
equivalent of Disability Rights North Carolina). P&A operated a program called Team
Advocacy, which inspected community residential care facilities (the equivalent of board
and care homes). In my role as attorney I worked on legislation and reports affecting
these facilities, as well as serving on various advisory bodies and committees and
consulting on legal issues raised in our inspections. Although extremely new to this area,
I am familiar with the issues and would welcome the opportunity to serve.
Past Service on Orange County Advisory Boards:
None
Supplemental Questions:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
Please refer to previous page. As an attorney I worked on issues affecting this population for
many years. I m familiar with the Americans with Disabilities Act, Medicaid, and other issues
affecting residents of adult care homes.
Reasons for wanting to serve on this board:
I would like to be able to use the knowledge I gained while working to monitor and improve
conditions for residents.
Conflict of Interest:
10
Page 2 of 2 Nancy McCormick
Other Comments:
This application was current on:5/22/2018 10:06:07 AM Date Printed:5/22/2018
Boards/Commissions appointments:
11
Applicant Interest Listing by Board Name and by Applicant Name
Adult Care Home Community Advisory Committee Contact Person:Autumn Cox
Contact Phone:919-558-9401
Race:African American
Tiketha Collins
600 S. Churton Street
Hillsborough NC 27278
9193329917
9193329917
9193329917
tikethacollins@gmail.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Female
Township:Hillsborough
Date Applied:05/02/2018
Res. Eligibility:Hillsborough ETJ
Also Serves On:Skills:
Race:Other
Shade Little
229 Weaver Road
Chapel Hill NC 27514
9199677371
9199677371
none
shadekslittle@gmail.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Male
Township:Chapel Hill
Date Applied:08/09/2018
Res. Eligibility:
Also Serves On:Skills:
Also Serves On:Skills:
Also Serves On:Skills:
Race:white
John Lyon
815 US Highway 70A East Unit 110
Hillsborough NC 27278
919-943-8764
919-943-8764
919-943-8764
lyonsden1974@yahoo.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Male
Township:Hillsborough
Date Applied:05/30/2018
Mr.
Res. Eligibility:Hillsborough Town Lim
Also Serves On:Skills:
Race:white
Nancy McCormick
920 Edgewater Circle
Chapel Hill NC 27516
8033312560
8033312560
8033312560
nancycm@live.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Female
Township:Chapel Hill
Date Applied:05/22/2018
Res. Eligibility:C.H. City Limits
Also Serves On:Skills:
Race:white
Stephanie Miller
105 Summerlin Drive
Chapel Hill NC 27514
6108026368
6108026368
6108026368
stephjmiller@gmail.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Female
Township:Chapel Hill
Date Applied:12/15/2017
Ms.
Res. Eligibility:C.H. City Limits
Also Serves On:Nursing Home Community Advisory CommitteeSkills:
Monday, August 13, 2018 Page 1 of 2
12
Applicant Interest Listing by Board Name and by Applicant Name
Adult Care Home Community Advisory Committee Contact Person:Autumn Cox
Contact Phone:919-558-9401
Race:white
Katy Stewart
8407 NC 57
Rougemont NC 27572
9196915555
9196915555
9196915555
katystew1@gmail.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Female
Township:Hillsborough
Date Applied:03/31/2017
Res. Eligibility:
Also Serves On:Skills:
Monday, August 13, 2018 Page 2 of 2
13
Volunteer Application
Orange County Advisory Boards and Commissions
Shade Little Page 1 of 1
Home Address:229 Weaver Road
Township of Residence: Chapel Hill
Zone of Residence:
Ethnic Background:Other
Sex:Male
Phone (Day):9199677371
Phone (Evening):9199677371
Phone (Cell):none
Email:shadekslittle@gmail.com
Name: Shade Little
Boards/Commissions applied for:
Chapel Hill NC 27514
Other Comments:
Place of Employment: none
Job Title:none
Name Called:
This application was current on:8/9/2018 10:03:13 AM Date Printed:8/9/2018
Year of OC Residence:1971
Community Activities/Organizational Memberships:
none
Past Service on Orange County Advisory Boards:
none
Supplemental Questions:
Boards/Commissions appointments:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
I am old.
Reasons for wanting to serve on this board:
Ensure my cohorts live well.
Conflict of Interest:
14
Volunteer Application
Orange County Advisory Boards and Commissions
John Lyon Page 1 of 2
Home Address:815 US Highway 70A East Unit 110
Township of Residence: Hillsborough
Zone of Residence:
Ethnic Background:white
Sex:Male
Phone (Day):919-943-8764
Phone (Evening):919-943-8764
Phone (Cell):919-943-8764
Email:lyonsden1974@yahoo.com
Name:Mr. John Lyon
Boards/Commissions applied for:
Hillsborough NC 27278
Other Comments:
Place of Employment: Retired
Job Title:Retired VP Commercial Construction Company
Name Called:
Year of OC Residence:2011
Community Activities/Organizational Memberships:
Volunteered OCIM Food Pantry 3 years, Efland UNMC Church Board, United States
Naval Air Disabled Veteran, Orange County Dementia Support Group.
Past Service on Orange County Advisory Boards:
Not appointed yet. Applying to volunteer on Community Advisory Committee to serve on
the nursing and adult care home community advisory committee Orange County.
Supplemental Questions:
Boards/Commissions appointments:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
I volunteered to serve 12 years on the board of directors for Special Education representing 7
town and was a Chairman of the School Board for 3 years in New England before retiring and
moving to NC. My full time employment was VP of a Commercial Construction Company.
Reasons for wanting to serve on this board:
I am a senior and very interested helping Orange County families to know the rights of residents
living in adult care homes and nursing homes. I also appreciate all the services offered to me in
Orange County and would like to give back and help other families.
Conflict of Interest:
15
Page 2 of 2 John Lyon
This application was current on:5/30/2018 9:50:03 PM Date Printed:6/12/2018
16
Volunteer Application
Orange County Advisory Boards and Commissions
Stephanie Miller Page 1 of 2
Home Address:105 Summerlin Drive
Township of Residence: Chapel Hill
Zone of Residence:
Ethnic Background:white
Sex:Female
Phone (Day):6108026368
Phone (Evening):6108026368
Phone (Cell):6108026368
Email:stephjmiller@gmail.com
Name:Ms. Stephanie Miller
Boards/Commissions applied for:
Chapel Hill NC 27514
Place of Employment: UNC Chapel Hill- Program on Aging, Long-term Ca
Job Title:Research Associate (Project Coordinator)
Name Called:
Year of OC Residence:2011
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.
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:
17
Page 2 of 2 Stephanie Miller
Other Comments:
This application was current on:12/15/2017 2:13:38 PM Date Printed:12/18/2017
Supplemental Questions:
Boards/Commissions appointments:
Nursing Home Community Advisory Committee
Background, education and experience relevant to this board:
See above.
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:
18
Volunteer Application
Orange County Advisory Boards and Commissions
Katy Stewart Page 1 of 2
Home Address:8407 NC 57
Township of Residence: Hillsborough
Zone of Residence:
Ethnic Background:Caucasian
Sex:Female
Phone (Day):9196915555
Phone (Evening):9196915555
Phone (Cell):9196915555
Email:katystew1@gmail.com
Name: Katy Stewart
Boards/Commissions applied for:
Rougemont NC 27572
Place of Employment: Self employed
Job Title:RN
Name Called:
Year of OC Residence:1997
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
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:
19
Page 2 of 2 Katy Stewart
Other Comments:
This application was current on:3/31/2017 Date Printed:6/9/2017
Supplemental Questions:
Boards/Commissions appointments:
Advisory Board on Aging
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 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:
20