HomeMy WebLinkAboutItem 11-a - Adult Care Home Community Advisory Committee - Appointments
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: November 13, 2018
Action Agenda
Item No. 11-a
SUBJECT: Adult Care Home Community Advisory Committee - Appointments
DEPARTMENT: Board of Commissioners
ATTACHMENT(S): Under Separate Cover
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:
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 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.
POSITION
NO.
NAME SPECIAL
REPRESENTATIVE
TYPE OF
APPOINTMENT
TERM
EXPIRATION
DATE
3 Alison Brown At-Large One Year
Preliminary
11/13/2019
6 Shade Little At-Large One Year
Preliminary
11/13/2019
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. We recently sent out a Public Service Announcement as well as social media
postings to solicit additional applicants).
1
• *Position #10--- “At-Large” position----- expiring 06/30/2021. This position has been
vacant since 06/30/2018. 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.
• *Position #12--- “At-Large” position----- expiring 10/31/2019. This position has been
vacant since 03/16/2018. 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
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:African American
Tiketha Collins
600 S. Churton Street
Hillsborough NC 27278
9193329917
9193329917
tikethacollins@gmail.com
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Female
Township:Hillsborough
Resid/Spec Req:At-Large
Current Appointment:09/04/2018
Expiration:09/04/2019
Number of Terms:
1
First Appointed:09/04/2018
Special Repr:
One Year Trng. Term
Race:white
Nancy McCormick
920 Edgewater Circle
Chapel Hill NC 27516
8033312560
8033312560
nancycm@live.com
Day Phone:
Evening Phone:
FAX:
E-mail:
Sex:Female
Township:Chapel Hill
Resid/Spec Req:At-Large
Current Appointment:09/04/2018
Expiration:09/04/2019
Number of Terms:
2
First Appointed:09/04/2018
Special Repr:
One Year Trng. Term
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:
Vice-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:
Chair
Tuesday, October 30, 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:
Secretary
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:
Vice-Secretary
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, October 30, 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, October 30, 2018 Page 3
5
October 30, 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: Shade Little and Alison Brown
Mr. Freeman,
Please accept this correspondence as my recommendation that Ms. Alison Brown and Mr.
Shade Little 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
Michael Zuber
Chairman, Orange County Adult Care Home Community Advisory Committee
cc: Autumn Cox, Regional Ombudsman
6
Volunteer Application
Orange County Advisory Boards and Commissions
Alison Brown Page 1 of 2
Home Address:305 Warren Ct
Township of Residence: Chapel Hill
Zone of Residence:
Ethnic Background:African American
Sex:Female
Phone (Day):9197657756
Phone (Evening):9196728994
Phone (Cell):9196728994
Email:alisonatbrown@bcbsnc.com
Name:Mrs Alison Brown
Boards/Commissions applied for:
Chapel Hill NC 27516
Place of Employment: Blue Cross and Blue Shield of NC
Job Title:Manager
Name Called:
Year of OC Residence:2010
Community Activities/Organizational Memberships:
Delta Sigma Theta Sorority, Inc.
Past Service on Orange County Advisory Boards:
none
Supplemental Questions:
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
I work in the Medicare market for BCBSNC. My role includes ensuring that my business
partners meet Medicare requirements for our organization, often involving interpretation of
intent. I believe my professional experience will be transferable skills for the responsibilities of
this committee.
Reasons for wanting to serve on this board:
I want to help ensure that elderly and disabled adults in my community have adequate, quality
housing options.
Conflict of Interest:
Affordable Housing Advisory Board
Background, education and experience relevant to this board:
My undergraduate degree is in applied mathematics and I am a problem solver, analytical
person. I believe these skills would be a help assessing proposals and housing programs.
Reasons for wanting to serve on this board:
I want to support my community in this way regarding housing of those in need.
Conflict of Interest:
8
Page 2 of 2 Alison Brown
Other Comments:
This application was current on:8/23/2018 8:23:23 PM Date Printed:9/4/2018
Supplemental Questions:
Boards/Commissions appointments:
9
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:
10
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
Alison Brown
305 Warren Ct
Chapel Hill NC 27516
9197657756
9196728994
9196728994
alisonatbrown@bcbsnc.com
Day Phone:
Evening Phone:
Cell Phone:
E-mail:
Sex:Female
Township:Chapel Hill
Date Applied:08/23/2018
Res. Eligibility:County
Also Serves On:Affordable Housing Advisory BoardSkills:
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:C.H. City Limits
Also Serves On:Skills:
Also Serves On:Skills:
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:
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:
Tuesday, October 30, 2018 Page 1 of 1
11
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:
12
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:
13
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:
14
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:
15