HomeMy WebLinkAboutAgenda - 09-09-2021 Virtual Work Session; Item 2 - Adult Care Home Community Advisory Committee – Appointment Discussion 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: September 9, 2021
Action Agenda
Item No. 2
SUBJECT: Adult Care Home Community Advisory Committee — Appointment Discussion
DEPARTMENT: Board of Commissioners
ATTACHMENT(S): INFORMATION CONTACT:
Membership Roster Clerk's Office, 919-245-2130
Recommendation
Application for Person Recommended
Attendance Record
Applicant Interest List
No Eligible Applicants
PURPOSE: To discuss an appointment to the Adult Care Home Community Advisory
Committee.
BACKGROUND: The following appointment information is for Board consideration:
NAME SPECIAL TYPE OF EXPIRATION
REPRESENTATIVE APPOINTMENT DATE
TERM
MaryLou At-Large First Full Term 10/31/2023
Gelblum
NOTE - If the individual listed above is appointed, the following vacancies remain:
SPECIAL NOTATION: None of the other applicants have completed the mandatory pre-
appointment training, and are therefore not eligible for appointment at this time.
POSITION EXPIRATION VACANCY INFORMATION
DESIGNATION DATE
At-Large 03/31/2022 Vacant since 12/09/2020
At-Large 06/30/2022 Vacant since 10/17/2020
At-Large 06/30/2022 Vacant since 05/12/2020
At-Large 10/31/2022 Vacant since 10/17/2020
At-Large 06/30/2022 Vacant since 10/31/2017
REMINDER: As of July 1, 2017, HB248 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". Applicants
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will be selected from our county "Applicant Interest List" for a 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: There is no financial impact associated with this item.
SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to
this item:
• GOAL: 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.
ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal
impact associated with this item.
RECOMMENDATION(S): The Manager recommends that the Board discuss an appointment to
the Adult Care Home Community Advisory Committee.
3
Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
Meeting Times: 4:00 pm-5:30 pm First Tuesday Monthly Contact Person:Autumn Cox
Meeting Place: Seymour Center Contact Phone: 919-558-9401
Positions: 10 Length:2 years Terms: 3
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
1 First Appointed:
Gender Identity: Township: Current Appointment:
Ethnic Background: Resid/Spec Req: At-Large Expiration: 03/31/2022
Age Range: Special Repr: Number of Terms:
Alison Brown
2 First Appointed: 11/13/2018
Gender Identity: Female Township: Chapel Hill Current Appointment: 05/18/2021
Ethnic Background: African American Resid/Spec Req: At-Large Expiration: 06/30/2023
Age Range: Special Repr: Number of Terms: 1
VACANT
3 First Appointed:
Gender Identity: Township: Current Appointment:
Ethnic Background: Resid/Spec Req: At-Large Expiration: 06/30/2022
Age Range: Special Repr: Number of Terms:
VACANT
4 First Appointed:
Gender Identity: Township: Current Appointment:
Ethnic Background: Resid/Spec Req: At-Large Expiration: 10/31/2022
Age Range: Special Repr: Number of Terms:
Shade Little
5 Chair First Appointed: 11/13/2018
Gender Identity: Male Township: Chapel Hill Current Appointment: 03/10/2020
Ethnic Background: Other Resid/Spec Req: At-Large Expiration: 10/31/2022
Age Range: Special Repr: Number of Terms: 1
VACANT
6 First Appointed:
Gender Identity: Township: Current Appointment:
Ethnic Background: Resid/Spec Req: At-Large Expiration: 10/31/2021
Age Range: Special Repr: Number of Terms:
Thursday,August 26,2021 Page 1
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Board and Commission Members
And Vacant Positions
Adult Care Home Community Advisory Committee
Meeting Times: 4:00 pm-5:30 pm First Tuesday Monthly Contact Person:Autumn Cox
Meeting Place: Seymour Center Contact Phone: 919-558-9401
Positions: 10 Length:2 years Terms: 3
VACANT
7 First Appointed:
Gender Identity: Township: Current Appointment:
Ethnic Background: Resid/Spec Req: At-Large Expiration: 06/30/2022
Age Range: Special Repr: Number of Terms:
Olivia Fisher
8 First Appointed: 06/04/2019
Gender Identity: Female Township: Bingham Current Appointment: 06/15/2021
Ethnic Background: White Resid/Spec Req: At-Large Expiration: 03/31/2023
Age Range: 18-34 Special Repr: Number of Terms: 1
MaryLou Gelblum
9 One Year Initial Term First Appointed: 06/04/2019
Gender Identity: Female Township: Chapel Hill Current Appointment: 10/06/2020
Ethnic Background: White Resid/Spec Req: At-Large Expiration: 10/31/2021
Age Range: Special Repr: Number of Terms:
Karen Green-McElveen
10 One Year Initial Term First Appointed: 06/04/2019
Gender Identity: Female Township: Chapel Hill Current Appointment: 10/06/2020
Ethnic Background: African American Resid/Spec Req: At-Large Expiration: 10/31/2022
Age Range: 35-59 Special Repr: Number of Terms: 1
Thursday,August 26,2021 Page 2
5
Orange County Community Advisory Committee
To: Board of County Commissioners
From: Autumn Cox, Regional Ombudsman
Re: Reappointment of Marylou Gelblum
Date: August 25, 2021
On behalf of the Orange County Adult Care Home Community Advisory Committee, I would like
to recommend Marylou Gelblum for reappointment to the committee. Prior to our committee
stopping visits and meeting due to COVID19, she completed required site visits as scheduled,
had excellent attendance and always prepares detailed reports. Jackie is a valued member on
the committee and well respected among her peers.
Please let me know if you need additional information to move this recommendation forward.
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Page 1 of 2 MaryLou Gelblum
Volunteer Application
Orange County Advisory Boards and Commissions
Name: MaryLou Gelblum
Name Called:
Home Address: 500B Oak Ave, Apt B
Carrboro NC 27510
Phone (Day): 919 604-6999
Phone (Evening): 919 604-6999
Phone (Cell): 919 604-6999
Email: mlgelblum@gmail.com
Place of Employment: self employed
Job Title: Specialist - Autism, IDD
Year of OC Residence: 2018
Township of Residence: Chapel Hill
Zone of Residence:
Sex: Female
Ethnic Background: white
Community Activities/Organizational Memberships:
I have joined the Board of Frances G. Solty s Adult Day Program in Hillsborough, a
program my sister attends. I will be applying to become an Orange County Master
Gardener. I am a member of the NC Botanical Garden, and an active UNC alumni.
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:
My sister has diagnoses of severe IDD, autism, cerebral palsy. I am her guardian. We
purchased a duplex in Carrboro so she could be located right beside us forever(she resides
there with a full-time caregiver). I have two advanced degrees in Special Education (PhD from
UNC)and have worked in the field of IDD for decades. The duties of several jobs consisted of
monitoring and reporting on the compliance of counties in providing appropriate services to
persons with IDD, who had moved from institutions to their communities.
Reasons for wanting to serve on this board:
I take my Guardianship duties seriously and want all persons wih IDD to receive good care. I
would also like to use the knowledge I acquired in my work as a legal monitor, in a relevant way.
Conflict of Interest:
None that I know of. My sister is part of the Innovations Waiver and her services are monitored
by Cardinal. Their work may come into conversation.
Supplemental Questions:
Boards/Commissions appointments:
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Page 2 of 2 MaryLou Gelblum
Other Comments:
This application was current on: 2/19/2019 1:55:19 PM Date Printed: 2/21/2019
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BOCC Attendance Records For Advisory Board Re-Appointments
Adult Care Home Community Advisory Committee—Aug 2020 -Jul 2021
Original Date Appointed Aug Sep Oct Nov Dec I Jan Feb Mar Apr May Jun Jul
MaryLou Gelblum 06/04/2019 N N N N N N N N N N N N
P: Present @ Meeting A: Absent E: Excused Absence N: No Meeting
Information Current Through: July 31,2021
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Applicant Interest Listing by Board Name and by Applicant Name
Contact Person: Autumn Cox
Adult Care Home Community Advisory Committee Contact Phone: 919-558-9401
Rene Borghese
Gender Identity: Female Date Applied: 11/05/2020
Ethnic Background: White Township: Cedar Grove
Age Range: 35-59 Res.Eligibility: County
Also Serves On:
Dr. Nathan Boucher
Gender Identity: Male Date Applied: 10/19/2020
Ethnic Background: White Township: Chapel Hill
Age Range: 35-59 Res.Eligibility: C.H.City Limits
Also Serves On: BOCC Elections Advisory Group
Christina Hilliard
Gender Identity: Female Date Applied: 10/02/2020
Ethnic Background: White Township: Bingham
Age Range: 35-59 Res.Eligibility: County
Also Serves On:
Cheryl B. Jones
Gender Identity: Female Date Applied: 08/10/2021
Ethnic Background: White Township: Eno
Age Range: 60+ Res.Eligibility: County
Also Serves On:
Kelly Kester
Gender Identity: Female Date Applied: 02/12/2021
Ethnic Background: White Township: Hillsborough
Age Range: 35-59 Res.Eligibility: Hillsborough Town Limits
Also Serves On:
Thursday,August 26,2021 Page 1 of 1
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Orange County, NC Boards & Commissions Submit Date: Nov 20, 2020
Application Form
Profile
Rene Borghese
First Name Middle Initial Last Name
rene.lanier.borghese@gmail.com
Email Address
4500 Ridge Trail
Home Address Suite or Apt
Efland NC 27243
City State Postal Code
What district do you live in?
None Selected
Mobile: 9195300639
Primary Phone Alternate Phone
Employer Job Title
Which Boards would you like to apply for?
Adult Care Home Community Advisory Committee: Submitted
Township of Applicant
Cedar Grove
Property Zone
County
Community Involvement
I currently serve on two trade related Boards: The Association of Air Medical Services and The MedEvac
Foundation International. I have no current local community.
Relevant Experience
I am a Registered Nurse with 30 years of hospital and healthcare experience. I hold a Bachelors Degree
in Science, A Bachelors Degree in Nursing and a Masters Degree in Nursing. I believe my healthcare
background aligns nicely with this Board.
Rene Borghese
11
Reasons Want to Serve
I want to engage in community activities.
Diversity of Viewpoints
Without knowing the background of the current Board, this is a difficult question to answer.
Conflict of Interest
None
Interests & Experiences
Please tell us about yourself and why you want to serve.
Why are you interested in serving on a board or commission?
Past Service
Demographics
Some boards and commissions require membership to be racially, politically or geographically
proportionate to the general public. The following information helps track our recruitment and
diversity efforts.
Ethnicity
14, Caucasian/Non-Hispanic
Gender
W Female
Please select your age range
F-/ 35-59
Rene Borghese
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Page 1 of 2 Nathan Boucher
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Dr. Nathan Boucher
Name Called:
Home Address: 2012 Westbury Drive
Chapel Hill NC 27516
Phone: 9197170555
Email: bouchermailbox@gmail.com
Year of OC Residence: 2016
Township of Residence:
Zone of Residence:
Gender Identity: Male
Ethnic Background: White
Age Range: 35-59
Community Activities/Organizational Memberships:
Board of Adjustment appointee (quasi-judicial board) Town of Chapel Hill 2020-2023
Chair, Board of Directors --A Helping Hand (home care and companion not-for-profit)
2019-2022
Steering Committee Carework Network
Convener/Principal Investigator VA CDA Grant Stakeholder Advisory Board, September
2018 -
Appointed Member NC Falls Prevention Coalition Action Plan Workgroup, September
2019-
Appointed Member North Carolina Central University, Masters in Public Administration
Program Advisory Board, November 2018 -
Member Durham Master Aging Plan Steering Committee, May 2019 Feb 2020
Appointed Member - Duke University Medical Center, Department of Chaplain Services
and Education Advisory Board, January 2019
Appointed Member NC Institute of Medicine Serious Illness Task Force, May 2019 Jan
2020
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:
I have a strong gerontology and geriatrics background and research long-term care issues and
challenges. I am faculty in Geriatric Medicine and Public Policy at Duke University as well as a
research scientist with the VA.
Reasons for wanting to serve on this board:
Ensuring high quality care for older adults and those with disabilities in our community is, in part,
a community responsibility. I want to help guide these efforts for OC.
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Page 2 of 2 Nathan Boucher
Contribution to the diversity of viewpoints on this board:
I have 24+ years of experience in health care delivery as a clinician, administrator, educator and
researcher serving diverse communities.
Conflict of Interest:
BOCC Elections Advisory Group
Background, education and experience relevant to this board:
I have no prior background advising on election or voting strategies. I have extensive experience
leading and participating on advisory boards and with stakeholder engagement.
Reasons for wanting to serve on this board:
The current elections have made it clear that ALL need an equal opportunity to exercise their
voting rights. I have no agenda; I want everyone to vote and I don t ask for whom.
Contribution to the diversity of viewpoints on this board:
I work in aging and disability areas and am concerned with access to voting and representation
of those who often live in the shadows of our community. I have extensive experience with
managing stakeholder engagement and convening diverse communities.
Conflict of Interest:
Board of Social Services
Background, education and experience relevant to this board:
11
Reasons for wanting to serve on this board:
I have a strong gerontology and geriatrics background and research long-term care issues and
challenges. I am faculty in Geriatric Medicine and Public Policy at Duke University as well as a
research scientist with the VA.
Contribution to the diversity of viewpoints on this board:
Ensuring high quality care for older adults and those with disabilities in our community is, in part,
a community responsibility. I want to help guide these efforts for OC.
Conflict of Interest:
I have 24+ years of experience in health care delivery as a clinician, administrator, educator and
researcher serving diverse communities.
Boards/Commissions appointments:
Other Comments:
This application was current on: 10/19/2020 Date Printed: 10/19/2020
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Page 1 of 2 Christina Hilliard
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Christina Hilliard
Name Called:
Home Address: 2311 Davis Rd
Hillsborough NC 27278
Phone: 9194759003
Email: cshilliard@nc.rr.com
Year of OC Residence: 1999
Township of Residence:
Zone of Residence:
Gender Identity: Female
Ethnic Background: White
Age Range: 35-59
Community Activities/Organizational Memberships:
-Orange County Strong member and Advisory Board member-community of volunteers
assisting OC residents with various emergent unmet needs; including food supply &
acquisition, home necessities, supplies for school children, care kits for foster children,
travel to NC communities during crisis for assistance/support
-ARC of the Triangle, member and services volunteer
-Garden Slug member-gardening community focus on education & networking with other
gardeners
-NC Board of Pharmacy licensed pharmacist
Past Service on Orange County Advisory Boards:
None
Boards/Commissions applied for:
Board of Health
Background, education and experience relevant to this board:
I have been a registered pharmacist for over 27 years and have worked in hospital, inpatient and
outpatient clinics, IV admixture, chemotherapy admixture, parenteral nutrition, supervisory and
management roles, and retail settings. I also worked briefly in the pharmaceutical industry
providing health care provider educational opportunities. I have experience working with geriatric
patients, children, and individuals with special needs. I have lived in North Carolina my entire life
and have spent the last 31 years in Orange and Durham County working and raising my family.
This is my home. I do not have the physical ability to hold down a full-time job due to rheumatoid
arthritis, but I am excited to explore this opportunity to lend assistance in shaping the health
outcomes of the residents here. I have been the primary caregiver for my own daughter for the
last 25 years, cared for my mother during her battle with lung cancer, and helped many friends
and neighbors in times of crisis. My own health problems help me recognize how crucial it is for
good health outcomes to not only begin at home but to extend throughout the community and
school environment.
Reasons for wanting to serve on this board:
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Page 2 of 2 Christina Hilliard
I recognize that it is everyone s responsibility to assist Orange County government in providing
services to citizens throughout Orange County. I am not working outside the home currently and
would like the opportunity to volunteer and assist in services and areas I have been well trained
in providing. I welcome an opportunity to serve Orange County. I have been blessed beyond
measure in life with a loving and supportive family as well as good opportunities to advance my
education. I would like to give back to my community in a way that is important and meaningful.
Contribution to the diversity of viewpoints on this board:
I have worked with many different people throughout my lifetime and cannot say there is any one
person with whom I cannot connect or identify with through some small avenue. I like to chew
on information to process it from a variety of angles recognizing that nothing is black and white.
There are important considerations and consequences in every decision. I am also a creative
individual who enjoys thinking outside the box in creating solutions and solving challenging
problems.
Conflict of Interest:
I have been involved in learning and speaking with OCBOCC and individuals in the Save
Hillsborough campaign in regards to the industrial park proposal. I may be personally opposed to
this project but it does not supersede any opinions I have in working with other government
officials. If anything, I have learned it is vitally important to give back to my community in any way
I can. You just happen to have a vacant pharmacist position that I could slide into nicely. I
welcome any opportunity to give back to my community and always have. I have the time
necessary to commit to the public health board and would enjoy helping fellow Orange County
residents in an area I know well.
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
As a teenager, I worked with the geriatric population at a retirement home for over 4 years, have
been a registered pharmacist for almost 30 years and am a mother to 2 adult children, one with
special needs. I have been the primary caregiver for my own daughter for the last 25 years and
have worked and volunteered as part of the special needs community during much of this time.
Reasons for wanting to serve on this board:
I prefer to serve on the Public Health Board in the vacant pharmacist position. However, if I am
not chosen for that esteemed position, I think I have a lot of life experience I can bring to this
committee. As previously stated, I am not working outside the home currently and would enjoy
an opportunity to volunteer and assist in services and areas I know well. I welcome an
opportunity to serve Orange County, specifically my local community, in a way that is important
and meaningful.
Contribution to the diversity of viewpoints on this board:
I have lived in many different towns throughout North Carolina growing up and volunteered and
worked with many different individuals throughout my lifetime. I enjoy working with people from
all walk of life and appreciate the unique situations individuals have. A good friend referred to me
recently as The Peacekeeper . I can relate to young and old, wealthy or poor, and love and
appreciate the diversity that makes up this area.
Conflict of Interest:
Boards/Commissions appointments:
Other Comments:
This application was current on: 10/2/2020 12:22:36 AM Date Printed: 10/2/2020
16
Orange County, NC Boards & Commissions Submit Date: Aug 10, 2021
Application Form
Profile
Cheryl B. Jones
First Name Middle Initial Last Name
cheryl.jones@earthlink.net
Email Address
5525 Jomali Drive
Home Address Suite or Apt
Durham NC 27705
City State Postal Code
Home: (919) 382-5560
Primary Phone
What Township do you live in?
Q Eno
Property Zone
County-Rural Residential
Community Involvement
Which Boards would you like to apply for?
Adult Care Home Community Advisory Committee: Submitted
Advisory Board on Aging: Submitted
Nursing Home Community Advisory Committee: Submitted
Interests & Experiences
Relevant Experience Board #1
I have personally cared for both of my aging parents. One of my parents was in a Nursing Home (in GA),
and the other was in an Adult Care/Family Care Home in NC. I am very familiar with these models of care
and would welcome the opportunity to serve the citizens of Orange County by working in and through one
of these committees to improve the condition for our elderly. I am also a nurse and educator, and have
experiential and clinical knowledge of caring for the elderly.
Reasons Want to Serve Board #1
I am passionate about ensuring the quality of care for our seniors.
Cheryl B. Jones Page 1 of 4
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Diversity of Viewpoints Board #1
I'm not exactly sure how to answer this question, other than to say I believe that, as a society, we need to
improve the care of our elderly, one of the most vulnerable populations in our society. There are few
options for those with low income, people of color, and those living in rural areas. I have a strong desire to
help give back and address these concerns in our community.
Conflict of Interest Board #1
None that I am aware of.
Relevant Experience Board #2
Same as above
Reasons Want to Serve Board #2
Diversity of Viewpoints Board #2
Conflict of Interest Board #2
Reasons Want to Serve Board#3
Same as above.
Relevant Experience Board #3
Diversity of Viewpoints Board #3
Conflict of Interest Board #3
Past Service
Demographics
We ask your help in assuring diversity of membership by answering the following questions:
Age Range
P 60+
Cheryl B. Jones Page 2 of 4
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OC Ethnicity
PF White
OC Gender Identity
PF Female
Ethics Guidelines
Ethics Guidelines for Orange County Advisory Boards and Commissions
I agree by my signature below that, if appointed, I pledge to comply with the following ethics
guidelines for advisory boards and commissions as adopted by the Orange County Board of
Commissioners.
• Conflict of Interest
1. During advisory board meetings, a member shall immediately disclose any potential
conflict of interest and request to be excused from voting when he or she has a conflict of
interest.
2. During appeal proceedings, the applicant has the right to question the interest of any
voting member. The advisory board chair should consult with the County Attorney or
staff attorney on any potential conflict of interest in appeal matters.
3. In determining from existing facts and circumstances whether a conflict of interest exists
the determining party shall consider the facts and circumstances as would an ordinary
and reasonable person exercising prudence, discretion, intelligence, and due care.
• Gifts
1. An advisory board member shall not directly or indirectly ask, accept, demand, exact,
solicit, seek, assign, receive, or agree to receive any gift or honorarium for the advisory
board member, or for another person, in return for being influenced in the discharge of
the advisory board member's official responsibilities.
2. This section shall not apply to gifts or awards authorized by Orange County Policies,
Resolutions, or Ordinances.
• Code of Ethics
1. Advisory board members should act with integrity and with independence from improper
influence as they exercise the functions of their offices. Characteristics and behaviors
that are consistent with this standard are:
1. Adhering firmly to a code of sound values.
2. Behaving consistently and with respect towards everyone with whom they interact.
3. Exhibiting trustworthiness.
4. Living as if they are on duty as appointed officials regardless of where they are or
what they are doing.
5. Using their best independent judgment to pursue the common good as they see it,
presenting their opinions to all in a reasonable, forthright, consistent manner.
6. Remaining incorruptible, self-governing, and not subject to improper influence, while
at the same time being able to consider the opinions and ideas of others.
7. Disclosing contacts and information about issues that they receive outside of public
meetings, and refraining from seeking or receiving information about quasi-judicial
matters outside of the quasi-judicial proceedings themselves.
8. Treating other advisory boards and advisory board members and the public with
respect, and honoring the opinions of others even when they disagree.
9. Being careful not to reach conclusions on issues until all sides have been heard.
Cheryl B. Jones Page 3 of 4
19
10. Showing respect for their appointed office and not behaving in ways that reflect
badly on the office, the advisory board, Orange County, or the Orange County
Board of Commissioners.
11. Recognizing that they are part of a larger group and acting accordingly.
12. Recognizing that individual board members are not generally allowed to act on
behalf of the board, but may only do so if the board specifically so authorizes, and
that the board must take official action as a body.
13. Being faithful in the performance of the duties of their offices.
14. Acting as especially responsible residents whom others can trust and respect.
15. Faithfully attending and preparing for meetings.
16. Carefully analyzing all credible information that is properly submitted to them, and
when applicable, being mindful of the need not to engage in communications
outside the meeting in quasi-judicial matters.
17. Being willing to bear their fair share of the board's workload.
18. To the extent appropriate, they should be willing to put the board's interests ahead
of their own and shall avoid the appearance of a conflict of interest and shall, under
no circumstances, use their position on any board for personal gain or profit.
2. Members of the Planning Board, Board of Adjustment, Economic Development
Commission, and Board of Equalization and Review shall upon initial appointment, and
prior to December 31 annually thereafter, disclose:
1. Any interest he or she or his or her spouse or domestic partner has in real property
situated in whole or in part in Orange County and the general description of that
property.
2. Any legal, equitable, beneficial or contractual interest he or she or his or her spouse
or domestic partner has in any business, firm or corporation, which is currently
doing business with Orange County pursuant to contracts awarded by Orange
County, or which is attempting, or has attempted in the past calendar year, to
secure the award of a bid from Orange County or the approval of any Board or
Agency of Orange County.
3. Failure to file a disclosure statement setting out the above required information shall
result in immediate removal of the member from the applicable board.
I agree with the Above Statement
By checking this box I certify that this serves as an electronic version of my signature,for
the sole purposes of this form.
W I Agree
Cheryl B. Jones Page 4 of 4
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Page 1 of 2 Kelly Kester
Volunteer Application
Orange County Advisory Boards and Commissions
Name: Kelly Kester
Name Called:
Home Address: 805 Morelanda Drive
Hillsborough NC 27278
Phone: 5089349333
Email: kellymkester@gmail.com
Year of OC Residence: 2014
Township of Residence: Hillsborough
Zone of Residence: Hillsborough Town Limits
Gender Identity: Female
Ethnic Background: White
Age Range: 35-59
Community Activities/Organizational Memberships:
I am not currently a member of any community activities or organizational memberships,
but I am a member of two national professional organizations for nursing. These two
organizations are the American Organization for Nursing Leadership and American
Association of Critical Care Nurses. I am an active member of both organizations,
including participation on a taskforce and regular presenter at annual conferences.
Past Service on Orange County Advisory Boards:
I have not served on an Orange County Advisory Board.
Boards/Commissions applied for:
Nursing Home Community Advisory Committee
Background, education and experience relevant to this board:
I have been a nurse for 13 years, and the past 6 years have been spent in nursing leadership
roles. I am in my last semester of a Doctor of Nursing Practice program at Duke University
School of Nursing and the emphasis of community involvement has helped me learn how my
skills as a nurse leader can contribute to improving our community.
Reasons for wanting to serve on this board:
Quality of care is critical to anyone who seeks care. As a nurse, I understand what quality of
care is in regards to clinical needs, satisfaction, and process. Also, my experience as a nurse
leader has guided me towards understanding of staff and leader perspectives.
Contribution to the diversity of viewpoints on this board:
Although my nursing experience is limited to the inpatient setting, I ve had the opportunity to
participate in taskforces to promote improved transitional care, which has provided me time with
outpatient providers and care teams. Personally, I have had a family member in a nursing home,
which afforded us peace of mind for my grandmother s safety, well-being, and socialization.
Conflict of Interest:
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Page 2 of 2 Kelly Kester
Adult Care Home Community Advisory Committee
Background, education and experience relevant to this board:
I have been a nurse for 13 years, and the past 6 years have been spent in nursing leadership
roles. I am in my last semester of a Doctor of Nursing Practice program at Duke University
School of Nursing and the emphasis of community involvement has helped me learn how my
skills as a nurse leader can contribute to improving our community.
Reasons for wanting to serve on this board:
My primary focus is on quality of care for individuals who seek or require nursing care.
Workforce, skills, and process drive quality of care and I have experience in each of those
realms as a nurse leader.
Contribution to the diversity of viewpoints on this board:
As a nurse, I contribute leadership and clinical skills, along with the ability to advocate and build
relationships.
Conflict of Interest:
Boards/Commissions appointments:
Other Comments:
This application was current on: 2/12/2021 2:54:34 PM Date Printed: 2/12/2021