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HomeMy WebLinkAboutAgenda - 02-03-2004-9f1ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: SUBJECT: Adult Care Home Commu DEPARTMENT: Board of Commissioners February 3, 2004 Action Agend? Item No. 9 - . -j- Committee PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Under Separate Cover Membership Roster Letter of Recommendation INFORMATION CONTACT: Clerk's Office, ext. 2130, 2125, 2126, 2129 Interest List TELEPHONE NUMBERS: Applications(s)/Resume(s) of Person(s) on Hillsborough 245-2130 the Interest List Chapel Hill 968-4501 Durham 688-7331 Mebane 336-227-2031 PURPOSE: To consider an appointment to the Adult Care Home Community Advisory Committee (A.C.H.C.A.C). BACKGROUND: In its business meeting on Wednesday, January 7, 2004, the Orange County Adult Care Home Community Advisory Committee voted unanimously to nominate Frances Kovens, of 1010 Pinehurst Drive, Chapel Hill, N.C.. 27517, to the Orange County Commissioners for one of the committee's open member slots. This recommendation is based on Ms. Kovens' experience, education, interest and passion for effecting change with residents of long term care facilities. If appointed, her term would be an initial one-year training term, after which she may become eligible to be reappointed to a regular two-year term. FINANCIAL IMPACT: A stipend of $13.00 is paid to each member of this Committee per each meeting attended. This would be $156.00 per fiscal year if the member participates in all of the meetings that year. RECOMMENDATION(S): Consider appointing Ms. Frances Kovens to the Adult Care Home Community Advisory Committee for a one-year training term to expire March 31, 2005. ?-i (VVJ?/ G N r?^ O Vl N • 1? Q-1 `n T O v+ 'p. O O O ? .L ? E n ? v ?F v ' Z' E F `p V V 0 E d n G P V ':! n p C H c N., O L 80 C n, a'sET G G -p"O v O O CO's U U U c ? v^Ji L. F Tw U p V O p^Ip CJ T h 4:. 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C G ']N s °^ w ? .0 t r s w E q G 4 Q c f A c W W W I 3 , Ilv q o U ) J 0 N 0 -6 -f' d ?-• b d s J] J O a V r ..yy C ? ? x ? ?-Jy I I`7 d o ? o; _ I ? ??^ + r+ Icya f3 E O ' s a a 0 N h > i h > Triangle J Council of Governments Triangle J Area Agency on Aging--Ombudsman Program Jill V. Passmore, Region J Lead Ombudsman 5 P 0 Box 12276 Research Triangle Park MC. 27709 Phone(919)558-9401 Fax(919)549-9390 To: Nancy Glover From: Jill V, Passmore Date: January 12, 2004 Re: Official nomination for the Orange Adult Care Home Community Advisory Committee Cc: Laura Deloye and Carol Gunther-Mohr, OACCAC Nancy, I am contacting you on behalf of the Orange County Adult Care Home Community Advisory Committee. In their business meeting on Wednesday, January 7, 2004, the Orange County Adult Care Home Community Advisory Committee voted unanimously to nominate Frances Kovens to the Orange County Commissioners for one of the committee's open member slots. This recommendation is based on Ms. Kovens' experience, education, interest and passion for effecting change with residents of long term care facilities. Please let me know: that you have received this official nomination, • when the nomination might be shared with the County Commissioners and in what time frame the appointment might occur. Thank you, Nancy, and do not hesitate to let me know if you need further information. You are welcome to email me at this address: impassmore(a),aol.com or to call my cellphone at 423-1444. Jill Jill V. Passmore Region J Lead LTC Ombudsman Triangle J Council of Governments Triangle .I Area Agency on Aging C Page 1 of 1 Frances Kovens Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Frances Kovens 1010 Pinehurst Drive Chapel Hill NC 27517 919-602-1301 919-929-7434 919-929-7589 fkovens@nc.rr.com Duke Medical Center RN - Pt. Resource Mgr. Female Caucasian 6/17/1957 Boards/Commissions applied for: Adult Care Home Community Advisory Committee Advisory Board on Aging Work Experience: RN 6 yrs. @ DUMC ; prior to that short term construction, UNC Hospitals Volunteer Experience: Hadassah, various school activities in Chapel Hill School System Education: BSN Other Comments: Due to the nature of my position @ Duke - largely discharge planning - co-ordination and care - I feel I have knowledge of the aging population health care needs and social network supports. Would very much want to interface with the Chapel Hill Community efforts to provide support and resources to this group of citizens. Originally applied 11/5/03 for ACHCAC and ADV. Board on Aging. Address Verification: This application was current on: 11/5/2003 Date Printed: 1/14/2004 7 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Pam Tillet Adult Care Home Community Advisory Committee Contact Phone: 919-968-2084 MS, Ann Chamberlin Day Phone: 919-383-8105 Sex: Female 2329 Falls Dr. Evening Phone: 919-383-8105 Race: Undesignated Chapel Hill NC 27514 FAX: Township: E-mail: acandcm@earthlink net Date Applied: 12/19/2003 Skills: B A. Psychology Also Serves On: Skills: Elementary School Reader' Volunteer Also Serves On: Skills: M P T UNC School of Medicine Also Serves On: Skills: Physical Therapist Also Serves On: Skills: Program Coordinator Also Serves On: Ms. Laurin Easthom Day Phone: 919-942-0001 Sex: Female 305 Rowe Road Evening Phone: 919-773-3002 Race: Chapel Hill NC 27516 FAX: 919-773-8824 Township: Chapel Hill E-mail: Date Applied: 10/29/2003 Skills: Dentist Also Serves On: Mrsjeny Ann Gregory Day Phone: 919-933-8481 Sex: Female 917 Crestwood Lane Evening Phone: 919-933-8481 Race: Caucasian Chapel Hill NC 27517 FAX: Township: Chapel Hill E-mail: jkgregory@mindspring com Date Applied: 11/02/2003 Skills: Also Serves On: Skills: Public Health Also Serves On: Skills: Registered Nurse Also Serves On: Ms Johanna Jensen Day Phone: 225-1925 Sex: Female 2201 Baycourt Trail Evening Phone: 245-1637 Race: Caucasian Hillsborough NC 27278 FAX: Township: Hillsborough E-mail: jjensenj@mindspring com Date Applied: 11/09/2003 Skills: Medical Technologist Also Serves On: Commission for Women MS. Frances KOVens Day Phone: 919-602-1301 Sex: Female 1010 Pinehurst Drive Evening Phone: 919-929-7434 Race: Caucasian Chapel Hill NC 27517 FAX: 919-929-7589 Township: E-mail: fkovens@nc rr. com Date Applied: 11/05/2003 Skills: Registered Nurse Also Serves On: Thursday, January 15, 2004 Page 1 of 2 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Pam Tillet Adult Care Home Community Advisoily Committee Contact Phone: 919-968-2084 MS. Judith Mitchell Day Phone: (919)933-8381 Sex: Female 3620 Dairyland Road Evening Phone: 919-933.1851 Race: Caucasian Hillsborough NC 27278 FAX: 919-933-6623 Township: Bingha rn E-mail: jmitche1158@earthlink. net Date Applied: ? ,Q761Tf72001 Skills: Community Service Volunteer Also Serves On: Skills: EMT Also Serves On: Skills: Receptionist Also Serves On: M5. Shanon Pounds Day Phone: 919-732-2133 Sex: Female 200 South Bellvue Street Evening Phone: 919-732-2133 Race: Caucasian Hillsborough NC 27278 FAX: Township: lillsborough E-mail: MrsPounds@aol com Date Applied: 12/03/2003 Skills: Animal Welfare Advocate Also Serves On: Skills: Community Service Volunteer Also Serves On: Skills: Hillsborough City Limits Also Serves On: Thursday, January 15, 2004 Page 2 oft J Page 1 of 1 Ann Chamberlin Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Ms. Ann Chamberlin 2329 Falls Dr, Chapel Hill NC 27514 919-383-8105 919-383-8105 acandcm@earthlink.net La Salle Health Care Physical Therapist Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Twnsp Sex: Female Ethnic Background: Undesiqnated Date of Birth: 11/6/1957 Boards/Commissions applied for: Adult Care Home Community Advisory Committee Work Experience: La Salle Healthcare Durham, 10/03-present; Durham Reg. Hosp. 10/03 - 12/02; UNC School of Medicine, Project Mgr. Research; 10/96 - 8/00; School of Nursing, UNC 8/95 - 9/96 , Project Mgr.; UNC Sch. Of Medicine, 4/92- 4/95; 12/86 - 12/91 Program Coordinator, Western Man Hospital, Westfield, MT, Volunteer Experience: New Hope Elem. Sch. Reader, 1995-1997, 2002-2003, IFC Community Shelter, 8/96 - 5/97. Education: 2002 MPT UNC Sch, Of Medicine, Div. Of Physical Therapy; 1984 UNC Sch. Of Public Health, Dept, of Health, Behavior and Health Education, 1979, B,A, Psychology, SUNY @Binghamton, Other Comments: STAFF NOTES: Origninally applied 12/19/03 for Adult Care Home Community Advisory Committee, ADDRESS VERIFICATION: 2329 Falls Drive, Chapel Hill, 27514 is in Chapel Hill Township, Outside City Limits, Not in ETJ. MOAD,ncg, This application was current on: 12/19/2003 Date Printed: 1/1512004 io Page 1 of 1 Laurin Easthom Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Laurin Easthom 305 Rowe Road Chapel Hill NC 27516 919-942-0001 919-773-3002 919-773-8824 Medicaid Dental Center Dentist Chapel Hill Female Boards/Commissions applied for: Adult Care Home Community Advisory Committee Work Experience: Currently I am a dentist (part-time) treating underprivileged children (medicaid) in Raleigh. I have also been a general dentist treating adults/elderly. I also (before a dentist) was a case manager in rehabilitation aiding injured workers find adequate employment. Volunteer Experience: In college, I volunteered at nursing homes assisting /entertaining residents. I was hospital volunteer in physical therapy for a year in my master's program at USG. Education: B.A. History (1986), Davidson College; M.Ed. (1988) (Master of Education) Counseling at Univ. So. Carolina, D.D.S. & NC Chapel Hill in 1998. Other Comments: Original Application submitted on 10/29/03 for Adult Care Home Community Advisory Committee. I have had friends/family in nursing homes (still do). I deeply care about this population - they have given their long lives to society and have weathered many a storm and have so much to tell - we owe them our greatest respect in the world. They deserve the best and demand our greatest respect and empathy. I want to help them. Address Verification: 305 Rowe Road is in CH ETJ current 10/30/03. This application was current on: 10/29/2003 9:49:44 PM Date Printed: 1115/2004 Page 1 of 1 Jerry Ann Gregory Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms, Jerry Ann Gregory 917 Crestwood Lane Chapel Hill NC 27514 919-933-8481 919-933-8481 919-968-2013 .Jkgregory@mindspring.com O.C, Health Dept; Maxim Health Service Flu Immunization Nurse Chapel Hill ETJ Female Caucasian 1/1211945 Boards/Commissions applied for: Adult Care Home Community Advisory Committee Advisory Board on Aging Work Experience: 32 Years at Orange County Health Dept, as nurse - retired 1/12/2001. Presently work on contract with Health Dept, and Maxim Health services as Flu Immunization nurse. Volunteer Experience: Meals on Wheels; VA Medial Center - Durham; PTA Thrift shop; Habitat for Humanity; Fund raising for Exchange Club Child Abuse Prevention Foundation in Durham Education: H.S. Diploma; BS, Nursing; Adult Health Assessment certificate-UNC. Other Comments: Renewed application 10/09/03 for ACHCAC and Adv. Bd. on Aging. 6/16/03 for ACHCAC; NHCAC; Adv. Bd. on Aging. Originally applied 9/3/99. Address Verification: 917 Crestwood Lane, Chapel Hill, NC 27514 is not in Chapel Hill City Limits; is in Chapel Hill Township. and ETJ. CHPlanning Dept. nag/Clerk's office. This application was current on: 10/3/2003 Date Printed: 1/15/2004 /Z- Page 1 of 1 Johanna Jensen Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Ms Johanna Jensen 2201 Baycourt Trail Hillsborough NC 27278 225-1925 24,5-1637 jjensenj@mindspring.com Medical Technologist Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Date of Birth: 9/19/1963 Boards/Commissions applied for: Adult Care Home Community Advisory Committee Work Experience: Duke University Hospital, Medical Technologist, 5/1990- present Volunteer Experience: Education: BS in Medical Technology, Medical College of Virginia Other Comments: STAFF NOTES: 10/03 Original appl. For CFW; ACHCAC. ADDRESS VERIFICATION: 2201 Baycourt Trail, Hillsborough is in Beckett's Ridge Subd, in Hillsborough City Limits, In Hillsborough Township. MOAD/ncg. This application was current on: 11/9/2003 Date Printed: 1/15/2004 )3 Page 1 of 1 Judith Mitchell Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Ms. Judith Mitchell 3620 Dairyland Road Hillsborough NC 27278 (919)933-8381 919-933-1851 919-933-6623 Email: jmitchell58@earthlink.net Place of Employment: Retired Job Title: Township of Residence: Bingham Zone of Residence: Sex: Female Ethnic Background: Caucasian Date of Birth: 6/20/1940 Boards/Commissions applied for: Adult Care Home Community Advisory Committee Work Experience: Currently (11/03) 1 am working for Home Health Solution. Was retired from as receptionist for Carrboro Peds. And Internal Medicine. Prior to that I worked as UNC Student Health as a receptionist in Women's Health. Volunteer Experience: Department of Social Service; Orange County Fire Department - EMT - First Responder. Education: High School; Few courses at Community College, 18 credit hours; Adult Education Courses. Other Comments: STAFF NOTES: Renewed app. 11/15/03 for A.C.H.CAC. Applied 1116/2001 for Adult Care Home Community Advisory Committee. OTHER COMMENTS: Very interested in helping the adult mentally alert but physcially challenged live on their own. There is nothing for them in this county. I also beleive that Senior Citizens should have better care both physically and mentally. There are a lot of lonely seniors in just this county alone. You may check with Chris Nutter or Heather Barrow for references. Or with any of the Doctors at Carrboro Peds. And Internal Medicine. This application was current on: 11/15/2003 Date Printed: 1/15/2004 /-- Page 1 of 1 Shanon Pounds Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Email: Place of Employment: Job Title: Township of Residence Zone of Residence: Sex: Ethnic Background Date of Birth: Ms. Shanon Pounds 200 South Bellvue Street Hillsborough NC 27278 919-732-2133 919-732-2133 MrsPounds@aol.com Alamance Community College Nursing Student and Care home Hillsborough Hillsborough Town Limits Female Caucasian 5/17/1973 Boards/Commissions applied for: Animal Shelter Operations Task Force Commission for Women Adult Care Home Community Advisory Committee Work Experience: Nursing student (RN) and Family owned care home for 30 years. Volunteer Experience: Forsyth County Red Cross, Orange County Schools Education: Currently enrolled in nursing school in Alamance County. Other Comments: True animal lover whom adopted from the Orange County Shelter. STAFF NOTES: Orignal application received for Animal Shelter Operations Task Force, Commission For Women, and Adult Care Home Community Advisory Committee. ADDRESS VERIFICATION: MOAD. 200 S. Bellevue Street, Hillsborough is within Hillsborough City Limits. Ncg This application was current on: 12/3/2003 12:14:15 PM Date Printed: 1/1512004