HomeMy WebLinkAboutAgenda - 03-16-2004-9a4ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: March 16, 2004
Action Agenda
Item No. 9- q -
SUBJECT: Adult Care Home Community Advisory Committee
DEPARTMENT: Board of Commissioners
PUBLIC HEARING: (YIN) No
ATTACHMENT(S): Under Separate Cover
Membership Roster
Letter of Recommendation
Applications/Resumes of Persons
Recommended for Appointment
Interest List
Application(s)/Resume(s) of Person(s) on the
Interest List
INFORMATION CONTACT:
Clerk's Office, ext. 2130, 2125, 2126, 2129
TELEPHONE NUMBERS:
Hillsborough 245-2130
Chapel Hill 968-4501
Durham 688-7331
Mebane 336-227-2031
PURPOSE: To consider appointments to the Adult Care Home Community Advisory Committee.
BACKGROUND: There will be three vacancies on this Committee, effective April 1, 2004, with the
recent resignation of Ms. Florence G. Soltys, and the non-renewal of the terms of Ms Charron Andrews
and Ms. Alice V. McCall Smith.
The Clerk's office has received several applications that have been reviewed by the Adult Care Home
Community Advisory Committee, The Committee has made a recommendation for appointment for
three of the applicants, i.e., Dr. Laurin Easterhom, Ms. Ann Chamberlain, and Ms. Shannon Pounds.
The positions available are described as follows:
Position
No. Residential
Requirement Special
Representation Term Expiration
Date Full or
Partial
Term
1 At-Large At-Large 03/31/2006 Full
2 At-Large At-Large 06/30/2005 Partial
6 At-Large At-Large 03/31/2006 Full
*Terms on this Committee are for two years duration and three terms may be sequentially served.
FINANCIAL IMPACT: None.
RECOMMENDATION(S): Consider making appointments to the Adult Care Home Community Advisory
Committee as the Board may decide.
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Donna Baker -w: nominations I
From: "Margaret Brown" <mwbrown@mindspring.com>
To: "Donna Baker" <dbaker@co,orange nc.us>
Date: 3/2/04 3:50PM
Subject: Fw: nominations
Hi, will you please put this on the next agenda
----- Original Message -----
From: <cfandrew@email.unc edu>
To: "Charron Andrews" <cfandrew@email.unc,edu>; "Charron F Andrews"
<cfa n d rew @ e m a i I. u n c. e d u>
Cc: "Charron Andrews" <cfandrew@email.unc.edu>; "Charron F Andrews"
<cfandrew@email.unc.edu>; "Carol Gunther-Mohr" <carolg-m@mindspring.com>;
"Renee Bynum" <bynum@co.orange,nc.us>; "Alice McCall Smith"
<happylegs@aol.com>; "Beth Bara" <beth_barba@uncg.edu>; "Charron Andrews"
<cfandrew@email.unc.edu>; "'Cherie Rosamond"' <crosemon@med.unc,edu>;
"'Florence Soltys"' <fgsoltys@email,unc.edu>; Gwen Phillips"'
<GWEN@co.orange.nc.us>; "Jill Passmore" <JMPASSMORE@aol.com>; "'Laura
DeLoye"' <Ideloye@hotmail.com>; "Margaret Brown" <mwbrown@mindspring.com>;
"'Pam Tillett"' <ptillett@intrex.net>; "'Caleb Moore"' <cum5@msn.com>;
"'Carla Julian"' <carlajulian@nc.rr.com>; "'Carol Gunther-Mohr"'
<carolg-m@mindspring.com>; Emily Gordon"' <justkidseg@earthlink,net>
Sent: Wednesday, February 25, 2004 5:02 PM
Subject: Re: nominations
> Quoting Charron F Andrews <cfandrew@email unc.edu>:
> We currently have three openings on our Adult Care Home Community
> Advisory Board. In addition to the recent additions of Jerry Ann
> Gregory and Frances Kovens, I would like to recommend the following
> applicants:
> 1, Laurin Easterhom: She a dentist currently working in the medicaid
> program for children. She has worked as a dentist and as a counselor
> with adults.
> 2. Ann Chamberla New applicant, interested has a degree and work
> experience in Public Health. Now is a Physical Therapist in a nursing
> home.
> 3 Shannon Pounds: Very enthusiastic, has applied to other boards..
> Nursing student, spoke about dealing with family members in
> institutions. Her family was in the adult care home business for 30
> years.
> > > If you would like to review the applications please see them at:
> > > http://serverl.co,orange.nc.us/boards/main,asp
> > > Please only view these applications,
> If anyone has comments or disagrees with the reccommendation of these
> applicants please let me know. I will write up a formal recommendation
> and send them on to Jill in the next few days.
> Thanks , Charron Andrews
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: Undesictnated
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: 3/11/2004
7
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 USC.
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: 3/11/2004
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: 3/11/2004
q
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 or Evening Phone: 919-383-8105 Race. Undesignated
Chapel Hill NC 27514 FAX: Township: Chapel Hill
E-mail: acandem@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
305 Rowe Road
Chapel Hill NC 27516
Skills: Dentist
Ms Johanna Jensen
2201 Baycourt Trail
Hillsborough NC 27278
Skills: Medical Technologist
Ms, Judith Mitchell
3620 Dairyland Road
Hillsborough NC 27278
Skills: Community Service Volunteer
Skills: EMT
Skills: Receptionist
Ms. Shanon Pounds
200 South Belivue Street
Hillsborough NC 27278
Skills: Animal Welfare Advocate
Skills: Community Service Volunteer
Day Phone: 919-942-0001 Sex: Female
Evening Phone: 919-773-3002 Race:
FAX: 919-773-8824 Township: Chapel Ifill
E-mail: Date Applied: 10/29/2003
Also Serves On:
Day Phone: 225-1925 Sex: Female
Evening Phone: 245-1637 Race: Caucasian
FAX: Township: Hillsborough
E-mail: jjensenj@mindspring cam Date Applied: 11/09/2003
Also Serves On: Commission for Women
Day Phone: (919)933-8381 Sex: Female
Evening Phone: 919-933-1851 Race: Caucasian
FAX: 919-933-6623 Township: Hingham
E-mail: jmitchell58@carthlink net Date Applied: 11115/2003
Also Serves On:
Also Serves On:
Also Serves On:
Day Phone: 919-732-2133 Sex: Female
Evening Phone: 919-732-2133 Race: Caucasian
FAX: Township: 1-lillsborough
E-mail: MrsPounds@aol com Date Applied: 12/03/2003
Also Serves On:
Also Servcs On:
Thursday, March 11, 2004 Page 1 oft
/0
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:
Township of Residence
Zone of Residence:
Sex:
Ethnic Background
Date of Birth:
Ms Johanna Jensen
2201 Baycourt Trail
Hillsborough NC 27278
225-1925
245-1637
jjensenj@mindspring.com
Medical Technologist
Hillsborough
Female
Caucasian
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: 3/11/2004
Page 1 of 1
Judith Mitchell
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. Judith Mitchell
3620 Dairyland Road
Hillsborough NC 27278
(919)933-8381
919-933-1851
919-933-6623
jmitchell58@earthlink.net
Retired
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 1/16/2001 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: 3/11/2004