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HomeMy WebLinkAboutAgenda - 04-01-2004-4dORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April i, 2004 Action Agenda Item No, - G~ -~ SUBJECT: Adult Care Home Community Advisory Committee DEPARTMENT: Board of Commissioners PUBLIC HEARING: (Y/N) 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 an this Committee, effective April 1, 2004, with the recent resignation of Ms. Florence G. Saltys, 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 far 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 03/3112006 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. \\o `^ °~ N~` N n'1 ~` N V I N O N m h U O O O I O O O O O O O O O -~ p~ p O O 4 O O P P O O P O U N N ,` N N N N N E I ,N^ N` `\ N Dp ~ t+t b .-+ `~' i W r O -' W ~O .-. h C O N W ti O "' T ~ ~ ~ I ~ ~ J O m ' P. O ~n m C m W ~O b I .-. 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N y F From: "Margaret Brown" <mwbrown@mindspring.com> To: "Donna Baker" <dbaker@co,orange.nc.us> Date: 3/2104 3:50PM Subject: Fw: nominations Hi, will you please put this on the next agenda -----Original Message ---- From: <cfandrew@emaihunc.edu> To: "Charron Andrews" <cfandrew@email.unaedu>; "Charron F Andrews" <cfandrew@email.unc.edu> Cc: "Charron Andrews" <cfandrew@emaii.unc,edu>; "Charron F Andrews" <cfandrew@email.unc,edu>; "Carol Gunther-Mohr" <carolg-m@mindspring.com>; "Renee Bynum" <bynum@co.orange.naus>; "Alice McCall Smith" <happylegs@aol.com>; "Beth Bara" <beth_barba@uncg.edu>; "Charron Andrews" ,~~ " <cfandrew@emaii,unaedu>; Cherie Rosemond' <crosemon@med,unaedu>; "'Florence Soltys"' <fgsoltys@email.unc,edu>; "'Gwen Phillips"' <GWEN@co,orange.naus>; "Jill Passmore" <JMPASSMORE@aohcom>; "`Laura DeLoye'" <Ideloye@hotmaihcom>; "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, Febniary 25, 2004 5:02 PM Subject: Re: nominations > Quoting Chanon F Andrews <cfandrew@emaii,unc,edu>: > We currently have theee 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 Ch~be~lain. 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: > > > httpa/servers .co.orange.nc.uslboards/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 1.~ Pane 1 of 1 Ann Chamberlin Volunteer Application Orange County Advisory Boards and Commissions Name: Name Called: Home Address: Phone: (Day) Phone: (Evening) Fax: Ms. Ann Chamberlin 2329 Falls Dr. Chapel Hill NC 27514 919-383-8105 919-383-8105 Email: acandcm@earthlink,net Place of Employment: La Salle Health Gare Job Title: Physical Therapist Township of Residence: Chapel Hill Zone of Residence: Chapel Hill Twnsp Sex: Female Ethnic Background: Undesignated 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 8195 - 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, 8196 - 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 12/19103 for Adult Care Hame 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 Page 1 of 1 Laurin Easthom Volunteer Application Orange County Advisory Boards and Commissions Name: Name Galled: 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 a 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 Galled: 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 Cara 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 Date Printed: 3/i1/20D4 This application was current on: 12/3/2003 12:14:15 PM Applicant Interest Listing Adult Cm•e Houre Canrnunity Advisory Courrni#ee Ms. Ann Chamberlin 2329 Falls Dr. Chapel Hill NC 27514 Skills: B A. Psychology Skills: Elementary School Reader Volunteer Skills: MP T. UNC School oCMedicine Skills: Physical Therapist Skills: Program Coordinator Ms. Laurin Easthom 305 Rowe Raad 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 Day Phone: Evening Phone: FAX: E-mail: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Also Serves On: Day Phone: Evening Phone: FAX: E-mail: Also Serves On: 919-383-8105 919-383-8105 by Board Name and by Applicant Name Contact Person: Pam Tillet Contact Phone: 919-968-2084 acandcm@earthlink net 979-942-0001 919-773-3002 919-773-8824 225-1925 245-1637 Day Phone: Evening Phone: FAX: E-mail: Also Serves On: Skills: Community Service Volunteer Skills: EMT Skills: Receptionist Ms, Shanon Pounds 200 South Bellwe Street Hillsborough NC 27278 Skins: Animal Wetfaze Advocate Skills: Community Service Volunteer jjensenj@mindspring. com Commission for Women Day Phone: (919)933-8381 Evening Phone: 919-933-1851 gAX; 919.933-6623 E-mail: jmitche1156@earthlink net Also Serves On: Also Serves On: Also Serves On: Day Phone: Evening Phone: FAX: E-mail: Also Serves On: Also Serves On: 919-732-2133 919-132-2133 MnPounds@aol com Sex: Race: Township: Date Applied: Sex: Race: Township: Date Applied: Female Undesignated Chapel Hill 12/19/2003 Female Chapel Hill 10/29/2003 Female Caucasian Hillsborough 11/09/2003 Sex: Race: Township: Date Applied: Sex: Race: Township: Date Applied: Sex: Race: Township: Date Applied: Female Caucasian Bingham 11/15/2003 Female Caucasian Hillsborough 12/03/2003 Page 1 oC2 Thursday, March l 1, 2004 /n 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 app!. For GFW; ACHCAC. ADDRESS VERIFICATION: 2201 Baycourt Trail, Hillsborough is in Beckett's Ridge Subd, in Hillsborough City Limits, In Hillsborough Township. MOAD/ncg . Date Printed: 3/tt/2004 This application was current on: 11/9/2003 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: Township of Residence: Zone of Residence: Sex: Ethnic Background: Date of Birth: Ms. Judith Mitchell 3620 Dairyland Road Hillsborough NC 27278 (919)933-8381 919-933-1851 919-933-6623 jmitchell58@earthlink.net Retired Bingham Female Caucasian 6/20/1940 BoardslCommissions applied for: Adult Care Home Community Advisory Committee Work Experience: Currently (11/03) I 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 awn. 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. Date Printed: 3It 1/2004 This application was current on: 11/15/2003