HomeMy WebLinkAboutAgenda - 11-15-2005-5b1ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: November 15, 2005
Action Agenda
Item No. 5__~_
SUBJECT• Nursing Home Community Advisory Committee Reappointments
DEPARTMENT: Board of Gammissioners PUBLIC HEARING: (Y/N) No
ATTACHMENT(S): Under Separate Cover INFORMATION CONTACT:
Membership Roster Clerk's Office 245-2130
Letter of Recommendation
Application(s)/Resume(s) of Person(s)
Recommended
Interest List
Application(s)/Resume(s) of Person(s)
on the Interest List
PURPOSE: To consider making reappointments to the Nursing Home Community Advisory
Committee.
BACKGROUND: The terms of Florence Soltys and Sue Waters expired 9/30/2005. They are
willing to be reappointed and they are eligible for reappointment. They will both be serving first
full terms, if appointed.
FINANCIAL IMPACT: None
RECOMMENDATION(S): The Manager recommends that the Board consider making
reappointments to the Nursing Home Community Advisory Committee.
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Page i of 2
Monica Evans - Re: Upcoming Appointments-Reply Requested
From: CJMPASSMORE@aol.com>
To: <mevans@co.orange,nc.us>
Date: 10/12/2005 9:58 AM
Subject: Re~ Upcoming Appointments-Reply Requested
Hi, Monica,
On behalf of the Orange County Nursing Home Community Advisory Committee, I am forwarding
the following request for reappointments.
Please let me know if you need further infoi°mation.
Thank you!
Jill
Jill V. Passmore
Region .J Lead L,TC Ombudsman
Triangle ,J Area Agency on Aging
Triangle .J Council of Governments
PO Box 12276
RTP, NC 27709
Voicemail: 558.9401
Cell: 423.1444
Originally sent 09.14.05
Hi, Monica,
I hope that you are well!
Florence Soltys and Sue Waters, current members of the Nursing Home Community Advisory
Committee, wish to be reappointed to another term. Both members are in good standing and have
attended over 75% of the business meetings and scheduled facility visits. (Their current
appointments expire at the end of September,)
Please let me know if you have any questions or need further information.
Thanks,
.Jill
Jill V, Passmore
Region J Lead L,TC Ombudsman
Triangle .J Area Agency on Aging
Triangle .J Council of Governments
PO Box 12276
RTP, NC 27709
Voicemail: 558.9401
Cell: 423.1444
In a message dated 10/12/2005 9:38:48 A. M. Eastern Standard Time, mevans@co.orange,nc.us
writes:
Dear Staff:
The following is a list of individuals whose terms will expire 12/31/2005. In order to have
appointments made in a timely fashion, please contact your people to find out if they would
like to be reappointed. It is not in your best interest to wait until December to get these
people reappointed,
ra„•ur ~zfn„~,,,,,A„+~ ~,,,~ ~p+r;nvc~}Ar1m;n;ctratnrWT:nCa1 SettinesWTemnWGW}00004..,. 11/2/2005
Page 2 of 2
If they would like to be reappointed I need a letter from your board stating that they are a
member in good standing and that they attend 75% of all meetings. I also need an
attendance record for the past year that confirms that they attend your meetings.
If they are not interested in serving another term, please let me know that as well so I can
begin advertising to fill those new vacancies.
Thanks,
Monica
Reappointments
Adult Care Home
Cary Cornette
Cable TV Advisory Board
John Gilbert
• Frederick Brown
Michael Patrick
• Sharlene Pilkey
James Walker
Commission for the Environment
• Kenneth Meardon
Johnny Randall
• Michelle Kempinski
Nursing Home Community Advisory Committee
Florence Soltys
• Sue Waters
OPC Area Programs Board
Sanch~a Grey Herring
Monica C. Evans
Assistant to the Cleric
Board of County Commissioners
P.O. Box 8181
Hillsborough, NC 27278
919-245-2125 (Phone)
919-644-0246 (fax)
mevans@co.orange.nr..us
f;1P://C':~o`l~n~nment.¢ and SettinnsWAdministratorWL,ocal SettingsWTempWGW}00004.., 11/2/2005
Applicant Interest Listing by Board Name and by Applicant Name
Contact Person: Vibeke Talley, OTR/L
Nursing Hon:eConzn:u~zityAdnisoryCovz~nittee Contact Phone: 919-968-?085
MS, .Teanette Clark Day Phone: 979-G20-8662 Sex: Female
221 Rencher St Apt 3 Evening Phone: 732-7856 Race: African American
Hillsborough NC 27278 FAX: 6208662 Township: Hillsborough
E-mail: Date Applied: 02/23/2005
Skills: Nursing Home Experience Also Senses On:
M5, Peggy COllll Day Phone: 919-489-6624 Sex: Female
10 Bayswater Place Evening Phone: same Race: Caucasian
Chapel Hill NC 27517 FAX: Township: Chapel Hitt
E-mail: peggycohnt@earthlink net Date Applied: 10/10/2005
Skills: Geriatric Care Also Scrves On:
M5. Painc7a l{OCh Day Phone: 942-6637 Sex: Female
1540 Ferzell Rd Evening Phone: same Race: Caucasian
Chapel Hilt NC 27517 FAX: Township: Chapel Hill
E-mail: pkoch@mindspring com Date Applied: 07/]2/2005
Shills: Retired Atso Serves On:
Shills: School Volunteer Also Serves On:
Skills: leacher Also Serves On:
Mr. Tonghoon Lee
t t 1 Howell St. Apt B
Chapel Hill NC 27514
Skins: Habitat for Humanity
Day Phone: 919-360-1422
Evening Phone:
FAX:
E-mail: jlee5@email unc edu
Also Serves On:
Sex: Male
Race: Asian American
Township: Chapel Hill
Date Applied: 12/27/2003
M5. ICailna NIChOIS Day Phone: 9t9-563-4373 Sex: Female
5656 Preston Loop Evening Phone: 336-266-9993 Race: African American
Mebane NC 27302 FAX: 919-563-9861 Township: Cheeks
E-mail: nichots@mebtel net Dale Applied: 07/18/2005
Shills: Non-Profit Agency Also Serves On:
Skills: Registered Nurse Also Serves On:
Wednesday; November 02, 2005 Page t of 2
8
Applicant Interest Listing
by Board Name and by Applicant Frame
Contact Person: Vibeke Talley, OTR/L,
NrtrsiragHouae Co~ramuraityAdvisory Committee ComaotPbone: 919-96s-zoss
Ms..lan'e Powell Day Phone: 910-474-9063 Sex: Female
65G Craige Dorm Evening Phone: 919-914-4924 Race: African American
LMC Chapel Hill FAX: Township: Chapel Hill
Chapet Hill NC 27514 E-mail: japo rr email unc edu Date Applied: 09/30/2004
Skills: Cashier Atso Serves On:
Siitls: Community Service Volunteer Also Serves On:
Skills: Customer Service Also Serves On:
Wednesday, November 02, 2005 Page 2 of 2
Page 1 of 1
Jeanette Clark
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone: (Day)
Phone: (Evening)
Fax:
Email:
Place of Employment:
.lob Title:
Township of Residence:
Zone of Residence:
Ms. Jeanette Clark
221 Rencher St Apt 3
Hillsborough NC 27278
919-620-8662
732-7856
6208662
Central Family Care
Supervisor in Charge
Hillsborough
Hillsborough ETJ
Sex: Female
Ethnic Background: African American
Date of Birth: 7/8/1955
Boards/Commissions applied for:
Nursing Home Community Advisory Committee
Adult Care Home Community Advisory Committee
Joint Orange Chatham Community Action Agency
Work Experience:
I have been in the medical experience for about 12 yrs. I am a certified nurse assistant,
and a certified medical technician. I have nursing home and adult care home
experience. I supervise a group home now for mental residents
Volunteer Experience:
I have no volunteer experience but I have done outreach before and I have a certificate
for a class I took as an outreach worker.
Education:
GED
Other Comments:
STAFF COMMENTS: Originally applied far Nursing Home CAC and Adult Care Home
Community Advisory Committee and JOCCA. ADDRESS VERIFICATION: 211 Rencher
St is in Orange County in Hillsborough Township in Hillsborough ETJ.
This application was current on: 2/23/2005 Date Printed: t 1/2/2005
to
Page 1 of 1
Peggy Cohn
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address;
Phone: (Day)
Phone: (Evening)
Fax:
Email:
Place of Employment:
.lob Title:
Township of Residence:
done of Residence:
Sex:
Ethnic Background:
Date of Birth:
Ms. Peggy Cohn
Peggy
1Q Bayswater Place
Chapel Hill NC 27517
919-489-6624
same
peggycohnl @earthlink.net
retired
Geriatric Care Manager
Chapel Hill
C,H. City Limits
Female
Caucasian
8/28/1938
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Nursing Home Community Advisory Committee
Advisory Board on Aging
Work Experience:
Community Health Nursing educator UNC and Penn State University
Director of Family Ties, Geriatric Care Management, State College PA
Volunteer Experience:
Nursing Hame visitation
Non profit Boards in PA
Education:
BA, Wellesley
BSN, Columbia University
MPH, UNC
PhD, Penn State University Gallege of Health and Human Developmenet
Other Comments:
STAFF COMMENTS: Originally applied for Adult Care Home Community Advisory
Committee and NHCAC and Adv. Board on Aging 10/1 Q/20Q5. ADDRESS
VERIFICATION: Mailing address listed above, Residence is 233 McCauley Street in
Chapel Hill city limits.
This application was current on: 10/10/2005 11:34:21 AM Aate Printed: 11/2/2005
Page 1 of 1
Patricia Koch
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 Backgrotand
Date of Birth:
Ms. Patricia Koch
Pat
154-0 Ferrell Rd
Chapel Hill NC 27517
942-6637
same
pkoch@mindspring.com
retired
Teacher
Chapel Hill
C.H, City Limits
Female
Caucasian
1214!1930
BoardslCommissions applied for:
Adult Care Home Community Advisory Committee
Nursing Home Community Advisory Committee
Work Experience:
Taught school for 41 years
Volunteer Experience:
Volunteer at Carrbaro Elementary School and Britthaven Nursing Home
Education:
B,A.and M.A,
Other Comments:
I spent over 10 years visiting my aunt in Carol Woods. She was in assisted living for the
last 10 years of her life, I also understand that John Vogt is no longer on the board and
there is an opening, STAFF COMMENTS: Originally applied for Adult Care Home CAC
and Nursign Home CAC 7/12/2005. 1540 Ferrell Rd is in Chapel Hill township in the
Chapel Hill City limits.
This application was current on: 7/t2/2005 Date Printed: 1 1/2/2005
-a
Page 1 of 1
Jonghoon Lee
Volunteer Application
Orange County Advisory Boards and Commissions
Name:
Name Called:
Home Address:
Phone: (Day)
Phone: (Evening)
Fax:
Email:
Mr. Jonghoon Lee
111 Howell St. Apt B
Chapel Hill NC 27514
919-360-1422
jlee5@emaihunc,edu
Place of Employment:
Job Title:
Township of Residence: Chapel Hill
Zone of Residence: C.H, City Limits
Sex: Male
Ethnic Background: Asian American
Date of Birth: 7/28/1977
Boards/Commissions applied for:
Adult Care Home Community Advisory Committee
Board of Health
Nursing Home Community Advisory Committee
Work Experience:
Hardee's Restaurant
UNC-CH Libraries
Pantry
Dental Research Center
Volunteer Experience:
Dental Research Center
Orange County Habitat for Humanity
Education:
Sanderson High School-Raleigh, NC
UNC-CH; Chemistry Majar, Math Minor
Other Comments:
STAFF COMMENTS: Original) applied for Adult Care Home Camm. Adv. Committee;
Board of Health; and Nursing Home Comm. Adv, Committee. ADDRESS
VERIFICATION: 111 Howell St Apt B is in the Chapel Hill township in the Chapel Hill
City Limits,
This application was current on: 12/27/2003 2:27:55 PM Date Printed: t 1/2/2005
t3
Page 1 of 1
Katina Nichols
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. Katina Nichols
5656 Preston Loop
Mebane NC 27302
919-563-4373
336-266-9993
919-563-9881
nichols@mebtel,net
Touching Lives Everyday Home Care, INC
Agency Director/Owner
Township of Residence: Cheeks
Zone of Residence: At-Large
Sex: Female
Ethnic Background: African American
Date of Birth: 2/23/1971
Boards/Commissions ap plied for:
Advisory Board on Aging
Nursing Home Community Advisory Committee
Human Relations Commission
Work Experience:
Presently owner, Director of Nursing and Agency Direcotr of home care agency, RN far 9
years with experience in renal and nephrology, home care, case management, MDS
coordinator at Nursing Home facility, worked as weekend RN supervisor at skilled
nursing home facility and RN team leader at Rehabiliation facility,
Volunteer Experience:
School system and soon the daycare that my baby attends.
Education:
A.D,N.
Other Comments:
I am looking forward to giving in the community and helping others. I am a stay-at-home
mom/wife who is running a business and wanting to make a difference for our youth and
other people, I want better standards for our elderly in long term care facilities, STAFF
COMMENTS: Originally applied for Adv, bd on Aging, NHCAC, HRC 7!18/2005,
ADDRESS VERIFICATION: 5656 Preston Loop is in Orange County in Cheeks township,
This application was current on: 7/18/2005 Date Printed: 11/2/2005
Page 1 of 1
Jane Powell
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. Jane Powell
6.56 Craige Dorm
UNC Chapel Hill
Chapel Hill NC 27514
910-474-9083
919-914-4924
japo@email,unc,edu
Wynnsong 15 Theatre
Cashier
Chapel Hill
Chapel Hill Township within C,H, city limits
Female
African American
10/18/1983
Boards/Commissions applied for:
Nursing Home Community Advisory Committee
Affordable Housing Advisory Board
Work Experience:
Ocean Beach Club: waitress and secretary, Dairy Queen: cashier, Wynnsong 15: cashier
Volunteer Experience:
Volunteer with Public Service Scholars, Volunteer at Dobbins Hill apartments on
Mondays, Volunteer at UNG Hospital on Mondys. DO other volunteering when needed.
Education:
High School-Lumberton Senior High School, attending UNC Chapel, BS Nursing
Other Comments:
STAFF COMMENTS: Originally applied for Nursing Home Community Advisory
Committee, Affordable Housing Advisory Board, and Animal Shelter Operations Task
Force, ADDRESS VERIFICATION: 656 Craige Dorm is on the campus of UNC-Chapel
Hill and is located off of Manning Drive in Orange County, in the Chapel Hill Township in
the City Limits.
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This application was current on: 9/30/2004 Date Printed: 11/2/2005