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Home My WebLink AboutMINUTES - 10262004 - C25- C31 TO: BOARD OF SUPERVISORS J,-"'" ,, Contra FROM: INTERNAL OPERATIONS COMMITTEE A`f �. Costa DATE: OCTOBER 18, 2004 - County SUBJECT: APPOINTMENTS TO THE CONTRA COSTA RESOURCE CONSERVATION d ft 0" DISTRICT BOARD OF DIRECTORS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: RE-APPOINT the fallowing individuals to the Contra Costa Resource Conservation District Board of Directors to two-year terms ending November 30, 2008: Tomas D. Brumleve 1512 Northgate Road Walnut Creek, CA 94598 Arthur O. Jensen 5910-1A Horseman Cyn Walnut Creek, CA 94595 Dwight Meadows 1200 Vintage Drive Oakley, CA 94561 CONTINUED ON ATTACHMENT: YES SIGNATURE: —RECOMMENDATION OF COUNTY ADMINISTRATOR GOMMEN _TI N OF BOARD COMMITTEE PPROVE OTHER z 6 SIGNATURE(S): a G "� � ..� '� � ,- .y i C M r t GAAE B. UIL M Chair MARK DeSAULNIER ACTION OF BOARD ON T71 - . : APPROVE AS RECOMMENDED ' OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORECT COPY OF AN UNANIMOUS(ABSENTin_ tcs)le'' ) AND ENTERED ON THE MINUTEST©F THE TAKEN AYES: NOES: BOARD OF SUPERVISORS ON THE DATE ABSENT: ABSTAIN: SHOWN. ATTESTED:,OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OF THE BOARD O CC: INTERNAL OPERATIONS COMMITTEE STAFF F SUPERVISORS AND COUNTY ADMINISTRATOR CLERK OF THE BOARD(MADDY BOOK) PATTY RICHARDSON,CCRCD 5552 CLAYTON ROAD,CONCORD,CA;94521 t _ f BY r ., DEPUTY vwvw.ecred.org home page rage i of i ,11ume Contra Costa Resource Conservation District (RCD) was formed in 1941. Our mission is to 3 provide an organized means for local people to carry out voluntary, cooperative soil and water conservation programs that make the best use of our natural resources. We are a inon- regulatory agency—all of our goals are accomplished through voluntary, cooperative efforts. To accomplish our goals, we work with individuals, growers, ranchers, corporations, park and water districts, and other public agencies. Our federal partner, the USDA Natural Resource Conservation Service (NRCS), provides technical support for our programs. Contra Costa RCC is one of California's 103 Resource Conservation Districts. In California, RCDs are"special districts" organized under the state Public Resources Code, Division 9. Each district has a locally elected or appointed volunteer board of directors made up of langdowneyrs1 in�that}districtiation of ".. Four mr(ore(^information q abo{uyt C¢alifornia's RCDs, visit the esuie Ditic The Contra Costa RCD Board of Directors' monthly meetings are held on the third Wednesday of each month, 3 PM at the District Office (5552 Clayton Road, Concord). Please call to confirm meeting time. Contact Information: Contra Costa Resource Conservation District 05552 Clayton Road Concord CA, 94521 Phone (925) 672-6522 x196 FAX (925) 672-8064 Staffst ,d cn')iii Di e(;it1 39,;5 Iu F.r i_,0 Problems with the site? Contact our http://wv,rw.cercd.org/home.html 14/13/2004 County Administrator Contra Costa Board of Supervisors County JOHN GIOIA County Administration Building 11 District 651 Pine Street, 11''Floor Martinez, California 94553-4068 GAYLE 8.UILKEMA 2nd District V-925-335-1080 F-925-335-1098 .` _ - + MiLuE GREENBERG John 3`d District oSweeten Cour 4 Districttrio Administrator - � MARK NEER _ District FEDERAL D.GLOVER 511 District FOR IMMEDIATE RELEASE: FOR FURTHER INFORMATION: SEPTEMBER 10, 2004 Julie Enes, Senior Deputy County Administrator (925) 353-1077 WOULD YOU LIKE TO SERVE ON THE CONTRA COSTA RESOURCE CONSERVATION DISTRICT BOARD OF DIRECTORS? The Contra Cosh Resource Conservation District is looking for individuals interested in serving on its Board of Directors. Contra Costa County land owners with a strong interest in soil and water conservation are encouraged to apply. The District is recruiting to fill three vacancies. Appointments are for four years beginning December, 1, 2004. The County Beard of Supervisors will make the appointments. Individuals selected will serve as unpaid volunteers. To obtain an application form, call the Clerk of the Board of Supervisors at (925) 335- 1900. Applications must be received by 5:00 p.m. on October 4, 2004 at the office of the Clerk of the Board of Supervisors at the County Administration Building, Room 106, 051 Pine Street, Martinez, CA 04553. More information about the Contra Costa Resource Conservation District and complete eligibility requirements can be obtained by calling Carol Arnold at the Resource Conservation District, at (925) 572-5522 x 106. 8" !? 30 04 08: 36p bn i r i e!j u i yen CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS OR COMMITTEES APPLICATION FORM Name of advisory board applying for: _ cw Z�& t_.dr.5�?�. ��'SO Lt �C'11� Application Forum nwst be typed or hared printed. Name of Applicant `?`tjc�717�� db, kc L4-7" /e,-e- Date; 9, HomeAddrerss. 1,571,2- At. Re>cl 4 ' "on"Phor40: py;7 -2 City.State,Zip: 11/_X U f k r CA 9'/.�5�LP' Worn Phone! Sustness Address: j};`a d 1�� R ,�t k FAX: 9.1 P3.7--� Fe, rr�' city,State,Zip: At- G f�f� �v4 � Email: 5igrt tur+e: LV l y,u t wee CA 4715 ' moi,ru�,i� ✓ 5�+��+,� 6�?Ir,h pemonn Experience,Sltilis and Interests Educationl/Racicgrouand; B.S. 1✓lectrical Engineering, University OfIllinois, 1958. SubstMu cnt �ui`dt�studies,iJnitversity of California. Various courses and self-directed studies on range and resource management, water duality, animal health, and alternative energy. Occupation: Engineering staff, Sandia Labs, Livennore, 1958-84: design of nuclear weapon systems, and peaceful uses of nuclear explosives. Helped start U.S.and Sandia solar energy program in 1970-72. Originator of solar central receiver etTorts at Sandia. Worked with numerous industrial and international participants. Helped design the 10 MW pilot plant at Barstow,CA(Solara 1); recognized as grandfather of advanced molten salt system(Solar-2 at Barstow). Retired firom Sandia in 1984. Managed faanily storage business in Merced, and office buildings in San Raman 1983-97. Director of Commons Office Park A19-weiation,, San Ramon, 1984-97,president for most of that time. Actively involved in our family cattle ranch operation(Diablo Ranch)on Mt. Diablo since 1962;have managed entire operation since 1979. Community Activities: C.C. Resource Conservation District: director since 1983, served as president for 11 years. CA Assoc. of Resource Conservation Districts: delegate for 17 years,chaired Range and Public Lands Committee for 3 years. C.C. County Farm Bureau: director since 1984, president for 2 years. CA Fann Bureau: delegate for about 19 years, member of Beef and Natural Resource convinittees. CC1Alame a Cattlemen's Association,director or advisor since 1983,president for 2 years. CA Cattlemen's Associatlen(CCA): director and/or delegate for several years. California Fire Safe Council:member since its founding about 13 years ago, representing CCA. Founding member, Diablo Fire Sale Council. Director of C.C. Citiztm's Land Alliance since its Founding over 15 years ago. County Agricultural Task Farce: represented Farce Bureau in previous group, alternate RCT)member in current group. My fAimly and 1 have hosted tens of thousands of school children,handicapped,and other visitors at Diablo Ranch since 1972. Special Interests: Range and natwal resources. Proper mainteumwe of back country roads to minimize erasion. Historical interaction between grazing animals and grasslands. Benefits of proper grwing for wildflowers and other native plants. Noxiows weed control. Threat to oaks and other trues posed by excessive fuel accumulation if grasslands are not grazed.. Fire hazards at the urban interface. Maintaining viable agriculture with increasing urbanization. cc: ears II, TII, IV Julie lam, IOC Sep , 0 04 08: 36p Sh i r l eb Olsen (525) 837-2908 T. D. Brumleve RECEIVED 1512 North Gate Road Walnut Crecy, CA 94598 OCT 0 1 RM Phone: (925) 837-2585 Fax: (925) 837-2909 CLBRIt BOARD OF SUPERVISORS' C(?NT�A COSTA CU. FAX TRANSMITTAL Date: September 30,2004 To. Clerk of the Board Contra. Costa County FAX: 335-1913 From: Tom Brumleve Re. CC Resource Conservation District Number of Pages (including this transmittal page): 2 MESSAGE: Application Form for reappointment as a Director of CC Resource Conservation District. mug cc uc 'H ECEI VEI) CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS OR COM 't 2 7 APPLICATION FORM Name of advisory board applying for: . / ' / or W Application Form must be typed or hard printed. Name of Applicant. �•r i,,� �. �j Z:"'Uj'-�=A1 Date: �? -C�� Nome Address: /O /A Horne Phone: 12)- -off f V City,State,Zip. ,� , s�r` G',�2r Work Phone: Business Address: FAY- City, AXCity,States,Zip: e'4 Email: Signature: , Personal Experience,Skills and trd er+ests EducationlBaci:ground, / "--mac /" "( f !� J ✓4'1P4s�tt� J"t . Occupation((for,Ppay work, not for pay work,retiree,student or similar): Community Activities: /1-1 e4 Special Interests: 4 Information: 1 l=ilt completed application with Clerk of the Board, 651 Pine Street,Room 106, Martinez,CA 94553 or FAX to(925)335-1913. 2 Members of some advisory bodies may be required to fie annual Conflict of interest Statements. 3 Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4 Meetings may be held either In the evenings or during the clay,usually once or twice a month. 5 Some boards assign members to subcommittees or work groups requiring additional time. Appointee Application 08/17101 CC: &4')'�'S JI, my iv CC: ,Hie Bma, • ?nT bf;'t: Uu:1U.iU Gi.bta v.ttrcy431 uai Clerk of the Board� 925 335 1913 p. � CONTRA COSTA COUI+ITY ADVISORY BOARDS, COMMISSIONS OR cOMmITTEr=S APPLICATION FORM Name of 6dvisory board applying for. CQ&0-- Application Form must be typed or hand printed. c4,uYnber* Mame of Applicant: t.��Vi3c t� ��s parte: 9" O- t�4 Home A4dr�ess: 1200 'rJ 1K"ltcgc r. Home 1Phonek9+ED1t-..S- �I 1 City, stat+ ,zip:C)CU ,Z4,CA . �#A � t work Ply e t.��"T4 i Busines*Address: PAX: 2. '2e- 3$;ij city,Stale, mil: signature: Pers nai ExAlencf.Sktlls and Interests !"ducatit#nlEi ackgro tt nd: 1 C � SEP 2 0 2004 Otcup0ion(for pay work, not for Cay work,retiree,student or similar): CLERK BOARD C}F sUPERVISORS FcLr1er CONTRA COSTA CO, 1"tomo Vista V1 and Community Activities: Special Interests: Information- 1 File completed application with Cleric of the Board.651 Pine street,Roam 106, Martinez,CA 94553 or FAX to(925)336.1913. 2 Members of some advisory bodies may be required to rite annual Conflict of interest Statements. 3 Mietings sof advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4 Mbetings may be held either In the evenings or daring the day, usually once or twice a month. 5 Some boards assign members to subcommittees or work groups requiring additional time. APPOift--ce Application 66/17101 -:� cc; St .vsserr V snt f,�lc' oio VJ.`bLd Y-LI icyui uAo ...s..N ..,..'.. s Eby. Exhibit A .lig` Meadows Dwight Meadows (Jesse Dwight Meadows) Occupation: Farmer 1200 Vintage Drive 925-625-2541 CURRENT Rosenblum Cellars Inc. Ifember- Board of Directors L.4FCO- Contra Costa County Local Agency Formation Commission Special District Representative Chairman 1996 Contra Costa Resource Conservation District Member-Board crj'Directors Delta Science Center at.Sig Break Member—Board of Directors California Association of Winegrape Growers Alember California Farre.Bureau Alember AlamedezlC:'ontra Costa Classy-Winged Sharpshooter Task Force Alember l R EVYOUSLY Sutter Delta Medical Center Member-Board of Trustees 1993-21103 Secrezary 1 Treasurer 1'ronhouse.Sanitary District Member- Board of Directors since 1975-2000 Facilities Expansion Committee Chairman .fast Contra Costa County Water Master Plan Committee Member Oakley-Bethel Island Wastewater Management Authority Chairman 1977-1991 Cutino's Inc. (Cutino's Feed & Tire Center) President and towner 1972-1998 Sanitation and Water Agencies of Contra Costa County Chairman-- 1994 Contra Costa Water.District Consumer Fater Committee Member Contra Costa Solid Waste Commission Special District Representative Oakley Union School District , lember—Board of Trustees Saint Mary's College County Sc;holarship Committee Liberty Union High School District Member, Sub Committee for Site Plan for Freedom H'i'gh.School in Oakley Western States Tire&Automotive Service Association Vice President California Tire Dealers Association Secretary/Treasurer Delta Memorial Hospital Foundation Chairman of Community Relations Committee— 1994 Bank of Agriculture& Commerce Member of BAC Ambassador Program Recipient of the 1994 MY. .Diablo Audubon Society "Al McNabney Environmental Distinction Award-" int 6y: Diablo Vista Vineyards; �y vy� 925 625 3821; Sep-28-84 9:46AM; Page 1 %-16 N TO: BOARD OF SUPERVISORS r,. . Contra FROM: INTERNAL OPERATIONS COMMITTEE Costa BATE: OCT08ER 18, 2€04 C y SUBJECT: APPOINTMENT TO THE PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD SPECIFIC REQUEST(S)OR RECOMMENDATIONS}&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individuals to the Public and Environmental Health Advisory Beard: Nom Seat Term Endin Jadnderpal K. Hundal East County At Large#1 May 31, 2008 ' 2285 Oak Hills Circle Pittsburg, CA 94565 Richard J. Parsons Central County At Large#2 May 31, 2007 23 Ardith Lane Alamo, CA 94507 CONTINUED ON ATTACHMENT: YES SIGNATUR1- RECOMMENDATION OF COUNTY ADMINISTRATORECOMME TION OF BOARD COMMITTEE PROVE OTHER Ik SIGNATURE(S): F GAYLE U`KEMA MARK DeSAULNIE- ... ___---__--------------_-----------------__w..._.__-- �....._ ACTION OF BOARD ON J _ APPROVE AS RECOMMENDED MOTHER..-- � : <� _._ VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT •-� AND CORRECT COPY OF AN ACTION TAKEN } AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OF THE BOARD OF CC: INTERNAL OPERATIONS COMMITTEE STAFF SUPERVISORS AND COUNTY ADMINISTRATOR DR.WENDEL BRUNNER,PUBLIC HEALTH DIRECTOR ANDREA DUBROW,HEALTH SERVICES DEPARTMENT CLERK OF THE BOARD(MADDY BOOK) j y BY �y� (.....'�: ;�'�,,, ,DEPUTY Public and Environmental Health Advisory Board Appointments October 18, 2004 Internal Operations Committee Page 2 BACKGROUND: The Public and Environmental Health Advisory Beard was established in May 1986 to anticipate emerging health needs and initiate prevention programs, focus public health interventions in communities with the greatest needs, balance available resources with growing needs, and advocate for increased County action to improve community health. The Advisory Board has 19 members. The Internal Operations Committee (IOC) reviews the nominations for all seats on the Advisory Board except those reserved for specific public agencies. On October 18, 2004, the IOC reviewed and approved the preceding nominations and recommends to the Board of Supervisors their appointment. NNILOAMTB. WALKER, M.D. CONTRA COSTA HEALTH SERVICES DIRECTOR PiJBL1C HEALTH E WENDEL BRUNNER, M.D. PUBLIC HEALTm DIRECTOR 597 Center Avenue, Suite 200 CONTRA COSTA Martinez, California 945533 HEALTH SERVICES Ph (925) 313-5712 Fax (925) 313-6721 E- MAIL ADDRESS whrunner*hsd.co.contra-costa.ca.us To: Internal Operations Committee Date: September 29, 2004 Gayle B. Uilkema, Chair Mark CDesaulnier, Member Attention: Julie Enea, [Deputy County Ini trator From: Wendel Brunner, MD Cv Re: Public and Environmental Health Director of Public Health Advisory Board Recommended Appointments Please consider the recommended appointments of Richard J. Parsons and Jatinderpal (J.P.) K. Hundal to the Public and Environmental Health Advisory Board. Following is background information for each member, including Personal Data Sheets, applicants' addresses, and a current PEHAB member roster. Representing Central County-At Large#2 APPOINT Richard J. Parsons, 23 Ardith Lane, Alamo, CA 94507, to PEHAB for a term expiring May 31, 2007. Mr. Parsons is co-founder of Berkeley HeartLab and Performance Healthcare, Inc. Currently, Mr. Parsons is President of Performance Healthcare, Inc., a hospital and healthcare consulting firm, Mr. Parsons has a great deal of experience working with community boards and has volunteered on a Habitat for Humanity project in the East Bay Area (August 2004). After a long career in the health care industry, Mr. Parsons is very interested in improving health services at the community level. • Representing East County-At Large#1 APPOINT Jatinderpal (J.P.) K. Hundal, 2265 Oak Hills Circle, Pittsburg, CA 94555 to PEHAB for a term expiring May 31, 2008. Ms. Hundal is a third-year medical student, currently enrolled in a healthcare administration program. Ms. Hundal volunteers at Contra Costa Regional Medical Center, and has an interest in healthcare policymaking, particularly in Contra Costa County. Ill. BACKGROUND The Public and Environmental Health Advisory Board is a 19-member board appointed by the Board of Supervisors in 1986 to advise the Health Services Department on community needs. This community-oriented Beard seeks diverse representation from throughout Contra Costa County and includes constituents to represent community members in the following categories: Calder adults, children and teens, businessAndustry, environmental organizations, labor, and consumers. We also have professionals representing local voluntary agencies, the medical + Contra Cosh Community Substance Abuse Services + Contra Costa Emergency Medical services + Contra Costa Environmental Health + Contra Costa Health Pian + + Contra Costa Hazardous Materials Programs +Contra Costa Mental Heaith + Contra Costa Public Health + Contra Costa Regional Medical Center + Contra Costa Health Centers + provider community, and immigrant populations. These representatives provide broad community knowledge and a wealth of experience in the health field. PEHAB's mission is to identify community health needs and to make recommendations to the Health Services Department on how to address these needs. PEHAB strives to anticipate emerging public health issues, and advocates for policies, services, and programs that improve community health. PEHAB recruits new members by sending out press releases to local media and notices to community-based organizations, other coalitions and groups, and members of the Board of Supervisors. PEHAB members also recommend candidates. PEHAB is committed to diversity in its membership, and Contra Costa residents from a broad range of community and health settings are encouraged to apply. Candidates submit a written application and have an interview with PEHAB members and staff. The Steering Committee then recommends the candidates whose background and skills are the best match for vacant seats on the Board. Upon approval by the Steering Committee, the candidates are invited to attend a PEHAB meeting. PEHAB members then vote to approve forwarding these candidates to the Board of Supervisors for appointment to PEHAB. IV. Fiscal Impact: None. Attachments: Applicants' Personal Data Sheets— Richard J. Parsons, Jatinderpal K. Hundal Applicants'Addresses Current PEHAB Roster PEHAB Guidelines for Conduct of Business 2 ......... '.Richard Parsons 505 Fourteenth Street for Membership On the Fifth Floor ntai Health Advisory Board Oakland, California 94612 T 510.768.0066 T rparsons@hfsconsultants.com ,ONAL DATA SHEET p� rparsons@hfsconsuitants.eom JUN PUbiic He«}r� i 1. Name: L 11 4 l i ✓z cm7r1i # i�,n .._u..! 2. Home address: I' eg % (include city end zi code} -� 3. Home phone: °1.5'} f- . - y6i/ 4. Agency/business name: 5. Business address: ..5"C S"" Z- 6. Business phone: Lr/e) ' - - '- Z��5- 7. Occupation: A r- 1.f' 8. Educational background: 1- 0 Z- 9. 9. Race or national origin: i-LA ,7--e- 10. Over 65?: Yes k' No Retired?: Yes - - No 11. Professional and fraternal memberships (including offices held): 222,e- in A, Ae�-r/-/c'Iiyvzk'� 12. Briefly describe community activities you have been involved in that reflect your interest in public health and environmental issues: w 72 .... 1..x./0':--_ C. j i d — CONTINUED ON REVERSE -- 13. Special interests and accomplishments: 14. What special skills, strengths, or resources would you bring to PEHAB? ,e El�..� '�i=� C-c'�.r�y"7/Y7 L- :�' r � � r�Y-�..E�� `✓.1' sem, L ts' �`,,- .� ,�dts 15. Why are you interested in PEHAB? r 16. How did you hear about the Board? l� u S- , iG//l e^ ( -2 rL s ft C 17, Which PEHAB seat(s) are you applying for? Si tore Dat ' Please print your full name Thank you for your interest in PEHAB! Return to: Jan Millar, Administrative Assistant to PEHAB 597 Center Avenue, Suite 200, Martinez, DA 94553 Phone:(925) 313-6712 Fax: (925) 313-6721 pehabnembership app(4104) ...... .......... ......... r ,rv2,ew C.C4e-r Application for Membership On the t�� • -1��s�� Public and Environmental Health Adviao vard- P'ERSONAL DATA SHEET i (kj J)�( t'/��('�({04 " R 200 1 Pubic r�iaaith 1. Name: V r Q- } A 2. Home address: )a4p S Oak. KIN 6,e. 'qllo (include city and zip cede) u . Hoge phone: r� - ` 5 'AR �c�8 - A( `7 -51 4. Agencylbusiness name: WnirckA 5. Business address: 19x1 N > paaltifa 6. Business phone: r `- c~� 7. Occupation: Py c . A5Ss'la n f 6. Educational background: • to 8 * /v - Orr le4IX06f 6sueec hf[ ytd f 1aa�l- t rt p�e ecl Curr/7z` 1 n 171,S tet )qe 9. Race or national origin: lnt 10. Over 65?: Yes 1 No Retired?: Yes 11. Professional and fraternal memberships (including offices held): t 1 tn,�e� th NCA eche' ct{ta' j ec� C'S 14 . 1 . Briefly describe community activities you have been involved in that reflect your interest in public health and environmental issues: t L�'tc 1t will ir- vo1 1eroei? a4 k. 's ie tk-see I ba ve �i.Le� - .sic-t, a.f t /-A (f'�2rx ujj6eS' m,' .771 dt car K} ,; s r u caY erns CONTINUED ON REVERSE r» ktt v 7 he-eW 1 be t& etc c'arnr»unt(.. '76 s C,An rn(-*e,' LJ'/l 0-1/ars.} r -e cpress myse l- '. 13. Special interests and accomplishments: er r 44y, a'Vidulih who r cn l r, 14. What special skills, strengths, or resources would you bring to PEHAB? �trn'' c2 Cvrr�n� S xdrrtf in AtS Y,-et iA6 Mre Adnl,�a�Ad'heh 0a 'rxzm . c�ir i ii�� :`u /72 "f .� ?C U7117?+4fdi9 l�d+Ll7tt f7 t /Ll -7- e C 755ic eC eta.-( arise lathan 'o rnunt . 15. Why are you interested in PEHAB? Ne _u c _h,±lP f1�e , c mmJ,� L ID Let t alug l t !i Q _ Jvr n [ rn a bou-f 1ssu r a,4 7G 't U knowir-d& - O-M' cc ani fb Q�7t TYJdt t?i Lt�xAw� ecArrent t5Scies ii het l A Core cn z��,,„ 16. ow did you ear about the Board? `J c rn Ct t jPCHA6 ve-X o`, cc c� S 17. Which PEHAB seat(s) are you applying for? findijQ '�6MMIr►!7�4 !Oip(eature Date Please print y6ur full name Thank you for your interest in PEHAB! Return to: Jan Millar, Administrative Assistant to PEHAB 597 Center Avenue, Suite 200, Martinez, CA 94553 Phone:(925) 313-6712 Fax: (925)313-6721 pehabnembershlp app(4/04) PEHAB Applicants'Addresses Richard J. Parsons (applicant for Central County-At Large#2) 23 Ardith Lane Alamo, CA 94607 Jatinderpal (J.P.)K. Hundal (applicant for East County-At Large#1) 2265 Oak Hills Circle Pittsburg, CA 94565 Public and Environmental Health Advisory Board STAFF SENIORS L.A136R Wendel Brunner, PH Director(925)313-6712 (expires:5131/06) Vacant (expires 5/31/07) Email:wbrunner@hsd.co.contra-costa.ca.us Ruth Daniels Jan Millar,(925)313-6712; Fax:313-6721 2246 Olympic Drive,Martinez 94553 597 Center Ave,#200,Martinez 94553 Home: (925)370-2317 Email:jmillar@hsd.co.contra-costa.ca.us Fax: (925)370-9341 Michael Kent, (925)313-6587;Fax:313-6864 Email: ruthdanieis@earthlink.net Email:mkent@hsd.co.contra-costa.ca,us VOLUNTEER AGENCY IMMIGRANT COMMUNITY Adolescent/School-Age Population Arthur J. Hatchett (expires:5/31/08) Vacant (expires:5/31/08) R.Marshall Burgamy (expires:5/31/05) P.Q. Box 561 GRIP:(510)233-2141 3120 Ricks Avenue,Martinez 94553 Roden 94547 Fax:(510)233-7127 Home:(925)228-2172 Home:(510)245-2617 3113 Macdonald Ave. Work:925)228-3276,x 231 Fax: (510)245-3961 Richmond 94804 Fax:(925)228-6989 Email:a hatchett aol.com Email: mbu am martinez.kl2.ca.us HAZARDOUS MATERIALS COMMISSION FAMILY&CHILDREN PRIVATE MEDICAL.COMMUNITY Marjorie Leeds* (expires:5131/06) Mary Rocha (expires:5/31/06) Jeffrey Ritterman, MD (expires:5/31/05) 4721 Pleasant Hill Road East,Martinez 94553 3022 Rio Grande Dr,Antioch 94509 Kaiser Permanente Horne:(925)370-0018 Work: (925)779-1404 901 Nevin Ave,Richmond 94801 Work:(925)313-8686 Pager: (925)688-7798 Work: (510)307.2661 Work fax: (925)313-8699 Work fax: (925)516-3885(EB Perinatal) Fax:(510)307-2717 Email:marjorie.leeds@shell.com Horne:(925)754-1626 Email:Jeffrey.Ritterman@kp.org Email:mrocha@ebpc.org ENVIRONMENTAL HEALTH CONSUMER/COMMUNITY CONSUMERfCOMMUNITY Vacant (expires:5131/05) Nick Rodriguez* (expires:5131105 Dolores Merrida } (expires:5131/05) 4884 Edgewood Court,Oakley 94561 5953 Arlington Blvd.,Richmond 94805 Horne: (92.5)625-2096 Home:(510)237-6125 No fax No fax No email Email: DeeEricM@aol.com GENERAL,AT-LARGE#1 GENERAL,AT-LARGE#2 EAST COUNTY,ATURGE##1 vacant (expires:5/31/07) Clyde J.Trombettas (expires 5131/06) Vacant (expires:5131/08) 296 Crestview Ave,Martinez 94553 Work:(925)602.2665 Home:(925)229-3643 Fax:(925)602-2668 Email:ctrombet@aoi.com EAST COUNTY,AT-LARGE#2 CENTRAL COUNTY,AT-LARGE##1 CENTRAL COUNTY,AT-LARGE#2 Margaret Stauffer (expires:5131/07) Mary Lou Laubscher* (expires:5/31/08)Vacant (expires:5131107) 1363 Acacia Street,Pittsburg 94565 1122 Lovell Court,Concord 94520 Work:(925)933-0107 Home: (925)685.2332 Home: (925)432-7530 No fax Work fax:(925)933-0249 Email:milaubscher@astound.net Email:mstauffer@twc-bayarea.org WEST COUNTY,AT-LARGE#1 WEST COUNTY,AT-LARGE##2 Bonita Woodson (expires:5/31/07) Bessanderson McNeil* (expires 5131/08) *Steering Committee Members: 45 Parkview Terrace 654 Wilson Avenue Mad Leeds,co-chair San Pablo 94806 Richmond 94805-1867 Nick Rodriguez,co-chair Horne:(510)236-0702 Home:(510)234-3062 Mary Lou Laubscher Work:(825)313.0206,ext.14 Fax:(510)234-9762 Bessanderson McNeil Fax: (925)313-0207 Margaret Stauffer Email. hipdirector@yahoo.com ex:adv bd roaster 9!30/04 Contra Costa County Public and Environmental Health Advisory Board Guidelines for Conduct of Business I. Membership and Attendance A. The Public and Environmental Health Advisory Board (PEHAB) was established in 1986 by a Board Order. PEHAB has 19 members, representing the following regions or organizations, as determined by the Board Order. Two (2) At-Large General Two (2) At-Large Central County Two (2)At-Large East County Two (2) At-Large West County Two (2) Consumer Representatives Adolescent/School-Age Population Children's Issues Environmental Health Hazardous Materials Commission Labor Private Medical Community Seniors' Issues Volunteer Health Agencies Immigrant Populations B. Members will serve four-year terms, which are renewable. C. New members will be recruited through an extensive outreach process. The PEHAB Steering Committee and staff will review applications and interview applicants, taking into consideration .PEHAB's strong commitment to ethnic and geographic diversity. The Steering Committee will make recommendations to PEHAB and to the Health Services Department, which will present those recommendations to the Board of Supervisors. All members are appointed by the Board of Supervisors. D. PEHAB considers it imperative that members who vote are informed and knowledgeable about the matters they are voting on. Members who have missed meetings and therefore have not had an opportunity to read or be advised of information pertinent to a vote that is being taken are expected to abstain when there is not time available to bring those members up-to-date on the issue being voted on. E. Members must attend a minimum of four meetings in any given year. If someone is unable to attend a meeting, he/she is expected to call PEHAB staff ahead of time. If a member misses two meetings in a given year, PEHAB staff will meet with that member to discuss whether he/she has the time available to continue serving on PEHAB. If the member then misses a third meeting in a given year, the member will be asked to resign. The Steering Committee may decide that there are extenuating circumstances to overrule this decision. F. PEHAB members' responsibilities include: attending meetings, reading materials sent out prior to the meetings, serving as a conduit of information for the constituency each member represents, raising issues of interest and public health significance, PEHAB Guidelines—July 2002 Pagel of 4 (revised November 2002) completing tasks assigned at meetings, and speaking in public on behalf of PEHAB. Staff assistance will be available as needed. G. A PEHAB chair will be elected by PEHAB members to serve a two-year term. Responsibilities of the PEHAB chair include: chairing PEHAB meetings, signing PEHAB correspondence, and representing PEHAB at public meetings or other public speaking engagements. ll. Committees A. There will be one permanent committee, the Steering Committee. Cather committees will be formed as needed, either on a standing or an ad hoc basis. B. The committees will function in an all advisory role to PEHAB and will not replace the direct responsibility of PEHAB to the Beard of Supervisors or its direct relationship with the Health Services Department. C. PEHAB will encourage non-PEHAB members to join a PEHAB committee if they are knowledgeable or have experience in particular areas being addressed by a Committee. D. Committee Guidelines: 1. Committees will be staffed by a staff person from the Public Health Division. Each committee will have a chair, who will be elected by committee members. 2. Committees are responsible for their meeting dates, times and agendas. Meetings shall be open and public. Committees shall determine the minimum number of members for a quorum. 3. Committee minutes will be distributed to all PEHAB members, and committee members will give a status report at PEHAB meetings. 4. if time is limited at PEHAB meetings, committee chairs will report only on action items. Such reports will include the committee's recommendations, pros and cons, and the specific request for action. Committee chairs are responsible for ensuring that action items are on the PEHAB agenda. 5. Each committee shall annually review its mission statement and accompanying work plan and time schedule. Changes in the mission statement, work plan or time schedule will be brought to the attention of PEHAB, Each committee chair, with staff assistance, will prepare an annual report summarizing the committee's activities, and distribute this to all PEHAB members. 6. When a PEHAB member sits on a non-PEHAB committee at the request of PEHAB, the Health Services Department, or the Board of Supervisors, the member will make reports to PEHAB on that committee's activities, but will not commit PEHAB to any action or policy without PEHAB's consent. However, that member may participate as an individual without consulting PEHAB as long as such participation is clearly viewed as not representing PEHAB. PEHAB Guidelines—July 2002 Page 2 of 4 (revised November 2002) E. Steering Committee 'l. PEHAB will select a Steering Committee comprised of no more than six members who represent each region in the County and reflect the ethnic diversity of the County's population. The PEHAB chair will chair the Steering Committee (co-chairs will alternate when possible). 2. The Steering Committee's responsibilities include: • provide overall leadership and guidance to PEHAB in establishing priorities; • responsible for Board recruitment and development; • review and make recommendations to full Board of requests for legislative support; • respond to/delegate requests for PEHAB participation; • set meeting agendas; • consult with PEHAB staff on assigned duties; and, • in an urgent situation, can make a decision on behalf of PEHAB on matters that the full Board has already discussed and taken a position on. Ill. Referrals and Requests for Action A. PEHAB will respond to referrals or requests for action from the Board of Supervisors or the Health Services Department by providing appropriate policy and technical recommendations. B. If an item is referred to PEHAB for comment or consideration, appropriate staff input will be sought as part of the deliberation process. C. New referrals or requests for action will be brought to the full Board for discussion. If a new issue is raised that needs urgent action, PEHAB staff can take a phone vote of the full Board. In an urgent situation, the PEHAB Steering Committee can make a decision on behalf of PEHAB on a referral or request for action that the full Board has already taken a position on. D. When considering a new request for action, PEHAB members will use the PEHAB mission and PEHAB's six key issues to evaluate whether it is appropriate for PEHAB to respond to the request. PEHAB's mission is to: • anticipate emerging health needs to initiate prevention programs; focus public health interventions in communities with the greatest needs; balance available resources with growing needs; and, ■ advocate for increased county action to improve community health. IV. Conduct of Business A. All meetings are open to the public. Agendas and meeting packets will be mailed out prior to the meetings. A public comment period will be on every agenda. Agendas will be put together by staff and the PEHAB Steering Committee. Anyone wishing to add an item to the agenda must submit a written request to PEHAB Steering Committee two weeks prior to the meeting. PEHAB Guidelines--July 2002 Fuge 3 of 4 (revised November 20102) B. Decisions will be made by 51% of the voting members present at a meeting, and decisions can be made on items that have been placed on an agenda /nailed to members prior to the meeting. It should be understood that members who cannot be present at a meeting may call in their position to be included in the vote. PEHAB will try to reach consensus on any item that is being considered. A decision will be finalized when a motion is made, seconded, and acknowledged by the chair, and a vote is taken. C. PEHAB members may speak in public on behalf of PEHAB, or act as spokespeople for PEHAB on specific issues, at the request or approval of PEHAB, the PEHAB chair or staff. in all cases where members wish to be identified as a PEHAB member (including written correspondence and speaking engagements), such approval should be sought. The member should notify staff or the chair in advance. D. Regarding potential conflicts of interest, Board members are asked to identify and excuse themselves from voting on any issue from which they or the organization they work for stands to gain financial benefits. E. Regarding compensation, PEHAB members will be reimbursed for mileage to and from PEHAB meetings. V. RECOGNITION A. An individual must be a member of PEHAB for five years or more to be recommended to the Board of Supervisors for official recognition. vpehab:guidelines 11/42 PEHAB Guidelines---July 2002 Page 4 of 4 (revised November 2002) TO: BOARD OF SUPERVISORS Contra FROM: INTERNAL OPERATIONS COMMITTEE ;s Costa DATE: October 18, 2004 County SUBJECT: APPOINTMENT TO THE ADVISORY COUNCIL ON /? EQUAL EM'PLOY'MENT OPPORTUNITY SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individual to the Disabled Appointee seat on the Advisory Council on Equal Employment Opportunity to complete the term ending November 30, 2004 and to a new term expiring November 30, 2£ 07: Sophia Lever 4336 Elk Drive Antioch, CA 94531 BACKGROUND: The Advisory Council on Equal Employment Opportunity was established in July 1991 to serve as an advisory committee to the Board of Supervisors regarding the implementation of the County's Affirmative Action Plan, to review the Affirmative Action Program, and recommend actions to facilitate attainment of the County's goal for affirmative action. CONTINUED ON ATTACHMENT: YES- w_...............—....Y._ SIGNATUR _, .. _,RECOMMENDATION OF COUNTY ADMINISTRATOR �COMME A ON OF BOARD COMMITTEE APPROVE OTHER ('1/ SIGNATURE(i�il� ;�-ry' - 14 LE E A, Chair MARK DeSAULNIER ACTION OF BOARD ONr _- �C APPROVE AS RECOMMENDED OTHER —Y— VOTE OF:SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN ° UNANIMOUS{ABSENT hc j 1 AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISOR,$AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF EEOAC STAFF s $ CLERK OF THE BOARD(MADDY BOOK) BY hd -,DEPUTY Advisory Council on Equal Employment Opportunity Appointment October 18, 2004 Internal Operations Committee Mage 2 The Council consists of I Imembers and the Internal Operations Committee (IOC) reviews nominations to all seats except those designated for County managers and labor organizations. The IOC approved Ms. Lever's nomination on October 18, 2004, and recommends her appointment by the Board of Supervisors. County of Contra Costa OFFICE OF THE COUNTY ADMINISTRATOR MEMORANDUM DATE: September 28, 2004 TO: Internal Operations Committee FROM: Emma Kuevor Affirmative Action Officer SUBJECT: Advisory Council on Equal Employment Opportunity The Advisory Council on Equal Employment Opportunity is recommending appointment of Ms. Sophia Lever to the currently vacant seat for the disabled representative. Background The Advisory Council on Equal Employment Opportunity was established by the Board July 9, 1991. The Council advises the Board on the implementation of the County's Affirmative Action Plan, Outreach Program, and Small Business Enterprise Program, The Advisory Council consists of eleven members as follows: • two representing County management, • two representing employee organizations, • four representing women,minorities, education and other protected groups, • one representing disabled, • one representative of business, • one representative of labor organizations, involved in training. The two employee organization seats are for two year terms and are rotated as follows: Seat#1 Seat#2 SEIU, Local 535 Deputy Sheriffs Association AFSCME, Local 512 California Nurses Association DA Investigators Public Employees, Local 1 Firefighters, Local 1230 AFSCME, Local 2700 Physicians &:dentists Western Council of Engineers United Chief Officers Association September 28, 2004 Internal Operations Committee Page 2 The two County management seats are for two years and are appointed by the County Administrator. All applicants are interviewed by the Council; recommendations are forwarded to the IO Committee, and the lO Committee may appoint the recommended candidates or they may conduct their own interviews and select the new Advisory Council members. The Disabled representative member seat is currently vacant. Recruitment of Applicants In accordance with the October 12, 1999 memorandum from the IO Committee to Department Heads responsible for staffing selected advisory bodies, the Advisory Council on Equal Employment Opportunity mailed letters and applications to various community groups and interested persons. Three applications were received. Two applicants were interviewed at previous meetings and one applicant was interviewed at the September 24, 2004 Advisory Council meeting. Ms. Lever's experience displayed the type of commitment needed for effective participation on the Advisory Council. Recommendation The Advisory Council recommended Ms. Sophia Lever be selected as the disabled representative of the Advisory Council. cc: Advisory Council on Equal Employment Opportunity Scott Tandy, Chief Assistant County Administrator CONTRA CESTA COUNTY ADVISORY BOARDS, COMNIISSIf3NS OR C =,01S _,._..._ _._.. APPLICATION FORM OCT - 7 200 . A NO dna c Equal Employment Opportunity _ Advisory Council Name of advisory board applying for Application Form must be typed or hand printed. Mame of Applicant: Sophia Lever Home Address: 4336 Elk Dr.,Antioch,CA 94531 Home Phone: 925-778-2871 Business Address: 500 Court St. ,Martinez,CA 945.53 Work Phone: 925-229-1000 Signature: Date: September 17,2004 Personal Experience, Skills and Interests Education/Background: M.S. Degree in Industrial-Organizational Psychology A B.A. Degree in Psychology from .San Francisco State University, Eighteen years of experience in the field of Human Resources with a focus in Equal Employment Opportunity, Affirmative Action and Organizational Dynamics. Occupation (student, for pay work, not for pay work, retiree or similar): Employed as the Principal Human Resources Representative of the Recruitment, Selection and Classification Unit. (Contra Costa Community College District) Communiry Activities: Led Career development and Personal Development Workshops in Contra Costa County. Active Member of Society of Human Resources Management, Northern California. Human Re- sources Council. Serves as 'Volunteer at Seven Hills School in Walnut Creek, CA Special Interests: Contributing to my neighborhood and community Travel , cooking, enjoying the outdoors and spending time with family A friends Information: 1. Pile completed application with Clerk of the Board, 651 Pine Street, Room 106, Martinez, CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4. Meetings may be held either in the evenings or during the day, usually once or twice a month. 5. Some boards assign members to subcommittees or work groups requiring additional time. Cc: _S�isor`d MS. SOPHIA LEVER 4336 ELK DRIVE ANTIOCH, CA 84631 HOME PHONE 925-776-2871 WORK EXPERIENCE: Principal, Human Resources Representative Contra Costa Community College District, Martinez, CA 6101- present Manage a Human Resources Team responsible for handling recruitment, selection and compensation matters for 3 Colleges. Guide managers, coach employees, interpret union contract, handle various complaints, conduct internal investigations, perform job analysis studies, prepare highly complex reports and data analysis. Advise and counsel Managers & Employees on Human Resources and Employee Relations issues and challenges. Human Resources Consultant Self-employed 3/97-6/01 Worked as on-site Consultant to Managers in high-tech industry at the following companies: IBM- Global Services, Peoplesoft, Macromedia and Consilient. Responsible for employee relations, management coaching, career development, developing recruiting strategy, interviewing, policy interpretation, and HR consultation to Managers, employees, and general public. Utilized AIDS techniques for technical Internet informational research. Advised organization on the labor market. Served as special resource with unique and advanced expertise to executive staff. Human Resources Consultant Kaiser Permanente, Northern California Regional Offices Oakland, California 3/94-3/97 Worked on three- year State-wide reorganization eliminating departments and creating new organizations/departments. Served as a key interface on implementing a new Shared Services Division, entitled - Peoplesolutions. Worked with individual employees to develop career development plans and career profiles. Interviewed employees for future career opportunities. Developed and conducted employee training and career development workshops. Designed organizational core competencies. Advised organization on the labor market. Served as special resource with unique and advanced expertise to executive staff. Management Recruiter Kaiser Permanente, Northern California Regional Offices Oakland, California 6/50-3154 Coordinate a full array of human resources services for the Management Recruitment Program, which included recruitment, career development, and leadership training of management employees. Coached employees on career goals and consulted with managers and employees to define realistic plans. Maintained reference materials to support career development information. Led efforts to identify candidates for Internship and Fellowship Programs. Designed and conducted new management orientation for Corporate Offices. Employment and Training Specialist/ Personnel Analyst City of Pittsburg Pittsburg, CA 1/87-6/90 Provided career development, training and employment counseling to clients. Conducted individual assessments to determine career interests. Designed and conducted career planning workshops for groups. Provide clients with guidance and information regarding career options; career plans, career research, and the job search process. Managed career educational information and resources. Served as the Personnel Analyst for the Labor Relations Team. Corporate Benefits Administrator Ingersoll-Rand (Schlage Division) Personnel Department, San Francisco, CA 9/85-11/86 Responsible for overall benefits administration for manufacturing company. Mental Health Counselor Bonita House Berkeley, CA 1584 Academic Year Managed caseload of clients enrolled in the Bonita House Program. Responsible to meet weekly with clients to address mental health and life challenges. Assessed client needs and referred clients to appropriate health services. Documented client meetings. Educational Counselor PACT San Francisco, CA 1983 Academic Year Conducted career assessment interviews utilizing various career planning tools. Made presentations to community groups interested in focusing on educational goals. Provide clients with guidance and information regarding career options, career plans, career research, and the job search process. Worked with clients applying to four-year college programs by assisting them with college applications and requested information. Managed a career counseling library and career resources. Counselor Planned Parenthood San Diego, CA Academic Year 1980 and 1981 Counseled clients on birth control, pregnancy and other sexual issues. Educational & Training Background MASTERS OF SCIENCE, INDUSTRIAL- ORGANIZATIONAL PSYCHOLOGY, SAN FRANCISCO STATE. UNIVERSITY, GRADUATED 1992. BACHELORS OF ARTS, PSYCHOLOGY, ATTENDED SAN DIEGO & SAN FRANCISCO STATE UNIVERSITY, GRADUATED 1984. Computer Knowledge Knowledgeable of PCs, MS Word, Excel, PowerPoint, Hiresystems. Brassring Systems, Skillset, Resumix, Perseus, SPSS, Netscape Navigator, Internet Explorer, Qualcom-Eudora, Outlook, Datatel TO: BOARD OF SUPERVISORS y .. Contra FROM: INTERNAL OPERATIONS COMMITTEE ,i Costa DATE: OCTOBER 18, 2004 County SUBJECT: APPOINTMENT TO THE ALCOHOL AND OTHER DRUGS ADVISORY BOARD SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individual to the Alcohol and Other Drugs Advisory Board: Name Seat Term Ending Robert Goldman At targe #3 June 34, 2007 2230 Yukon Street Concord, CA 94520 BACKGROUND: The Alcohol and Other Drugs Advisory Board was established in August 1992. The Advisory Board consists of 21 members: three nominated by each of the County Supervisors, five At Large members and one At Large Alternate. The Internal Operations Committee reviews appointments to the five At Large seats and their Alternate. Teras of appointment are for three years. At its October 18, 2004 meeting, the Internal Operations Committee reviewed and approved the Advisory Board's nomination, above. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR L - RECC3MMENC}1(TI N OF BOARD COMMITTEE -___.,RECOMMENDATION OTHER �$ SIGNATURE(S):A � ,ftp' AYLE B. UAREMA, Chair AAARK DeSAULNIER ACTION OF BOARD ON y l APPiOVE AS RECOMMENDED VOTEOF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE $" AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENThl0aCJ ) AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-9077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF FATIMA MATAL SOL,ALCOHOL AND OTHER DRUGS ADV BD STAFF CLERK OF THE BOARD(MADDY BOOK) BY { L ,DEPUTY RECEIVED JUL 21 200RE1;�� JUL 1 9 2004 CONTRA COSTA COUNTY ADVISORY BOA ,% CC>MM'ISSI A.PPI.ICATI N FoRm CONTRA QQ-TrA Cts. Name of advisory board applying for Alcohol and Other Drams Advirsaa Board {'application farm must be typed or handprinted) Name of Applicant: Rc)-aee44 C&Z) (;6 0(n A 0 Home address: 2- 3 0 `" U cr^,n 1 Home Phone: 63� f e57-6 lb Business Address: Car d Werk Phone: Signature:2 nate: n3 C .�._.- 1 Personal Experience, §krds and Interests t Educational/Background: 12,A 41 &I M l � t" rl� f CA Occupation(student, for pay work,not for pay worn,retiree or similar): Co j J6 Ck-Pr, L. { Gds /�-'C w r' c i .rJ Community Activities: U A23 o v t C e` ta S yA3 a, Special Interests: Ir A0 C 50 6Z 9 411A � �'� t,+ 62,5 k 0-04 � �� 1 t I� • \ r �V .Information: x File completed application with Clerk of the Board,651 Pine Street,Room 106,Martinez, CA 94533 x Members of some advisory bodies may be required to file annual Conflict of Interest Statements. x Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. x Meetings may be held either in the evenings or during the day,usually once or twice a month. x Some boards assign members to subcommittees or work groups requiring additional time. cc: &VWAsX IV airk touts-cirran TO: BOARD OF SUPERVISORS Contra FROM: Health Services Department Alcohol and Other Drugs Services Division Costa DATE: September 30, 2004 County SUBJECT: Appointment to Alcohol and Cather Drugs Advisory Board SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT Mr. Robert Goldman, 2230 Yukon St, Concord, CA 94520, to the Alcohol and Other Drugs Advisory Board of CCC to the At-Large seat#3 expiring June 30, 2007, which is currently vacant. BACKGROUND: This At Large seat has been vacant for approximately a year now. In consistency with the policy of the Board of Supervisors for outreach and recruitment, the Alcohol and Drugs Advisory Board announced different seat vacancies through a press release and posted a flyer on the Health Services Department web page. There are currently four (4) At-Large and one (1) alternate seats vacant on the Advisory Board. DIRECT the Clerk of the Board to apply the Board's policy for filling vacancies. CONTINUED ON ATTACHMENT. -,,,YES SIGNATURE. ALCOHOL AND OTHER William B. Walker, M.D. DRUGS ADVISORY BOARD .Health services Director OF CONTRA COSTA COUNTY Haven Feam Alcohol and Other Drugs597 Center Avenue,Suite 320 Services Director CONTRA COSTA Martine,CA 94553 9513-63HEALTH SERVICES Fax(92 )3 90 FOR MIME ATE RELEASE RECEIVED JUL 12 2004 District I Joel Fort,M.D. Contact: Beverly Dickens Fatima Matal Sol Edward Rimer Phone: (925) 313-6311 District Email: fmatalsohsd.co.contra-costa.ca.us Larry Kamp .Judy Clayton Gerald L.Bedsole The Alcohol and Other Drugs (ACID) Advisory Beard is seeking applicants for three District3 vacant seats representing District 4 (parts of Central County), At-Large and Alternate. Paul Feyen Arthur Bolter,M.D. The AOD Advisory Board is made up of twenty-one volunteers appointed by the Board Tom Aswad of Supervisors to assess community needs regarding treatment and prevention of District alcohol and drug abuse. The Board reports its findings and recommendations to the Harold E.Parsley Health Services Department, the Beard of Supervisors and the Contra Costa Barbara Dallas Communities. Vacant District 5 This is an opportunity for residents to share concerns about alcohol and other drugs Sum d: Prindle issues, decide how to address these issues, and make recommendations to the Board .Jocelyn Drew-hrarris of Supervisors. The AOD Advisory Beard also conducts the"'People Who Make A Hazel L. Wetherford Difference"Award, produces an Annual Report and a television program "Faces and AtLgm Members Voices in Recovery." Vacant Vac Lori lath A Board member must be able to attend at least two meetings per month. The Alcohol Robert Spaulding and Cather Drugs Advisory Board meets regularly every fourth Wednesday of each MfariaRigazio-Wilson month from 3:45 PM to 6:15 PM. Board and committee meetings may be held at different times and locations throughout the county to facilitate community involvement Vacant Applications are due by July 30, 2004. Interviews will be conducted by the Executive Committee at a later date. To receive an application, or for more information regarding the Alcohol and Other Drugs Advisory Board, please contact Fatima Matal Sol at (925) 313-6311 or email at fmatalso@hsd.co.contra-costa.ca.us. For more information or to download an application, log onto www.cchealth.orig. .. TO: BOARD OF SUPERVISORS Contra„+�,. m �,,, FROM: INTERNAL OPERATIONS COMMITTEE ~� Costa DATE: OCTOBER 18, 2004 OwlCounty SUBJECT: APPOINTMENTS TO THE IN-HOME SUPPORTIVE SERVICES (IHSS) , 44 PUBLIC AUTHORITY ADVISORY COMMITTEE SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: RE-APPOINT the following individuals (addresses on file) to the In-Home Supportive Services Public Authority Advisory Committee to new terms ending March 6, 2008: Name Seat Cathy Cratty Consumer Under 60 #1 Ethel Dotson Consumer 60 or Older#2 CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR C M ENDATION OF BOARD COMMITTEE PROVE OTHER E SIGNATURES): a�-} -.• �` AYLE B. 4tLXEMA, CHAIR MARK DeSAULNIER ACTION OF BOARD ONr_ P ----� _ f APPROVE AS RECOMMENDED ' OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE #, AND CORRECT COPY OF AN ACTION TAKEN Mo* UNANIMOUS(ABSENT o '' } AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES. NOES: SHOWN, ABSENT: ABSTAIN: ATTESTED: OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF JOHN COTTRELL,EXECUTIVE DIRECTOR,IHSS PUB AUTH ADV COMM ; CLERK OF THE BOARD(MADDY BOOK) '. BY -,DEPUTY /_ IHSS Public Authority Advisory Committee Appointments October 18, 2004 Internal Operations Committee Page 2 BACKGROUND: The Board established the In-Home Supportive Services (IHSS) Public Authority Advisory Committee in March 1998. In April 1999, the Board of Supervisors accepted and approved the IHSS Public Authority Implementation Team Findings and Recommendations, including recommendations regarding Advisory Committee membership criteria. In March 2001, the Board approved amendments to the membership criteria. As amended, the Advisory Committee consists of 11 members: 4 Consumers aged 50 or older, 2 Consumers aged under 60, and one member from each Supervisorial District_ The Internal Operations Committee reviews nominations to the Consumer seats on the Advisory Committee. At its October 18, 2004 meeting, the internal Operations Committee reviewed and approved the Advisory Committee's nominations of the aforementioned individuals, and now recommends appointment of these individuals by Board of Supervisors. CONTRA COSTA COUNTY ln-Warne Supportive Services Public Authority 1330 Arnold Drive, Suite 143 Martinez, California 34553 (325) 646-1251 TO: Internal Operations Committee Attn: Julie Enea FROM: John Cottrell, Executive Director RE: Public Authority Advisory Committee Reappointments The Public Authority Advisory Committee has two members first terms expire. Cathy Cratty, representing Consumers under 60-Seat 1 and Ethel Dotson, representing Consumers 60 or older— Seat 2. The Public Authority Advisory Committee is recommending reappointment for a seond term for Cathy Cratty, representing Consumers under 60--Seat 1 and Ethel Dotson, representing Consumers 60 or older—Seat 2. Thank you for your consideration. Sackeround The Public Authority Advisory Committee is comprised of 11 members. Four are consumers over 60, two are consumers under 60 and five members represent various stakeholders (one for each supervisor district). TO: BOARD OF SUPERVISORS .,' ,; Contra FROM: INTERNAL OPERATIONS COMMITTEE Costa DATE: OCTOBER 18, 2004 ;� o County SUBJECT: APPOINTMENTS TO THE MANAGED CARE COMMISSION . 30 SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individuals to the Managed Care Commission: Nomine Seat Term Expiration Addie D. Rogers At Large#3 August 31, 2005 ' 1910 Redwood Read Hercules, CA 94547 Richard Steinfeld At Large#6 August 31, 2005 6564 Claremont Avenue Richmond, CA 94805 Debra Shorter-Jones At Large#7 August 31, 2006 ! 326 So. 261n Street Richmond, CA 944804 Monique Smith fedi-Cal August 31, 2006 21 El Capitan Lane Antioch, CA 94509 CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR _,-f;(E�OMMEN T N OF BOARD COMMITTEE DROVE OTHER A ' ,i"- ,,��* '"' ""e 'w' ":::-n:- ..,� ".E»-act✓ F " {r"'- -^� s GAYLE2--Ol *KEMA, Chair MARK BeSAULNIER ACTION OF BOARD ON 6� _ - APPROVE AS RECOMMENDEDOTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT #' ) _ _ t AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF.=" TERESA SNOOK O'RIVA,STAFF,MANAGED CARE COMMISSION CLERK OF THE BOARD(MADDY BOOK) BY r ,(_ _ ,DEPUTY Managed Care Commission Appointments October 18, 2004 Internal Operations Committee Page 2 BACKGROUND: The Managed Care Commission was established in May 1995 and replaced the Contra Costa Health Plan Advisory Board and the Medi-Cal Advisory Planning Commission. The purpose of the Commission is to: ♦ study health care concerns for the Medi-Cal, Medicare, Commercial, and Medically Indigent persons served by the County + assure provider, consumer, and community, as well as gender, ethnic, cultural, and geographically diverse population input to deliberations and decision making. + do long-range planning and policy formulation and make recommendations to the Board of Supervisors, County Health Services Director and Chief Executive Officer of CCHP/Local Initiative. ♦ study and make recommendations to the Chief Executive Officer of CCHP on operational objectives, policies and procedures and recommend changes as well as revised service, product development, marketing, and data-gathering priorities ♦ assure effectiveness, quality (including good outcomes), efficiency, access, acceptability of CCHP services by ongoing as well as periodic formal reviews of information produced by an up-to-date Management Information System and other sources + regularly review the CCHP operational budget and amendments thereto. ♦ review, analyze, and advise the Board of Supervisors, Health Services Director, and Chief Executive Officer of CCHP of the overall progress, constraining, or threatening needs and special problems of CCHP ♦ encourage public understanding of CCHP and provide support throughout the County for its development. Prioritize and assign to appropriate committees The Commission consists of 15 members. Persons who are involved as contractors with Contra Costa Health Plan (CCHP) cannot be members of the Managed Care Commission (MCC), nor can Health Services Department employees. No less than one Medi-Cal Subscriber, one Medicare Subscriber, one Commercial Subscriber, one person sensitive to medically indigent health care needs, one physician,/non-Contracting, one other provider/ non-contracting, and no less than nine at-large members/non-contracting may serve. The Director of Health Services and the Chief Executive Officer of CCHP are ex-officio, non-voting members. County Supervisors also function as ex-officio, non-voting members. Terms of office are for three years, The IOC reviews nominations for all seats on the Commission. On October 18, 2004, the IOC considered and approved the preceding nominations for appointment. The IOC also wishes to commend the MCC staff for their extra effort to find commissioners from East and West County. CONTRA. COSTA HEALTH O TA HEALTH PLAN A Dwision of Contra Cost&Heft 5 cts Memo To: Internal Operations Committee, Contra Costa County Board of Supervisors From: Teresa Snook O'Riva., Principal Staff Contact for the Managed Care Commission Date: 10/4/44 Re: Managed Care Commission--Recommendation for"Vacant Seats The Managed Care Commission, in its continued efforts to recommend commissioners that can not only contribute valuable insight into the concerns of the MCC,but also reflect the diversity of our community,hereby makes the following recommendations: 1. Appoint Addie Rogers to Member-at-Large seat# 3 (application attached) a. Extensive experience in managed care in the Bay Area, and holds a Masters in Health Services Administration. b. Special qualifications include her dedication to the community, including serving the needs of the economically disadvantaged, the disabled and victims of sexual abuse. c. Representative of District 2. 2. Appoint Debra Shorter-Jones to Member-at-Large seat#7 (application attached) a. Extensive experience in the medical community as a nurse and nurse practitioner. b. Special qualifications include her dedication to the community, including serving the needs of the medically indigent and disadvantaged children and her interest in holistic health. c. Representative of District 1. 3. Appoint Richard Steinfeld to Member-at-Large seat#6 (application attached) a. Has been attending MCC meetings for over 5 years as a member of the public. He currently sits in on the public Customer Relations subcommittee. b. Special qualifications include his unique perspective as a commercial CCHP member. c. Representative of District 1. 4. Appoint Monique Smith to Medi-Cal seat(application attached) a. Currently utilizes the county medical system and holds a certificate in medical administration. b. Special qualifications include her unique perspective as a CCHP Medi-Cal member. c. Representative of District 5. The Governance and Executive Committees of the Managed Care Commission support these recommendations and hope to announce these appointments at their November 17, 2004 meeting. Thank you for your consideration. 08/1912004. 12:50 5102370177 C11 SOLUTIONS PAGE 02 CONTRA COSTA CQ�'UNTY ADVISORY iX t ARDS , OMMISSION ,COMMITTEESI APPLICATION F Name of advisory board applying for: Managed Cane Co fission MCC l (A,ppilcedion farm must be typed or d printer.) Please answer: Are you currently employed by�CHP or HSD? Yes x N If yes,please explain: _N/a Are you or your employer now�contractor to CCHP? Yes ix No If yes,please explain: Are you associated with an rrrgy2ationt that is currently or has plan o contractvsri#h CCHP? Yes x No If s,please explain: Please check all boxes that awl : Current CCHP Medi-Cal Sub6criber Current CCHP Med a Subscriber Physician Other Provider Cu4ent CCHP Commercial Subscriber Represent Medical Indigent Needs I Name of Applicant: Addie D.�og+ers Home Address: 1910 Retlwvoodl Rd. Home Phone: (510)799 -7516 Hercules,Ca 94547 i Business Address: 2101 Van Ness St. Work Phone: (510)307-4136 Signature: Date. W19/2004 Personal Experience, Skills,Int4rests: -Education/Background:Masters(Degree:Health science Health S es Administration/Graduate Cc Icate in Information Systems/B.A.Degrye:Business Administration IIt i Occupation: Victim Court Advolate./,Adjunct teacher I Community Activities:Vttlunrte+ cd mctnbcrlBoard Member Aclxrsin trationlvolunteet for the feed the ltuttgry prograrn/'Volunteer church ac-tiv les i I Special Interests: Readmg,cooking,latch hooking,regular exercive program, r } INFORMATION; �. I Return complcttd application to 7eiesa O'Riva or Jill Lorrekovicb,Contra Cost 14calth flan,545 Center Avenue,suits 100,Martincz, CA 94553;FAX N(925)313 6580 2- Members are required to file;nua Conflict of Interest statemknxs. 3. Meetings art usually held in the tat attetrxoon,usually once every other month. 4- Some boards assign members to ctrnittces or,-,ork groups requiring additiom ime, t } , } i CONTRA COSTA COUNTY ADVISORY BOARDS,COMWSSIONS, COMMITTEES APPLICATION FORM Name of advisory beard applying for: ManajZed Care Cc nw� s ion MCC) (Appikation form mast be oped or hand printet) "Persons who are involved as contractors with CCELP cannot be members of the MCC nor can Health Services De artment Dem Ics ees.'" Please answer: Are you currently employed by CCIP or HSD? " Yes ?des If yews,please explain: Are you or your employer now a contractor to CCHP? " Yes " loo If yes,please explain: Are you associated with an organization that is currently or has plans to contract with CCIUP? " Yes "a If yes,please explain.: Tease check all boxes that atmly: ., Current CCBP Meth-Cal Subscriber Current CCHP Medicare Subscnber Physician Other Provider u Current CCH'P Commercial Subscriber a Represent Medical Indigent Needs Name of Applicant: Debra A. Shorter-Jones 'Home Address: 326 So. 26th St. '-Tome Phone: (510) 234-5608 Richmond, CA. 94804 Business Address: 2344 6th St., Berkeley, CA Fork Phone: (510) 981--5349 Signature: Date: -C)q- Personal.Experience, Skills, Interests: Fducation/Background: Samuel. Merritt Col.l.ege-2001--2002/ MSN/FNP Sonoma State University 1986-1989/ BSN/PHN Centra Costa Community College 1983-1986/ AS/RN Occupation: Public Health Nurse CommunityActivities: Contra Costa Co. Mental Health Commissoner Presdient of Cortez-Stege Negihborhood Council. Member of Kennedy High School school site council/ and African American Parents task force Special Interests: Activities for children and teens. Health care issues. Ment4l health issues INFQ12MA'ItON: 1. Return completed aprlicatior,to Teresa O'Riva or.fill Lorrekovich,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez, CA 94553;FAX 4(925)313-6580. ". Members of some advisory bodies may be required to file annual Conflict oflnterest Statements. evc CONTRA COSTA COUNTY ADVISORY BOA $t COMMISSIONS,COMMIES APPLICATION FORM Mame of advisory board applying far: Nlana&ed Qare Comm ssion (MCCI (Appllcai tvn farm mwt be typed or hand printed.) Please answer: Are you currently employed:by CCHP or IVSD? Q Yes (9/NO If yes,please explain: _ Are you or your employer now a contractor to CCHP? Q Yes No If yes,please explain: Are you assoeta od with ars organization that is currently or bas plans to contract with CCHP? 0 Yes No If yes,:please explain: Name of Applicant: R i c kthAy 'r9 t lJ Ff L V Home Address: " i+ 6 t Aft M0 LJ1- Mir Home Phone: (510) 25-7-:2+340 Business Address, Work Phone: Signature: Date: .Personal Experience, Skits,Interests: Education/Background: C cupatian: 3Ft ATTAC14MMr Cornmunity Activities, Special Interests: NFORMA11Qla: 1. Retard completed application to Bobbi Baron,Contra Costa Health Plan,595 Center Avenue,Suite 100,Martinez,CA 94553;FAX� �M)313-6590. 2. Members of some advisory bodies may be,required to file annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in'Martinez or in areas not accessible by public transportation. 4. Meetings my be held either in the evenings or during the days,usually once or twice it month. 5. Some boards assign members to committees or work groups requiring additional time. MCCxra>��u� sk 110-r4 i MCC Commissioner Application,Richard Steinfeld;Attachment Wage 1 (of 2)' Education/Background. DA and MA in Music, University of Connecticut.Major graduate study areas: Music Psychology,Musical Imtrument Technology,Early Music. Additional studies at The,HAM College of Music,Tl Nlannes College of Music,and Hunter College(CCw7Y) Occupation Highlights; Music technique instructor,applied audio consultant (current) Rockefeller Foundation Grant Instructor(Cour e,Developer); San Francisca Cooscrvat any of Music-Community Music Center--Music appreciation for senior citizens. 'Teacher(recorder, oboe): Community Music Center,San Francisco. Language Lab Coordinator: City College of San Francisco(operations and audio, planning, budget preparation, systems-and equipment design,staff supervision and training) Historic musical instrument techilician,'reca rding assistant.Clients included RCA Victor, Capitol Records,Columbia,Records,&A all other=jor,rmord companies and broadeasting. networks in New York. Servieerepresentative, Northeast region,for Neupert Harpsichords(Germany)and Zucketmann Harpsichords(New York). .Radia Announcer-Operator,programrmr: WCRX-FM,Springfield,Massachusetts(Classical :music format FM plus encoded.:ubseriber music C4Muz „) Assistant Film Director-.United States Information Agency. Concept development,location coordination,and music selection. I i Consultant Technical Writer.Highlights include user guides.,bid specifications,and technical manuals for Siemt MedieAl Laboratories(radiation therapy machine technical descriptions.aad FDA documentation compliance.},Hewlett-Packard(company-wide defect tracking and w9arrantysport mgemertt ,Padtfic:Bel IJSBC(Loca I Carnpetition service rep manuals,icing. distance,traffic analyses [including f=tioa.ming,; screen redesign, and keystrokes sequences for usability],automated telephout sy'stern documentation[large-scale and stand-alone voice snail systems]);Unisys(7he Aiessage Center technical manuals for Pae€fic Bell),and two lot Coms(business process descriptions to guide programmers during,rapid business growth and evolving business conditions). Community Activities: CCUP Managed Care Commission: Member.Services Committee and equivalent comm ttees for the last 6 years (riot as a commission member). Special Interests.- Software nterests:Software usability,automated;telephone system usability,music for automated systems. MCC Commissioner Application, Richard Stein, ei ld, Attachment Page 2 (ref 2) i Statement; I've been a private-pay member ofthe CCHP for approximately tett years,vAth a special interest in our unique health system and its tradition. I`d beers a,maser membet for seven years,and I be, organize a member group for the Rockridge Health Plan;so I carne in with prior points of reference. Our HMO offers a unique democratic opportunity;one in which the consumer can help guide its workings. 1 My Personal Focus. i At Managed Care Commission meetings, I have tong been the only person present in the room with a voice for these combined constituencies; -'West County;population j -Richmond Clinic users -Private-pay members 0 As a Health Plan member,.I have the natural perspective of a customer-constituent. I'm articulate about what I report"from the field."I want to participate both for the organization as a whole, and as it voice for the under-represented constituencies I've listed above. I've attended enough .MCC m etings to understand that the majority of our systems users are Medi-Caalrecipients,that we have the mandate to serve them,and our pioneering tradition of serving them effectively.l'rn aware of our extensive,intricate compliance requirements,as well as sonic of the challenges that € we've:faced:in our dealings with the State.I also understand the problems.and responsibilities j presented by our poorly-reimbursed BHC services. 1 With my background,I have a special interest in health coverage for our working artist and crafts population. This constituency is probably greater in the West County than than elsewhere.Artists typically don't have adequate(or any)health coverage. I've brought up this population at meetings in the past and I've been,pleased that we've marketed"closer,to home'as a result.I'm ' interested in issues related to other special demographics,too. I enjoy contributing my creativity and problem-solving focus to our HMO.If the:reader reviews 1 my work history;a pattern will be seen that's a blend of artistic.creativity,technology,and business systems.I'm sometimes in the role of a bridge-builder,a synthesizer,a person who sees issues from different perspectives simultaneously;I once put together a group to explore enhanced patient education with out late Evelyn Rinzler. j These are hard financial times for the HSD and the Health Plan;I hope to be able to assist in finding creative ways to serve our population.I'm encouraged by our efficient Advice Nurse program.,an implementation devised by one of our Commissioners. This service is a guide to me -can we come up with more solutions that are as useful and cost-effective? I've grown to respect anis appreciate the diversity and dedication of our Commissioners;I'd like to be part of this team. { 1 i _. _.......................... Rtug 18 04 08: 15a Valet ie; L-#wis 825-398-0578 P. 1 CONTRA COSTA COUNTY ADVISORY BOARDS,COMMISSIONS,COMMITTEES APPLICATION FORM Name of advisory board applying for. Managed Care Commission (SCC) (Application form muxt be qWd or hand pt-htted.) Note. "Persons who are involved as coMractors Frith CCHP'cannot be members of tate MCC nor can Health Services I nt(HSI))employees." Please answer: Are you currently employed by CCIiP or HSD? U Yes 13�No If yes,please explain: Are you or your employer now a contractor to CCHP? U Yes •_._b•No If yes,please explain: Are you associated with an organization that is currently or has plans to contract with CCHP? U Yes '"o If yes,please explain: Please check all boxed that ap v: ---H. Current.CCHP Melfi-Cal Subscriber U Current CCHP Medicare Subscriber I 1 Physician U Other Provider U Current CCHP Commercial Subscriber U Represent Medical Indigent Needs Name of Applicant: � fy) '1 k Home Address: 'Z_ t-- lI t�� .Y.� ]i�rttC Phone: 6115 — —1 15 _5 Business Address: Work Phone: Signature: t�'#� ''-` �,� 't:i .t° _ Date: l�il.i .,� -� _{ i3` i L` Personal Experience,Skills,Interests: rEducation/Background.- round.- �_.-��.74..�t,,C.4,�;,5;. l.•�r'1 `-'�`��E c�+.f.,C-��'.. ��l-L,�,'t1+1,1,Vit...;�-�il(,`�,�,i,-3l.S� �/�-- Z-t .��tl�Y"v�; Occupation: Community Activities: Spccial Interests- INFORMATION: estsINFORMA`ION: L Return compictcd application to Teresm C7ltiva or Jill Lorrekovich.Contra Costa Health Plan.595 Center Avenue,Suite 100.Martine•-, CA 94553;FAX tF(925)313-6580. 2. Members of some advisory bodies may be requirod to file annual Conflict of Interest Statecients. 3. Meetings of advisory bodies may be field in Martinm or in areas not accessible by public transportation- 4. Meetings may be brAd ditr in the evenings or dosing the days,usually timouthty. 5. Some txrurds assign members in committees or work groups requiring additional time. it�ta-r�+ TO: BOARD OF SUPERVISORS Contra FROM: INTERNAL OPERATIONS COMMITTEE Costa CRATE: OCTOBER 18, 2004 r a. county SUBJECT: APPOINTMENT TO THE COUNTYWIDE YOUTH COMMISSION (CYC) G,. .3t SPECIFIC REQUESTS)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individual to the At Large#9 seat can the Countywide Youth Commission to a term that will expire August 31, 2006: Crystal Ponce 443 Windwood Drive Bay Point, CA 94555 BACKGROUND: The Countywide Youth Commission (CYC) was established in 1994195 as an advisory group to the Board of Supervisors on youth-related issues. It comprises 25 youths between the ages of 12 and 18 who reside or attend school in Contra Costa County. The IOC reviews nominations for up to ten At Large seats. The IOC reviewed and approved the preceding nominations at its October 18, 2004 meeting. , and recommends appointment. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATORECOMMEND 1 NOF BOARD COMMITTEE .,APPROVE ____,_OTHER ; SIGNATURE(S)- ° -; ✓ t '. /� `i�''M - �f. "� ._._ ; AYLE B,,.,UIL.KtMA, Chair MARK DeSAULNIER ACTION OF BOARD ON :. APPROVE AS RECOMMENDED^ _j__OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT ' f' ) AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: OCTOBER 26,2004 CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF ADAM CHOW,CYC STAFF 75 Santa Barbara Rd.,2`d Floor Pleasant Hill,CA 94523 r, CLERK OF THE BOARD(MADDY BOOK) �, ti BY f ' DEPUTY Contra Costa Resource Conservation District Appointments October 18, 2004 Page 2 BACKGROUND. In September 2004, the County was contacted by the CCRCD requesting the Board of Supervisors to make appointments to fill three Board of Directors seats whose terms of office are due to expire on November 30, 2004. This request was made pursuant to a 1998 CCRCD resolution ordering that all future directors shall be appointed by the County Board of Supervisors in lieu of election (Public Resources Code Section 9314). If the Board of Supervisors fails to make the appointments within 60 days after the expiration of the terms, or by approximately January 29, 2005, then the District Board of Directors may make the appointments. The Board of Supervisors maintains a policy to consider all interested candidates for seats it appoints. Because the three vacancies represent a majority of the CCRCD Board of Directors, it would not have been appropriate for the CCRCD to recruit and screen applications. Therefore, IOC staff recruited and received three applications for the three seats, all from incumbents. Since the number of applications received was not greater than the number of vacant seats, the IOC waived the interview process and approved the re-appointment of the incumbents Arthur O. Jensen, Dwight Meadows, and Thomas D. Brumleve to new terms that will expire on November 30, 2008. � IMI I � �� I Youth' ' II ' ! • • Commission Menno To: Internal Operations Committee From: Adam Chow, Countywide Youth Commission Program Coordinator CC: sate: September 28,2004 Res Countywide Youth Commission At-Large Appointment for 2004-06 The Countywide Youth Commission (CYC) Appointments Committee has made its recommendations to fill a vacant At-Large Seat. The Appointments Committee solicited applications from the public for several estimated At-Large Seat openings. Applications were due by May 31, 2004. The Appointments Committee received approximately 25 applications. Each applicant was contacted via US Postal Mail to attend an interview with the Appointments Committee. These interviews were held on July I e and phone interviews were conducted for those would were not able to attend this date. After each applicant was interviewed, the committee then discussed and ranked their recommendations for At-Large Positions. Applicants are recommended based on 1) community involvement; 2) awareness of the needs in their community; 3) passion, dedication, and commitment to youth issues; 4) personality/ability to connect with others; and 5)ability to enhance the CYC. Questions can be directed to me via phone at 925-640-4228. The CYC would recommend the following applications to fill current vacant At-Large Seats: At-Large 9—Crystal Ponce(443 Windwood drive, Bay Point) 1 3 z CONTPA COM COLWT W Your"COMMSSION 40 1M Web site. www.youthcommission.net Email: ccyouthvoice@hotmali.com Membership Application (please type or print clearly) Name: Crkvo-n I pon-cr Date, -_5/22 104 Address; 44b W1r1dtWQOcj ptiyC Phonkg2 100 `4665 ��Z$6"+4 Ccci City & .QIP: 3g"PoInj 1 q46(p5 E-mail: School: , Mf- Diablo m i ah Grade/Age: 1 O tr, Q LQ d=c I A V '4S. Q l d Please use the back of this force or another page to completely answer all of the questions below. Include your name on the second page and be sure to answer each question thoroughly. 1. Why do you want to be a member of the Countywide Youth Commission? 2. List the 3 most important issues for youth and why you consider them to have the greatest effect on youth in our society. How could you, as a CYC Commissioner,help to address these issues? 3. What are your current community and school activities and what skills have you learned or used in these activities? 4. What special skills and talents would you brim to the CYC? NUM;A CowmissTioner serves a two-year term.He/site is expected to attend an evening meeting once a mouth.A Commissioner also serves on two subcommittees(estimate one additional meeting plus task assignments per mouth) during the terra.A Commissioner must have transportation to the meetings. This is about a 6-8 [tour total commitment per month. Can you fulfill this commitment if you are selected? ►Yes o No To give the Commission a better understanding of you,please include a letter of recommendation from at least out person outside your family. Your completed application &references should be submitted by May 31, 2004. .Mail: Countywide Youth Commission Fax.: (925)646-6708 75 Santa Barbaric Road, 2T'd Floor Email: ceyouthvoiee@hotmail.com Pleasant Hill, CA 94523 Questions? CaU Adam Chow at 925.64€1.4228 I i 1 wry E; C f►�rili of frit Cowt-0-1 Widc fO apcarf- of the court- j j wtdta.lQurM Wtlnh IG61orw 6444 rq1,{ bCtIcve -fill 01f t Can rind W ttx M Gtke G d►_f ft1-cp bcir a (.Jawq adoltsCC'ht who h(4,S corm virrm-1 arld 0" nls Burr t If I f 40 loo K 1, P �0Q P.7p t-c tue can ( epc t1,} or,, � Sb bAd t� .t ar)f Av Cry tht Q #-e-crxo -or-, took up ie cw)ci feat r) -(i-or. . Tnts-c arm the rCtx,,ar-ds "I q 4r-Lr-t #•easter- Woo jrt ch.*rrsh- 40w COU 4 %d.o )q6 +- CYC. 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