BOARD OF SUPERVISORS

44 NORTH SAN JOAQUIN STREET, STE. 627 STOCKTON, CALIFORNIA 95202

TELEPHONE: 209/468-3113 FAX: 209/468-3694

BOB ELLIOTT Chairman

Fifth District

CARLOS VILLAPUDUA Vice Chairman First District

FRANK L. RUHSTALLER

Second District

STEVE J. BESTOLARIDES Third District

KEN VOGEL Fourth District

MIMI DUZENSKI Clerk of the Board

APPOINTMENTS TO BOARDS AND COMMISSIONS – 3/25/2014 Committee Name: Mental Health and Substance Abuse Board - 4 Position(s)

Category: (2) Family Representatives Term: 03/28/2014 -03/28/2017 Incumbent: Gertie Kandris and Francisca R. Hernandez Category: (2) Consumer Representatives Term: 03/28/14 - 03/28/2017 and 04/12/2014 - 04/12/2017 Incumbent: Nancy Chastain

APPLICANT(S)

Family Representatives

1. Gerti Kandris (Incumbent)

2. Francis Hernandez (Incumbent)

Consumer Representative

3. Nancy Chastain (Incumbent)

No other applications submitted for Consumer Representative category.

JAN 27 Z014

BOARD OF SUPERVISORS

44 N. SAN JOAQUIN STREET, SUITE 627 S'J'OCK'I'ON, C\I.JFORNfA 95202

TELI·:PHONI·;: 209/4G8-3113 FAX: 2()9/46H-.1694

SAN JOAQUIN COUNTY

Rill": C!6 ~,p~ !nPLICATION FOR APPOINTMENT iii... ~~ "'r~ARDS/COMMISSIONS/COMMITTEES

Bon '·;I.},l(YIT Chairmll11

Fifth Dj~trict

Ct\Rl,OS YILLAPUDUA Vicc Chmrmlll1

First Di:;trict

FRANK L. RUI-lSTi\LLER Second Di:;t.rict

STI~\'r':J. RESTOJ,ARlDES Third District

KENVOC;nJ., Fourth District

/'ienW ·U~aJf0 d:: S!tLsizwtU- AhtLS~ £lbfiM (M H +=S A- B )

NAME

SUPERVISORIAL DISTRICT (I/lll1k!101l1Jl, cOlllad Clerk o/Ihe Board) \ '1, LtD.3 .Be Vle cL>d::: ...D~ tl~f)od !,:J)'{;&f6Q i! ek q§JS'Q

RESIDENCE AD R "SS CHy/St/Zlp

MAILING ADDRESS

CLk ClAiO(,t)S€8oft W2l!1. net-EMAIL

FAX

BOARD/CQ-l\1MISSION/COMMITTEE

Re~t/rL,

Are you an employee or officer of the County, any City in the County, the State, or the Federal government? Yes 0 No IZl Are you related by blood or ma .... iage to any employee or officer of an agency which is subject to the Board, Committee or Commission to which you are see\cing appointment? YesONo~

Are there any facts of which you are aware that would cause you to have an actual or apparent conflict of interest with respect to the position to which you are seeking appointment? Yes ONolZl

If "Yes", you will be asked to submit the facts in writing for review before your consideration of appointment.

Have you ever been convicted of a felony which would disqualifY you from appointment? Yes ONolZJ

If you answer "Yes", please list the nature of the conviction and the date and court in which the conviction

wasen~red. __________________________________________________________________ __

• If you are appointed, you may be required to be bonded for your performance. If you are appointed and cannot be bonded as required, your appointment will be revoked.

• If you desire a personal interview or wish to address the Board of Supervisors, you may contact the Board Office directly at (209) 468-3113.

• If you desire to provide additional information, please attach it to this application.

SIGNATURE

Please return application to:

cf~ay. @olU DA I I

Clerk of the Board 44 N. San ]oaqnin Street, Snite 627 Stockton, CA 95202

If you have any questions, please feel free to call the Clerk of the Board Office at (209) 468-2350.

Revi3ed APRIL 2013 Page 2

COUNTY OF SAN JOAQUIN MENTAL HEALTH AND SUBSTANCE ABUSE BOARD

1212 NORTH CALIFORNIA STREET • STOCKTON, CA 95202 Tel: (209) 468-8750 • Fax: (209) 468-2399

www.sjgov.orglmhs

January 31, 2014

M-E-M-O-R-A-N-D-U-M

TO: Mimi Duzenski, Clerk of the Board of Supervisors County of San Joaquin

FROM: ¢,C ~gh, Behavioral Health Services Director RE: Reappointment of Applicant: Gertie Kandris

The bylaws of the Mental Health and Substance Abuse Board (MHSAB) indicate: "It is recommended that members not serve more than three (3) consecutive terms, with exception allowed upon approval of the Board of Supervisors."

Mrs. Kandris has served three (3) consecutive terms as a MHSAB member. That noted, and in full recognition of the bylaws, the MHSAB Recruitment Committee recommends the re-appointment of Mrs. Kandris.

If you have any questions or concerns, please contact me.

VS:alf (I :MHBI14RE)

MllvIT DUZENSKI 8erk of the Board

BOARD OF SUPERVISORS 44 N. -SAN JOAQUIN STREET, sm'fE 627

STOCKTON, CALIFORNIA 95202 TELEPHONE: 209/468-3113

FAX: 209/468-3694

SAN JOAQUIN COUNTY APPLICATION FOR APPOINTMENT

TO BOARDS/COMMISSIONS/COMMITTEES

fmnal5U g !I-e~ z-. NAME

KEN VOGEL Chairman

Fourth District

BOB ELLIOTT . Vice Chairman

Fifth Distr::ict

CARLOS VILLAPUDUA First District

FRANK L. RUI-ISTALLER Secon,d District

STEVE J. BESTOL\RIDES Third District

SUPERVISORlAL DISTRICT (Ifunknown, contact Clerk of the Board)

CATEGO~P/ease check one: Incumbent~ New Appointment D

/;;{/XI) Zgr-4t+! ~CEPHONE

1t/=!14 S.5tdfcc 6/-. 6#n 95"~ RESIDENCE ADDRESS City /St/Zip

&uie.5S Owner m6htrI>ltte-t23tnad 'Wn EMAIL OCCUPATION

!'1m FAX

.511 c. ~ a:tur/~ 95d? BUSINESS ADDRESS

(00:7) Ijfef~ 1563 BUSINESS PHONE

Briefly state how you learned of the opening: Cl.vrren-tf;j ;:X::YV ~ as a(!ll~ 1312ayc/ rnembcrand~9 (talUn fPy l1C«f/eym

Briefly state your experience which you feel would be helpful should you serve on this

Board/Commission/Committee: f/p V'L-d!dA£lr

P~rsonal Interests & Hobbies: M Vel(~ readwij andva!ulliecrurg (,41 --!he f!e;mmlAfillj .

¢:~ nU ~:,~IOy~e or offi:er of tbe County, any City in tbe cou~ty, the State, or tbe Fe~~ral ~overnment? Are you related by blood or marriage to any employee or officer of an agency which is subject to the Board, Committee or Commission to which you are seeking appointment?

YeSDNO~

Are there any facts of which you are. aware that would cause you to have an actual or apparent conflict of interest with respect to thh positibn:to which you are se~king appointment? . YesDNo~ .. . '. '. '. . . . ' "

If "Yes", you will be asked to submit the facts in writing for review qefore your consi&leratiot" of appointment: ' . , . . ' • '. . . ,

Have you ever been.convicted of a felony'which would disqualifY you from appointment? Yes'DNo~' "., , .,

If you answer "Yes", ple~se listdle nature of th~ conviction and the date and court in which d,e conviction

wasentered. ____________________________________________________________________ _

• If you are appointed, you may be required to be bonded for your performance, If you are appointed and cannot be bonded as required, your appointment will be revoked,

• If you desire a personal interview or wish tei address the Board of Supervisors, you may contact tbe Board Office direcdy at (209) 468~%13. . , , . . .

• If you desire to provide additional information, please attach it to this application,

~~~d

1H1'U DUZENSKT Clerk of the Board

NAME

BOB ELLlO'lT Chaicm.1n

Fifth District

;, Ill,OARD OF SUP:ERYI~ORS , 'RE~€

CD\l~~~=~~m Person~l Interests & Hob'bies.: I b1 Me) (vr!ece.&-Ts r 1\ hen O:d:h

~"~~rlj Are you an employee or officer of the County, any City in the County, the State, or tlJ,e Federal governme,nt? Yes D No f'tl ' ' !', , "" i Are you related by blood or marriage to any employee or officer of an agency which is subject to the Board, Committee or Commission to which you are seeking appointment? Yes D No rtJ Arc there any facts of which you are aware that would cause you to have an actual or apparent c,onflict of interest with respect to the position to which you are seeking appointment?, Yes D No ItJ If "Yes", you will be asked ,to s)lbJpiL the {acts in writing for review'befor~ yo~r, consideration of appointtnent

,Haye,YPu,ever bee,J,col1vi2ted of a, felony which would disqualify yol,l fmm appo;nttnent? ~D~~ , If you answer "Y \,s:', please list the na1:\lre ~f the conviction and the date and court in which the conviction

'vasentered, ______________________________________________________________________ __

• If you are appointed, you may be required to be bonded for your performance. If you are appointed and cannot be bonded as required, your appointtncnt will bc revoked,

. : • I. ' " •

• If you desire a personal intel'view or wish to address the Board of Supervisors, you may ,contact the 'Board Office ditectly at (209) 468-3113.

, ,.' _ _.: ' ' \' t ',_

• If you desire to provide;~dditional information; please attach it to this application,

hl '" Cko6-toJ V] ',' a..v\Cu) SIGNATURE' , Please return application to:

DATE

Clerk ofthe Board 44 N. San Joaquin Street, Suite 627 Stockton, CA 95202

If you have any questions, please feel free to call the Clerk of the Board Office at (209) 468-2350.

Revised APRIL 2013 Page 2

SAN JOAQUIN COUNTY

BOARDS, COMMISSIONS & COMMITTEES COMMITTEE FACT SHEET

NAME: MENTAL HEALTH AND SUBSTANCE ABUSE BOARD

COMPENSATION: None. Reimbursement for Regional or Statewide Meeting may be

compensated by the local Mental Health Agency when funding is available.

LEGAL AUTHORITY: California Welfare and Institutions Code Section 5604 et seq.

(Amended November 1992); Board Order B-93-422 dated March 23, 1993; Board Order B-01-615 dated May 8, 2001; Board Order B-08-85 dated January 22, 2008; and Board Order B-12-605 & Agreement A-12-416 dated August 28, 2012.

MEMBERSHIP, Must be a resident of San Joaquin County. QUALIFICATIONS, 15 Members - 1 Person must be a representative of the Board of & RESIDENCY Supervisors; 50% of the Membership must be consumers or REQUIREMENTS: parents, spouse, sibling or adult children of consumers of services,

who are receiving or have received mental health services; at least 20% of the members shall be consumers, and at least 20% shall be families of consumers. The 15 members shall represent the demographics of the County as a whole.

TERM: 3 Year. DUTIES: 1) Review and evaluate the community’s mental health needs, services, facilities, and special problems.

2) Review any County agreements entered into pursuant to Section 5650. 3) Advise the governing body and the local mental health director

as to any aspect of the local mental health program. 4) Review and approve the procedures used to ensure citizen and

professional involvement at all stages of the planning process. 5) Submit an Annual Report to the governing body on the needs

and performance of the County’s mental health system. 6) Review and make recommendations on applications for the

appointment of a local director of mental health services. The board shall be included in the selection process prior to the vote of the governing body.

7) Review and comment on the County’s performance outcome

data and communicate its findings to the California Mental Health Planning Council.

MEETING DATE 3rd Wednesday of the month at 6:00 p.m. and other meetings as & LOCATION: may be called by the Chairperson.

Mental Health Center 1212 N. California Street Stockton, CA

CONTACT PERSON: Vic Singh, Behavioral Health Care Services Director

1212 N. California Street Stockton, CA 952020 468-8753 (Theresa Torres, Board Secretary)

MENTAL HEALTH AND SUBSTANCE ABUSE BOARDBoard Contact & Phone NumberVic Singh, Behavioral Health Care Services Director ; 1212 N. California Street; Stockton, CA 95202; 4688753 (Theresa Torres, Board Secretary)

Incumbent Category/Appointed By Appointed TERM

Ruhstaller, Frank L Board of Supervisorsʹ Representative Board of Supervisors

1/7/2014 01/07/2014 12/31/2014

CHASTAIN, Nancy Consumer Representative Board of Supervisors

6/18/2013 03/28/2011 03/28/2014

McCormick, Steven Consumer Representative Board of Supervisors

1/28/2014 01/17/2014 01/17/2017

Vacant Consumer Representative Board of Supervisors

04/12/2011 04/12/2014

CUDNEY, Phyllis Consumer Representative Board of Supervisors

6/18/2013 03/13/2012 03/13/2015

WALKER, Terence J. Consumer Representative Board of Supervisors

4/16/2013 04/17/2013 04/17/2016

Kandris, Gertie Family Representative Board of Supervisors

4/5/2011 03/28/2011 03/28/2014

Hernandez, Francisca R Family Representative Board of Supervisors

6/4/2013 03/28/2011 03/28/2014

Kandris, Anastassios Family Representative Board of Supervisors

1/28/2014 01/17/2014 01/17/2017

Vacant Family Representative Board of Supervisors

01/17/2011 01/17/2014

TORRES, Cheryl A. General Interest Representative Board of Supervisors

11/5/2013 03/13/2012 03/13/2015

Martin, Cary General Interest Representative Board of Supervisors

5/21/2013 04/17/2013 04/17/2016

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Incumbent Category/Appointed By Appointed TERM

MEDINA, Gustavo General Interest Representative Board of Supervisors

11/5/2013 09/18/2013 09/18/2016

Stanley, Laura J. General Interest Representative Board of Supervisors

1/28/2014 01/17/2014 01/17/2017

Saruwatari, Tosh General Interest Representative Board of Supervisors

3/13/2012 03/13/2012 03/13/2015

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