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HomeMy WebLinkAbout01-6129IN RE: KRISTA COOMBS, Individually and as l~a~ent and Natural Guardian of KAYLA COOMBS, a Minor IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. PETITION FOR APPROVAL OF MINOR'S SETTLEMENT HEARING ORDER AND NOW, this day of ., 2001, IT IS HEREBY ORDERED AND DECREED that a Hearing will be held on the Petition for Approve of Minor's Settlement for Kayla Coombs, a minor, in Courtroom No. of the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania 17013 on the day of ,2001, at o'clock, __.m. BYTHECOURT: Jt IN RE: KRISTA COOMBS, Individually and as Parent and Natural Guardian of KAYLA COOMBS, a Minor IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY~ PENNSYLVANIA PRTITION FOR APPROVAL OF MINOR'8 SETTLEMENT ORDER AND NOW, this __ day of , 2001, IT IS HEREBY ORDERED AND DECREED as follows: 1. The settlement terms as set forth in the foregoing Petition on behalf of the minor, KAYLA COOMBS, are hereby approved. 2. The Court specifically approves the Settlement in a lump sum of Thirty- Five Thousand and no/100 Dollars ($35,000). The funds shall be distributed as follows: SCHMIDT, RONCA & KRAMER, P.C. Attorneys fees (25%). ' $ 8,750.00 SCHMIDT, RONCA & KRAMER, P.C. Costs incurred to date ........................... $ 88.52 SCHMIDT, RONCA & KRAMER, P.C Costs for filing fees and service .................... $ 145.50 COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF PUBLIC WELFARE Lien ......................................... $ (The lien is $963.40. A proportionate share of attorneys' fees and costs is $717.87) 717.87 WAYPOINT BANK, Camp Hill Mall, Camp Hill, Pennsylvania 17011 to be deposited in an account marked as follows: ~Krista Coombs, as Parent and Natural Guardian of Kayla Coombs, a minor' ..................................... $25,298.11 TOTAL ......... $357000.00 IN RE: KRISTA COOMBS, Individually and as Parent and Natural Guardian of KAYLA COOMBS, a Minor IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. O,-- PETITION FOR APPROVAL OF MINOR'S SETTLEMENT PETITION FOR APPROVAL OF COMPROMT-~E SETTLEMI~.NT AND DIS~'~t'~'OTION OF PROCEI~D$ FOR KAYLA COOMBS, A M~NOR AND NOW, comes the Petitioner, Krism Coombs, Individually and as Parent and Natural Guardian of Kayla Coombs, a minor, and respectfully set forth as follows: 1. Petitioner, Krista Coombs, Parent and Natural Guardian of Kayla Coombs, is an adult individual residing at 607B Geneva Drive, Apt. 14, Mechanicsburg, Pennsylvania 17055. 2. Kayla Coombs is a Minor, born on October 15, 1998, who currently resides in the custody of the Petitioner, Krista Coombs. 3. Kayla Coombs, a Minor, suffered lead poisoning while residing in a lead- contaminated apartment located at 116 South Third Street, First Floor, Lemoyne, Cumberland County, Pennsylvania {~the apartment"). Kayla Coombs and Krista Coombs resided at the apartment for one year and three months between June of 1999 and September 21, 2000. 4. Kayla Coombs was tested for lead poisoning and it was discovered that she had a high level of lead in her blood {Please see Medical Records attached as Exhibit "A.") 5. A lead inspection was performed on the apartment. The lead inspection revealed that the apartment contained lead. (Please see Lead Inspection Records attached as Exhibit 'B.~) 6. Kerry R. Saintz is the owner of the apartment. 7. The medical costs for Kayla Coombs' lead poisoning are currently at least Eight Hundred Forty-Eight Dollars ($848.00). (Please see copies of Medical Bills attached hereto as Exhibit ~C.~) 8. It is most likely that Kayla Coombs will continue to incur future medical expenses arising from the lead poisoning. 9. The Defendant had a policy of insurance with CGU Insurance. 10. The policy contained a pollution exclusion provision. 11. It was uncertain whether there would have been coverage provided under the policy. 12. The liability limit on the policy was $50,000.00. 13. The Petitioner has entered into an agreement to settle the case for Thirty-Five Thousand Dollars ($35,000). (Please see copy of Release attached hereto as Exhibit ~D.") 14. The Petitioner is satisfied that the offer of settlement is just and reasonable and is willing to accept the said offer if approved by the court. 15. In pursuing the claim against Kerry Saintz, the Petitioner engaged the law firm of Schmidt, Ronca, & Kramer, P.C., under a contingency fee providing that the said law firm should be paid 25% of any settlement obtained before the filing of suit. (Please see copy of Contingent l~ee Agreement attached hereto as Exhibit ~E.") 16. Schmidt, Ronca, & I<ramer, P.C., has incurred costs associated with the investigation of this matter. 17. The Commonwealth of Pennsylvania Department of Public Welfare has a lien of Nine Hundred Sixty-Three Dollars and Forty-Eight Cents ($963.40) against a recovery or settlement. 18. The Petitioner requests that your Court distribute the present payment of Thirty-Five Thousand Dollars ($35,000) as follows: Schmidt, Ronca, & Kramer, P.C. Attorney fees (25%) ................... $ 8,750.00 Schmidt, Ronca, & Kramer, P.C. Costs incurred to date ................. $ 88.52 Schmidt, Ronca & Kramer, P.C. Costs for filing fee and service ........... $ 145.50 Commonwealth of Pennsylvania, Department of Public Welfare Lien .............................. $ (The lien is $963.40. A proportionate share of attorneys' fees and costs is $717.87) 717.87 Waypoint Bank, Camp Hill Mall, Camp Hill, Pennsylvania 17011 to be deposited in an account marked as follows: "Krista Coombs, as Parent and Natural Guardian of Kayla Coombs, a minor~ ........... $25,298.11 TOTAL .............. $35,000.00 19. The Petitioner requests that this account be authorized without the formal appointment of a guardian of estate of the minor or the entry of security, with the Petitioner, Krista Coombs, being authorized and directed to invest funds belonging to Kayla Coombs, a Minor, as follows: Ao to invest the funds in Certificates of Deposit to the extent possible with Waypoint Bank, not to exceed such sums as are fully insured by F.D.I.C.; and to invest the balance of said sums which cannot be invested in Certificates of Deposit, if any, in a Savings Account with Waypoint Bank, not to exceed sums as are fully insured with F.D.I.C. Each account shall be marked as follows: ~This money shall be held in trust not to be redeemed, withdrawn, negotiated, or in any way alienated except for the renewal in its entirety before October 15, 2016, except by Order of this Court." V~IERBFORE, Petitioner Krista Coombs requests that this Honorable Court enter an Order approving the foregoing compromised settlement directing the distribution of proceeds set herein. Respectfully submitted, SCHMIDT, RONCA & KRAMER, P.C. //~Aterard C. Kramer torney at Law Attorney I.D. No. 44715 209 State Street Harrisburg, PA 17101 (717) (232-6300 Attorney for Plaintiffs VERIFICATION BASED UPON P~RSONAL KNOWL~.r~GF, AND ~)RMATION OBTAINED THROUGH COUNSF~T. I, KRISTA COOMBS, Individually and as Parent and Natural Guardian of Kayla Coombs, a minor, verify that I am the Petitioner in the foregoing action and that the attached Petition is based upon information which has been gathered by my counsel in the preparation of this lawsuit. The language of the Petition to the extent that it is based upon information which I have given to my counsel is true and correct to the best of my knowledge, information and belief. To the extent that the contents of the Petition is that of counsel, I relied upon counsel making this Verification. I understand that intentional false statements herein are subject to the penalties of 18 Pa.C.S.A. § 4904 relating to unsworn falsifications to authorities. Date: KRISTA CO/~S, Individually and as Parent and Natural Guardian of Kayla Coombs, a minor 209 State Steer Harrisburg, Pennaylvam& 17101 71723263OO Fex 717 232.6487 May l4,2001 2601 North Third Street Harrisburg, PA 17110 Attention: Medical Records Depari~ient .o _ ,, Client : Kayh J, Coombs, a minor K~ta J. Coombs~ parent Ac[d~e~ : 116 Bouth Third Street, 1se Floor Btrthdate . Records Requeeted: ' ~ I~-/~/O0 to the BlUe Requested : All bills from 10/05/00 to the prosent, Dear Sir or Madam: Our office represents the above-named patient. Please forward to my attention copies of the following: Ix] any and ell hospital records, including but not Umitsd to: discha~e summary, admitting notes, history, physical examinations, consultation reports, x-ray or other diagnostic test reports, emergency room records, pathology reports, operative reports, medical photographs, if any; all doctors' orders, notes, etc.; t~ssue committee report, if any; employees' day sheet showins names of nurses; physical therapy records; any and all outpatient records for the dates requested above. Ix] any and an billings for services rendered for the dates requested above. On your bill for hospital services, please do not show any amounts paid by insurance, as we cannot use these ,n Court. Your b,ll should include your Wtal charges for services without showing thc source of payment. (Please bill us separatcly for your report or photocopy charges). Polyclinic Medical Center May 14, 2001 Page Two Enclosed you will find a signed Medical Authorization authoriz/ng the release of this information to me. Thank you for your kind attention to this matter. Very truly yours, SCHMIDT, RONCA & KRAMER, P.C. er~ard C. Kramer Attorney at Law GCK/ det Enclosure ca' Billing Department To: POLYCLINIC MEDICAL CENTER From: KRISTA COOMBS ~/N/G of KRISTA COOMBS and G~.RARD C. KRA~ER, HER ATTORNEY You are hereby authorized and directed to pe~t the e~amination of, and ~ha copying or repr~uction in any ~er, whether ~cal, pho=ograg~c, or others., atto~ey or su~ o~h~r pa=son as he ~y au~hozize~ all or any portions des~r~ by h~ of =he felling: (a) Hospital r~r~, X-rays, X-ray =~a~gs and repo~s, l~ora=or~ recess a~ r~s, ~11 ~es~s o~ any =harsher and rape=ts thereo~, stat~nts o~ charges, ~y and condition, Crea~nt, ~a~os~s, pr~nosis, e~iolo~y or (b} ~dl~l =eco~., induing patient's =~rd ca~, X-zays, X- =es~s of *ny t~e an~ c~rac~er and re.rCs ~ereof, otat~en~s of ~arges, an~ any and ~1 o~ my per~a~ning =o ~cal care, his=cry, condition, treeing, ~a~osis, prognosis, etiology o= atto~ey, or his ~lega=e, as repasted by ~ for any of ~he foregoing By reasons of ~e ~ac= that su~ in~o~ion ~hat ~ou have ac~Lred as s~geon is confid~ to ~, ~u are *lso re~es~ed ~o trea~ su~ infection ~nfmd~ial and =e~s~ no~ to ~u~ish an~ such ~o~tion in a~ ~om ~o an~one~ without wrl~=en authorize=ion from ~. I h~=eby re~ke an~ p=e~ousl~ da=ed ~c.1 ~s ~thoriza~on d~s not pre.at ~e health care provl~r fr~ supplying billing ~d other lnfo~C~on to the fi=st pa=fy ~=rier or ~cal insult in or~= t~t the bills are paid. It does, h~=, pre.at the ~1 provider f~ ~nfo~tion to a third patty insur~ce adjuster or an adjuster for an ad~rse party, I also au~o=ize my attorneys or ~ei= d~legate ~o photograph ~ person while pzes~C in any ~spital. ~d valid as ~e orig~n~. Date~ 5/14/01 ' o5/23/2OOl 11205 Name: COOMBS,KAYLA H# : 180785446 ACCT: 429338851 ~' PinnacleHealth Hospitals James A. Piper, M.D., Medical Director Harrisburg, PA Age/Sex: LOC: UNLISTED DR: VARMA, BHUPINDER W13589 COLL: 10/25/2000 09:30 REC: 10/25/2000 10223 INTERIM REPORT PAGE 1 31M F PHYS: VARMJ%,BHUPINDER COMP METABOLIC PANEL SODIUM POTASSIUM CHLORIDE CO2 ANION GAP ALBUMIN ALK PHOSPHATASE UREA NITROGEN, BLOOD CALCIUM CREATININE r GLUCOSE AST ALT BILIRUBIN,TOTAL TOTAL PROTEIN AUTO DIFF CBCA WBC COUNT RBC COUNT }{EMOGLOB IN HEMATOCRIT MCV MCH MCHC PLATELET COUNT RDW MPV WBC DIFF NEUTROPHILS BAND LYMPHOCYTES EOSINOPHILS MONOCYTES RBC MORPHOLOGY 140 [137-147] MMOL/L 4.8 [3.6-5.1] MMOL/L 101 [97-108] MMOL/L 26.0 [20-30] MMOL/L 13 [6-18] 4.0 [3.5-4.8] GM/DL 305 [80-450] U/L 5 [0-20] MG/DL 10.1 [8.9-10.3] MG/DL 0.3 [0.3-0.8] MG/DL *56 [74-118] MG/DL 38 [0-40] O/L '17 [24-65] U/L 0.5 [0.4-2.0] MG/DL 6.1 [6.1-7.9] GM/DL REQUEST CREDITED MANUAL DIFF ORDERED 8.59 [5.5-15.5] K/ul *5.04 [3.70-4.90] M/ul 11.7 [11.0-14.0] G/DL 35.0 [31.0-44.0] % *69.4 [70.0-85.0] FL 23.2 [22.0-31.0] PG 33.4 [28.0-36.0] G/DL 322 [129-366] K/ul 14.0 [11.0-15.3] % 9.0 [6.5-12.2] FL 20.0 [16-60] 1.0 66.0 [45-75] 7.o [o-8] 6.0 [0-12] ANISOCYTES +1 POLYCHROMAS IA +1 MICROCYTES +1 COOMBS,KAYLA END OF REPORT PAGE Schmidt, Ronca & Kramer PC 209 State Street Hamsburg, Penns¥1vama 17101 717 / 232.6300 Fax 717 ! 232-6467 October 10, 2000 Polyclinic Medlca~enters~ 2601 North Third Street Harrisburg, PA 1~ Attention: Medical Records Department R~UEST FOR HOSPITAL P~CO~DS Client : Kayl& J. Coombs, · minor A~dxess : 116 South Third Street, 1~ Floor Lm~ne, PA 1704~ s.s..o. Records Requested:~~°rds from 9/1/00 to the present. Bills l%eques~ed : ~l'bLlls fr~ 9/1/00 ~o the present. Dear Sar or Madam: Our office represents the above-named patient. Please forward to my attention copies of the following: an~ e~d &ll hospital records, including but not l~mited to: discharge summary, admitting notes, history, physical examinations, consultation reports, x-ray or other d~agnost~c test reports, emergency room records, pathology reports, operative reports, medical photographs, if any; all doctors' orders, notes, etc.; t~ssue committee report, ~f any; employees' day sheet showang names of nurses; physical therapy records; any and all outpatient records for the dates requested above. Ix] any and ell billings for services rendered for the dates requested above. On your bli1 for hospital services, please do not show any amounts paid by insurance, as we cannot use these ~n Court. Your bill should include your total charges for services w~thgut showing the source of payment. (Please bill us separately for your report or photocopy charges). Polyclinic Medical Center October 10, 2000 page Two Enclosed you will find a signed Medical Authorization authorizing the release of this information to me. Thank you for your klnd attention to this matter. Very truly yours, SCHMIDT, RONCA & KRAMER, Gerard C. Kramer Attorney at Law GCK/det Enclosu=e cc: Billlng Department ~d~oal Auth~etAon From: K~ISTA J. ~OOMBS P/N/G of KAYLA J. COOMB$, A MI~O~ A~D GEEAED C. KEA~ER. ~ER ATTORNEY or rep~uction zn ~y ~e~, whether ~chanl~l, photographic, or othe~ise, b~ a~o~ey o~ su~ o=her person aa he ~y autho=lze, all or any por=io~ desir~ by h~ of the follo~ng~ (a) Hospital ~ecords, X-rays, X-ray rea~ngs and r~o~s, ~n~lon, tzea~nt, ~a~nos~s, pro~osis, etxolog~ o~ e~se7 (b) ~1 reco~s, ~n~u~g ~ient's ~e~d ~, X-rays, X- ~ay readings a~ ~e~E~s, l~o:a~o~y :ecozds and ~e~rts, all star--nra o~ ~ges, and any an~ all of my zeco~s pez~nxng %o ~ical ~re, ~stozy, condi~ion, ~a~osis, p~O~OSiS, et~olo~ o~ expense. You are furze: au~orized and directed to furnish ozal and written stanley, or ~is delegate, as requested by ~ for any of the fo:ego~g By reasons of ~e fac~ ~a~ su~ xnfo~tion that you ~ve ac~xzed as ~ phyaxcian or s~geon is con~iden~ial ~o ~, you aze also ~ested to tzea~ su~ in~o~tion as conZid~ial a~ ~e~es~ed no~ ~o Zu~ish any such xnZo~ion in an2 ~o~ to wi~h~ w~i~en autho~ization ~zom ~. X hez~2 ze~ke an2 pxeviousl~ ~s Au~oriza~on d~s not preset ~e h~l~ ~ pro~r fr~ supplyin~ billing ~d o=he= info~tion ~o ~e first par~y carrxer or ~cal insurer in or,er bills a=e p~d. It ~es, h~r, pre~= Che m~oal provi~r f~m ~ly~g ~o~xon to a ~x~ palm insuran~ ad]usher o= an adJus=e~ for an ad~rse ~r~y. I also au~horize my a=torneys or ~r delegate ~o ~ho~=aph my person ~hile X a~ p~sen~ in an~ hospi~al. ~ate. 10/i0/00 DATE TIME .... ~) PINNACLEHEALTH Hoq~aL~ PROGRF.~S RECORD ~-'~' I ~ lo/o4/2ooo 00."28 PinnacleHealth Hos~ital~. James A. Piper, M.D., Medical Director Pt. Name: C00M~,j~__Y~A Age/Sex: 23M(_._~-~_~ 10/15/1998 HOSD. No.: 180~_449j Account #: 4299031~fT~ OrderinH Physician T72156 COLL: 10/03/2000 1~:00 R~C: 10/03/2000 16:20 Dr. VARMA,BHUPINDER COMP METABOLIC PA/~EL [137-147] MMOL/L SODIUM * 138 POTASSIUM 4.4 [3.6-5.1] MMOL/L CHLORIDE 103 [97-108] MMOL/L C02 24.0 [20-30] MMOL/L ANION GAP 8 ~ [6-18] ALBUMIN 4.1 [3.5-4.8] GM/DL ALK PHOSP~ATASE 293 [80-450] U/L UREA NITROGEN, BLOOD 14 [0-20] MG/DL CALCIUM 10.0 [8.9-10.3] MG/DL CREATININE 0.3 [0.3-0.8] MG/DL GLUCOSE 118 [74-118] MG/DL AST * 43 [0-40] ~J~T * lS [24-65] U/L BILIRUBIN,TOTAL 0.4 [0.4-2.0] MG/DL TOTAL PROTEIN 6.4 [6.1-7.9] ~M/DL AUTO DIFF REQUEST CREDITED MANUAL DIFF ORDERED C~CA K/ul WBC COUNT 9.42 [5.5-15.5] RBC COUNT * 5.20 [3.70-4.90] M/ul ~MOGLOBIN 12.0 [11.0-14.0] ~/DL H~MATOCRIT 35.9 [31.0-44.0] % MCV * 69.0 [70.0-85.0] FL MCH 23.1 [22.0-31.0] PG MCHC 33.4 [28.0-36.0] G/DL PLATELET COUNT 276 [129-366] K/ul RDW 13.5 [11.0-15.~] MPV 9.2 [6.5-12.2] FL WBC DIFF NEUTROPHILS * 15.0 [16-60] LYMP~OCYTES * 81.0 [25-75] EOSINOPHILS 4.0 [0-8] RBC MORPHOLOGY MICROC~T=S +2 WBC MORPHOLO~Y ATYPICAL LYMPHS PRESENT COOMBS, KAYLA END OF Pd~PORT PAGE i o9/28/2ooo 01,58 PinnacleHealth Hospita/"~ James A. Piper, M.D., Medical Director Pt Name: COOMBS,KAYLA Age/Sex: 23M F DOB: 10/15/1998 Hosp No.: 180785446 ACCOLUl~ #: 429903134 ~oc.: ~ /~ W1588 COLL: 09/27/2000 UNK Ordering Physician REC. 09/27/2000 16:08 Dr. VARMA,BHUPINDER CBC & MANUAL DIFF WBC COUNT 11.37 ANALYSIS REPEATED CONFIRMED RBC COUNT * 4.94 HEMOGLOBIN 11.4 HEMATOCRIT 32.8 MCV * 66.4 MCH 23.1 MCHC 34.8 PLATELET COUNT RDW MFV NEUTROPHILS LYMPHOCYTES MONOCYTES EOS INOPEILS RBC MORPHOLOGY [5.5-15.5] K/ul [3.70-4 90] M/ul [11.0-14.0] G/DL [31.0-44.0] [70.0-85.0] FL [22.0-31.0] [28.0-36.0] G/DL K/ul [129-366] PLATELET COUNT IS UNRELIABLE DUE TO PLATELET CLUMPING SLIDE ESTIMATE OF PLATELETS APPEARS wITHIN NORMAL LIMITS. 13.4 10.0 20.0 73.0 3.0 4.0 ANISOC~'rES +1 MICROCYTES +1 ROULEAUX PRESENT [11.0-15.3] % [6.S-12.2] FL [16-60] % [25-75] % [0-12] %' [0-8] % C00MBS, KAYLA END OF REPORT PAGE I 09122/2000 06:25 PinnacleHealth HOS~ltalu James A. Piper, M.D., Medical Director Pt, Name: COOMBS,KAYiJ~ Age/Sex: 23M ~B. 10/15/1998 Hosp NO.' 1807~46_3 Account ~: 210083-/3-z Loc.: KLINE PED CTR POLY Ordering Phys~cian H61521 COLL: 09/21/2000 15:45 REC: 09/21/2000 19:33 Dr. VARMA,B}~3PINDER LIPID PAi~EL CHOLESTEROL FOR LIPO TRIGLYCERIDE HDL CHOLESTEROL LDL (CALC} VERY LO DENSITY LIP RISK FACTOR LIP (CAL H61520 COLL: 09/21/2000 195 274 48 92.2 55 4.1 RISK 1/2 AVERAGE AVERAGE 2X AVERAGE 3X AVERAGE [0-200] MG~DL [<200] MG/DL [29-89] MG/DL [0-130] MG/DL FEMALE MALE 3.3 3.4 4.4 5.0 7.0 9.5 11.0 24.0 · orderin~ Physician 15:42 REC: 09/21/2000 19:32 Dr. VARMA, BHUPINDER RENAL FUNCTION PA~L SODIUM POTASSIUM CHLORIDE C02 ALBUMIN UREA NITROGEN, BLOOD CALCIUM CREATININE GLUCOSE PHOSPHOROUS AUTO DIFF CBCA WBC COUNT RBC COUNT HEMOGLOBIN HEMATOCRIT MCV MCH MCHC PLATELET COUNT RDW MPV WBC DIFF COOMES,KAYLA 137 [137-147] MMOL/L 4.7 [3.6-5.1] MMOL/L 104 [97-108] 21.0 [20-30] MMOL/L 4.4 [3.5-4 8] GM~DL 10 [0-20] MG/DL 10 0 [8.9-10.3] MG/DL 0.3 [0.3-0.8] MG~DL 65 [74-118] MG~DL 5.6 [3.5-6.8] MG/DL REQUEST CREDITED MA~-dALDIFF ORDERED 10.43 [5.5-15.5] K/ul * 4.92 [3.70-4.90] M~ul 11.4 [11.0-14.0] G/DL 33.1 [31.0-44.0] % * 67.3 [70.0-85.0] FL 23.2 [22.o-31.o] Ps 34.4 [28.0-36.0] G/DL * 369 [129-366] K/ul 13.3 [11.0-15.3] % 9.6 [6.5-12.2] FL PAGE 1 09/22/2000 06~25 Pinna¢leHealth Hospital~ James A. Plper~ M.D., Medical Director Pt. Name: Age/Sex: Hoop. No : Accoun~ ~: H61520 COOMBS,KAYLA 23M F DOB: 10/15/1998 180785446 210083732 Loc.: KLINE PED CTR POLY COLL' 09/21/2000 15:42 REC: Ordering Physlcman 09/21/2000 19:32 Dr. VARMA,BHUPINDER WBC DIFF NEUTROPHILS BAND LYMPHOCYTES EOSINOPHILS MONOCYTES RBC MORPHOLOGY FERRITIN .. (CONTINUED) 17.0 [16-60] 1.0 * 76.0 [25-75] 1.o [0-8] 5.0 [0-12] NO DETECTABLE RBC ABNORMALITIES 33.6 [10-155] NG/ML coOMBS, KAYLA END OF REPORT PAGE 2 CLIENT REPORT COMPLETED Result Gert Lab COOMBS ,KAYLA Atn Dr: WILLIAMS RONALD J 732 Adm Dr: 09/21/00 OA Isol: ................................ 09/21/00 15:45 15:42 CHEM-ROUTINE 137 SODIUM 137-147 4.7 POTASSIUM 3.6-5.1 104 CHLORIDE 97-108 21.0 CO2 20-30 10 BUN 0-20 0.3 CREATININE 0.3-0.8 65* GLUCOSE 74-118 5.6 PHOSPHORUS 2.5-6.8 10.0 CALCIUM 8.9-10.3 4.4 ALBUMIN 3.5-4.8 HDL CHOL 29-89 48 ~RIGLYCERIDE <200 274* 92.2 LDL CHOL 0-130 · RISK FACTOR ' 4.1 T CHOLESTEROL 0-200 195 o9/21/oo LIPID EVALUA 15:45 HDL CHOL 29-89 48 TRIGLYCERIDE <200 274* LDL CHOL 0-130 92.2 55 VLDL 4.1 T RISK FACTOR o9/21/oo HEMOGRAM 15:42 WBC 5.5-15.5 10.43 RBC 3.70-4.90 4.92* HEMOGLOBIN 11.0-14.0 11.4 HCT 31.0-44.0 33.1 MCV 70.0-85.0 67.3* MCH 22.0-31.0 23.2 MCHC 28.0-36.0 34.4 PLATELETS 129~366 369* RDW 11.0-15.3 13.3 MPV 6.5-12.2 9.6 09121100 DIFFERENTIAL 15:42 NEUTROPHILS 16-60 17.0 LYMPHOCYTES 25-75 76.0* MONOCYTES 0-12 5.0 EOSINOPHILS 0-8 1.0 BAND o9/21/oo 15:42 RBC,WBC, PLT RBC MORPHOLO SEE TEXT CKL67286 11:17 09/22/00 FROM CKD1,ZRPRTGF1 Result Gen Lab coOMBS ',KAYLA F i / KPC Atn Dr: WILLIAMS RONALD J CLINIC Adm Dr: 09/21/00 OA ~sol: o~/2~/oo IMMUNOASSAY 15:42 FERRITIN 10-155 $3.6 .. [Mr#:' 1807854~ - --~-~--~i: %~ .... a~al~O~ 11:17 09/22/00 FROM CKDi,ZRPRT~F1 CKL87286 ~EFERRAL DATE AND VPb LEVEL FATHER'S ~E ~DRE~ ~TERNATE ~T ADDRESS SIBUNGS < 6 YRS OF AGE TESTED FOR Pb ~D Pb H~LTH CARE PROVIDER ~. ~RONME~AL INFORMATION DATE OF INSPE~ION . Pb SOURCE Does the (~hdd spend more than 10 hours .a week ~n another Ioca~on? Does any careg~var work at an occupa~on involmng lead'~ Does any careg~ver have hobbles that use leacl~ Is the dwelhng located near lead related mdust~'~ Is the dwelhng located near a heaw traveled street? Is there a wood burmng stove ex' furnace I,n the home? Does the dwelhng have a mumc~pel water source9 How tong has the family i~ved st this remdenca'~ REFERRAL . TELEPHONE · , TELEPHONE # __ ,,. TELEPHONE # _ TELEPHONE # '1"] ~ ' ~ ~0 DATE q ',,~' ~ PATIENT NAME .. I~/O.. &Or~l~~' DATE OF BIRTH I0 - I~ ' ~ ~ PHYSlCI~~ PINNACLEH~LTH .' H~ais LEAD POISONING CLINIC EVALUATION SHEET HISTORY, BIRTH: GESTATION ~(~, _WE~GHT?~G__.~_P_~ AB FEI'At. ACTIVITY NORMAL MED{CATION~ TAKEN_ ~0 DID YOU SMOKEY ~,/ USE ALCOHOL~ ~ ) O DELIVERY VAGINAL. ,., SPONTANEOUS NEWBORN H STORY. ~.E~HV.O*~VE. UN.OW" DiAB~ES__<EL_____"RE-E~-~PS~A~ .PLU~~Rus_ (~ ~E~ATURE ~BOR OR TAKE NON-PRESCRIBED DRUGS?~ INDUCED, C-SECTION _ CHILD'S NUTRITION $TATUS MEDICAL HWTO~ DOES THE CHILD EAT A WELL BAI~CED DIET CONSISTING OF RED MEATS AND/OR EQGS, DRIED BEANS, PEANUT EUTTER, MILK AND/.OR CHEESE, ENRICHED EREAD AND/OR CEREAL, FRUITS AND VEGETABLES? DOES THE CHILD EAT A LAI~GE AMOUNT OF HIGH FAT FOODS~_ ~,3 DOES THE CHILD EAT MEALS AND SNACKS REGULARLY SPACED DURING THE DAY? [1/! ~ . ARE IMMUNIZATIONS UP TO DATE? HOSPITALIZATIONS ~ o SURGERIES T,~lo~ ' 3~,, g~O0 DETNLS OF ~ TRA'~MA ~ , iLLNESSES PHYSICAL MINOR MALFORMATtONS HAIR WHORL HYPERTELORISM ~J PALATE PALMS DPC ~ SIMIAN SKIN NEURO CNS STRENGTH .TONE GROWTH & R. RAN R HANDEDNESS, R_~.. L .... AMBIDEXTROUS WITH R / L TENDENCY ~/ - 8ELFHELP CUP_ ~"-~ _SPOON _f~'~ ..FORK DRESSES SELF ~ ~ .c,,~ __ TIES SHOES _ USES FASTENERS BUTTONS, ZIPPERS, SNAPS LANGUAGE, VOCABULARY (# OF WO D6) ~ WORDS PER SENTENCE COLORS ~ ,- POINTS TO BODY PAP. TS_ ~ USES PRONOUNS'" YES~ NO..~. APPROPRIATELY HOW OLD DOE~ THE C~'IiLD AOT'~...~dj.,(._ IS THE CHILD CLUM~Y OR COORDINATED? CHILO'S FAMILY HI~'TOI'~Y ~ ANYONE IN YOUR IMMI~IATE FAMILY ~ ANY OI= THE FOII OWlNO? / ATTENTION DEFICIT DISORDER LEARNING DISABILITY FAILED OR HELD BACK A GRADE BEHAVIOR pROSLEN!,S SPECIAL CLASS IN SCHOOL SPEECH THERAPY SLOW/MENTAL RETAROATION TUTORED TREATED WiTH MEDS FOR BEHAVIOR PSYCHIATRIC HISTORY COMMENTS DATE LEAD LEVEL HGS/HCT FERRiTiN SMAC 20 OT~R TREATMENT PHYSICIAN SIGNATURE Y Ranca &_Kra_mer PC; 209 State 8l~t 717 232 6300 Fax 717 232 8467 www srMaw corn May 14, :2001 Jerome Korinchak, M.D. . .._. 503GreenhillBridgeFamilYstreetPractice ' ', [~A~ 7 9 New Cumberland, PA 17070 ': Client : Kayla J. Coombs, a m~~ ' ' Krtam J, Coombs, pazent Address : 116 8oath Third 8treat, 1'~ Floor · emoy~a, PA 1 Birthdate ii 10/15/98 ~ ~/.,.~t'~ 8.8. No. 1~78-~5 a~a Reque~ ~ b~s ~m 911/~ to the ~nt. Or. gooch: :ib a- Plea~ be ad~sed ~at I represent ~e above nmed ~ent. Please fo~ copies of ~. ~cor~ you have~e ~diUon, ~a~ent, ~d pro~ss of mis md,~dk~al from ~e~r ~3. ~ t9 ~ p~nt. ~ease include cop:es o~m ~p~m~r 1, 2~ to ~e ~a~ I~ve cnclo~d an ~ecuted Medic~ Aurora,on for ~, ~,ea, of ~s to me. I ~ no~ at ~s ~e reqUes~ng ~y s~c~ p~p~cd med[~ ~po~. If you have ~ny questions, please f~! free tn call or ~te. Very truly ~CBMIDT, RONCA ~ KRAMER, P.C. C.Krm'ne2~r GCK/ det ~nc/O~Ure Request//· Pages '~' - non ~at ~d JEROME KOKINCHAK, Mmcli. oal Au. tho z3.zm,4~L on. ~oD. KRISTA COOMBS P/N/G of KAYLA CoOMBS AND GERARD C. KRAMER, HER ATTOP/TEY You are hereby authorized and ~rec=ed to pemmit the exmn~net~on of, and ~hm copying or =eproductxon in any manner, whether mechanxcal, photographic, or otherwise, bM my attorney o~ such other person as ha may authorize, all or any portions desxze~ by hxm of the follow~ngz (a} Hospital records, X-rays, X-ray reac~ngs and reports, laboratory records and reports, all tests of any type, character and reports thereoE, statements of charges, any and all of my records pertaLnxng to the hospxtalxzatxon, history, cond~tron, trea~ent, diagnosxs, prognosxs, etxology or Medical ~acords~ includmng patxent'a record cazc~s, X-rey~,. X- ray readings and =operas, laboratory records and reports, ell testa of aa'Ay =~pe and character and reports ~hereof, sta~nts o~ charges, and any and all of my recox~s @erta~nxng to medmcal care, hxstory, conditLon~ treatment, dxagnosls, prognos~s, etxology or expense. You are further authorized and d~Lected to furnish oral and written reports to my attorney, or his delegate, as requested by him for any of the foregoing matters. B~ ~sona of the fact that a~ch inZormatlon that you ~ acquired as my phyaicaan az surgeon is confxdential to ma, you are also requested to treat such xnforw-tmon as confidential and requested not to furnish any such xnfozmatxon xn any form to anyone, without wrxtten authorization from me. ! ..~ereb¥ revoke any previously dated madxcal author£zation. Thxs Authorization does not prevent the health care provxde= fr0~ supplying billing and other infonuation to the first party cazrxer or medical insurer in order that the bills a~e paxd. It does, however, prevent ~he medical provider from supplyxng ~his xnfonuation to a thxrd party xnsurance adjuster az an ad]uste= for an a.dverae pa~cy. I also au~horire my attorneys or thaxr delegate to photograph my pemaon whxle I am present Ln any hospital. I agree that i l~hotostmtic co~y of this euthorLzation shall ha considered aa effac~ive and valid as ~he original. Date: 5/14/01 HOLY SPIRIT HOSPITAL '" GREEN HILL FAMILY HEALTH CEJ~TER ' PREVIOUS MEDICAL HISTORY CHROI EMS AST MEDICAL HISTORY ACUTE' PROBLEMS DATES FAMILY HISTORY JZP D W REM SC~EENING?ESTS Breast Cholestrol Mammo PAP Prostate Rectal PEDIATRIC IMMUNIZATI O~S DPT OPV HIB MMR , HEP B,,. OTHEr_ _ NICO ETOH CAFF OGCUP DRUG ALLERGIES TINE TESTS DATE RESULTS CONSULTANT DATE> ADULT IMMUNIZATIONS TYPE DATES 1 1'~, 9~ lpg F6 5'¢6 G~,ILL GRH 105 8/93 DATE/PROGRESS NOTES D Iv~ one-t]urdq4h pm. ~oughandR!tnmn suspmmon one-thmiteaspm~n b t d 2 Inamse flmds, am Tylenol 3 The motl~ w~l call vath pmblcnn, otlm-~se she val~ ,~-tum for l~r ~an~al cl~,,~ nnd p r n. HO~Y SPIRIT HOSPITAL GREEN HILL FAMILY HEALTH CENTER PROGRESS NOTE8 Gl:IH ~00 7M 1 1~ 9o ~154~? 180 Z~ 5446 GHOUL FH -PROB#I SOAP _ 5: ""if present, (or nol:e dm*a,t .... DATE/PROGRESS NUT~ TELEPHON~ ME,~SAGE r~z ~ o~. ~ ~m 1Oat,e last see~. SO~ ~OAT SOB , - , fl ,. ......... ~.~ , 10 15 98 415&27 180 7a ~6 GHILL ~'H GRH 100 7/96 PROB # 80AP DATE/PROGRESS NOTES 2 3 P 1 2 Permten~ I~o~'tutts Tum,Ckgmidm D ~L one-~u~d tmspomi q 4b. P r 1L cough and coarsen 3 ~q~ m~.~ 5 _~.~_~ ~ m ~ ,m~' ~Prn ~ GREEN HILL FAMILY H~ CE~ER O ),I g L F M PROGRE~ NOTES PROB # D~TE .~ ' .~" A 2 P 1 2 She wdl ~ on m~n ~ and ........... i: HOLY SPIRIT HOSPITAL GREEN HILL FAMILY HEALTH CENTER PROGRESS NOTES J ,i,i '_l. GRH 7196 Schmidt, Ronca & .Kramer PC 209 State Street Harnsburg, Penmytvama 17t01 717 [ 232-6300 Fax 717 / 232-6467 October 10, 2000 Jerome Korlnchak, M.D. Greenhzll Family Pract~c~ 503 Brzdge Street New Cumberland, PA 17070 Birthdate : S.S. No. : Reoords RequeSted: Bxlls Requested : Av. orne2 s and /ors at Kmyla J. Coo~i3e, & ~nor Lm~oyne, PA 17043 10/15/98 180-78-5446 Ail balls fro~ 9/1/00 to the present. Dear Dr. Korlnak: Please be advised that I represent the above named patient. Please forward copies of all records you have kept on the condltlon, treatment, and progress of thi~lndlvldual from Septenkber.1, 2000 to the present. ~//w/&~ .- Please lnclude cop~es of all billings from September 1, 2000 to the present. ""' I have enclosed an executed Medical Authorization for ~he release of this information to me. I am not at thls time requ~tlng any specially prepared medical reports. tf you have any questions, please feel free to call or write. Very truly yours, SCHMIDT, RONCA & KRAMER, P.C. r~ard C. Kramer ttorney at Law GCK/det Enclosure ' JEROHE KOI~.I~CP~tI~. ~ You ~e he~y ~u~ho~zed and ~ec~ed ~o ~ ~he ex~n~on o~ and ~h~ ~t~o~e~ o~ ~u~ o~h~ person as ~ ~y authoz~ze~ a~ o~ any po~Lons des~ b~ hLm of the follo~ng~ (a) HospLtal records. X-rays. X-ray readings and laboratory records and reports, all tests of eny type, characCer end reports thereof, statements of ~arg~s, any all of ~ records pertaining ~o ~he hospi~alizatlon, history, ~l~n, trea~, ~a~os~s, prognosis, e=~olog~ or ~1 =eco~, ~nclud~ng patient's ~eco~ ca~, X-rays, ray rea~ngs and ~epor~s, l~ora~or~ re~s and reports, all tests o~ an~ t~ a~ chaza~e~ a~ repo~s thereof, pertaining ~o ~cal care, ~s=ory. con~ion, trea~ent~ ~agnosis, prognosis~ e~ology or e~ense. You ar~ further au~horized and directed ~o fu~sb oral a~ wr=~en =e~E~s ~o my By =eas~s of ~he fac~ ~ha~ such ln~o~lon ~ha~ you ~ve acq~r~ surgeon As Conflden=Lal to M. you are also re~est~ Co ~reat su~ info~tL~ as ~fld~=ial and reCesSed no~ ~o ~urnlsh ~y such ln~o~t~on in any ~om to ~e, authorLza~on. T~s ~orlzation ~es not prevent ~e health care pro,der ~r~ supplying b~lng and other ln~o~tion to the ~lrst party ~=rier or ~cal insurer ~n o~er that the I also aUthOrLZe my at~o~ys or ~helr delegat~ Co pho~ogra~ my person w~l~ p~s~ in ~y hospital. SOAP DATE/li~OQRE88 NOTI=.~ HOLY GREEN HILL FAMILY HEALTH CENTER PROQRES$ NOTES 12 15 98 180 75 5446 "' P.ROB # [ 80AP I .DA~RESS NOTES PROB # I' ~OAP I DATE/PFIOGFII=$$ NOTES TELEPHON~ GREEN HILL FAMILY H~ CENTER ~ , ~ G t,, ,. L F H PROQRESS NOT~ Atn Dr: VARMA B~UPINDER / 9b REF Pt#: 429903147 LAB AdA Dr: 10/03/00 0A Isol: Mr#: z80785446 09/21/o0 o9/21/o0 C~EM-ROUTINE SODIUM 137-147 POTASSIUM 3.6-5.1 CHLORIDE 97-108 CO2 20-30 BUN 0-20 CREATININ~ 0.3-0.8 GLUCOSE 74-118 PHOSPHORUS 3.5-6.8 CALCIUM 8.9-10,3 ALBUMIN 3.5-4.8 HDL CHOL 29-89 TRIGLYCERIDE <200 LDL CHOL 0-130 RISK FACTOR 15:45 48 274* 92.2 4.1 T 15:42 137 4.7 104 21.0 10 0.3 65* 5.6 10.0 4 4 CHOLESTEROL 0-200 195 o9/21/oo LIPID EVALUA 15:45 HDL CHOL 29-89 48 TRIGLYCERIDE <200 274* LDL CHOL 0-130 92.2 55 VLDL 4.1 T RISK FACTOR o~/21/oo HEMOGRAM 15:42 WBC 5.5-15.5 10.43 RBC 3.70-4.90 4.92* HEMOGLOBIN 11.0-14.0 11.4 HCT 31.0-44.0 33.1 MCV 70.0-85.0 67.3* MCH 22.0-31 0 23.2 MCRC 2B.0-36.0 34.4 PLATELETS 129-366 369'~ RDW lZ 0~15,3 13.3 MPV 6.5-12.2 9.6 o9/2z/oo 15:42 / I FFERENTIAL 17.0 N~UTROPHILS 16-60 76 O* LYMPHOCYTES 25-75 MONOCYTES 0 - 12 5.0 EOSINOPHILS 0-8 1.0 BAND ~.0 o9/2z/oo ',WBC,PLT 15:42 ~C MORPHOLO SEE TEXT 13:37 10/09/00 FROM CKDi,ZRPRT(]F1 R~ult Gen Lab ~DOMBS , KAYLA F i / REF Pt#: 429903147 Atn Dr. VARMA BHUPINDER LAB Adm Dr. 10/03/00 OA Isol: Mr#. 180785446 o9/ 1/oo IMMUNOASSAY 15 FEKRITIN 10-155 33.6 13:37 10/09/00 FROM C](D1,ZRPRTOF1 CKL88899 Resul~ Gen Lab coOMBS , KAYLA Atn Dr. WILLIAMS RONALD J F / CLINIC Iso1: KPC Pt%: 210083732 Mr#: 180785446 Adm Dr: 09/21/00 OA o9/21/oo o9/2i/oo CHEM-ROUTINE 15.45 15:42 SODIUM 137-147 137 POTASSIUM 3 6-5.1 4.7 CHLORIDE 97-108 104 CO2 20-30 21 0 BUN 0-20 10 CREATININE 0 3-0.8 0.3 GLUCOSE 74-118 65* PHOSPHORUS 3.5-6.8 5.6 CALCIUM 8.9-10.3 10.0 ALBUMIN 3.5-4.8 4 4 HDL CHOL 29-89 48 TRIGLYCERIDE <200 274* LDL CHOL 0-130 92.2 4.1 T RISK FACTOR ~ CHOLESTEROL 0-200 195 =========================================================================== o9/~1/oo LIPID EVALUA 15:45 HDL CHOL 29-89 48 TRIGLYCERIDE <200 274* LDL CHOL 0-130 92.2 VLDL 55 RISK FACTOR 4 1 T 09/21/00 HEMOGRAM 15.42 WBC 5,5-15.5 10.43 RBC 3.70-4 90 4.92* HEMOGLOBIN 11.0-14.0 11.4 HCT 31.0-44.0 33.1 MCV 70.0-85.0 67 3* MCH 22.0-31.0 23.2 MCHC 28.0-36.0 34.4 PLATELETS 129-366 369* RDW 11 0-15.3 13 3 MPV 6 5-12.2 9.6 o~/2i/0o ~ - DIFFERENTIAL 15:42 NEUTROPHILS 16-60 17.0 LYMPHOCYTES 25-75 76.0* MONOCYTES 0-12 5.0 EOSINOPHILS 0-8 i 0 BAND 1.0 09/21/00 RBC,WBC,PLT 15:42 RBC MORPHOL0 SEE TEXT CKL87286 11:17 09/22/00 FROM CKD1,ZRPRTGF1 Result Gen Lab C00M~S ,KAYLA F 1 / KPC Pt#: 2~0083732 Atn Dr: WILLIAMS RONALD J CLINIC Adm Dr: 09/21/00 OA Isol' Mr#: 180785446 o9/2 /oo IMMUNOASSAY 15:42 FERRITIN 10-155 33.6 ==== ...... ======================= of Report-==='===~==~==-"==-~=='"'=~lu~ 11.17 09/22/00 FROM CKDi,ZRPRTGF1 cKL87286 October 10, 2000 Schmidt, Ronca Kramer' PC 209 State Street Harrisburg, Pennsylvania 17101 717 / 232-6300 Fax 717 / 232-6467 Attorneys and Counselors at Law Holy Spirit Hospital North 21st Street Camp Hill, PA 17011 Attention: Medical Records Department REQUEST FOR HOSPITAL Records Requested: Bills Requested : Client : Kayla J. Coombs, a minor Krista J. Coo~bs, parent Ad,tess : 116 South Third Street, ist Floor Lemoyne, PA 17043 Birthrate : 10/15/98 S.S. No. : 180-78-5446 All medical records from 9/1/00 to the present. Ail bills from 9/1/00 to the present. Dear Sir or Madam: Our office ~epresents the above-named patient. Please forward to my attention copies of the following: [x] any and all hospital records, including but not limited to: discharge summary, admitting notes, history, physical examinations, consultation reports, x-ray or other diagnostic test reports, emergency room records, pathology reports, operative reports, medical photographs, if any; all doctors' orders, notes, etc.; tissue committee report, if any; employees' day sheet showing names of nurses; physical therapy records; any and all outpatient records for the dates requested above. Ix] any end all billings for services rendered for the~ates requested above. On your bill for hospital services, please do not show any amounts paid by insurance, as we cannot use these in Court. Your bill should include your total charges for services without showing the source of payment. (Please bill us separately for your report or photocopy cha~ges). Holy Spirit Hospital October 10, 2000 Page Two Enclosed you will the release of this information to me. attention to this matter. Very truly yours, SCHMIDT, RONCA & KRAMER, P.C. e~rard C. Kramer Attorney at Law GCK/det ~l°~epartment find a signed Medical Authorization authorizing Thank you for your kind MOLY ~P. IRIT HOSPITAL ~ioal Authorization From: KRISTA J. COOMBS P/N/.G of KAYLA J. COOMBS, A MINOR AND GERARD C.rKRAMER, 'HER ATTORNEY You are hereby authorized and directed to permit the examination of, and the copying or reproduction in any .manner, whether mechanical, photographic, or otherwise, by my attorney or such other person as he may authorize, all or any portions desired by him of the following= (a) Hospital records, X-rays, X-ray readings and reports, laboratory records and reports, all tests of any type, character and reports thereof, statements of charges, any and all of my records pertaining to the hospitalization, history, condition, treatment, diagnosis, prognosis, etiology or expense; (b) Medical records, including patient's record cards, X-rays, X- ray readings and reports, laboratory records and reports, all tests of any type and character and reports thereof, statements of charges, and any and all of my records pertaining to medical care, history, condition, treatment, diagnosis, prognosis, etiology or expense. You are further authorized and directed to furnish oral and written reports to my attorney, or his delegate, as requested by him for any of the foregoing matters. By reasons of the fact that such information that you have acquired as my physician or surgeon is confidential to me, you are also requested to treat such information as confidential and requested not to furnish any such information in any form to anyone, without written authorization from me. I hereby revoke any previously dated medical authorizstion. This Authorization does not prevent the health care provider from supplying billing and other information to the first party carrier or medical insurer in order that the bills ara paid. It does, however, prevent the medical provider from supplying this infozmation to a third party insurance adjuster or an adjuster for an adverse party. I also authorize my attorneys or their delegate to photograph my person while I am present in any hospital. I agree that a photostatic copy of this authorization shall be considered as effective and valid as the original. Date: 10/t0/00 I Fa~6n~/Guardia~nis--~rator Page ~ oI Test Results 6,L )RATORIES 2211 Michigan Avenue Phone 800.'423.71 l0 Santa Monico, CA90404-3900 Fax 310,828,6634 -DOB: Laboratory ~3 N. 21st Street Hills,PA 17011 / Fax:717 763-2941 / 717 763 2947 fician: Client Accession # 091 t Status: orted -10/15/1998 415427 Jerome L. 6:31:00 PM Specialty Accession # 098-5197029 LT/00 4:05:00 AM PST 1:15:00 AM PST ,EAD WHOLE BLOOD A.alyte _1{[Jesuit Il Reference Range Specimen IiVen°us il ~FE~NCE ~NGES for Lead ~ole Blood: Age Reference Range Ale~ < 15 years old < 10.0 mc~dL > 20 mcWdL 15 years and older < 10.0 mc~dL > 30 mcffdL OS~ Indus~ial Alert .... > 40 mc~dL Lead Whole Blood: Confirmed by repeat analysis. This test result or one or more of its components was developed and its performance characteristics determined by Specialty Laboratories. It has not been cleared or approved by the U.S. Food and Drag Administration. The FDA has determined that such James It. Pele;. M.D., Ph.D, Page 1 of I ~,,,,.//,,~,,~, a~*~,,~qnnrtmd eomffiles/17r26541447.htm 9/21/2000 ', -- /SPECIALTY LABORATORIES jJ~ ,~* 2211 Michigan Avenue Phone 800~421.7110 ~',~ Santa Monica, GA90404-39O0 Fax 310 828,6634 Holy Spirit Hospital ATTN: Laboratory 503 N. 21st Street Camp Hills,PA 17011 Tel / Fax:717 763-2941 / 717 763 2947 Patient: IICOOMBS,KAYLA J ;ex: lip Age-DOB: Ill - 10/15/1998 Patient ID: 415427 M.D. Jerome L. Physician: Korinchak Collection 9/7/00 4:49:00 PM Date: Client Specialty Accession # ~ccession # 0907K28-OUT 098-5130644 Received 9/9/00 3:57:00 AM PST Da(e: Result Status: Complete Reported 9/11/00 2:47:00 AM PST Date: Report Comments: LEAD WHOLE BLOOD Analyte l[ Result Reference Range Specimen IlVeno.s II Lead Whole Blood ll4z.~* II < 10.0 mcg/dL REFERENCE RANGES for Lead Whole Blood: Age Reference Range Alert <15 years old <10.0mcg/dL >20mcg/dL 15 years and older < 10.0 mcg/dL > 30 mc~dL OSHA Industrial Alert .... > 40 mcg/dL Lead Whole Blood: Confirmed by repeat analysis. This test result or one or more of its components was developed and its performance characteristics determined by Specialty Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. I James B, Pelet. M.D.. Page 1 of 1 http://www.datapassportmd.com/Files/17r25541615.htm 9/11/2000 UN DATE'~ 10/1~/00 UN TIME; , -~-~c I-IflkY ~PlRIT HOSPITAL, C~P' HILL~ l~',~l I~LI! I~r ~RTMEbII' OF LABORATORY MEDiC[NEt STEPHENSON S~P. SNAMIDOS~ M.D.~ OIRECTDR *~***DISCNARGE SUMMARY~**~ 'ATIENT: COOMBS~KAYLA J Acc'r ~: 0000156472~0 L.{'C: OP R~8 U ~: 415427 AGE/SX: IY 11M/F ROOM: REG: 09/15/00 :EG OR: KORINCHAK~dEROME L MD STATUS: REO CI_I BOD: DIS: REFERENCE LA8 TESTING LEAD,BLOOD ate T I me ....................... )?/1~/00 1839 (a) ~OTES: (a) SEE SEPARATE REF'ORT * denotes PANIC value Patient: COOMBS,KAYLA d Age/Sex: 1Y llM/F Acct~O00015647~90 Unit#416427 TIME: ***~*DISCHARSE SUMMARY*w*~* ~ATIENT: COOMBS,KAYLA J ACCT ;: 000015603962 LOC: OP R.~.G U ~: 415427 AGE/SX: 1Y IOM/F ROOM: RES: 09/07/00 {ES DR: KORINEHAI(~JEROME L MD STATUS: RES ELI BI~D: DIS: REFERENCE LA8 TESTING LEAD,BLOOD )ate Time )9/07/00 1649 (a) ~OTES: (a) SEE SEPARATE REPORT * denotes PANIC value r'a%ient: COOMBS,KAYLA J Age/Sex: 1Y iOM/F Ac,::%1000015603962 Unit1415427 PINNACLE HEALTH POLYCLINIC HOSPITAL CHILDHOOD LEAD POISONING PREVENTION CENTER 2601 NORTH THIRD STREET HARRISBURG, PENNSYLVANIA 17110 (717) 782-2884 or 1-800-374-7114 TO: FROM: DATE: RE: Krista Coombs ~(Karen Orlando, RN Public Health Nurse September 22, 2000 Environmental inspection for lead-based paint Enclosed is a copy of the environmental inspection for your child, Kayla Coombs. If you have any questions regarding this inspection please do not hesitate to call me, Thank you. Enclosures (3) This program is partially funded through a contract with the Pennsylvania Department of Health. LEAD PAINT INSPECTION REPORT REPORT NUMBER: INSPECTION FOR: 0912tl00 11:27 Kayla Coombs PERFORMED AT: 116 S. 3rd Street Apt #t Lemoyne, PA 17043 iNSPECTION DATE: INSTRUMENTTYPE: 09121100 RMD MODEL LPA-I XRF TYPE ANALYZE Serial Number: 1528 ACTION LEVEL: 1.0 mglcm= OPERATOR LICENSE: ooo51o PINNACLE HEALTH POLYCLINIC HOSPITAL CHILDHOOD LEAD POISONING PREVENTION CENTER 2601 NORTH THIRD STREET HARRISBURG, PENNSYLVANIA 17110 (717) 782-284 or 1-800-374-7114 Date: Owner: Address: Re; September 22, 2000 Kerry Saintz 731 Harrisburg Pike Dillsburg, PA 17019 Lead-based paint inspection at 116 South 3rd Street, Apartment 1 Lemoyne PA 17043 Dear Mr, Saintz: As owner of the above named property, you are hereby advised that a child who lives at or frequently visits the above named address is being followed for an unacceptably high blood lead level. An environmental investigation was conducted at the above named address and revealed the presence of lead-based paint hazards. Enclosed is the report of the inspection. The detailed report has the readings segregated first by room number and then by type of structure with the exterior rooms appearing first. This report is for your reference and shows all areas tested. A P (poor) under paint condition designated a defective surface (chipping, peeling, cracked). An I (intact) indicated the surface is not a hazard at the present time. The areas positive and intact are not an immediate hazar(t, but would be hazardous if the surface should fall into disrepair or if the surface is disturbed during renovation work. The summary report is organized exactly like the detailed report, however, only readings or averaged sets that have a lead value that is equal or greater than the action level are listed. A lead hazard constitutes painted surfaces that contain lead greater than or equal to 1.0 p.g/cm2 and are in disrepair, (chipping, peeling, cracked or blistering), even if the leaded layer(s) does not constitute the top layer(s) of paint. The areas listed in this summary report with a paint condition of (P) must be corrected. As painted surface's age, lead-based paint becomes brittle and produces chips and fine dust particles that are easily picked up on children's fingers. Due to the normal hand to mouth activity of small children, this leaded dust is ingested. Exposure of young children to lead can result in developmental delays, attention deficit disorder, learning disabilities, mental retardation and in extreme cases death. The only way to prevent and treat lead poisoning is to eliminate the child's intake of lead by reducing the lead hazard in his/her environment. Prior to undertaking any actions to achieve a lead safe environment it is necessary to read the enclosure "LEAD BASED PAINT: HAZARD REDUCTION GUIDELINES". Our goal is to assist families of children with lead poisoning in their efforts to reduce the lead hazards in their environment. Through our education efforts and your cooperation in correcting the lead hazards in the child's home environment we can reduce the risks of lead poisoning for these children. If you have any questions or concerns please call the Childhood Lead Poisoning Prevention Center at (7'17) 782- 2884 or 1-800-374-7114. Sincerely, Karen Orlando, RN Public Health Nurse CC; Cumberland County Housing Authority Lemoyne Codes Enforcement Officer Child's Physician Cumberland County State Health Center Famity Enclosures: (6) This program is partially funded through a contract with the Pennsylvania Department of Health. DETAILED REPORT OF LEAD PAINT INSPECTION FOR: Kayl~a Coombs 1{3spection Datd:' Report Date: Abatement Level: Report No. Total Readings: Job Started: Job Finished: 09/21100 9/22/2000 1.0 09/21100 11:27 135 09/21100 11:27 09121/00 12:56 116 S. 3rd Street Apt #1 Lemoyne, PA 17043 Paint Lead Reading (mglcm=) Mode No. Well Structure Location Member Cond Substrate Color Exterior Room 001 Front porch 005 C Door L£t Rgt ~amb 004 C Door 006 C DOOr L~t U ctr 008 C Door Rgt 009 C Door Rgt L£t casing 010 C Door Rgt U Cfr 007 C Threshold 011 C Threshold Rgt Comment: Reeding#'e 8-11 are for the entrance to that she end the child do sit on the front steps, and the access to the door. The front porch overhangris noted as and peeling white paint. Unable to test with the XRF due p Wood White 1.8 QM I Wood White 2.0 Q~ I Wood Green 1.2 QM p Wood White 1.6 QM p Wood White 3.5 QM p Wood White 1.4 QM p Wood Green 3.7 QM p Wood Green 0.1 QM house # 114. Mom states child does have having chipping to the height, Exterior Room 002 Side Porch 069 B Door Ctr Rgt casing Z Wood 070 B Door Ctr U Cfr p Wood 071 B Threshold Ctr p Wood 072 D Window Lft Rgt casing I Wood White 1.3 QM White 1.4 QM Gray 2.7 QM White >9.9 QM Interior Room 001 Living ~m 030 A Window Ctr Rgt ~amb p Wood 031 A Window Ctr Rgt Jamb p Wood 024 A Window Cfr ltgt casing P WOOd 026 A Window Ctr Sash I Wood 027 A Window Ctr Well p Wood 028 A Window Cfr Well B Wood 029 A Window Ctr Well p Wood White 1.3 Q~ White 1.4 Qt4 Beige -0.1 QM Beige 0.0 ~ White 1.0 QM White 1.0 QM White 0.2 Q~ Average = 0.6 025 A Window Ctr Ell1 032 A Window Ctr Part. bead 013 A Door Rgt Rgt casing 012 A Door Rgt Lft casing 014 A Door Rgt U Ctr 016 C Door Lft Rgt ~amb 015 C Door Lft Rgt casing 017 C Door Lft U Ctr 018 C Door Ctr Lft casing 019 C Door Ctr U Ctr 021 C Door Rgt Rgt jamb 020 C Door Rgt Rgt casing 022 C Door Rgt U Ctr 033 D Wall U Cfr 023 D Baseboard Ctr 035 D DOOr Lft Rgt ~.mZ~ 034 D Comment: The Wood Beige -0.1 QM Wood White 0.6 QM Wood Beige -0.1 ~M Wood Beige -0.1 QM Wood Green 0.1 QM Wood Beige -0.2 QN Wood Beige -0.1 QM Wood Beige -0.1 QM Wood Beige -0.1 Q~ Wood Beige -0.1 QM Wood Beige 1.3 ~ Wood Beige -0.1 QM Wood Beige 0.2 ~ Plaster Beige 0.3 Q~ Wood Beige 0.1 ~M Wood Beige 0.2 Q~ 0.0 9M Door Lft Rgt casing I Wood Beige Readings 9 34 and 35 are for the entrance to the dining room. DETAILED REPORT OF I:EAD PAINT INSPECTION FOR: Kayla Coombs Paint Lead Reading Color' (mglcm2) Mode No. Wall Structure Location Member Cond Substrate recoa~nded treatment £or ~.~a £ron~ window is stablizatio- ~ith .-~,,~,~t and than ~he well area covered wi~h aluminum coil stock and ~hen the edges sealed with caulking. Interior Room 002 Dining ~m 036 A Window Ctr Rgt casing I Wood Beige 0.0 QM OS9 A Window Ctr Sash I Wood Beige -0.2 QM 039 A Window Ctr Well I Wood White 1.0 QM 037 A Window. Ctr Sill I Wood Beige 0.2 QM 043 C Window Ctr Rgt ~amb I Wood White 1.0 QM 044 C Window Ctr Rgt ~amb I Wood White 1.0 QM 045 C Window Ctr Rgt ~amb I Wood White 0.4 QM Average = 0.7 040 C window Ctr Well p WoOd White 0.7 QM 041 C Window Cfr Well p Wood White 1.0 QM Average -- 0.9 042 C Window Ctr Well p Wood White 1.0 QM 053 D Baseboard Ctr I Wood Beige -0.1 QM 052 D Window Ctr Rgt jamb p Wood White 1.4 QM 048 D Window Ctr Sash I WoOd Beige 1.0 QM 049 D Window Ctr Sash I Wood Beige 1.0 QM 050 D Window Cfr Sash I Wood Beige 1.0 Q~4 Average m 1.0 051 D Window Cfr Well p WoOd White >9.9 047 D Window Ctr Sill I Wood Beige -0.1 046 D Window Ctr Lft casing I Wood Beige -0.1 Co~nt: The side window needs to receive the same ~reatment as the living room window. Interior Room 003 Kitchen -0.1 QM 054 A DOOr Lft L~t casing X Wood Beige 055 C Window Lft Rgt casing p Wood Beige -0.1 QM 056 C Window Lft Sash p Wood Beige 0.0 QM 057 C Window Lft Sill p Wood Beige -0.2 QM 058 C Door R~t Lft casing p WOod Beige -0.1 QM 059 C Door Rgt U Ctr I Wood Beige 0.1 QM 065 D Baseboard Cfr X WoOd Beige -0.1 QM 060 D Door Rgt Lft casing I Wood Beige 0.2 QM 061 D Door l%gt Lft Jamb p Wood Beige 1.0 QM 062 D Door Rgt Lft ~amb p Wood Beige 1.0 QM 063 D Door ~t L£t jamb p WoOd Beige 1.0 QM Average m 1.0 064 D Door Rgt U Ctr p Wood Beige >9.9 QM 066 D cabnt caeg Ctr X Wood Beige 0.0 Qt4 067 D cabinet Door Ctr ! Wood Beige 0.2 QM 05S D Cebnt ehlvg Ctr I Wood Beige -0.1 QM Comber: Readings ~55-57 are for the m~rror/window above the sink. Interior Room 004 Hallway -0.1 QM 073 A Door Cfr Rgt casing X Wood Beige 2 DETAILED REPORT 'OF'LEAD PAINT INSPECTION FOR: Kayla Coombs Paint Reading No. Wall Structure Location Member Cond Substrata Lead Color (mglcmz) Mode 074 A Door Ctr O Ctr P Wood Beige -0.1 QM 086 B Door Rgt Rgt ~-~ P Wood Beige 0.0 QM 085 B Door Rgt Lft casing I Wood Beige 0.0 QM 087 B Door Rgt U Ctr P Wood Beige 0.1 QM 083 C Door Lft Rgt casing I Wood Beige 0.1 QM 084 C Door '. Lft U Ctr I Wood Beige 0.2 QM 080 C Door Rgt P~t casing p Wood Beige 0.2 QM 081 C Door Rgt Lft ~amb p Wood Beige 0.0 QM 082 C Door Rgt U Ctr I Wood Beige 0.0 QM 078 D Door Lft Rgt ~am~ p Wood Beige 0.1 Q~ 077 D Door Lft Rgt ~sing I Wood Beige 0.0 QM 079 D Door Lft O Cfr p Woo~ Beige -0.1 QM 075 D Door Rgt B~t casing I Wood Beige 0.2 QM 076 D Door Rgt U Ctr I Wood Beige 0.1 QM Coammnt: Rae~ings 73-74 are for the door to the Living room. 75-76 are for the side closet door, 77-79 are for the door to the Master Bedroom, 80-82 are for the door to the bath,83-84 are for the rear closet door, and 85-87 are for the door to Ka~laTM room. Interior Room 00~ Bedroom 110 A Baseboard Ctr p Wood Beige -0.1 QM 093 A Door Rgt Rgt casing I Wood Beige 0.0 QM 094 A Door Rgt U cfr I Wood Beige -0.1 QM 091 A Closet Lft Door p Wood Beige -0.1 QM 090 A Closet Lft Door Casing I Wood Beige 0.1 QM 092 A Closet Lft Door J--~ I Wood Beige 0.1 QM 106 C Window Lft Rgt jamb p Wood White 1.0 QM 107 C Window Lft Rgt jamb p Wood White 1.0 QM 108 C Window Lft Rgt ~amb p Wood White 1.0 QM Average = 1.0 109 C Window hft Rgt ~amb p Wood Beige -0.1 QM 102 C Window Lft B~t oaaing I Wood Beige -0.1 QM 104 C Win~ow Lft Sash I Wood Beige 0.2 QM 105 C Window Lft Well p Wood White >9.9 Q~ 103 C Window Lft Sill I Wood Beige -0.2 QM 099 C Win~ow Rgt Rgt ~,,h p Wood White 1.0 QM 100 C Window ~t Rgt jamb p Wood White 1.0 QM 101 - C Window Rgt Rgt jamb p Wood White 1.0 Q~ &verage = 1.0 097 ' C Window P~t Sash I Wood Beige 0.1 QM 098 c Windew Rgt Well p Wood White >9.9 QM 096 C Window Rgt Sill p Wood Beige -0.2 QM 095 C Window Rgt Lft casing I Wood Beige -0.1 Q~ 088 ~D Door Rgt L~t casing p Wood Beige 0.2 QM 089 D Door Rgt U Ctr F Wood Beige -0.1 QM Com~mnt= Ka~la~s room. Bo~h window tracks and wells need to he stablized with paint~ then the wells need to be covere~ with aluminum coil stock and the ed~ea sealed. Interior Room 006 Bathroom 112 A Door Lft Rgt ~mh p Wood Beige 0.1 QM 111 A Door Lft Rgt oeeing I Wood Beige 0.2 QM 113 A Door Lft U Ct= I Wood Beige -0.1 QM 3 DETAILED REPORT OF'LEAD PAINT INSPECTION FOR: Kayla Coombs Paint Reading , No. Wall Structure Location Member Cond Substrata Color (mglcm') Mode 115 C Window .Cfr Rgt casing I Wood Beige 0.0 QM 117 C Window Cfr Sash P Wood Beige 0.1 Q~ 118 C Windo~ Ctr Well P Wood White 1.6 QM 116 C Window Ctr Sill p Wood Beige 0.0 QM 119 C Window Ctr Part. bead I Wood White 2.0 QM 120 C window Ctr Lft ~amb P Wood White 1.3 QM 114 D Wall U Ctr I Plaster Beige -0.1 QM Interior Room 007 Bedroom 124 A Closet Lft Door I Wood 123 A Closet Lft Door Casing I Wood 122 A Closet Rgt Door I Wood 121 A Closet Rgt Door Casing I Wood 127 B Baseboard Ctr I Wood 125 B Door Lft Rgt easing p Wood 126 B Door Lft O Cfr Z Wood 132 C Window Cfr Rgt ~amb I Wood 128 C Window Cfr ~gt easing I Wood 130 C Window Ctr Sash I Wood 13T C Window Ctr Wall p Wood 129 C Window Ctr Sill P Wood Beige -0.2 Q~ BroWn 0.2 ~M Beige 0.2 QM Brown 0.2 QM Brown -0.2 QM Brown 0.2 QM Beige 0.0 QM White 0.8 QM Brown 0.0 QM Brown -0.2 QM White 7.6 Q~ Brown 0.2 QM Calibration 001 002 0O3 133 134 135 Readings .... End of Readings .... 0.8 Std 1.0 Std 0.8 Std 0.9 Std 0.6 Std 0,8 std SUMMARY REP?RT OF, LEAD PAINT INSPECTION FOR: Kayla Coombs Inspection Dater 09/21/00 Report Date: Abatement Level: Report No. Total Readings: Job Started: Job Finished: 9/22/2000 1.0 09/21/00 11:27 135 Actionable: 35 09/21/00 11:27 09/21/00 12:56 116 S, 3rd Street Apt #1 Lemoyne, PA 17043 Paint Lead Reading Color (mglcm=) Mode No. Wall Structure Location Member Cond Substrate Bxterior RoOm 001 Front poroh 005 C Door ~ft Bgt ~amb p Wood ~ite 004 C Door Lft Rgt casing I Wood White 006 C Door Lft U Cfr I Wood Green 008 C Door ~gt Rgt ~amb p Wood White 009 C Door Rgt Lft casing p Wood White 010 C Door Rgt U Ctr p Wood White 007 C Threshold Lft p Wood Green Co~nt: R~adingg's 8-11 are for the entran~ to house ~ 114. Mom states that she and the child do sit on the front steps, and the child does have access to the door. The front porch overhang ia noted as having chipping and peeling white paint. Unable to test with the X~tF due to the height. 1.8 QM 2.0 QM 1.2 ~M 1.6 UM 3.5 QM 1.4 GM 3.7 GM Exterior Room 002 Si~e Porch 069 B Door Ctr Rgt casing I Wood White 070 B Door Cfr U Ctr p Wood White 071 B Threshold Ctr p Wood Gray 072 D Window Lft Rgt Casing I Wood White 1.3 QM 1.4 QM 2.7 QM >9.9 QM Interior Room 001 Living Rm 030 A Window Ctr Rgt ~m~ p Wood White 031 A Window Ctr Rgt ~.m~ p Wood White 027 A Window Ctr Wall p Wood White 021 c Door Rgt Rgt Jamb p WoOd Beige Com~nt: R~adings 9 34 and 35 ara for the entrance to the dining room. recommended treatment for the front window is stabliz&tion with paint and then the well area covered with &luminum coil stock and than the edges sealed with caulking. 1.3 QM 1.4 GM 1.0 GM 1.3 Interior Room 002 Dining~a 039 A Window Ctr Well I Wood White 1.0 043 C Window Ctr Rgt jamb I Wood White 1.0 042 C Window Ctr Well p Wood White 1.0 052 D Window Ctr Rgt Jamb p Wood White 1.4 048 D Window Ctr Sash I Wood Beige 1.0 049 D Window Cfr Sash I Wood Beige 1.0 050 D Window Ctr Sash I Wood Beige 1.0 Average = 1.0 051 D Window Ctr Wall p Wood Comment: The side window needs to receive the same treatment as White >9.9 the living QM OM QM QM Interior RoOm 003 Kitchen 061 D Door Rgt Lft ~amb p Wood Beige 062 D Door Rgt Lft ~amb p Wood Beige 063 D Door Rgt Lft ~m~ p WOod Beige 1.0 QM 1.0 GM SUMMARY REPORT OP LEAD PAINT INSPECTION FOR: Kayla Coombs Paint Reading No. Well Structure Location Member Cond Substrata Lead Color (rog/ce') Mode 064 D Door Rg~ U Ct= p Wood Be£go Co~M~ont: Readings #$5-57 are £or the m:Lrro~/window above the sink. >9.9 QM Interior Room 005 Bedroom 106 C Window Lft Rgt ~amb p Wood White 1.0 QM 107 C Window Lft Rgt ~amb p Wood White 1.0 QM 108 C Window Lft Rgt ~amb p Wood White 1.0 QM Average = 1.0 105 C Window Lft Well p Wood White >9.9 QM 099 C Window Rgt Rgt ~amb p Wood White 1.0 QM 100 C Window Rgt Rgt ~amb p Wood White 1.0 QM 101 C Window Rgt Rgt ~amb p Wood White 1.0 QM Average ~ 1.0 098 C Window ~ Rgt Well p Wood White >9.9 Comment: Kayla*s =com. Both window tracks and wells need to be etablized with paint, then the wells need to be covered with alv~4~um coil stock and tho edges eaelod. Interior Room 006 Bathroom 118 C Window Ctr Well p Wood White 1.6 QM 119 C Window Ctr Part. be~d I Wood White 2.0 QM 120 C Window Ctr Lft ~amb p Wood White 1.3 QM Interior Room 007 Bedroou 131 C window Ctr Well p Wood White 7.6 QM Calibration Readings .... End of Readings .... 2 May 14, 2001 Kramer Pc Jerome Korinchak, M.D. Greenhill Family Practice 503 Bridge Street New Cumberland, PA 17070 Client Address 209 State Street Harrisburg, Pennsylvania 17101 717.232.6300 Fax 717.232.6467. : Kayla J. Coombs, a minor Krista j.,Co0n~bs, parent. · : 116 South Third Street, 1st Floor Lemoyne, PA 17043 www. srklaw,com : lO/15/98 Birthdate . S.S No. . 180-78- 5" Re;ords Requested : All m ~g I records from 9/23/00 to the p~esent. Bills .Requested : All~ lls from O / l /OO to the present. J Dear Dr. Korinchak: ~ Please be advised that I repres~e~ ~t4 xe~abox~e ~°~ ~rw~r~d~..c~°pros of all records you have kept on the ~tment, .and progress oz individual from September 23, 2000 to the present. Please include copies of all billings from September 1, 2000 to the present. I have enclosed an executed Medical Authorization for the release of this information to me. I am not at this time requesting any specially prepared medical reports. If y0u have any questions, please .f~e!:free to call or write. Very truly yours, SCHMIDT, RONCA & KRAMER, P.C. C. Kramer ey at Law GCK/ det Enclosure ' ' N ~ ~CES, INC. SP RI~ PHYSiCIA 205 GR'A,ND¥1EW AVENUE SUITE 210 --~,.pHJ'~ PA 17011 DTL SUMMARY~! 600000594879 cOOMBS GU 000000594879 CA 594870016 COV/AMT SCHM 1 D21 1 GUR 8 -90.00 .00 LINE# DOS SVC CD DESC TYPE DOE PV DX BPO QTY 21 10/02/00 3501 MEDICAID C/A 10/02/00 077107 BD SUP #RESP PTY 0 22 10/02/00 1501 MEDICAZD PAYMENT 10/02/00 0771O7 BD SUP #RESP PTY 23~ 40O86 ~FS~.~ i0/23/00 O771O7 V20.2 B~ N SU~ #~ESP PT~ 24 01/04/01 350I ME~ZCAZ~ C/~ F3~YLA J 05/24/01 0751 GHILL OFFICE VISIT TOTAL -90,00 BL P¥ GHILL IQ PV BATCH# DTL# POS TOT AMT INV# RESP RESP-TO RESP ~MT 87591 30 -25.00 23000470 D21 -25.00 87591 31 23000470 D21 1397 23 11 30000539 D21 14679 32 30000539 D21 -25.00 -25.00 .00 -5.00 -5.00 01/05/01 077107 BD SUP #RESP PTY 0 PF1 INQ MENU PF4 RESP PRTY PF7 CS LVL DTLS PF13 PT INV LST PF16 BDEBT TRAN PF2 GU CA LST PF5 CHGE DTLS PF8 GU LVL PRPY PF14 PAGE BACK *LN#: PF3 CA PV LST PF6 PYMT DTLS PF9 ADDL FIELD PF15 RETURN *ENTER NXT LN 25 NPARDL00 COOMBS KAyLA J 05/24/01 0751 GHILL OFFICE VISIT TOTAL -90.00 BL PV GHILL IQ PV DTL SU]~43%RY PT: 000000594879 GU 000000594879 CA 594870016 Cov/AMT SCHM 1 D21 1 GUR 8 -90.00 .00 LINE# DOS S¥C CD DESC BATCH# DTL# POS TOT AMT TYPE DOE PV DX BPO QTY INV# RESP RESP-TO RESP AMT 25 01/04/01 1501 MEDICAID PAYMENT 14679 33 -65.00 01/05/01 077107BD SUP #RESP PTY 0 30000539 D21 -65.00 26 01/23/01 99213 EP LEVEL 3 18506 24 11 57.00 ~f/Z37qYl 077107 466.0 1 102600517 D21 .00 BD N SUP #RESP PTY 1 27 03/09/01 3501 MEDICAID C/A 28240 34 -32.00 03/09/01 077107 102600517 D21 -32.00 BD SUP #RESP PTY 0 28 03/09/01 1501 MEDICAID pAYMENT 28240 35 -25.00 03/09/01 077107 102600517 D21 -25.00 BD SUP #RESP PTY 0 PF1 INQ MENU PF4 RESP PRTY PF7 CS LVL DTLS PF13 PT INV LST PF16 BDEBT TRAN PF2 GU CA LST PF5 CHGE DTLS PF8 GU LVL PRPY PF14 PAGE BACK *LN#: PF3 CA PV LST PF6 pyMT DTLS PF9 ADDL FIELD PF15 RETURN *ENTER NXT LN 29 NPARDL00 DTL SUMMARY PT: 000000594879 COOMBS KAYLA J GU 000000594879 CA 594870016 GHILL OFFICE VISIT COV/AMT SCHM 1 D21 1 GUR 05/24/01 0751 TOTAL -90.00 BL PV GHILL IQ PV -90.00 LINE% DOS TYPE DOE 03/19/01 8 .00 SVC CD DESC BATCH# DTL~ POS TOT AMT PV Dx o77107 ~6.0 1~ 1o8100692 D21 30 05/09/01 3~1 MEDICAID C/A ~ 40947 36 ~ -32.00 05/10/01 o771o7 % 1~100692 D21 % -32.00 BD SU~ #RESP PTY 0 1501 ~EDI~ID pAY~NT 49947 37 -25.00 31 05/09/01 077107 ~ 10810~92 D21 =25.00 05/10/01 BD SUP ~SP PTY 0 BD SUP ~RE~PTY PF1 INQ ~ PF4 RESP PRTY PF7 CS LVL DTLS PF13 PT I~ LST PF16 BDEBT T~ PF2 GU ~ LST PF5 CHGE DTLS PF8 GU LVL PRPY PF14 PAGE ~CK *LNg: PF3 ~ ~ LST PF6 PYMT DTLS PF9 ~DL FIELD PF15 RETURN *ENTER ~T LN 1 NP~DL00 DETA]L OF CURRENT CHARGES, PAY IENTS ANL ADJUSTMENTS .0/25 0264006 001 15.00- 15.00- CBC & AUTO DIFFERENTIA85025 .0/25 0264006 001 15.00 15.00 CBC & AUTO DIFFERENTIA85025 .0/25 0265107 001 49.00 49.00 CBC & MANUAL DIFF 85023 .0/25 0265394 001 54.00 54.00 COM] 'REHENS IVE METABOL180053 BAL~2 [CE FORWARD 0.00. SUM~ RY OF CURRENT CHARGES 86 LABORATORY 103.00 103.00 SUB-~ OTAL OF CURR. CHARGES 103.00 103.00 GUA~ RELATIONSHIP: P SEX. F ~UAR NO: 1807854~ 5 ACC DATE: TYPE: TI~ E: PL ~CE: ~MPL REL DIA( 4OSIS: 984.9 PINNACLE HLTH HOSP HARRISBURG, PA ~YPE OF~ ~ DATE QF BILL , DATE OF BILL PREY. SILL S~ N ~IST ST CA'ri~ HILL, PA ~ 17011 717 763-~141 FEI # ~3-1~12747 AC~O0~R PATIENTNAME BS ~KAYLA J BIRTH-DATE ~ 10/15/98 [39000~ GUARANTOR NAME AND ADDRESS KAYLA J COOMBS 116 S 3RD STREET LEMOYNE,PA 17043 POLICY NUMBER KORINCHAK~JEROME 014~8188 PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. PAYMENT DATE DESCRIPTION OF I SERVICE TOTAL EST, COVERAGE EST* COVERAGE EST. COVERAGE EST. COVERAGE PATIENT POSTED HOSPITAL SERVICES CODE CHARGES INS* CO, NO.1 INS. CO, NO*2 INS. CO. NO.3 INS. CO. NO.4 AMOUNT DETAIL OF CURRENT CHARGES~ PAY'lENTS ANE ADJ'USTME~ITS )9/07 LEAD LEVEL,BL,G01~'S:I02369 6~.00 62.00 )9/0T SPEC COLLECT FE01E:E;101031 T.00 T.0 BALAI~ :E FORNARD 0.00 SUMMI ~Y OF CURRENT CHARGES LABORATORY :300 69.00 62.00 7.(~ SUB-T3TAL OF CURR. CHARGES 69.00 6:::'.00 7,~ DIAGNOSIS: 790 . 6 PAYMENT IS DUE UPON RE ~EIPT OF THIS STATEMENT. YOU MAY SUBMIT THIS F( ~M TO YOUR INSURANCE CAR; IER FOR REIMBURSEMENT. FEDERAL IDENT. NO. 23-1512747 T 0 T A L ~ 69.00 62.00 7.~ PATIENT NUMBER [ REFER ALL QUESTIONS TO THE PLEASE SEND PAYMENT TO: i I BUSINESS OFFICE 1 ~& 0~g&~ 1717) 783-2138. HtSI V RPlI:IIT H{3RPlTAL PAY TH I S AMOUNT T. i I ADDITIONAL PATIENT BILLING MAY gE NECESSARY FOR A CHARGES NOT POSTED WHEN THJS BILL WAS PREPAR OR IF INSURANCE CARRIERS DO NOT PAY ANY PART THE AMOUNTS SHOWN UNDER ESTIMATED JNBUR)tj~ COVERAGE. 503 NORTH 21ST STREET HOLY SPIRIT HOSPITAL CAMP HILL, PA. 17011-2288 CAMP HILL., PA PREV. BILL OUTP. j A R PATIENT NAME CO0~BS ~KAYLA 3 S0~'~ ~IST ST CAk. HILL, PA 717 T63-~141 FEI # ~3-161~747 1701 BIRTH-DATE ~ lO/ S/ss 9ooo1 GUARANTOR NAME AND ADDRESS KRISTA COOMBS 116 S 3RD STREET LEHOYNE,PA 17043 1 KOR[NCHAK~3EROME PLEASE RETURN THIS PORTION WITH YOUR PAYMENT. PAYMENT DATE DESCRIPTION OF I SERVICE TOTAL EST. COVERAGE EST. COVERAGE EST. COVERAGE EST. COVERAGE PATIENT POSTED HOSPITAL SERVICES CODE CHARGES INS, CO. NO.1 INS, CO. NO.2 INS. CO. NO.3 INS. CO. NO,4 AMOUNT DETA1. OF CURRENT CHARCES~ PAYHENTS AN£ AD3USTHE~TS 9/15 LEAD LEVEL,BL,Q01E~SIOE~369 6E~.00 6E~.00 9/15 SPEC COLLECT FE01~5101031 7.00 7.0~ BALANCE FORI, IARD O. O0 SUHNARY OF CURRENT CHARGES LABORATORY 300 69. O0 SUB-TOTAL OF CURR. CHARGES 69.00 6~.00 7.0' D%AGNOSTS; V15.86 PAYMENT IS DUE UPON RECEIPT OF THIS STATEMENT. YOU HAY SUBN%T THIS FCRM TO YOUR INSURANCE CARR FOR REIMBURSEMENT. FEO£RAL ,DE.T. NO. 23-1512747 T O T A L S 69.00 6~.00 7.0 PATIENT NUMBER J REFER ALL QUESTIONS TO THE PLEASE SEND PAYMENT TO: J BUSINESSOFFICEI PAY THIS AMOUNT 7.0 1 ~647~'9 01 {717) 763-2138, Hi31 Y RPlRIT HI3~PITAL ADDITIONAL PATIENT BILLING MAY SE NECESSARY FOR AN' CHARGES NOT POSTED WHEN THIS SILL WAS PREPARE( OR IF INSURANCE CARRIERS DO NOT PAY ANY PART OI THE AMOUNTS SHOWN UNDER ESTIMATED INSURANCI COVERAGE. 503 NORTH 216T STREET HOLY SPIRIT HOSPITAL CAMP HILL, PA. 17011-2288 CAHP HILL, PA 8AUDD C KRISTA cOOMBS 116 S 3RD ST /, ', LEMOYNE PA 17043 ' i,.~'/ DETA! 39/21 CBC 09/21 CBC 09/21 09/21 CBC 09/21 LIP] 09/21 RENA OF CURRENT CHARGES, PAY ,115071 001 l AUTO DIFFERENTIA85025 ~115071 001 AUTO DIFFERENTIA85025 115130 001 82728 TZN Dl16023 001 MANUAL DIFF 85023 17043 001 80061 , PANEL 1117060 001 FUNCTION PANEL 80069 09/21 ',66420 001 EXP! ~DED VISIT - EST T99213 09/21 ~ ~421 001 EXPA )ED VISIT - EST P99213 09/27 16023 001 CBC MANUAL DIFF 85023 09/29 ~37499 001 SYS( EN MEDICAL ASSIST CONTR BALAD :E FORWARD SUMMARY OF CURRENT pAY/ADJ RY OF CURRENT CHARGES 86 LABORATORY 60 OUTPATIENT VST )l OF CURR. CHARGES PINNACLE HLTH HOSP qAPA ~NTS AND AC 43.00- 43.00- 43.00 43.00 76.00 76.00 55.00 55.00 26.00 26.00 68.00 68.00 15.00 15.00 43.00 43.00 55.00 55.00 262.00' 262.00' iLLIAMS RONALD J 0.00 262.00' 262.00 280.00 280.00 58.00 58.00 338.00 338.00 101428188 HCI I 10/16/00 Jl U ' I PINNACLE HLTH HOSP B¢ 2353 HARRISBURG FEI 251 J COOMBS ~KAYLA 4299031471 10/03/00 ADDRESS DETAIL OF CURRENT CHARGES, PAYMENTS AND ADJUSTMEINTS 0/03 0116023 001 55.00 55.001 CBC & MANUAL DIFF 85023 0/03 0117041 001 87.00 87.00~ COMPREHENSIVE METABOLIC PANE 0/11 0037499 001 124.00- 124.00- SYSGEN MEDICAL ASSIST CONTR BALAkCE FORWARD 0.00 SUMM~RY OF CURRENT PAY/ADJ 124.00- 124.00- SUMM~RY OF CURRENT CHARGES 86 LABORATORY 142.00 142.00 SUB-1)TAL OF CURR. CHARGES 142.00 142.00 I GUAR RELATIONSHIP P SEX F GUAR NO 180785446 ACC )ATE TYPE TImE PLACE EMPL REL DIAG ~OSIS 780.6 I ~!~ iii iiPLEASEREFERTOPAT]ENT ~i;{i:~ i i~]iii!i~;i ADOITIONALPAT~ENT~!LLINGMAYBENECESSARY *,o co~,~,o,oE,c~ ~*s ,,~,*~ o~ ~ ~su~*~c~ c*~,~s oo PAY TH I S AMOUNT O. O0 PINNACLE HLTH HOSP HARRISBURG, PA Settlement Agreement and Release This Settlement Agreement and Release is made and entered by and between: Claimants: Kayla Coombs (a minor) and Krista Coombs (her mother) Insured: Kerry R. Saintz Insurer: OneBeacon Insurance Group Recitals The claimants have presented a claim against the insured for alleged lead poisoning arising our of conditions at 116 South Third Street, First Floor, Lemoyne, Cumberland County, Pennsylvania. The insurer is the general liability insurer of the insured for the relevant time period (6/99-9/21/00) and would be obligated to pay any judgment against the insured that is covered by the policy. The parties desire to enter into this Settlement Agreement in order to provide for certain payment in full settlement and discharge of ail claims now existing or which may herea~er arise out of the above incident, upon the terms and conditions set forth herein. Agreement The parties hereby agree as follows: 1. Release and Dischar~ In consideration of the payment called for herein, the claimants completely release and forever discharge the insured and the insurer, and their past, present and future officers, directors, stockholders, attorneys, representatives, employees, predecessors and successors in interest, and any other persons, firms or corporations with whom any of the former have been, are now or may hereafter be affiliated, from any and all past, present and future claims, liens, demands, costs, obligations, actions, causes of actions, damages, expenses and compensation of any nature whatsoever, whether based on a tort, contract or other theory of recovery, and whether for compensatory or punitive damages, which the claimants now have, or may hereafter accrue arising out of any and all known or unknown claims for bodily and personal injury to the claimants, and the consequences thereof, which have resulted from the above-described claim for lead poisoning. This release on the part of the claimants shall be a fully binding and complete settlement between the claimants, the insured and the insurer. Payment In consideration of the release set forth herein, the insurer, on behalf of the insured, hereby agrees to pay the claimants Thirty-Five Thousand Dollars ($35,000). Warranty of Capacity to Execute Agreement The claimants represent and warrant that no other person or entity has had any interest in the claims, demands, obligations or causes of action referred to in this Settlement Agreement except as otherwise set forth herein, and that they have the sole right and exclusive authority to execute this Settlement Agreement and receive the sum specified above. The insurer warrants and represents that it has the sole capacity and authority to execute this Agreement on its own behalf and on behalf of the insured. Entire Agreement This Settlement Agreement contains the entire agreement between the claimants, the insured and the insurer with regard to the matters set forth herein. Representation of Comprehension of Document In entering into this Settlement Agreement, the claimants represent that they have relied upon the legal advice of their own attorneys who are the attorneys of their own choice, and that the terms of this Settlement Agreement have been completely read and explained to them by the attorneys, and that those terms are fully understood and voluntarily accepted by them. Governing Law This Settlement Agreement shall be conslxued and interpreted in accordance with the laws of the State of Pennsylvania. The parties understand and agree that the terms and conditions of this Settlement Agreement are confidential and shall not be disclosed to any person or entity other than: auditors, accountants, the IRS, attorneys, directors, officers, managers, insurance agents and brokers, and reinsurers of the parties, or as otherwise required by a court of law. 2 Constmction This Settlement Agreement is not and shall never be construed as an admission of liability, fault or wrongdoing by any of the parties, each of which/whom specifically denies any liability, fault or wrongdoing. Instead, the Settlement Agreement reflects a settlement and accord and satisfaction of contested, doubtful and disputed matters, by which each of the parties has forever bought their peace as to the claims released herein. This Settlement Agreement shall become effective following execution by the claimants and the insurer. Executed this day of ,2001. OneBeacon Insurance Company And its Insured Kerry R. Saintz Victoria S. Price, Esq. Krista Coombs, Mother of Kayla Coombs, a Minor CONTINGENT FEE AGREEMENT THIS AGREEMENT entered into the ~ day of ~i[~ and between SCHMIDT, RONCA & KRAMER, P.C. and KRISTA d. COOMBS p/n/g of Kayla J. Coombs, of 250 Pleasant View Drive, Etters, Pennsylvania 17319, hereinafter referred to as "Client." WITNESSETH: The law firm of SCHMIDT, RONCA & KRAMER, P.C., will act as Client's attorney in negotiating for a settlement, and in bringing ~ claim against KERRY 8AINTZ and/or anyone else with respect to a potential medical malpractice claim for complications relating to lead paint incident which occurred on or about September 1, 2000, in Lemoyne, Cumberland County, Pennsylvania. In return, the Client will: 1. Promptly supply accurate information, as requested by SCHMIDT, RONCA & KRAMER, P.C., and cooperate fully, including making herself available for meetings with attorneys and for legal proceedings. Client promises all information supplied will be truthful and accurate. 2. (a) In any claim brought on Client's behalf, to pay to SCHMIDT, RONCA & KRAMER, P.C., for its services an amount equal to twenty-five (25%) of all funds or property accruing to Client as a result of SCHMIDT, RONCA & KRAMER, P.C.'s services in securing a settlement of these claims without litigation; an amount equal to thirty-three-and-one-third percent (33-1/3%) of all funds or property accruing to Client as a result of SCHMIDT, RONCA & KRAMER, P.C.'s services in securing a settlement of these claims after a suit has been filed; and an amount equal to forty percent (40%) if such funds or property are secured after start of trial or as a result a verdict or judgment. Trial begins at jury selection. In any matter submitted to arbitration, suit is filed when the arbitrators are appointed or when a Petition to Appoint Arbitrators is filed, whichever first occurs. In any matter submitted to arbitration, trial starts the first day the arbitrators have convened to hear testimony. (b) Client agrees not to settle or negotiate the above claim or any proceedings based thereon. (c) If Client terminates this Agreement before recovery, Client agrees that SCHMIDT, RONCA & KRAMER, P.C., shall be entitled to a fee based upon work done and benefit conferred. (d) Client agrees to read and follow SCHMIDT, RONCA & KRAMER, P.C.'s ~Instructions to Our Clients." 3. Client agrees to reimburse SCHMIDT, RONCA & KRAMER, P.C., out of any recovery, in addition to attorneys' fees, all costs and expenses incurred on Client's behalf in order to make the claim. All such costs and expenses will be advanced by SCHMIDT, RONCA & KRAMER, P.C. as they are incurred. Such costs and expenses include, but are not limited to, filing fees, cost of medical records, copying costs, fax costs, long distance telephone costs, expert witness fees and sheriffs service costs. In the event there is no recovery, the Client will not be responsible for any costs or interest charges. Costs will be repaid to SCHMIDT, RONCA & KRAMER, P.C., out of any funds or property collected either by settlement or judgment. The Client has read and does understand this Agreement. Signed the day and year set forth above. WITNESS: Client: KAYLA COOMBS Approved: SCHMIDT, RONCA & KRAMER, P.C. I have received a copy of this Contingent Fee Agreement. Initials ~ ~-~'~ A'~V~_.~ 209 State Street 717.232.6300 :~h~-~' '~. ~:~ ¢~Pc Harrisburg Pennsylvania 17101 Fax 717.232,1~67 IN RE: KRISTA COOMBS, Individually : and as P~ent and Natural Guardian of KAYLA COOMBS, a Minor OCT 3 0 -IITTHE-CUI~ITDY COMMOI~ PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ,o. o,- PETITION FOR APPROVAL OF MINOR'S SETTLEMENT HEARING ORDER AND NOW, this ~'~ day of ~dV'~'~, 2001, IT IS HEREBY ORDERED AND DECREED that a Hearing will be held on the Petition for Approval of Minor's Settlement for Kayla Coombs, a minor, in Courtroom No. ..~ of the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania 17013 on the ~/ $~day of ~, 2001, at //: .gO o'clock, ~ .m. SHERIFF'S RETURN - U.S. CASE NO: 2001-06129 P COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND COOMBS KRISTA VS. PRICE VICTORIA S CERTIFIED MAIL R. Thomas Kline , Sheriff of Cumberland County, Pennsylvania, who being duly sworn according to law served the within named RESPONDANT ,PRICE VICTORIA S ESQUIRE , by United States Certified Mail postage prepaid, on the 29th day of October ,2001 at 0000:00 HOURS at ONE BEACON INSURANCE GROUP PO BOX 9546 BOSTON, MA 02205-9546 and attested copy of the attached PETITION with a true Together receipt card was signed by SIGNATURE ILLEGIBLE 00/0070000 Additional Comments: THERE WAS NO DATE ON THE GREEN CARD FROM POST OFFICE. The returned on Additional Comments . Sheriff's Costs: Docketing 18.00 Cert Mail 7.16 Affidavit .00 Surcharge 10.00 .00 35.16 Paid by SCHMIDT RONCA KRAMER Sworn and subscribed to before me this /3~- day of T~ ~ A.D. ~othonotary Sheriff of Cumberland County on 1 /06/2001 · Complete Items 1, 2, and 3, AJ~o oumplete item 4 if Restricted Delivery is desired. · Print your neme end address on the reverse so that we can return the card to you. · Aflach this can:l to the baok of the mailpiece, or on the front If space permits. Victoria S. Price, esquire One ~eacon Insurance Group PO Box 9546 Boston, MA 02205-9546 PS Form 3811, July 1999 ~. Re~lved by ~ P~nt (7~ee~) Dete of Dai~ve~y C. .~gnatum m Agent 3. Se~dce'l~pe X~ Certified Mall F1 Express Mail [] Reg;~;~,,~l [] Return Receipt for Merchendlse [] Insured Mail i"l C.O.D. 4. Restricted D~Nery? (Ex'ffa Fee) i-lYes Domestio R~um F~pt KRISTA COOMBS, Individually and as Parent and Natural Guardian of KAYLA COOMBS, A Minor : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 2001-6129 CIVIL TERM ORDER OF COURT AND NOW, this 17TM day of DECEMBER, 2001, at the request of Plaintiff, the hearing on the Petition for Approval of Minor's Settlement is continued generally to be rescheduled at the request of Plaintiff. Gerard C. Kramer, Esquire 209 State Street Harrisburg, Pa. 17101 For the Plaintiffs :sld