Loading...
HomeMy WebLinkAbout04-16-09 (2) ANNUAL REPORT OF GUARDIAN OF THE PERSON RECORr~D OFFU;E 2009 APR 16 PM IZ~ 50 CLERK OF pRPHAN'S COURT CUMf3=RL~~G' CO., PA COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of Elizabeth M. Gardosik , an Incapacitated Person No. 21 08 0224 I. INTRODUCTION Sandra M. Gardosils and Andrew T. Gatdosik was appointed ®Plenary (]Limited Guardian of the Person by Decree of J. Wesley Oler, Jr. , J,~ dated Aori1 16, 2008 ® A. This is the Aunual Report for the period from April 16 2008 to April 16 .2009 (the "Report Period"); or ^ B. This is the Final Report for the period from to (the "Report Period"), and is filed for the following reason: 1. The death of the Incapacitated Person. Date of 2. The Guardianship was terminated by the Court by Decree of J., dated For a Final Report, omit Sections II through I[! Form G-03 ~.. ro.ii.o6 Page 1 of4 Estate of Elizabeth M. Gatdosik II. PERSONAL DATA Age of the Incapacitated Person: 82 III. LIVING ARRANGEMENTS an Incapacitated Person Date of Birth:.~8/27/1926 A. Curnnt address of the Incapacitated Person: 4814 Virginia Road, Mechanicsburg, PA 7050 B. T'he Incapacitated Person's residence is: ® own home /apartment nursing home ^ boarding home /personal care home © Guazdian's home / apartrnent Q hospital or medical facility ~ relative's home (name, rela«ionship and address) ^other: C. The Incapacitated Person has been in the present residence since August, 1957 . If the Incapacitated Person has moved within the past year, state prior residence and reason(s) for move: Fans G03 m. /0.13:06 Page 2 of 4 Estate of E4izabeth M. Gardosik an Incapacitated Person D. ]tame and address of the Incapacitated Parson's primary caregiver: R, Gardosik - 4814 Virginia Road, Mechanicsburg, PA 17050 M. Gardosik - 3030 North 3rd Street, Harrisburg, PA 17110 T. Gardosik - 88 Marbob Road, Halifax; PA 17302 IV. MEbICAL INFORMATION A. '~'he major medical or mental problems of the Incapacitated Person are as follows: Elizabeth suffers from Alzheimer's disease and has moderate to severe memory loss and is unable to make, communicate or participate in any decision relating to her bstate or person. Elizabeth has almost total vision loss in her left eye. She has about 50% heating loss in both ears. She-has bladder and bowel control problems. Elizabeth cannot walk without the aid of a cane or walker. B. Specify vrhat, if any, social, medical, psychological and support services the Incapaciffited Person is receiving: Elizabeth is on 2 prescription drugs for her Alzheimer's and visits a neurologist every 6 months. Currently she has a health care worker from Med Staffers of Cazlisle, PA, provide 4 hours of care one day per week. This is mainly social support service but the health care worker does provide limited persona! care. Elizabeth's son; David, resides at the property and provides 24 hour care, e.g. cooking, cleaning, personal care. Elizabeth's daughter, Sandra, provides 12 hours of care per week, e.g, bathing, cleaning, transportation to medical appointmtents. Elizabeth's son, Andrew, provides 5_hours of care per week and manages-her financial affairs. V. GUARDIAN'S .OPINION A. It is the opinion of the Guardian of the Person that the guardianship should: ®coritinue ©be modified ©be terminated Fwm G-03 .~. io.~3.os Page 3 of 4 Estate of izaboth M. Gatdoeik , an Incapacitated Person The reasons for the foregoing opinion are: 'Elizabeth's medical and mental conditions will not improve. B. During the past year, the Guardian of the Person lies visited the Incapacitated Person Sandra/ i50 times with the average visit lasting 4 hours, 0 minutes. Andrew/ ~6t)-- 2 The report of a social service orgtmizattorr employed by the Guardian to oversee. and coordinate the care of the Incapacitated Person for the period covered by this Report maybe attached to supplement this Report. I veMfy that the foregoing information' is correct to the best of my knowledge, information and belief; and that this Verification is subject to the penalties of 18 Pa. C.S.A. § 4904 relative to yrtswom falsification to authorities. Aprill.~20b9 ~ / SlgmNrs cl47mdtm~ of(M Psncn it,~t.__ ~ ~~_A Sandra M. Gardosik 88 Marbo$ Road Hali£air, : PA 17032 717-560-3726 Form f3-Q3 m.~ !013.06 Nmx ~Guosdlan oj0r Perron MPe aP~~U 3030 North 3rd Street Addros Harrisburg, PA 17110 cuy smn, zy, 717-236-2056 rrteyhane Page 4 of 4