HomeMy WebLinkAbout06-17-13 (2) _ r��
ANNUAL REPORT OF
GUARDIAN OF THE PERSON
COURT OF COMMON PLEAS OF '
Cumberland COUNTY,PENNSYLVAIVIA
ORPHANS' COURT DIVISION
Estate of Andrew M. Stem an Incapacitat�Person
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No. 21-11-514 OC � �° c crn, � '
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I. INTRODUCTION �„ � � F— ��'
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lohn K. Stern and Paula A. Stern was appointed
�Plenary�L,imited Guardian of the Person by Decree of Court of Common Pleas J,
dated 17 June 2011
� A. This is the Annwd Report for the period from 1�J�e 2012
� 17 June _ 2013 (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 death:
2. The Guardianship was terminated by the Court by Decree of
J., dated '
For a�ieal Repor� omit Sections II tltrough IV.
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Estate of A�'�'M- �� an Incapacitated Person
II. PERSONAL DATA
Age of the Incapacitated Person: 25 Date of Birth: November 08, 1987
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
984 Mt.Rock Rd.
Carlisle,PA 17015-9328
B. The Incapacitated Person's residence is:
❑own home/apartment
❑nursing home '
❑boazding home/personal care home
m Guardian's home/apartment
❑hospital or medical facility
0 relative's home(name, relationship and address)
❑other:
C. The Incapacitated Person has been in the present residence since August 1992
. If the Incapacitated Person has moved within the
past year, state prior residence and reason(s)for move:
Fornr G-03 rev.10.13.06 Page 2 of 4
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Estate of A�'�M- S� an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver: ',
John K. Stem and Paula A. Stem
984 Mt.Rock Rd '
Carlisle,PA 17015-9328
IV. MEDICAL INFORMATION
A. The ma�or medical or mental problems of the Incapacitated Person are as follows: '
Autism and Moderate Mental Retardation
B. Specify what, if any, social,medical,psychological and support services the
Incapacitated Person is receiving:
See attached page. ,
V. GUARDIAN'S OPINION '
A. It is the opinion of the Guazdian of the Person that the guardianship should:
m conrinue
❑be modified
❑be terminated
Form G-03 rev.10.13.06 P�e 3 Of 4
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Attac6ment for Section IV B
Annual Report of Guardian of the Estate of Andrew Stern,an incapacitated person,
No 21-11-514.dune 14,2013.
Andrew Stern still resides at 984 Mt. Rock Rd., Carlisle, PA 17015, with both his
biological parents which are his co-guardians.
Andrew Stern still has Autism a.nd moderate mental retardation.
Andrew continues to live at home with his pareirts/co-guardians. Andrew continues to '
receive the Autism Waiver which entitles him to 40 hours/week of community inclusion,
6 hours/week of direct behavior specialist, 2.5 hours/month of behavior specialist
consult, and 10 hours/motrth of respite. H'is support coordinator for the Autism Waiver is
Julia Paris of UDS, 1901 Olde Homestead Ln,Lancaster, pA 17605, 717-286-0262, ext
1123, fax 717-293-1595. Focus Behavioral Health of 319 E_ King St, Littlestown, PA '
17340, 717-688-3303 is the agency that provides the stafffor community inclusion,
behavior specialist and respite. Andrew continues to see his doctor, Dr. Pion in Newville, '
PA for yearly check ups and any medical issue, sees Dr. Gildea of Mt. Holly Springs, PA
once a month for chiropractic adjustments, Dr Filip of CarGsle, PA twice a year for teeth
cleaning and check ups, Dr. Chotiner of Harrisburg,PA once a year to check if his lens
implants are in place and for a vision e�cam,Dr. Chris Turnpaugh of Mechanicburg, PA for
neurobiological interventions using casein free, giuten free diet and nutritional
supplements and he sees Melissa Brehm at the Carlisle YMCA for massa.ge therapy once a '
month.
Andrew continues to enjoy numerous activities: church on Sunday followed by visit to his
grandparents in Shippensburg,PA, community inc]usion with staff or his parents during
the week to the YMCA, movies, library, bank, stores, parades, community events, air
shows, sporting events, volunteer work, parks/lakes and visits to family and friends. He
continues to work once every other week at Knisely's Pet and Farm. '
Andrew continues to need full time supervision and support for his own safety and well '
being. We, John K. and Paula A. Stern, think it is in Andrew's best interest to continue
the guardianship.
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Estate af -����' �'�. 5tem
, an Incapacitated Person
The reasans for ifie faregoing opinion are:
Andrew Stern continues ta need full time supervision and support for his awn
well-being and safety. We, .Tohn K. and Paula A. Stern, think it is in Andrew's best
interest to continue the guardianship.
B. During the past year,th�Guardian of the Person has visited the Incapacitated Person
365 ttrnes with the average visi#lasting 24 hours, _minutes.
The repart of a social service organization eraployed by the Csuardian to oversee and
caordinate the care of the Incap�xeitated Persan far the period covered by this Report may be
attached to salpplement this Report.
I verify that the foregaing informa#ian is correct to the best of my knowledge,
information and beIief; and that this Verification is subject to the penalties of 1 S Pa. C.S.A. §4904
relative to unswam falsification to authorities. __
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Date igrranrre ojCo-Guardian ojthe Estnte
Paula A. Stern
984 Mount Rock Road
Carlisle, PA 17015
{717)440-6163
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Date Srgn t�re of Co- �urrdinn ofthe Esrate
J K. Stern
984 Mount Rock Road
Carlisle. PA 17015
(717) 440-6163
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