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HomeMy WebLinkAbout02-0657 . . -10-- JUl 2 2 2002 fY IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-02- ~~7 INCAPACITATED PERSON LEONARD JIUFFRE, An Alleged Incapacitated Person NOTICE A petition to have you adjudged an incapacitated person has been filed with this Court by Robert L. O'Brien, Esquire. A hearing is scheduled in this matter for 7u-~ the /f'ft<.--day of .4t.<-r002, at ~a.m.l~n Courtroom #~, Cumberland County Courthouse, Carlisle, Pennsylvania. You are strongly encouraged to be present at the hearing, and you are warned that important rights may be lost as a result of the proceeding. You have the right to be represented by counsel and the right to request the appointment of counsel and to have counsel so appointed paid by the Court where you are unable to afford to pay an attorney. YOU SHOULD TAKE THIS NOTICE TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Court Administrator Fourth Floor Cumberland County Courthouse Carlisle, Pennsylvania 17013 (717) 240-6200 - . . ( IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-02- CDS' INCAPACITATED PERSON LEONARD JIUFFRE, An Alleged Incapacitated Person PETITION FOR APPOINTMENT OF A TEMPORARY GUARDIAN OF THE PERSON PURSUANT TO 20 PA. C.S.A. 5513 1) Your Petitioner is Robert L. O'Brien, Esquire, Solicitor for the Cumberland/Perry County Mental Health/Mental Retardation Office. 2) Respondent is Leonard Jiuffre, an incapacitated person, currently receiving care at 390 Crooked Hill Road, Hummelstown, PA 17036. Respondent is an adult individual being presently 46 years of age with a birth date of 4/23/56. Attached hereto, marked as Exhibit "A", and incorporated herein by reference is a Petition prepared by the Cumberland County MH/MR Office. 3) Petitioner requests that the Court appoint Joanne Baum, as guardian for the limited purpose of executing certain forms and waivers that are required to insure the continuation and availability of care and treatment for Respondent. An initial determination has been made that, due to Respondent's low intellectual functioning, he is unable to make a determination in reference to his placement/waiver, and that, in order to comply with applicable state and federal laws, a guardian be appointed by the Court for the purpose of making said election and signing the necessary forms. 4) Joanne Baum has no interest adverse to that of Leonard Jiuffre. --- WHEREFORE, Petitioner, Robert L. O'Brien, respectfully requests that the Court order that Respondent Leonard Jiuffre be adjudged an incapacitated person in reference to choosing between community base and institutional services for the mentally retarded and that Joanne Baum be appointed a Temporary Guardian. Respectfully submitted, O'BRIEN, BARIC & SCHERER BY . k?(~~AA.. Robert L. O'Brien, Esquire Solicitor for the Cumberland/Perry County MH/MR Office 1.0. # 28351 17 West South Street Carlisle, Pennsylvania 17013 (717) 249-6873 -- TN THE MATTER OF , , - -- ( r '. l-f r:nOJ (\. S 1 L\-\'\ \ {', AN ALLEGED TNCOMPETENT IN THE COURT OF COMMON PLEAS COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION TN RE NO. CITATION TO: We command you to appear at a Hearing in Orphans' Court of County, to be held at at to show cause why you should not be adjudged incompetent to choose between community-based and institutional services for the mentally retarded, and a temporary guardian appointed for your person. Citation Returnable the _ day of WITNESSETH: The HODorable , President Judge of said Court, sitting in the Orphans' Court this Day of CLERK OF THE ORPHANS' COURT ---- IN THE MA TIER OF LeOf/[t((t II UH(f AN ALLEGED INCOMPETENT 4. 5. 6. ---- IN THE COURT OF COMMON PLEAS COUNTY, PENNSYLVANIA ORPHANS' COURT DNISION IN RE NO. PETITION FOR APPOINTMENT OF A TEMPORARY GUARDIAN OF THE PERSON PURSUANT TO 20 Pa. C.S.A. 5513 The Petition of LdJ rl~ rtf Jill (1 re , respectfully represents: 1. Your Petitioner is -=..T3{{1! rl C 1"..)0. ell II 2. (lhltuA II 1.1 fire- 3qD ((6CKfd HII! {(l l!irmmt'K!Cf1J (/ P A /}d3ll / I Lel!flllf~ -SI Ltt"\'re 1olunuQ1i1 {fur (fi<<!D I-h({ f~ ft()11 I I I t fDna v dl, Ut! rf IS J../ I;) having been born on /-1-.2 ~ ;q 0 ~1 b /)/l(JItt J Iii {fr c , n f\W( fY\ {l '(f I f r{ is currently receiving care at 3. JOII/! domiciled at years of age marital status is S:/VI(j!f Those persons, if any, who are lC'(l\l!lrrl .S I Ufl(-t i ~ next-of- kin and their relationship to same, of whom your Petitioner has knowledge are as follows: 1(';0, f\ Ii t~Cll ( \iY\ C (\ ~htrH1t\ \\,l\({e 11. 12. 7. No other Court within the Commonwealth of which Petitioner has knowledge has appointed a guardian for L ft ria ~djl u ffr t L ffiJ1(]f/J '\luHr t 8. is mentally retarded. Because of mental deficiency, ! PI; II tl let 7/ t( ((ft' lacks 9. sufficient capacity to make or communicate responsible decisions concerning hislher I 1ft 1m) y' ~{{r1 ., person as set forth in the attached Affidavit prepared by.)"". 10. marked as Exhibit A and made a part hereof. l ferlO (it Jill f+re is in need of residential mental retardation services. has been accepted for placement at upon the condition that a guardian of the person be appointed to consent to said placement on his/her behalf. Joanrlf 8aum l ((1M V d'TI t/ (Ere , has agreed to act as Temporary Guardian of the Person of [rei nfJJdJ 11.r!{rc , having no interest adverse to if this Honorable Court shall so appoint. WHEREFORE, Petitioner prays this Court place If 6 n{~rd ,'iJ tJ l/-r e fx7/1 n1 under the temporary guardianship ofJ ()O n n f , pursuant to 20 Pa. C.S.A. 9 5513 and empower said temporary guardian to provide substitute consent for such community-based or institutional services as may be necessary to provide for hislher needs. ----- BY: COMMONWEAL TH OF PENNSYLVANIA COUNTY OF CUMBERLAND AFFIDA VIT 'jr I\\\X\t r->(tl \ VI, , Petitioner in this matter, being duly sworn according to law, do depose and state that I am 'SCO II nt IJLl.lUYi of and that the facts set forth in the foregoing Petition are true and correct to the best of my knowledge, information, and belief. ~~n,"" 2J- ~~^'~ P 10 er DAY OF JUJ1t , 20 OJ-. ()aJJ11L'-f< - vf)lfu}'~vL NV'ARY PUBLIC -"-.- ~_. ._AIIY 'WUC t c........8IlIID,... ;::: _ co.. M "'(..ll ...--.....7.... ----- , . IN THE MATTER OF i/frtWyd \III-H\f AN ALLEGED INCOMPETENT IN THE COURT OF COMMON PLEA:& ". .. ", ' I . .~. " COUNTY, PENNS~ANIA .' / .<,;)~.':-' . '?" "(' V(','- 1/ /" '~ ' ORPHANS' COURT DIVISION /) i) IN RE NO. 2'0 ) COMMONWEALTH OF PENNSYLVANIA SS#: COUNTY OF An r1 fYlaf';E' fu~o../'I , being duly sworn according to law, deposes and say that: l. (He is a licensed, practicing physician who is employed at C;;:llver SpnY"';5 Fa..rru "'k, f1c.uk te / L-U'viVffS T+y PftLtst L-1~a.I)S &-Ot.f where on 5'/;)q I o~ She examined patient therein: viz:(Name) Lffi!1nYd 'SIIIHyt" , (Age) AI~ (Sex)~, who was admitted from ;Jo10 (' oLum.hta Ave on , _, with a history of rylf rlW I \ f Y\ tAc\t\(\'\ At the examination, the following symptoms were observed: f'nU'..-fa1 S/O'IA.i[(':J : ~1..~ -+0 prOv(@ ~~u..f) w/or~CI) ?-bou:f -;.e(-(, bewe41 hlwltkA tr.o...Corh~ - from which the diagnosis made is: ('haf1W r~~+twJ with a prognosis as follows: krCtbleto ~ u--,di..~~ ) lM1 /'rw1. W .r d(J r'Of ~c+ a.rur )rrprOli?{T\a~ ~r\.rY3- 2. On the basis of the foregoing history and examination, the affiant is of the opinion that Lrcnr\ ~~ 11 U(\Yf. , because of mental deficiency, lacks sufficient capacity to make or communicate responsible decisions concerning his/her choice to receive community-based or institutional services for the mentally retarded. 3. Because of the physical or mental condition of said patient, his/her welfare would/would not be promoted by his/her presence in Court. ~cfh f!r2~ SWORN TO AND SUB~RlBED BEFORE ME THIS.51 DAY OF 'if1a -, 6l()()~ ~,p, 'fl ,/..tr;.flJ.}U} - NOTARY PUBLIC NOTARIAL SEAL GAlL P. STflICKLER, Notary Public Silver Spring Twp., Cumberland County My Commlulon ExpirTilS Feb. 3, 2003 ---- , v..""C1...... GUIDANCE A'iSDCIATES OF PENNSYlVANIA Mt;llC4.i.. AIHS BUIU.lING ~OO"" 212 ~90 POPLAR CHURCH ROAQ C:"M~ HILL. P... 17011 PSYCHOLOGICAL EVALUATION ~"'~'IE: ADDRESS: BUREAU OF V(lCATIONAL REHABILITATION: Agency Harrisburg District Office 1500 N. Second Street Harrisburg, Pa. 1/]02 Lee Jui ffre 20J6 Columbia Avenue Cilmp Hill, Pa. 17011 "BIRTH DATE:April 23, 1956 ACE: 23 EDI!CATIOl':: Special Education V(JCXrION: Industries Ltd. Sheltered Workshop REFERRAL SOURCE: Mr. For tney, Counsel or DATE OF EVALUATION: r.-II~/Yi t.!?AI/'j Ri"ASCN FOR HFERRAL: The c1 i ent was referred by the Agency for a psychologi cal eV,1lu3 t ion .....,llich will be of ;1ssistLlnce in future treatment planning. A djagnostic inll'll.'ct \1;:1 cVil]t;.:ltion to determine the extent of tne client's intellectual disability \"'.1.5 re:qL,:sl cd ~ along wi tn an assessment of his vocational potent i a1. DESCRIPTIOK OF SUBJECT: Lee J. Juiffre is a 23 year old, Caucasian male who was brougl1t to the ;:~:~-;.'~:;m~~nt sessions by both of his parents. He presents himself as an indiviJu.ll with Down I s syndrome, demonstrating the body type and many physical f,lQVU.h.-:nts ~s~.oclated with that condition. lee was nicely dress~d and appeared quit~ cum-' fo~t;lble in the presence of his pare=:5. During intToduct ions, Lee \"T3S mute, but immediately h:~gan to sno\.,' <:if; LC t j 0:""1 t O\Ja rd the E'Y2miner by t ouc.hing. The parents appeared to be ll~?d to 'liljs bcho.vior and suggested Lee sllakc hnnds whiJe corrnnenting th.1t he'~ quitl."! .J lady's Til:J,n. itnile the Examine'r spoke with the p;Jrents, Lee appt.are:d not to fo]]ow the disc.ussions, but looked aw~y and sht)\.,1ed rotating mOV(:lncnt:s or tile head and rolling Inovements of the eyes. Much of the information obt3ined on the Cl:il nt .....as receivE:d from the parents. During the actual testing, Lee was nearly mute. He answered nc~rly all questiuns by making "uh huh" sounds to denote yeE or no .Jnswers. His only actllal speech occurred when he was asked by the EXi1min(,~r to name specific obj('cts which were shown in illustrations. He was unable to n.1me anything which~ though familiar (such .:IS a TV show), would require original thought on his part. He is skill ful "t covering up his inability to answer by looking like he is seriously considering a guestion. At these times, 'however, no answers arc produced. L0e ~as quite good at un(I(~rstanding the speech and directions of the Examiner. He was able to complete a non-verbal vocabuJarly test, ~ho~ing tnat he com!JrE.'hend{~d the meanings of many wurds, though he cannot r~prOdU(~l' ther.:. CONFI~~N~IA~ & rRIVTLEGED ------ ( j'SYC,HuLOG; "AL EVALUATION ?,;C,E 'J..IO LEE JUIFFRE ,D':S<:,K..!!~1:,~O}:' OF2..UBJECT: Continued He quickly understood directions to a large variety of tasks. His only' difficulties in this area were that he was impulsive in task completion, trying to give a response before the proper stimulus was presented to him. Also, once the client began to respond, he showed frequent perseverations, and could not stop responding until requested by the Examiner. In terms of specific skills, the client is able to write his first but not his last hame. He can write the numbers one through nine with some mistakes. but cannot write the letters of the alphabet. There is no indication that he can transfer thoughts from One task to another. His short-term memory is very poor. His visual perception and motor cool"dination are both severely impaired, inhibiting his writing skills. , [lpere were further signs of neur;;:1ical impairment or indications that the client is experiencing some tension. He frequently and suddenly stretches the fingers of both hands out as ar as he can, and holds this posi tion for about five second while he stares at his fingers. He appears to be able to control this hehavior at times. Also, the mother reports thnt the c.l ient has picked at his forehead until he developed open areas thpre. \,'hen he ;lpp('ared for the first session, he had a large, open gash over the bricige of his nose, approxim.-'ltely ~. X 3/~" and about ~ "deep. He did not answer when ~sked if he had fallen, but his mother related that he had a habit of pushing upward on the front of his nose until he had a wound on the bridge. Lee repeatedly picked off the scab. At the second int"rview, the ,wund had closE'e. In cJudition, the mother TL:ports that Lee has rE:cf:!ntly' bE:en tearing his clotiles [or no apparent reason. Generally, the clien~ 2.??':=';::-5 to be ..1n individual of low Intel1j;:ence with very limited capacitj~s for expression. Physical uncoordination is c..., iJcnt. Signs of bizarre: behaviors are presen+.:, though it is not knOh"1i wh8ther tht: Cl\JSC is or!;cmic or whether lni?:SE: D2haviors are immature tics and actjng- out of frustrcttion. The client is presently on no medications. He and his p.1rcnts are content wi th him living at horne, Though the mother feels he is r'(:grcssing, she hopes he can continue to live with the f.',lInily for a long time. TE~"r RESULTS AND CLINICAL IMPRESSIONS: I BENDER GESTALT II PEABODY PICTURE VOCABULARY TEST, Form A I.Q. 42 (e~apolated) Percentile: Not available for this aee and score M. A. Five Years, Two ~jonths CONFIDENTIAL & PRIVILEGED J r: [-' ;~:.:J1:r I [IN FOR F'F:O!'TS: 1 CI:A TJ l:~~:.s n;:~~y -- .. ( !'SY',I'I:I.OC I CAL E\'ALlJATION PACE ';H.~EE LEE JUIFFRE 'TEST RESULTS AJ\'D CLINICAL IMPRESSIONS; Continued III STANFORD BINET INTELLIGENCE SCALE - Form L-M I.Q. Approximately 36 M.A. III - 6 IV PURDUE PEGBOARD Right Hand Left Hand Right + Left Right + Left + Both 8 8 6 Pairs 22 correctly. The client was unable to complete any of the final assemblies The Examiner a ttempted to administer the Wechsler Adult Intelli gcnc-c Scale, but found the client incapable of performing on all of the sub-tests which were tried. The \.J'ide Range Achievement Test was not administered for this rC.Json. Bander Gestalt designs were grossly distorted. Only three of the dcsiens were recognizable, but the client placed the designs on paper so that they intruded upon one another, making recognition ev~n more difficult. Severe orgQ~ic impai~cnt is evident froD the Bender. Spatial relationships and visual-~=or coore_nation are very poor. The client's I.Q. score of 42 would place him near the ~~nd of thl2 r.loc.:.~ate level ~f rnen~::ll rp.trlrcl:lrion. The mental age of five years, t....'u months on the Peabody appears to be more appropriate. Though the Stanford- Binet gives the Examiner insight as to how the client performs On a variety of tasks, the Peabody scores seem to be more reliable for this client due to the simplicity of the test itself and the stability of vocabulary skills over time. It is not known how this client has scored on previous intelligence tests, so a determination on the question of regression cannot be made. On the Stanford-Binet, the client performed best on tasks where he could make simple movements in responding non-ve.rbaJly. He did poorest where verbal skills and memory were required. He easily picked up the idea where one or two step tasks were involved, such as stringing of beads or sorting buttons. Lee worKPd enthusiastically on the Purdue Pegboard. Percentile ~:cores are not given for scor cs this low, as 'Was the case wi th the Peabody tes t. CONFIDENTIAL & PRIVILEGED II/FORMATION FOR PR'JFLSSIO~:.'1~ l-'~= r':.-.... - . . (- l'SYCHOLOC1CAL EVALUATlON PAGE FOUR LEE JlIIFFRE TEST KESULTS N'W (LINTCAL IMPRESSIONS: u.___ _ __.. Con t inued He understood the re~qirements in all cases, except for the final task where he was unable to learn what constituted a correct assembly despite much repetition and practice.' This indicates that the four-step task is too ~omplicated for Lee, and should not be considered at his place of employment unless much training and practice are allowed for. Lee completed several drawings, all of which were very simple and immature. He misunderstood the initial directions to draw a house and later, had some difficulty drawing a realistic looking house. Other drawings, while regressed, were realistic, showing few signs of emotional pathology. He was unable to draw letters, but rather perseverated in drawing V shapes and the more regressive circles. Number drawings were also poor and were per- severated. Lee indicated he understood the Examiner's directions when recall of the Bender designs were requested. Instead, he filled both sides of a page with circles. RECO:!:'IE:-IDATIONS: I1t is recommended that Lee undergo a neurological examination to see whether some of his bizarre behaviors are due to organicity. In addition, Lee should be evaluated regarding the appropriateness of medications to lessen t~~ frequency and ~everity of his hand movements and tics.~ Lee presently has the ability and interest in learning simple t2-~-5. ~Jo~gh c:. motor coordination is not very good, he has the sufficient fi:..=~::; .;2c:..':'::crity :0 work with objects as fine as pins, collars., and .ashers. His level of concentration is long enough that he can work for periods of an hour or so \Jitho~lt: a break. In developing a vocational treatment pl.,n, it ~o~~ci Dc wise to Lncrease the number and kinds of skills. Lee learn~ by rotating jobs occasionally. It would be helpful to the client to have others to socialize with on fhe job to increase the amount of intellectual stimulation he receives, encouragf appropriate socialization, and help him to feel part of a group. If some of his behaviors (i.e., tearing clothes) are signs of frustra- tion or emotional problems, all attempts at developing relationships and expres- sion are important. There is.no indication, however, that Lee could handle empl0jment outside the wall-supervised, shelter~orkshop setting at this time. He is probably employed close to his potential if he is now working on a three step task. There d0es not appear to be any factor in his life which is emotionally upsetti~g to Le~, other than possible frustration, so that insight-oriented discUS5i ons do not Cl.p1-'c~ir w;;lrranted. A behavior modifj cation approach at home, and at work if possihle, might help to reduce upset,ting behaviors. It is CONFIDENTIAL & PRIVILEGED III FORMA T I ON --.......... -~',...,T:'r".rT(1~;I\-;. 11'::;':- (':~~JY - . . r i , c~ ( PS,CHOLOGICAL EVALUATION PAC:E FIVE U;E JUIFFRE CONCLUSIONS .~~ RECO~~lENDATIONS: Continued recommended that staff and parents together choose one behavior to be extinguished, then with Lee, institute a system of rewards and punishments for positive and negative behavior. All instructions to Lee should be repeated clearly and in the same language each time so that he knows exactly what is expected of him. The parents should have opportunities to discuss their prob;ems with Lee with a professional person. If the findings of this assessment clearly indicate regression, as Mrs. Juiffre suspects, they will need to have support in discussing the implication of regression. In any case, therapeutic suppo~t ,"ould be helpful to them in their daily activities with Lee, as well as planning [or the future. <_. h --'~.Y ~, ( , -~_. -_. ---.-----.- "- Stanley E. Schneider, Ed. Licensed Psychologist ~Iartha Scotzin Licensed Psychologist CONFIDENTIAL & PRIVILEGED F IllFORJ.lATION OR PROFESSIONAL USE GilLY ----- t............ , IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION LEONARD JIUFFRE, An Alleged Incapacitated Person NO. 21-02-"57 INCAPACITATED PERSON __Of'9ROFC AND NOW, thiS~f 2002, upon review of the attached Petition, a hearing is scheduled in this matter for ay , the 19th day of August, 2002, at_ 2:30 p.m., in Courtroom # J, Cumberland County Courthouse, Carlisle, Pennsylvania. The Clerk of the Orphans' Court Division is directed to prepare a Citation with Notice for service upon the alleged incapacitated person. Personal service of this Order and accompanying Citation with Notice and Petition shall be caused to be made upon the alleged incapacitated person by Petitioner in accordance with the Probate, Estates and Fiduciaries Code. Notice shall also be given to all other persons and entities required to be notified under the Code. Proof of service shall be furnished at the above-scheduled hearing. BY THE COURT, P.J. --- , IN RE: LEONARD JIUFFRE, AN ALLEGED INCAPACITATED PERSON IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-2002-0657 IMPORT ANT NOTICE CITATION WITH NOTICE A petition has been filed with the Court to have you declared an Incapacitated Person. Ifthe Court finds you to be an Incapacitated Person, your rights will be affected, including our right to manage money and property and to make decisions. A copy of the petition which has been filed by CUMBERLAND/PERRY COUNTY MENTAL HEALTH/MENTAL RETARDATION OFFICE is attached. You are hereby ordered to appear at a hearing to be held in Court Room No.;i, Cumberland County Courthouse, Carlisle, Pennsylvania, on MONDAY AUGUST 19TH, 2002, at 2:30 P.M. _M. to tell the Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your behalf. To be an incapacitated Person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear, to be represented by an attorney, and to request a jury trial. If you do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot afford to pay them yourself. You also have the right to request that the Court order that an independent evaluation as to your alleged incapacity. If the Court decides that you are an Incapacitated person, the Court may appoint a Guardian for you, based on the nature of any condition or disability and your capacity to --- . . make and communicate decisions. The Guardian will be of your person and/or your money and other property and will have either limited of full powers to act for you. If the court finds you are totally incapacitated, your legal rights will be affected and you will not be able to make a contract or gift of your money to other property. If the court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) the court will still hold the hearing in your absence and may appoint the Guardian requested. ~4- ~. IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION LEONARD JIUFFRE, An Alleged Incapacitated Person NO. 21-02- INCAPACITATED PERSON IN RE: PETITION FOR APPOINTMENT OF A GUARDIAN OPINION AND ORDER OF COURT BEFORE HON. GEORGE E. HOFFER. P. J. The present case is before the Court on the Petition of Robert L. O'Brien, Esquire, solicitor for the Cumberland/Perry Mental Health/Mental Retardation Office. It is requested that Leonard Jiuffre be adjudicated an incapacitated person, and that a guardian be appointed. Following a hearing, the following Findings of Fact and Order of Court are made and entered: FINDINGS OF FACT 1. The allegedly incapacitated person suffers from mental retardation, having an 10 of approximately 36, which is in the moderate mental retardation range. This condition impairs the individual's capacity to make and communicate decisions. 2. The extent of the individual's capacity to make and communicate decisions is severely limited by virtue of the aforesaid condition. 3. Notwithstanding that the allegedly incapacitated person has a very supportive family and enjoys the support of the agency here involved, the individual does need guardianship services. , . 4. The type of guardian required is a limited one of both the person and the estate, based on the need to execute certain documents to obtain certain funding. 5. The duration of the guardianship involved would be pending further Order of Court and would be limited to the period necessary for the execution of the aforesaid documents and any follow-up documents. 6. The proposed guardian, Joanne Baum, has no interest adverse to that of Leonard Jiuffre. As a consequence of the foregoing Findings of Fact, the following Order of Court will be entered. J(j M ORDER OF OURT AND NOW, this LL day of , 200 ~ based upon the Petition for Appointment of a Temporary Guardi of t e Person Pursuant to 20 Pa. C.SA 5513, and following a hearing, the Court finds that th allegedly incapacitated person, Leonard Jiuffre, is an incapacitated person in that, because of mental retardation, he is unable to receive and evaluate information effectively and communicate decisions sufficiently, and to such a degree that he is, at least partially, unable to manage his financial resources or to meet the essential requirements for his physical health and safety. He is, therefore, adjudicated an incapacitated person, and Joanne Baum is appointed guardian of his property and person for the purpose of executing necessary documents to qualify for the federal waiver program in Section 2176 of the federal laws and regulations pertaining thereto. This Order shall continue pending further Order of Court. BY THE COURT, ROBERT L. O'BRIEN, ESQUIRE Solicitor for Cumberland/Perry MH/MR