In Re: I.M.R. ( 2023 )


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  • J-A23044-22
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37
    IN RE: I.M.R., AN ALLEGED                  :   IN THE SUPERIOR COURT OF
    INCAPACITATED PERSON                       :        PENNSYLVANIA
    :
    :
    APPEAL OF: WILLIAM CARDWELL                :
    :
    :
    :
    :   No. 728 MDA 2022
    Appeal from the Decree Entered April 8, 2022
    In the Court of Common Pleas of Huntingdon County Orphans’ Court at
    No(s): 2021-281
    BEFORE:      BOWES, J., McCAFFERY, J., and STEVENS, P.J.E.*
    MEMORANDUM BY BOWES, J.:                       FILED: JUNE 7, 2023
    William Cardwell appeals from the April 8, 2022 decree adjudicating
    I.M.R. to be a totally incapacitated person and appointing Huntingdon-
    Bedford-Fulton Area Agency on Aging (“the Agency”) as the permanent
    plenary guardian of the person and estate of I.M.R. We affirm.
    In a prior memorandum, we detailed the factual and procedural history
    of this case as follows:
    I.M.R. was born in November 1938. In 2014, I.M.R.
    displayed symptoms of cognitive decline and memory loss that
    would eventually be diagnosed as vascular dementia, a
    progressive condition which impairs her ability to function
    independently.   Immediately prior to September 2021, she
    resided with her adult son, Appellant, who exercised power of
    attorney on her behalf. The agency became involved with the
    family on September 13, 2021, after a stranger discovered I.M.R.
    wandering alone, unable to state her name, and indicating that
    ____________________________________________
    *   Former Justice specially assigned to the Superior Court.
    J-A23044-22
    she did not want to live with her son. N.T., 12/20/21, at 24.
    Appellant refused to cooperate fully with the Agency’s subsequent
    investigation of the incident. Id. at 25-27.
    On December 6, 2021, the Agency sought and received the
    appointment of an emergency plenary guardian of both the person
    and estate of I.M.R. Thereafter, on December 15, 2021, the
    Agency filed a petition to adjudicate incapacity and to appoint a
    permanent plenary guardian for the person and estate of I.M.R.
    The petition alleged that I.M.R. needed daily care and supervision
    to ensure her safety, and it averred that no alternative to the
    appointment of a guardian had been considered.
    Following four non-consecutive evidentiary hearings, the
    orphans’ court entered the above-described decree adjudging
    I.M.R. to be totally incapacitated and appointing the Agency as
    the permanent plenary guardian of both the person and estate of
    I.M.R. Appellant timely filed a notice of appeal, and the orphans’
    court filed a Pa.R.A.P. 1925(b) order directing him to file and serve
    a Rule 1925(b) statement within twenty-one days of the order.
    In Re: I.M.R., 728 MDA 2022 (Pa.Super. filed March 16, 2023)
    (nonprecedential memorandum at 1-2).
    Appellant initially failed to file the statement within the allotted
    period, and the orphans’ court found all issues waived and declined to
    address the merits of any of the issues presented. Id. at 2-3. However,
    this Court determined that, because the orphans’ court’s Rule 1925(b)
    order was facially deficient, Appellant’s failure to strictly comply with
    Rule 1925(b) did not render his claims waived on appeal.         Id. at 7.
    Hence, we remanded the matter for the preparation of a supplemental
    orphans’ court opinion, which the orphans’ court filed on April 11, 2023.
    -2-
    J-A23044-22
    Appellant presents five issues for our review.[1]
    1. Did the orphans’ court abuse its discretion or make an error of
    law when it granted the Huntingdon- Bedford- Fulton Area Agency
    on Aging’s motion for access to records without giving [I.M.R.] or
    William Cardwell an opportunity to respond?
    2. Did the [orphans’] court abuse its discretion or make an error
    of law when it granted emergency guardianship without a hearing
    when there was no adequate proof of an actual emergency?
    3. Did the [orphans’] court abuse its discretion or make an error
    of law when it prohibited Shaun O’Toole, Esq., [I.M.R.’s] previous
    attorney, from representing [her] . . . in this matter?
    4. Did the [orphans’] court abuse its discretion or make an error
    of law when it failed to appoint William Cardwell as guardian of
    [I.M.R.’s] person despite no Area Agency on Aging observ[ations]
    inside their home; only one caretaker witness who observed
    William Cardwell and [I.M.R.] together inside the home over a
    span of a few months; and [evidence that I.M.R.] walk[ed] away
    from the home on one brief occasion three months before the
    guardianship petition was filed?
    5. Did the [orphans’] court abuse its discretion or make an error
    of law when it failed to appoint William Cardwell as guardian of
    [I.M.R.’s] estate in light of four witnesses and the estate planning
    documents presented clearly stating [I.M.R.’s] desired intention
    for William Cardwell to inherit everything from her and the ability
    to make gifts to himself?
    Appellant’s brief at 4-6 (cleaned up) (unnecessary capitalization omitted).
    Appellant’s claims challenge the orphans’ court’s finding of incapacity
    and subsequent appointment of a guardian, which we review for legal error or
    ____________________________________________
    1 As we noted in our prior memorandum, we do not address the sixth issue
    that Appellant raised in his statement of questions presented, concerning the
    March 19, 2022 invalidation of a transfer of land, because Appellant failed to
    appeal the order that is the genesis of that claim.
    -3-
    J-A23044-22
    an abuse of discretion. In re Duran, 
    769 A.2d 497
    , 506 (Pa.Super. 2001).
    As we have explained,
    The appointment of a guardian lies within the discretion of the trial
    court and will be overturned only upon an abuse of discretion.
    Discretion must be exercised on the foundation of reason. An
    abuse of discretion exists when the trial court has rendered a
    judgment that is manifestly unreasonable, arbitrary, or capricious,
    has failed to apply the law, or was motivated by partiality,
    prejudice, bias, or ill will.
    
    Id.
     (cleaned up).
    Pursuant to Chapter 55 of the Probate, Estates, and Fiduciaries Code
    (“PEF Code”), an orphans’ court may appoint a guardian of the person and/or
    estate upon clear and convincing evidence of incapacity.         See 20 Pa.C.S.
    § 5511(a). The PEF Code defines incapacitated person as “an adult whose
    ability to receive and evaluate information effectively and communicate
    decisions in any way is impaired to such a significant extent that he is partially
    or totally unable to manage his financial resources or to meet essential
    requirements for his physical health and safety.” 20 Pa.C.S. § 5501.
    As to the orphans’ court’s determination of incapacity and appointment
    of a guardian, the PEF Code further provides, in pertinent part, as follows:
    (a) Determination of incapacity.--In all cases, the court shall
    consider and make specific findings of fact concerning:
    (1) The nature of any condition or disability which impairs
    the individual’s capacity to make and communicate
    decisions.
    (2) The extent of the individual’s capacity to make and
    communicate decisions.
    -4-
    J-A23044-22
    (3) The need for guardianship services, if any, in light of
    such factors as the availability of family, friends and other
    supports to assist the individual in making decisions and in
    light of the existence, if any, of advance directives such as
    durable powers of attorney or trusts.
    (4) The type of guardian, limited or plenary, of the person
    or estate needed based on the nature of any condition or
    disability and the capacity to make and communicate
    decisions.
    (5) The duration of the guardianship.
    (6) The court shall prefer limited guardianship.
    ....
    (c) Plenary guardian of the person.--The court may appoint a
    plenary guardian of the person only upon a finding that the person
    is totally incapacitated and in need of plenary guardianship
    services.
    ....
    (e) Plenary guardian of the estate.--A court may appoint a
    plenary guardian of the estate only upon a finding that the person
    is totally incapacitated and in need of plenary guardianship
    services.
    20 Pa.C.S. § 5512.1.
    For the following reasons, we discern no error or abuse of discretion on
    the part of the orphans’ court. In the supplemental opinion, the orphans’ court
    thoroughly distilled the relevant evidence concerning: (1) I.M.R.’s cognitive
    impairment; (2) the effect of those impairments on I.M.R.’s ability to
    communicate decisions, manage financial resources, and insure her physical
    health and safety; (3) Appellant’s suspect care of I.M.R.’s physical and
    financial needs, including the alleged misappropriation of the $250,000
    -5-
    J-A23044-22
    proceeds from her late-husband’s life insurance policy; and (4) Appellant’s
    persistent obstinacy, which not only frustrated the Agency’s ability to serve
    I.M.R.’s needs, but also led to the suspension of Appellant’s visitation
    privileges from the residential facility that cared for I.M.R. after she was
    removed from Appellant’s home. As the learned President Judge George N.
    Zanic concluded in the supplemental opinion filed in this case,
    The focus of this case should be I.M.R. However, [Appellant]
    has continuously attempted to make it about himself. Time and
    time again he has shown that his true concern is maintaining
    control over I.M.R. and her assets, rather than acting in her best
    interest. I.M.R. is incapacitated and in need of a guardian. That
    guardian needs to be someone other than [Appellant], so that he
    can no longer exploit her.
    See Orphans’ Court Supplemental Opinion, 4/11/23, at 61.
    Thus, after reviewing the certified record, the parties’ briefs, and the
    orphans’ court’s comprehensive sixty-one-page supplemental Rule 1925(a)
    opinion addressing the identical issues that Appellant presented in his brief,
    albeit in a slightly different order, we adopt the trial court’s rationale as our
    own and for the reasons cogently explained in the supplemental opinion, we
    affirm the April 8, 2022 decree adjudicating I.M.R. to be a totally incapacitated
    person and appointing the Agency as the permanent plenary guardian of the
    person and estate of I.M.R.2
    ____________________________________________
    2 President Judge Zanic’s analysis of Appellant’s third issue, concerning the
    denial of Appellant’s request to have Attorney O’Toole appointed as counsel
    (Footnote Continued Next Page)
    -6-
    J-A23044-22
    ____________________________________________
    for I.M.R., incorporated the court’s January 24,2022 order stating that
    Attorney O’Toole was ineligible to serve as I.M.R.’s counsel in the
    competency/guardianship matter due to both a conflict of interest between
    Appellant and I.M.R. and the fact that Attorney O’Toole was a necessary
    witness. Citing Pennsylvania Rules of Professional Conduct 1.7 and 3.7,
    entitled “Conflict of Interests: Current Clients” and “Lawyer as Witness”,
    respectively, the court provided the following rationale:
    Attorney O’Toole represented [I.M.R.] with respect to estate
    planning that occurred in or about 2018. That estate planning,
    though, was done in coordination with [Appellant], and included
    the power of attorney in favor of [Appellant] that is one of the
    many matters at issue here. Given the significant level of
    involvement in those affairs testified to by [Appellant], there was,
    at minimum, a quasi (if not actual) attorney-client relationship
    between Attorney O’Toole and [Appellant] at that time. This
    finding is supported by the fact that when the emergency
    guardianship was initiated the first person [Appellant] contacted
    to contest it was Attorney O’Toole (meaning that while there may
    not be a formal, current attorney-client relationship between
    them, there is still arguably a quasi one). . . . Attorney O’Toole
    cannot represent both [I.M.R.’s] interests and [Appellant’s]
    interests, as they are not congruent. (For example, if it is in
    [I.M.R.’s] best interest to have a guardian appointed, and to have
    that guardian be someone other than [Appellant], that position is
    diametrically opposed to [Appellant’s] interests in remaining the
    caregiver and power of attorney for her.) This is a clear conflict
    of interest that violates Rule 1.7.
    ....
    [As to the likelihood of being a necessary witness, h]ere,
    Attorney O’Toole drafted the power of attorney and other estate
    planning documents that are at issue, as they establish what right,
    power, and authority [Appellant] has with respect to [I.M.R.’s]
    property—property that [Appellant] is alleged to have
    misappropriated and converted to his own use. More significantly,
    though,[Attorney O’Toole] is the only disinterested party with
    knowledge of [I.M.R.’s] capacity both in 2018 and at the current
    time (in light of his estate planning meetings with her in 2018 and
    his recent meeting with her on January 10, 2022, regarding the
    (Footnote Continued Next Page)
    -7-
    J-A23044-22
    Decree affirmed.
    Judge McCaffery joins.
    P.J.E. Stevens concurs in the result.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 6/7/2023
    ____________________________________________
    proposed Engagement Letter), and thus the changes, if any, in
    her condition during that period.
    Order, 1/24/22, at 3-5 (cleaned up). We adopt the foregoing analysis as well.
    -8-
    Circulated 05/31/2023 09:48 AM
    IN THE COURT OF COMMON PLEAS OF HUNTINGDON COUNTY,
    PENNSYLVANIA
    ORPHANS' COURT DIVISION
    IN RE: IVA M. ROUSH,                                                            CP-31-OC-281-2021
    CP-31-00-281-2021
    an incapacitated person                                                         728 MDA 2022
    AMENDED OPINION
    AMENDED         IN
    OPINION IN SUPPORT OF ORDER
    SUPPORT      ORDER
    PURSUANT
    PURSUANT
    TOTO Pa.R.A.P.
    Pa.RA.P,  1925(a)
    19256)
    Petitioner William Cardwell, the son of incapacitated person Iva
    lva M. Roush
    ("I.M.R."), appeals from the Final Decree entered by this Court on April 8, 2022,
    ("IM.R."),
    which:
    which: ((1)
    1) adjudged I.M.R.
    L.M.R. to be totally incapacitated; and
    and (2)
    (2) appointed the
    Huntingdon- Bedford- Fulton Area Agency on Aging to be the plenary permanent
    Huntingdon-Bedford-Fulton
    guardian of both IM.R's
    I.M.R.'s person and estate
    estate.
    This Court originally filed its Opinion in Support of Order Pursuant to
    Pa.R.A.P.
    Pa.R.AP. 1925(a)
    1925(a) on March 27, 2022. Because Petitioner had not, either within the
    established 21- day deadline or as of the filing of such opinion, fled
    21-day                                                filed aaStatement of
    Errors Complained
    Complained of On Appeal, this Court originally proceeded on the basis that
    ••          z0                     •3
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    ol xoglieW asnoq:ano:) Aq panaaS
    he had waived all issues. Pursuant to the Superior Court's order of March 16,
    2
    a                                                            2023, this Court hereby submits this Amended Opinion in Support of Order
    g .0 g
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    %5                                                   Pursuant to Pa.R.A.P.
    Pa.R.A.P. 1925(a), which amends and supplements its original, and
    c
    01SdSn
    6   9
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    e
    addresses Petitioner's late- filed Statement.
    8           $                      50                                                   late-filed
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    8'                             On Appeal,
    Petitioner's even-later-filed
    Appeal, filed June 13, 2022,'
    ISSUES RAISED
    even-later- filed Amended Statement of Matters Complained of
    2022, 1raises the following issues
    issues (text
    (text as in the original):
    '
    "
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    0             3
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    1.        The trial court abused its discretion and/or made an error of
    law when it granted
    Agency
    granted the Huntingdon-
    Agency on Aging's
    Iva
    Bedford- Fulton Area
    Huntingdon-Bedford-Fulton
    Aging's Motion for Access to Records without giving
    an opportunity to respond.
    rt                                                                       va  M. Roush
    B
    0
    N
    8
    (D
    2
    •
    lD
    v
    0                                                    1Petitioner
    petitioner filed his original statement of errors on May 31, 2022, followed by his   his amended statement. The
    5                                                    Court makes no finding with regard to whether Petitioner's original late-filed
    late- filed statement or his even-later-filed
    •'+(De                                               amended statement
    amended   statement should
    should apply
    apply here. Since they
    here. Sin�  they are
    are largely
    l•'l!•ly the same,
    1hr .. me, the   Court proettd<
    th• Cou,  � proceeds on
    on the basis of
    the basis of the
    the
    '
    3
    1+
    amended statement.
    aw«Mamo                                                                     nu_tprjL N
    LLg      r
    "
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    Kelsey Dunn Register of Mils
    letsey                     Wills
    v                                                                                                                                   nd Clerk of the on#ans'
    ts'dcenafte         Orphans' co
    Court
    0
    4
    i•                                                                                              (d}
    {/                                      Huntingdon County, Pens/eanit
    Huntington county. Pennsylvania
    2.
    Z.    The
    The trial court abused its discretion and/or made an error of
    law when it granted the Huntingdon-Bedford-Fulton
    Huntingdon- Bedford- Fulton Area
    Agency on Aging's
    Aging's Motion for Access to Records without giving
    William Cardwell an opportunity to respond.
    3.    The trial court abused its discretion and/or made an error of
    law when it granted Emergency Guardianship without a        a
    hearing
    hearing   when   there was   no adequate  proof of an  actual
    emergency.
    4.
    4,     The trial court abused its discretion and/or made an error of
    law when it granted Emergency Guardianship without any
    medical expert
    expert testimony or any medical evidence showing aa
    need for guardianship.
    S.
    5.     The trial court abused its discretion and/or made an error of
    law when it prohibited
    prohibited Shaun O'Toole, Esq., Iva M. Roush's
    previous
    previous attorney, from representing Iva lva M.
    M. Roush in this
    matter.
    matter
    6.     The trial court abused its discretion and/or made an error of
    law when it failed to appoint William Cardwell as guardian of
    lva M. Roush's person despite no Area Agency on Aging
    Iva
    observing
    observing inside their home; only oneone ((1)
    1) caretaker witness
    who observed William Cardwell and Iva    va M. Roush together
    inside the home over aaspan of aa few months; and Iva M. Roush
    walking away from the home on one  one ((1)
    1) brief occasion three
    months before the guardianship petition was filed?
    7.     The trial court abused its discretion and/or made an error of
    law when it failed to appoint William Cardwell as guardian of
    Iva
    lva M. Roush's estate in light of four (4)
    (4) witnesses and the
    estate planning
    planning documents presented clearly stating Iva M.
    Roush's desired intention for William Cardwell to inherit
    everything
    everything from her and the ability to make gifts to himself?
    8.
    8      The trial court abused its discretion and/or made an error of
    law when it voided the deed signed by William Cardwell in
    light
    light of the fact that the Area Agency
    Agency on Aging never requested
    'I                 that William Cardwell be removed as power of attorney of Iva
    M. Roush and the Court did not remove him prior to signing
    the deed?
    l'
    II.
    I. PROCEDURAL
    PROCEDURAL HISTORY     RELEVANT
    HISTORY AND RELEVANT FACTS
    FACTS
    1.    I.M.R. is currently 84 years old, having been born on November 27, 1938.
    IM.R.is                                                            1938
    ,',·
    22
    ,:
    2. This matter first came to the attention of the Court on September 22, 2021,
    it
    when
    when the
    the Huntingdon- Bedford- Fulton Area
    Huntingdon-Bedford-Fulton   Area Agency on Aging
    Agency on Aging (the
    (the "Agency")
    "Agency")
    filed aapetition
    petition for access to I.M.R.'s
    L.M.R's medical and financial records pursuant
    to the Pennsylvania
    Pennsylvania Older Adult Protective Services Act, 35P.S.
    35 P.S. $$
    §§
    10225.101, et seq. (the "OAPSA"),
    seq. (the   OAPSA"), and the guardianship support agency
    provisions of 20 Pa.
    provisions           C.S. ch. 55
    Pa.CS.       55 (such
    (such petition, the
    the "Records
    Records Petition.") The
    The
    Records Petition was granted
    granted by
    by this Court ex parte the same day.
    On December 6, 2021, the Agency
    3. 0n                       Agency filed a
    a petition
    petition to adjudicate incapacity
    and to appoint
    appoint an emergency                           I.M.R.'s person
    emergency and permanent guardian of IM.R's
    and estate
    estate (the
    (the "Emergency
    Emergency Petition").
    Petition"). The Emergency Petition was
    supported by
    supported by aasigned
    signed statement provided
    provided by I.M.R.'s
    IM.R.'s treating physician,
    Dr. Amy
    Amy Sellers, who opined
    opined that I.M.R.
    LM.R. "should
    should not be left alone,"
    alone," "suffers
    from
    from mild-moderate
    mild-moderate dementia && gets
    gets confused easily," is "[n]ot capable of
    is "[not
    higher[-] level executive functioning," and
    higher[-Jlevel                          and "needs
    "needs care including help with
    [activities of daily living]
    [activities          living] && monitoring so she does not wander off." The
    granted the emergency guardianship ex parte the same day,
    Court granted                                              day. It
    appointed the Agency
    appointed     Agency as the emergency guardian of I.M.R.'s
    LM.R's person and
    appointed Ray
    estate, and appointed Ray A. Ghaner, Esq.,
    Esq., to represent IM.R.
    I.M.R.z
    4. On December 7, 2021, the Agency filed aapetition to extend the emergency
    guardianship. That
    guardianship. That petition
    petition was granted, and
    was granted, and the
    the emergency
    emergency guardianship
    guardianship
    was                             2021.
    was extended until December 28, 2021
    S.
    5. On December 8, 2021, Shaun E. O'Toole, Esq., filed aapraecipe for entry of
    appearance, seeking to represent LM.R.
    appearance,                      I.M.R. in lieu of Attorney Ghaner.
    6. On December 10, 2021, Roberto D. Ugarte, Esq., filed aapraecipe for entry of
    appearance, representing
    appearance, representing Petitioner.
    This was done per
    This
    2                 per the Court's standard practice,
    practice, which is to appoint
    appoint counsel for the alleged incapacitated
    person in
    person  in all guardianship cases, unless they are already represented by counsel.
    guardianship casts,                                           counsel, The Court notes here that
    Attorney
    Attorney Ghaner did not have an opportunity to address the scope and nature of his meetings with his client,
    I.M.R.,
    LM.R., until much later in the case than usual.
    usual, This is because of the unusual progression of this matter.
    matter,
    However,
    However, Attorney
    Attorney Ghaner did inform the Court that he had met with I.M.R.
    IM.R. twice prior to the second hearing
    in this matter on February   1, 2022, N.T.,
    February1,2022.    NT., February 1,   2022, Hearing, at 67
    1 202Z,             67. Attorney Ghaner addressed the
    matter of his meetings with I.M.R,
    LM.R. in detail at the third hearing,                     2022. See61,
    hearing held on February 8, 2022.             infra,
    See ¶ 61, infra
    3
    3
    11
    On December 15, 2021, Attorney O'Toole filed a
    7. 0n                                           a petition for reconsideration
    of the emergency
    emergency guardianship, asserting, inter alia, that in 20181.M.R.
    2018 I.M.R. had
    11
    executed aageneral
    general power
    power of attorney in favor of Petitioner
    Petitioner (the
    (the "Alleged
    "Alleged
    POA"),
    POA"), and that Petitioner had been serving as I.M.R.'s
    IM.RR's caregiver prior to the
    emergency guardianship.
    emergency               That same
    guardianship. That same day,
    day, the
    the Agency filed aapetition
    Agency filed   petition
    seeking to have IM.R.
    I.M.R. be adjudicated as fully incapacitated and to be
    appointed as plenary             I.M.R.'s person and estate
    plenary guardian of IM.R's              estate (the
    (the
    "Guardianship Petition").
    8. On December 16, 2021, Attorney
    Attorney Ugarte filed, on behalf of Petitioner, an
    emergency petition
    emergency petition to remove the Agency as guardian and to conduct aa
    review hearing.
    hearing. Petitioner asserted that he had full authority over I.M.R.'s
    IM.R.'s
    property
    property and healthcare decisions pursuant to the Alleged POA, that he
    served as I.M.R.'s caregiver, and then asserted aalitany of deficiencies with
    IM.R.'s caregiver,
    the Emergency Petition and the Agency's actions in general.
    On December 20, 2021, the first hearing was held in this matter, addressing
    9. 0n
    the Emergency
    Emergency Petition, Attorney O"Toole's
    O'Toole's proposed representation of
    I.M.R.,
    L.M.R., and Petitioner's emergency petition to remove the Agency as
    guardian (such
    guardian (such hearing, the
    the "First
    First Hearing").
    10. The Court first addressed Attorney O'Toole's
    O"Toole's praecipe for entry of
    appearance. The Court extensively queried Attorney O"Toole
    appearance,                                        O'Toole regarding
    whether he had undertaken actions that might satisfy the requirements of
    Pa.R.O.C.P.
    Pa.R.O.C.P 14.4(b),
    14.4(b), including whether he had aacurrent engagement letter
    with I.M.R.
    IM.R. regarding the guardianship proceeding and whether he had met
    with I.M.R.
    IM.R. Attorney
    Attorney O'Toole represented
    represented that he did not have aacurrent
    engagement letter with I.M.R.,
    LM.R., had not met with her since 2018 when he
    prepared
    prepared the Alleged
    Alleged POA, and had minimal knowledge of the matter. He
    had simply
    simply been contacted by
    by Petitioner, notified by him that I.M.R.
    I.M.R. had
    been "taken"
    been "taken" by
    by the Agency,
    Agency, and requested by Petitioner to intervene.
    Because Attorney O'Toole had not complied with Rule 14.4(b), as well as
    Attorney 0"Toole
    l       had potential
    potential conflicts arising from his preparation of the Alleged POA and
    i       contacts with
    contaLts with Petitioner, the
    the Court did not
    not allow him
    him to represent
    represent I.M.R.
    I.M R at
    4
    4
    the First Hearing. It did, however, did allow him to be present so he was
    aware of the proceedings. N.T., First Hearing, at 2-9,
    proceedings. NT,                     2-9. The Court further
    directed the Agency to assist Attorney 0"Toole
    O'Toole in arranging aameeting with
    I.M.R. and ordered Attorney
    Attorney O'Toole, if he was satisfied after such meeting
    that I.M.R.
    IM.R. wished to have him represent her, to comply with the
    requirements of Rule 14.4(b).
    14.4(b). N.T., First Hearing, at 104.
    11. The first witness for the Agency was Bonnie Sue Parks.
    a. Ms.
    Ms. Parks primarily
    primarily works at the Giant store in
    in Smithfield Township,
    Huntingdon
    Huntingdon County,
    County, but also makes additional income on the side as an
    informal home health aide/caregiver. She met Petitioner through her
    employment at Giant, and Petitioner made arrangements with her to
    provide
    provide care for I.M.R,
    1.M.R. at his home in the James Creek area of
    Huntingdon
    Huntingdon County.
    County.'3 She was initially
    initially paid in
    in cash, but was also later
    paid in-kind (Petitioner
    paid in-kind (Petitioner gave her aacar, and she
    she "worked off" the
    "worked off   the value of
    the car). Id,
    Id. at 10-11, 17-18
    10-11,17-18
    b. Ms. Parks would go to the home two to three times aaweek, staying
    anywhere from 45 minutes to two hours. Ms. Parks's primary task was
    to give I.M.R.
    I.M.R. showers, but she also assisted with many other tasks,
    including
    including laundry,
    laundry, dressing, medication, changing bedclothes, and
    preparing
    preparing meals. The other residents of the home were Petitioner and
    his mechanic, known to her only as
    as "Bil"
    Bill." Id,
    Id. at 10-11, 13.
    c. Per Ms. Parks, the condition of the home was quite poor.
    Q:      And so IIknow this will be difficult but I'd like
    hike you to
    describe the condition of the home va
    Iva lives in.
    A:        The home is dirty.
    Q:
    0:       Is
    ls it fair to say that you've described it as aa quote,
    unquote
    unquote shit hole?
    I'                     A:       IIcan't say shit hole but it does---it
    does— it is dirty.
    l                      Q:       There a
    a lot of dog feces throughout the home?
    specifically,
    3                   Tussey Lane in Lincoln Township,
    Specifically, 3016 Tussey                 Township, Huntingdon County, with aamailing address of 3016
    Tussey Lane, James Creek,  PA 16657
    Creek,PA 16657.
    5
    5
    I'
    A:      Yes.
    Q:      Cats throughout the home?
    A:      There is only one cat.
    Q:     The kitchen, has that been described as aahog pen?
    A:      Ihave went out there, yes, and it has been very dirty.
    Ihave                                           dirty
    Q:
    Q:     Is
    ls that because there are aalot of dirty dishes?
    A:
    A:     Dirty dishes. The floor is very dirty at times.
    Q:     How about spoiled food in crockpots, things like that?
    A:     Ihave seen that, yes,
    Ihave            yes.
    Id. at 12
    Id,    12 (testimony
    (testimony of Ms. Parks on direct examination by the Agency's
    counsel, Michael M. Kipphan, Esq.)
    d. Ms. Parks further testified that I.M.R.
    IM.R. did not have the level of care she
    needed, and the level of care she did receive from Petitioner was poor.
    Q:     To your
    your knowledge,
    knowledge, Bonnie, have there been times when
    va's been left alone?
    Iva's
    A:
    A:     Yes, there has been aafew times I
    Yes,there                       I have went out there and
    she has been alone.
    Q:
    Q:     Does that concern you when you see that?
    A:     Yes, it does, because she   =like IIsaid, she is not able to
    she---hike
    I'                        take care of herself and she f  falls.
    lls.
    a    She has no phone to
    contact anybody with.
    with
    Q:      Have you
    you come to the home and found Iva covered in
    feces before?
    A:
    A:      I
    I have come there and like
    hike her diaper that she wears has
    in it, yes
    had feces in     yes.
    :,             Q:
    0:      How are Iva's
    lva's meds managed? You put them in aaseven
    'I                     day box and
    and [Petitioner]
    [Petitioner] gives them to her?
    I,
    A:
    A:      He either gives them to her or sets them on the table
    when she gets up in
    in the morning. Then she gets them.
    them
    :Q•     Would it be fair to say that Iva
    lva can't take care of her own
    meds?
    A:      Correct.
    ,11:                                          6
    6
    ...
    Q:
    Q:      How does lva
    Iva get
    get around? Does she need a
    a walker?
    A:     She—yes she, does walls
    She-yes              walk sometimes without her walker
    but she is very unstable.
    Q:
    Q:      Based on your
    your observations is she aafall risk?
    A:
    A.      Yes.
    Q:      Has Iva
    lva shared with you that she also hallucinates about
    people
    people in trees and things like that?
    'I'             A:      Yes, she has.
    has.
    Q:      And have you noticed that she has some cognitive
    thinking disabilities?
    A:
    . ..
    Yes.
    THE COURT:         Can I
    I ask, ma'am, when was the last time you
    saw Iva?
    THE WITNESS:       It would have been the day that they came to
    get
    get her which IIthink was December 6
    6th.
    THE COURT:         Okay. And when you saw her was this one of
    Okay.
    the days
    days when her diaper was full of feces?
    THE WITNESS:
    WITNESS        No, no.
    THE COURT:         When was the last time that happened?
    THE WITNESS:       That's when
    when she
    she was
    was sick and
    and she was
    was having
    the diarrhea, so at times she couldn't get her
    diaper down fast enough.
    diaper            enough
    THE COURT:         Okay.
    Okay. When you're not there, do you know
    who takes care of her?
    I         THE WITNESS:
    WITNESS: [Petitioner]
    [Petitioner] had told me that his mechanic Bill
    has cleaned her upup.
    I'
    Id. at 12-14
    Id,    12-14 (testimony
    (testimony of Ms.
    Ms. Parks on direct examination by Attorney
    Kipphan,
    Kipphan, with follow-up by the Court).
    e. Upon
    Upon examination by I.M.R.'s counsel, Attorney Ghaner, Ms. Parks gave
    by IM.R.'s
    I.M.R.'s cognitive issues and daily life.
    further detail about IM.R's
    77
    I'
    II
    Q:
    Q•      Ms.
    Ms. Parks, Mr.Mr Kipphan asked you about cognitive
    disabilities. What sort of shortcomings do you see [va
    Iva
    having?
    having?
    A:      She does not remember-you
    remember—you know, you can say
    something to her and within aa half hour she don't
    remember what you've
    you've told her. Very often she has said
    about people
    people out in the trees fighting. She had said about
    people being there that I
    people being              I know that wasn't there. She's
    very
    very hallucinating.
    Q:     Can you
    you have aanormal conversation with her like you
    and I
    I are having
    having right now?
    A:      You can but then she steers off and she has no idea what
    she's talking about.
    Q:
    Q:     She gets confused?
    A:     Very easy,
    easy.
    Q:
    Q:     Does she forget
    forget things
    things during the conversation that
    you—
    you-
    A:     Yes.
    Q:
    Q:     Does she forget
    forget things
    things like whether or not she's eaten
    that day?
    day
    A:     Yes, she has.
    Q:
    Q:     Does she forget
    forget whether or not she's had her medications
    those days?
    A:     No.
    No, She does remember she takes her medicine because
    every time I've
    every       I've went out, I've asked her, have you taken
    your
    your   medicine  and she's always said yes.
    yes. When I  I woke
    up,  you know, it was on the table. I
    up, you                                 tools it. She always
    I took
    tells
    tells you exactly
    you exactly how
    how  many
    many  pills she took.
    took.
    Q:
    0:      Where was she residing
    residing when you were providing care
    for her?
    l             A:      She lived inin the home
    home with
    with [Petitioner].
    [Petitioner]. She had
    had aa
    il                    bedroom there. When IIwould go in, if she wasn't sitting
    '
    at the table, she was usually in her bed
    Id. at 15-16
    Id,    15-16.
    11   f.f   Cross-examination of Ms.
    Ms. Parks by Petitioner's counsel did not reveal
    additional significant
    significant details. Ms. Parks did clarify that she had begun
    8
    8
    working for Petitioner in March of 2021, had begun caring for L.M.R.
    working                                                       I.M.R.
    after I.M.R.
    LM.R. had come from the hospital,
    hospital, and that Petitioner had had
    another person
    person coming in to help I.M.R.
    LM.R. for a
    a short time after she first
    came home from the hospital.
    hospital, With regard
    regard to the condition of the home,
    Ms. Parks said that she had mentioned to Petitioner about cleaning the
    house, and specifically
    specifically the kitchen, on a
    a few occasions, and in response
    Petitioner had asked his mechanic to vacuum, and Ms.
    Ms. Parks to wash the
    dishes. Id,
    dishes. Id. at 17-23
    17-23.
    9. At the outset of her testimony, Ms. Parks indicated that she was
    g.
    concerned about the potential for retaliation from Petitioner. Id,
    Id. at 10.
    10
    Her demeanor reflected that.
    12. Next to testify was Brenda Hughes, aaProtective Service Worker for the
    12.
    Agency.
    Agency. Ms.
    Ms. Hughes
    Hughes testified that I.M.R. first came to the attention of the
    agency via aareport from the Pennsylvania State Police on September 13,
    2021, after an incident in which I.M.R.
    1M.R. had been found wandering down the
    road by aastranger and transported to the Huntingdon PSP station.
    She was unable to state her name.
    name. She was saying she did not
    want to live with her son,
    son. She also said she was headed to New
    York. There were also concerns about, you know, home
    conditions, exploitation, that she's alone for long periods of
    time and the son would not go pick her up at the police station.
    station
    Id. at24.
    Id, at 24. Eventually
    Eventually arrangements were made that day for Ms. Parks to
    pick
    pick up
    up I.M.R.,
    IM.R., spend the day with her, and then take her home.
    13. Ms.
    Ms. Hughes when to Petitioner's home the next day to interview him and
    and.
    I.M.R.,
    L.M.R. and to observe the conditions there. To say the visit was not
    successful would
    would be
    be an
    an understatement.
    understatement
    Q:
    Q;     What investigation did you undertake based on the
    report
    report of need?
    A:
    A:      What investigation?
    Q:
    Q:     Did you interview-
    interview—
    A:     Idid aaface-to-face visit.
    1did
    Q:
    Q:     With Iva?
    lva?
    99
    i
    A:
    A;   Well,
    Well, unfortunately
    unfortunately II couldn't meet
    meet with Iva alone.
    with lva
    Mr.
    Mr. Cardwell would
    would not
    not allow that.
    that.
    Q:    Did you ask to
    Did you     to meet
    meet with Iva alone?
    with lva
    A:   Yes,
    Yes, I did.
    I did.
    Q:
    0:    Did Mr. Cardwell refuse that?
    A:
    A     Yes,
    Yes, he did.
    he did
    Q:    Did he tell you why you were not allowed to meet with
    her alone?
    A:    No.
    No. He just said that's not going to happen.
    Q:    So when you met with her it was—
    was-
    A:    With him.
    Q: —with
    0  with him.
    him. And
    And what
    what was
    was the outcome
    outcome of that meeting?
    meeting?
    A:
    A     Well, she had acknowledged that she took aawalk the
    other day, the day before, and she had said she was going
    York. And then she also said that
    to see her sister in New York
    she was going to go to the hospital and I    I asked was she
    not feeling
    feeling well and she  said no, that she  wants to go to aa
    nursing
    nursing facility because she can't take care of herself and
    needs
    needs help.
    ,,                     help
    ...
    Q:
    Q:    Were you
    you able to observe Ms.
    Ms. Roush's ambulation?
    A:    No too much, no. I
    I mean, she came out to the porch.
    porch. She
    was using her walker I believe.
    I believe
    Q:    Did you also ask to see the home?
    A:    I
    I can't say as I
    I got that far.
    far He was being so resistive, I
    I
    wasn't pushing it any further
    further.
    Q:    Was he being intimidating?
    A:
    A:    Yes, not only to me but also to Mrs. Roush.
    THE COURT:           What do you mean by that? Can you describe
    I                        that? You say he was being
    being intimidating to
    Me. Roush.
    Ms.
    ii
    THE WITNESS:        Well, when she said about wanting to go to the
    l
    ii
    11
    nursing facility.
    facility. He said, you don't want to go
    10
    to a
    a nursing facility and you have no money.
    You only get Social Security and who's going
    to visit you in the nursing facility and you
    don't know anyone in the nursing facility and
    what about your cat?
    Id. at 25-27.
    Id,
    14. With respect
    14.With  respect to Petitioner's statements to I.M.R.
    IM.R. that she
    she "has
    "has no money,"
    the Agency
    Agency had conducted an investigation of I.M.R.'s
    IM.R.'s financial situation as
    it could with the records it had been able to access using the Records
    best it
    Petition. That investigation gave significant cause for concern regarding the
    possible
    possible dissipation
    dissipation and misappropriation of IM.R.'s
    I.M.R.'s assets by Petitioner.
    Petitioner
    Per Ms. Hughes's
    Hughes's testimony,
    testimony, I.M.R.
    IM.R. had realized $$500,000
    500,000 in income or
    assets in September
    September 2018, yet by October 2021 she had less than
    than $$2,000
    2,000 in
    her bank account
    account (which
    (which was aajoint account with Petitioner).
    Petitioner). That was the
    same account that her monthly Social Security payments were directly
    Id. at 27-28.
    deposited into. Id,
    15. Ms. Hughes had significant concerns regarding I.M.R.'s
    15.Ms.                                            IM.R's safety in the home,
    based in part
    part on the reports
    reports from Ms. Parks, but also on statements made to
    her by
    by Petitioner. When she raised the issue of the walkaway incident,
    incident, "[h]e
    "[hJe
    didn't seem to think it was aabig
    big deal. He said she had aadestination in mind.
    She was going to New York." Id,
    Id. at 29. More concerning was the following:
    Q;
    Q:      Following
    Following the incident in which Ms. Roush wandered
    from the home, did Mr. Cardwell tell you that his cure
    was to lock her in the house when he was gone?
    A:
    A.      Yes.
    Yes
    Id.
    Id
    16. In addition to her testimony
    testimony regarding Petitioner's demeanor during her
    I.M.R., Ms. Hughes
    attempt to interview IM.R.,      Hughes testified regarding actions taken by
    Petitioner to hamper
    hamper her investigation
    investigation into the matter generally
    generally.
    /                       It's my understanding that Ms. Roush has aasister, is that
    Q:
    '1                      right?
    A:      That's what I'm told, yes.
    I
    .!
    l                                           11
    'I
    n
    Q:
    Q       Did you ask
    Did you     Mr. Cardwell
    ask Mr. Cardwell for
    for the
    the name and address
    name and address and
    and
    phone number
    phone number of the sister?
    A:
    A       Yes.
    Yes
    Q:
    Q:      She would be entitled to notice of today's hearing,
    hearing, isn't
    that right?
    A:
    A:      Well,
    Well, as aasister, sure.
    Q:
    0:     Did Mr.
    Mr Cardwell give you that information or did he
    refuse
    refuse it?
    A:      He refused
    refused.
    Q:
    0:     Did you
    you ask him on more than one occasion?
    A:
    A      Yes.
    Yes.
    Q:
    Q                              say you
    On each occasion did he say you can't have it?
    A:
    A:     Yes. And aa second time he told me it's none of my
    business.
    Q:
    Q:     Did
    Did he
    he also tell you not
    tell you not to
    to come back
    back to
    to the
    the house?
    A:
    A:     IIcan't say
    say that but I
    I certainly got that message.
    Q:
    Q      Has Mr. Cardwell provided
    provided you with any medical or, I'm
    sorry,
    sorry, financial information?
    A:     No.
    No
    Q:
    Q:     Now I I understand that there's a        Iva Roush income
    a trust, lva
    only trust?
    only trust?
    A:     Yes.
    Yes.
    Q.
    Q:     Have you
    you been given aacopy of that?
    '
    ,I              A:
    A:     No.
    No.
    Q:
    Q      Are you
    you asking
    asking the Court today to direct that the Agency
    receive aafully executed copy of that trust?
    A:
    A      Yes.
    Id. at 30-31
    Id     30-31 (emphasis
    (emphasis added).
    17.                                      I.M.R., along with the highly suspect
    17 The lack of financial information for IM.R.,
    nature                 involving her property, rendered
    nature of transactions involving               rendered her
    her ineligible
    ineligible at
    11
    12
    12
    il
    l"
    that time for medical assistance to pay for the care she needed. 'That
    That
    ineligibility
    ineligibility could also extend for five years into the future.
    Q:        Why
    Why was itit so difficult to get Ms. Roush approved for
    medical assistance?
    A:        We still don't have her approved. It's so difficult because
    property that was sold for $250,000
    of the property                    $ 250,000 in January of
    2020, so the County Assistance Office is going to look at
    that as aasold asset and actually itit was sold under fair
    market value. It's actually 280-something
    280- something thousand
    dollars and so because that's within the past five years,
    going to have a
    she's going          aperiod
    period of ineligibility.
    Q:
    Q,           you're talking
    So you're   talking about the five year look back that
    Medical                employs to determine if you're
    Medical Assistance employs                      you're
    eligible for nursing care, is that right?
    right
    A:       Yes.
    Q:       And as we stand here todaytoday she's not qualified because
    of all the stuff that's gone?
    A:       More likely
    likely than not, no. IIdon't have the official word
    but I
    I know that they have the five year look back and
    she's got
    she's got well
    well over
    over the
    the $$8,000
    8,000 limit
    limit that
    that is
    is aacriteria
    criteria for
    for
    their program.
    Id. at 39-40.
    Id,
    18. Petitioner's cross-examination of Ms.
    18.                                   Ms. Hughes primarily focused on matters
    such as the fact that the Agency was relying on Ms. Parks' testimony
    regarding
    regarding conditions inside the home, and that Ms.
    Ms. Hughes had only been
    out to the home twice
    twice (on September 13
    [on September 13th and December 6).
    6th). Pertinent
    matters that came out during her cross-examination were that the Agency
    had been trying
    trying to obtain bed space
    space for I.M.R.
    IM.R. since the September incident,
    hampered initially by Petitioner's refusal to provide financial
    but had been hampered
    records, and then by the fact that on paper, it appeared that I.M.R.
    IM.R. should
    have significant
    significant assets
    assets (meaning
    [meaning that medical assistance funding was not
    available to pay         care). 4 Overall, Petitioner's cross-examination
    pay for her care).'
    Petitioner's counsel raised an allegation that Petitioner had asked the Agency for help in March 2021, but
    4 petitioner's
    4
    had been refused, insinuating that they would not help when asked, but then turned around and went after
    11
    13
    amounted solely
    amounted solely to an attack
    to an attack on
    on how
    how the Agency proceeded.
    the Agency            It raised
    proceeded. It raised no
    no
    matters that contradicted the evidence presented or weakened it
    it to an
    Id. at 31-40
    appreciable degree. Id,    31-40.
    19. To follow-up
    19.To  follow-up on Ms.
    Ms. Hughes's
    Hughes's testimony regarding I.M.R.'s
    IM.R.'s finances,
    finances, the
    Agency
    Agency presented the testimony
    testimony of Caroline Burnell, an expert witness in
    the field of financial fraud examination. Based on the records that the
    Agency had been able to obtain using the Records Petition, as well as
    publicly
    publicly available land records, it
    it was Ms. Burnell's preliminary
    preliminary opinion
    that: (i)
    (1) there was at least $200,000
    $ 200,000 0f
    of I.M.R's
    I.M.R.'s funds not accounted for; and
    (ii) the records showed potential financial exploitation of IM.R.
    I.M.R. of between
    and $
    $200,000 and   500,000. Id,
    $500,000.  Id. at 40-43.
    40-43
    Ms. Burnell further opined that, based on the information she had at that
    20. Ms.
    I'                 point, I.M.R. had been aavictim of financial exploitation. She based this
    point, IM.R.
    primarily
    primarily on her findings with respect
    respect to two joint bank accounts held by
    I.M.R.     Petitioner. [d.
    L.M.R. and Petitioner  Id. at 44-45.
    a.   The first was a
    a checking account with M&T
    M&T Bank. It was opened in
    March 2018 and closed in November 2018,
    2018. Reviewing the transaction
    history, the withdrawals attributable to Petitioner exceeded the
    deposited by
    amounts deposited           about $$61,000.
    by him by about   61,000. Even taking into account
    roughly
    roughly $$6,000
    6,000 of deposits that could not be directly attributed to either
    account holder, the excess amount taken by Petitioner was
    was $$55,000.
    55,000.
    b. When the M&T
    M&'T Bank account was closed in November 2018 it had aa
    balance of $180,000.
    balance of $ 180,000. That amount, which
    which was
    was all
    all the
    the proceeds of aalife
    insurance policy
    policy that paid out to IM.R.
    I.M.R. after her husband passed away,
    was
    was deposited
    deposited into
    into aanew
    new account
    account at
    at Members
    Members First
    First Federal Credit
    Federal Credit
    Petitioner. Petitioner later raised this allegation multiple times in his own testimony in an attempt to cast the
    Petitioner
    Agency
    Agency in aapoor
    poor light. Pet Ms
    Ms. Hughes's testimony, what actually happened was that when IM.R.
    I.M.R. was released
    from the hospital, the Agency was tasked with performing an evaluation to see what care she might need. need. This
    elderly persons similarly situated in the Agency's service area.
    is done for all elderly                                                     area. However, the actual investigation
    eligibility determination are performed by a
    and eligibility                                    abroker working on contract funded by the Pennsylvania
    Aging. This meant that once the Agency obtained the initial information, the matter was out of
    Department of Aging
    its hands. llL
    Its          Id. at 34-35
    34-35. The Agency therefore had no information about whatwhat might
    might have transpired between
    between
    II   Petitioner ad
    and the broker
    broker,
    ,
    14
    Union the same month. By
    By the end of February 2019 the balance of the
    account had been depleted to $27,000
    $ 27,000.
    21. Ms. Burnell made clear that her report was preliminary,
    21.Ms.                                         preliminary, and that it was
    based on the limited information that the Agency had been able to obtain.
    "If a
    If  areport
    report is needed for aafinal guardianship hearing, then I
    I will obviously
    do additional work"
    work." Id. at 46.
    22. Petitioner's cross-examination of Ms.
    Ms. Burnell proceed in a
    a similar fashion as
    for Ms.
    Ms. Hughes.
    Hughes. Petitioner's counsel questioned Ms.
    Ms. Burnell's methods,
    reliance on incomplete data and information
    information (i.e.,
    (i.e. less than the full and
    complete bank records, which Petitioner had impeded access to), and
    reliance on information from the Agency,
    Agency, but raised no issues that
    contradicted Ms. Burnell's conclusions or appreciably weakened the
    strength of her testimony. Id,
    Id. at 46-50
    46-50.
    23.
    23. The final witness for the Agency
    Agency was Lori Heaton, Service Director.
    Ms. Heaton's testimony focused on:
    on: (i) Petitioner's conduct in impeding the
    Agency's investigation of IM.R.'s
    I.M.R.'s case and preventing access to IM.R.;
    I.M.R.; and
    (ii) Petitioner's conduct in harassing and intimidating the Agency and its
    (ii)
    employees. Id,
    employees. Id. at 51-57. She also discussed the steps taken by the Agency
    try to obtain appropriate care for IM.R.,
    to try                                I.M.R., which were met with resistance
    by Petitioner. Id,
    Id. at 53-54.
    24. Ms. Heaton became directly
    directly involved in the matter on December 2, 2021,
    when she accompanied another Agency employee on an attempt to visit
    I.M.R.
    I,Mg and interview her at Petitioner's home.
    home, The
    The visit itself was
    uneventful; however, Petitioner's actions afterward were troubling, to say
    the least.
    Q:
    Q:     Can you
    you give
    give us some details about the [level
    [level of
    Petitioner's] cooperation
    cooperation [in
    [in the case]?
    A:     Yes. Again
    Again all during the case IIhad been hearing about
    the difficulties and cooperation by Mr. Cardwell but on
    December 2nd I  I went out to the home along with Belinda
    Black to try
    try to see lva
    Iva and she was not home. We did
    ,,
    '                       speak with his mechanic, Mr. Cardwell's mechanic, Bill.
    '
    15
    ,.
    l
    I'
    I,I                       He
    He tried to reach
    reach Mr.
    Mr. Cardwell but was
    returned to the office.
    was unable
    unable to.
    to. So we
    we
    l
    When
    WhenIreturned to the office
    office Ihad a
    avery angry voicemail
    'I·
    %
    message
    message from Mr. Cardwell telling us that we had no
    Ii                        business stopping
    stopping by the home and to never do it
    and that if we wanted to-anything
    it again
    to— anything from him, we were
    to mail itit in writing to aa Chambersburg address address.
    Subsequently he then called the office again and IIspoke
    with him over the phone
    phone and again he was very angry,
    threatening
    threatening me that we should never come back to the
    home again; that it
    it was not necessary. IItold him that we
    just wanted to visit Mrs. Roush, discuss the case further,
    just
    talk
    talk about any
    any needs that
    that she had
    had and
    and he said that  it was
    that it  was
    not necessary.
    Q:
    Q:     Is        anything you
    ls there anything    you would
    would like
    like to add about
    cooperation
    cooperation with Mr.
    Mr. Cardwell?
    A:     Just
    Just that there has been several instances of phone calls
    from him demanding to know the worker's full names.
    You know,
    know,itit just seems to serve no other purpose but to
    harass, be menacing.
    menacing. He's accused they did not have
    their proper
    proper ID, which is not true, and-
    and—
    Q:
    Q:     After the emergency guardianship was filed, did Mr.
    Cardwell file aaright
    right to know demand?
    A:     Yes.
    Q:
    Q:     Listing dozens
    Listing dozens and dozens of requests
    requests for
    for information?
    A:     Yes, yes.
    Q:
    Q:     Do you
    you believe that was in retaliation for your
    actions?
    A:
    A.     Yes, Ido.
    Yes,I
    Id. at S2, S4 (emphasis
    52, 54 (emphasis added).
    2S. On cross-examination, I.M.R.'s
    25.                       L.M.R's counsel obtained clarification about the
    right-to- know requests,
    right-to-know  requests, which included five
    five (or
    [or more)
    more] years' worth of
    records pertaining
    pertaining to how many people the Agency had removed from their
    homes, the salaries of all Agency employees, all complaints that have been
    filed against the Agency, drug testing and criminal background check
    16
    H
    !I
    results for all Agency employees, sources of funding for the Agency, and
    Agency employees,
    what legal authority
    what legal authority the Agency
    Agency has
    has to
    to do emergency guardianships. Id. at
    56. Ms.
    56, Ms. Heaton also provided
    provided further information regarding her
    communications with Petitioner.
    Q:      How many times have you interacted with Mr.
    Mr Cardwell?
    A:     Five to six times actually verbally over the phone and
    then we had several email exchanges.
    I
    '
    I                      Q:
    Q
    A:
    Have you-maybe
    you— maybe close to ten times?
    Yes, or more.
    more
    Q:
    Q•     You have been doing this [work]
    [work] for almost 30 years.
    Those ten times you interacted with him, how many of
    those was he helpful?
    A:     Less than half.
    Q:
    Q:     How many of those was he focused on what was best
    for his mother?
    A:     In my opinion none. He did verbalize that he was
    concerned that she belonged with him and not in aa
    nursing
    nursing facility.
    facility. In fairness I
    I will say the one time
    that I
    I did feel that he had aatrue concern was that he
    wanted to make sure that her healthcare directives
    were followed.
    Id. at 57
    57 (emphasis added).
    26. Clarification questions
    questions from the Court revealed the extreme nature of
    Petitioner's actions toward the Agency.
    THE COURT:        Ms.
    Ms. Heaton, were you
    you able to
    to get into
    into the
    the home
    home
    or were you allowed access to Ms.
    Ms. Roush?
    THE WITNESS:      No, we weren't.
    weren't
    THE COURT:
    THE COURT:        What had to happen to get access to
    Ms.
    Ms. Roush.
    Roush.
    THE WITNESS:      We had to get aaCourt Order.
    ,,'             THE COURT:
    THE COURT:        Typically
    Typically in these
    these situations
    situations when you
    you come
    to me with an emergency, an Order is signed
    and then you do what you have to do?
    THE WITNESS:
    WITNESS       Yes.
    17
    17
    THE COURT:        Was this different from most situations?
    THE WITNESS:
    WITNESS.      Yes.
    Yes.
    THE COURT:        Why?
    THE WITNESS:      We were very concerned about the safety of
    our
    our workers, so we
    workers, so    had to
    we had to ask
    ask the
    the police
    police to
    to
    accompany us.
    THE COURT
    THE COURT:         And that accomplished what you needed to
    accomplish?
    THE WITNESS:       Yes, it did.
    Id. at 55
    Id,    55.
    27. Petitioner offered the testimony of himself in
    in rebuttal of the evidence
    presented
    presented by
    by the Agency.
    Agency. Due to the allegations
    allegations of financial exploitation
    that were raised, as well as the presence of representatives of the
    Huntingdon
    Huntingdon County District Attorney's Office and two criminal investigators
    from the Pennsylvania State Police in the courtroom, the Court gave
    Petitioner the opportunity to meet with counsel to discuss whether to
    testify,
    testify, and then conducted aabrief colloquy on the record to confirm that
    Petitioner both understood his Fifth Amendment rights and that the
    testimony he gave could be used against him in acriminal prosecution.
    in a
    Petitioner confirmed that he understood his rights
    rights and the possible risks
    involved, and that
    that he
    he still
    still wanted to testify. Id. at
    at 64-66.
    28. Petitioner's testimony on direct examination was troubling, and, at times,
    28.
    bizarre.
    29. Petitioner had been caring for I.M.R.
    IM.R. for ten years. He originally was caring
    for both his parents, and they were living at their f
    farm
    a in Dauphin County.
    rm
    His father
    father (I.M.R.'s
    (IM.R.'s husband) passed away in 2018, and at some point after
    that, he had moved IM.R.
    I.M.R. in with him at his home in
    in Huntingdon County.
    I.M.R. had been living with him for between two and one-half and three
    .M.R.
    years. Petitioner and I.M.R.
    years.                IM.R. met with Attorney O'Toole, and she signed the
    Alleged                                died. Id,
    Alleged POA, after Petitioner's father died. Id. at 6
    67-68.
    7-68
    '
    I
    ,:
    n
    18
    I.M.R. had only recently been prescribed medication
    30. Petitioner claimed that IM.R.
    for Alzheimer's, which he then clarified as being
    being "aacouple of years." He did
    not believe that her condition had deteriorated that far.
    far He characterized
    having "good
    her as having       days and bad days." He confirmed that she at times has
    "good days
    trouble recognizing
    recognizing people.
    people. He described aagood day as I.M.R.
    IM.R. having aa
    conversation with him and telling him the
    the "years and dates of her sisters-
    sisters—
    she had 13 brothers and sisters." Id,
    Id. at 68-69. He described a "bad day" as
    follows:
    A:
    A:    Bad day,
    day. She has fits where she sees aanaked person
    '                        outside the house.
    house. Then you have to explain to her
    there's no naked people
    people hanging outside your house and
    I                            she's okay.
    okay. Might
    Might argue with you some but she's okay.
    Q:     Would you acknowledge what was testified to earlier
    about her visions of people in the trees?
    A:     Yeah, that's—  normally it happens with she gets aaurinary
    that's-normally
    tract infection is when it
    it happens most of the time.
    dI. at
    ld,    69.
    at69
    31. Per Petitioner, I.M.R.
    I.M.R. had been hospitalized at the beginning of the year for
    about
    about aaweek,
    week, and when
    when she
    she was
    was discharged he
    he tried
    tried to
    to get her
    her into
    into aa
    nursing
    nursing home in Carlisle. That did not happen
    happen "because
    "because we had something
    with the insurance where we were in the wrong county or something. I
    don't know." dI.
    Id, at 70. The hospital did set up someone to come to the
    home three times aaweek for skilled care.
    care. He claimed that this continued for
    many
    many months,
    months, until
    until mid- summer, and
    mid-summer,  and that
    that he
    he had
    had brought
    brought in
    in Ms.
    Ms. Parks
    Parks to
    to
    supplement
    supplement the skilled care providers. Id. When the skilled care ended it
    providers. Id,
    was only
    only himself, his mechanic, and Ms. Parks who were providing
    providing care. He
    confirmed that Ms. Parks came to the home three days aaweek, her primary
    duty was to bathe I.M.R.,
    duty              IM.R. and that he had her take care of IM.R.'s
    I.M.R.'s other
    needs.
    needs. Petitioner was very
    very hands-off with respect to Ms. Parks's care for
    I.M.R. "She
    "She was never given aaschedule. She was told to come out there
    three times aaweek,
    week, make sure mom got
    got aabath and if there was anything
    19
    19
    I
    else that mom needed, let her do it.
    it. I
    I mean, that's what IIwas paying her
    for."     at 72.
    for." Id. at 72
    32. Petitioner's description of the daily routine was that I.M.R. would get up on
    her own, give
    give herself aasponge bath, and then come out to the table for
    breakfast. He would make her something to eat and giver her her
    medications.
    medications. If she'd been incontinent of herself overnight, he would clean
    her up.
    up. She would typically
    typically spend the rest of the day napping and playing
    with the dogs or her cat. She had previously spent a
    alot of time watching
    television, but that had tapered off. She did not know how to turn the
    Id. at 72.73
    television on herself. Id,    72-73.
    33. Petitioner claimed that I.M.R. was rarely left alone in the house.
    house. Either he
    or his mechanic would be in the house with her.
    her, But there were times that
    he had to go pick up aacar or car parts and I.M.R.
    IM.R. had been left on her own
    own.
    days he would have Ms.
    One those days               Ms. Parks come twice or have aafriend check
    in
    in   on her. Jd.
    Id. at 73-74.
    34. Petitioner also claimed that he often took I.M.R.
    IM.R. on errands and trips with
    him
    him to
    to buy
    buy car parts.
    parts. He
    He also would take
    take her
    her out to
    to get her hair
    hair done or her
    her
    nails done.
    done. Id,
    Id. at 73--74.
    73-74.
    35. Petitioner's description of
    Petitioner's description of the
    the events
    events of
    of September
    September 6,
    6th, when
    when I.M.R.
    IM.R. walked
    walked
    away and was picked up
    away                up by
    by PSP, was as follows:
    A:       She was mad at me because she wanted to go to New
    York.
    York
    Q:      What's in New York?
    A:       That's
    That's where
    where our  our family
    family isis from.
    from. MomMom likes    to
    likes to
    gamble,
    gamble, so we go    go up there to this place way up north.
    IIgot
    got to think what the hell it is.    is, It's a
    a reservation
    casino thing up there she goes to. She'll spend eight
    hours sitting at a   atable. IIactually have to tell the lady
    at the table to shut it down so she'll eat but she likes
    to           gambling. So we
    to do the gambling.              just had one of her
    we just              her brothers
    brothers
    or sisters passed away, so she wanted to go up north, so
    I·                          we went up up north but before I  I could do that she got mad
    because I  I told her
    her IIcouldn't do itit that day. She
    that day.       got—
    She got-
    climbed a a little fence. Started walking down the road.
    n
    20
    I
    I
    '
    ii
    Q:        What little fence is that? Inside the house?
    A:
    A:        We got   afence so we can let the dogs out and they don't
    got afence
    run off. So you
    you can't come in the house that way. There's
    a fence like two foot, three foot high.
    a                                 high
    Q:       Okay.
    Okay.
    A:
    A:        So mom crawled over the fence, decided to walk down
    the road. When she walked down the road, somebody
    picked
    picked her up.
    up. We only live on James Creek Road. We
    see maybe
    maybe five cars aaday down there
    there.
    Q:       Were you home at the time?
    A:
    A:       No.
    No. I was getting groceries. Bill [Petitioner's mechanic]
    Iwas
    was home. Bill's the one that called me, said Bill, your
    mom walked off,off. Well, you know what happened. She
    walked down the road, somebody picked her up and
    dropped her off at the State Police. I
    dropped                              I call the State Police,
    Police,
    alerted them before she even got there. She wasn't even
    there
    there when
    when II called them. While II was talking to him, she
    walked into the police station. Well, I I was in
    in Altoona. I I
    called Bonnie
    Bonnie [Parks].
    [Parks]. Bonnie went and picked her up
    brought her
    and brought   her back  home. Then
    back home,  Then the next
    next day that lady
    lady
    [pointing at Ms. Hughes] showed up
    [pointing                       up.
    Id. at75-76.
    Id, at 75-76.
    36. Much of Petitioner's testimony regarding his interactions with Ms. Hughes
    and the Agency
    Agency focused on what he alleged were illegal or impermissible
    actions by
    by them
    them (matters
    (matters which the Court ruled were not relevant to the
    question of the emergency
    question        emergency guardianship). It did confirm, however, that he
    took                posture with
    took an adversarial posture with the Agency from
    the Agency from the
    the very start.
    very start
    Q:       And do you
    you recall at that time whether Ms.
    Ms. Hughes asked
    you to take a
    a look around the house or to meet with your
    mom?
    mom?
    A:
    A:        No, The conversation went pretty much like
    No.                                              hike this.
    this. She
    come up on the porch. She said she'd like to talk to
    come  up  on  the porch.   She said she'd  like to talk to mom.
    mom.
    I
    I went and got
    got mom, put
    put her on the porch and she had aa
    conversation, two minute conversation, with my mom
    and turned around and told me my mom needs to be in a         a
    nursing
    nursing home. Then I     I asked her, II said, who are you to
    tell me in aatwo minute conversation with my mother she
    belongs
    belongs in aanursing home? What qualifications do you
    ,,'
    21
    21
    l
    I
    II
    have? In fact, I
    I said to her where's your identification
    because she by law-
    THE COURT
    THE COURT:         Let's move on. I'm not concerned with that.
    Id. at 77; see also generally id. at 77-78.
    77-78
    37. Petitioner claimed that he had no further interaction with the Agency until
    they
    they showed up
    up with the State Police on December 6th
    6 to take custody of
    I.M.R. Id. at 78. He addressed the financial issues in aasuperficial manner;
    I.M.R. Id,
    0:Q•   There's been some allegations about misappropriation of
    mom's funds. Is there anything that we[sic] to have to
    say about that here today?
    A:
    A:     There's no misappropriation of mom's funds. Whenever
    mom or dad died, they were renting the farm out to
    $13,000.
    $13,000. When I   I rented the farm out, she made
    made $$25,000.
    25,000.
    I
    l put
    put that in a
    a trust fund and that goes  into her money  or
    into our bank account along with both of our social
    securities goes into the same bank account. We have the
    same bank account.
    Id. at 79.
    Id,
    38. As far as his income, Petitioner claimed that he was retired or
    38.As                                                            or "semi-
    semi-
    retired," due to having
    having suffered some unspecified injury in 1991. He last
    worked in 2012. Id,
    Id. at 68. He also claimed to be an expert in
    in in-home care
    and the investigation of elder abuse.
    Q:    Mr.
    Mr Cardwell, prior
    prior to your retirement and/or disability,
    do you have any work history in the field of in-home
    care?
    A:    Absolutely.
    Q:    What is that?
    A:     Iused to be acontractor
    Fused       acontractor for the Office of Aging.
    Aging. I
    I covered
    eight counties.
    Q:
    Q;     When you say aacontractor, what do you mean?
    A:     We did in-home care. IIhad aahundred girls working for
    Il                      me, so I'm
    l'm very
    very much aware of what's going on here.
    Q•     How long
    long did you
    you work in that capacity?
    I
    l
    I
    ::
    22
    11
    ii
    A:       Six years I
    I think it was.
    was. In those six years I
    I had two
    counties investigated and basically the Federal
    government came in and shut them down.
    Id. at 80
    Id,    80.
    39.
    39, When Petitioner was asked by his own counsel about how I.M.R.
    I.M.R. was doing
    since having been placed in a
    a nursing home
    home (he
    (he had visited her the previous
    day),
    day), he had trouble focusing on his mother's overall condition, and focused
    instead on supposed shortcomings with both what the Agency had done
    and the quality of the home they selected. Id,
    Id. at 80-82.
    Q:
    Q•       Has she-do
    she— do you know whether or not she's taking her
    medications or is receiving       any kind of medical
    treatment that she may need?
    A:       Well, I— when I
    I-when   I got to the nursing home—     on the way to
    home--on
    the nursing come I  I call the other Area of Aging and asked
    them the story on the nursing home. They told me they
    have Covid[sic] in the nursing home and they told me it
    was aathe worst nursing in    in the county. They told me it
    had aa one star rating and they're seriously understaffed.
    understaffed
    Iasked lady[sic] at the nursing home or the Area of Aging
    asked
    would you put your mom there. She said absolutely not.
    I.I
    Q:
    Q       Has your— how is your mom's condition?
    las your-how                                   When's the
    last time you saw your mom?
    A:      Yesterday.
    Yesterday
    Q:      How is her condition?
    A:      Good.
    Q:
    Q•      Did she have any kind of, you know, infections or any
    kind of conditions? In good condition or no?
    A:
    A.      When I I finally got to see my mom aaweek later, her nose
    looked like it was falling off her face.
    face. So I I got the
    administrator and IIasked them, what's this thing on her
    face and they
    they told me it was aastaph infection.
    infection. She didn't
    have aastaph infection when she left me but sure got one
    now. So—
    So-
    Id. at 81-82
    Id,    81-82.
    I
    ,.
    n
    l
    23
    40. Cross-examination of Petitioner
    40.Cross-examination                by the Agency's
    Petitioner by     Agency's counsel revealed
    revealed more
    more
    bizarre claims and information that was much more concerning than what
    came out in direct examination.
    a.a. Petitioner claimed to be unaware that IM.R's
    I.M.R.'s physician, Dr. Sellers, had
    diagnosed I.M.R.
    diagnosed IM.R. with dementia in 2014 and had prescribed medication
    for the condition at that time. (This
    (This despite supposedly having been to
    every        I.M.R.'s medical appointments
    every one of LM.R.'s          appointments since he began taking care of
    her in 2012.) Id,
    in 2012.) Id. at
    at 84-85.
    b. He could not provide
    provide aafull name for IM.R.'s
    I.M.R.'s sister, as he only knew her
    as
    as "Aunt Suzy." He could not provide her address despite having been to
    her house "a
    her house "a hundred times."
    times." "Don't
    Don't ask me where
    where she
    she lives.
    lives. IIcan only
    drive there." [d,
    Id. at 83-84.
    83--84
    c. He did not dispute Ms. Parks's description of the interior of his home.
    cleaning freak." Id. at 86.
    He did, however, claim that she was a "cleaning
    He (unintentionally)
    d. He [unintentionally) confirmed that I.M.R.'s
    LM.R.'s cat could be used as aa
    source of leverage over her.
    her,
    I'
    Q
    Q:      When your
    your mom expressed
    expressed some concern-strike
    concern— strike that.
    your mom
    Was your   mom worried
    worried about
    about what
    what was
    was going to
    to happen
    to her cat if she went to a
    a nursing home?
    A:      My
    My mom's always worried about what happens to
    that cat. Everyday
    Everyday she wakes up IIget a
    a story about
    this cat.
    Q:     Did you tell
    Did you  tell her,
    her, quote, you should have fucking thought
    quote, you                     thought
    you
    about that before you    took off down the road and to the
    State Police?
    State Police?
    A:     No.
    No
    Q:     You never said that?
    A:     No.
    Id. (emphasis added)
    added).
    e. He admitted that his claim that the infection on I.M.R.'s
    IM.R.'s nose was staph
    was false. He also
    also (again,
    (again, unintentionally)
    unintentionally) confirmed that his focus was
    I.M.R., and not
    on control of LM.R.,      not what was best     her.
    best for her
    24
    Q;
    Q•   The staph infection that you indicated your mom has on
    nose.
    her nose
    A:   Yes.
    Q:
    Q:   Isn't it true that the doctor there said it was cellulitis?
    Isn'tit
    A:   They
    They told me it
    it was a
    a staph infection. I I have not heard
    the terminology
    terminology cellulitis until yesterday.
    Q:   Who did you
    you hear it from yesterday
    yesterday?
    A:   The nurse.
    Te
    Q:
    Q:   At the nursing
    nursing home?
    A:
    A:   At the nursing home.
    home
    Q:   So yesterday you were told it was cellulitis?
    A:   Yes.
    Q:   But today you're testifying it was aastaph infection?
    A:   That's what I
    I was told.
    Q:
    Q    By whom?
    A:   The coordinator up at the nursing home. When I      I got to
    the nursing
    nursing home,  the first thing I
    thing I did was  went  to the
    coordinator and he got the director of nursing and I         I
    handed them the power of attorney that I       I had which
    basically states everything my mom wants done. I             I
    told them Huntingdon doesn'doesn'ttrecognize this power
    of attorney but everybody in the country does. I       I said
    if IIwas you, I
    I would get
    get my
    my mom evaluated because you
    just told me that this happened outside of your area.
    Id. at 90
    ld,    90 (emphasis
    (emphasis added).
    f.f,   Petitioner confirmed that the copy of the Alleged POA that he had
    provided
    provided to his attorney and that had been filed with the Court, the
    same document he had represented
    represented to the Agency as giving him
    I.M.R.'s person and property, had not been
    absolute authority over IM.R.'s
    ,,'
    effective. Id
    executed by him as required for it to be effective. Id. at 90-91. The
    Court left open the possibility
    possibility of Petitioner locating an executed copy.
    Id.
    Id.
    25
    ,I        41. With respect
    41.With  respect to the misappropriation
    misappropriation issue, Petitioner initially refused to
    I                   any specifics
    discuss any specifics regarding finances without having bank records with
    him, claiming
    claiming that he could not remember the details. For example, he
    ,,           initially claimed he didn't recall that I.M.R. received
    received $$250,000
    250,000 from aalife
    insurance policy
    policy after her husband died in 2018.
    2018. [Id,
    Id. at 92.
    92. He then said
    that he was
    was "aware
    aware of it." Id. His testimony was similar regarding
    it." Id,                           regarding $$250,000
    250,000
    that
    that I.M.R.
    IM.R. had
    had received
    received from
    from the
    the sale
    sale of
    of aaproperty.
    property. He
    He then
    then went on to
    went on to
    testify
    testify that he did not know how the money had been spent or where it was.
    was
    He also
    also (inadvertently)
    [inadvertently) testified once again to the degree of control he had
    over I.M.R.
    LM.R.
    Q:
    Q:     Well,
    Well, you do know or you
    you doknow     you don't know.
    know. As your [sic] power
    As your[sic]
    of attorney
    attorney I
    I would assume you would be on top of those
    things.
    A:             asking me. She's got it. If she got it, it's probably
    You're asking
    in the bank account and II probably either tools
    took it out for
    something
    something   or  did something    with   it but   she okayed
    everything that I've done.
    everything
    Q:
    Q:     So it's still somewhere?
    A:
    A:     Probably.
    Probably
    Q:
    Q:     Are you handling her finances?
    A:      Ipaid her bills.
    Q:
    Q:     You don't know where her money is?
    A:
    A:      Ipay
    pay her taxes. I I pay the bills and it comes out of my
    They [I.M.R.
    account and her account. They     [IM.R. and her husband]
    had separate
    separate accounts when they were married of when
    dad died. When all that took place, there was 60-some
    60- some
    thousand dollars missing
    missing out of one of dad's accounts. It
    is what it is.
    is, I
    I didn't have control over dad's accounts
    either.
    ,,              THE
    THE COURT:         When did your dad pass away?
    THE WITNESS:                  was-]I want to say it's in the
    ]I think it was—
    September
    September range     2018. He died at the
    range of 2018
    house.
    26
    'I
    THE COURT:        Was
    Was   that before or after
    after the
    the power
    power of
    attorney?
    THE WITNESS:      After—  no, I'm
    After -no,   I'm sorry. No, No. Yeah, it was
    after because before dad died I    I tried to get
    her to do aa power of attorney on dad and I     I
    don't think she did.
    did . I
    I don't think she did
    but at some point we had mom's name put
    on everything and at some point dad tried
    to get her to sign off on it and I
    I told her no.
    And then when dad died, she ended up with
    everything
    everything and then she told the attorneys
    that she wants to give me everything now
    while she's still alive.
    THE COURT:         When was that?
    THE WITNESS:       Back in 2018. That's when IIput everything in
    a trust fund so that we
    a                    we— the income coming in
    -the               in
    from the house shows up as income and that's
    what's on the taxes every single year.
    year
    Id. at 93-94
    93-94 (emphasis
    (emphasis added).
    42. Petitioner further revealed that his recordkeeping with regard to his joint
    account with I.M.R. was woefully inadequate, and that he considered all of
    her assets to be his,
    his.
    Q:
    0:      So right now she gets her Social Security?
    A:      Yes.
    0:
    Q:     And
    And $$25,000
    25,000 aayear, is that right?
    A:
    A       Yes.
    Q:     She get any other income?
    A:     No.
    Q:
    Q•     And her money
    money goes
    goes into a
    a joint bank account with yo,
    you,
    is that
    that right?
    A:
    A      Yes.
    Q
    Q•     It would be safe to say that the balance of you account at
    least in October would have been aa couple thousand
    bucks?
    27
    I                    A:        I
    l have no idea what my
    my balance its. I'm 60 years old and
    I                              I've
    I've never reconciled aachecking account since then
    then.
    I                     Q:
    Q        Would you
    you know if it
    it was a
    a couple thousand versus aa
    ,I                              million?
    A:        Probably
    Probably because I I get notifications that I
    I got more than
    aathousand in my bank account. I     I don't keep money in
    the bank. II pull money in and out of banks all the time
    time.
    Q:
    Q:       Do you keep your mom's money in the bank?
    A:       I
    I pull money out all the time. Our money—  it's our
    money-it's
    money.   It is not my  mom's  money. If mom   needs
    something,
    something, IIbuy my mom whatever she needs. My
    mom's not wanting for anything.
    anything."
    95-96 (emphasis
    Id. at 95-96 (emphasis added).
    43. Petitioner
    43. Petitioner confirmed that there were ten
    ten dogs in the home. Id. at 96
    home. Id,    96.
    44. Petitioner confirmed that he contacted Attorney O'Toole for help with
    44.
    getting I.M.R.
    IM.R. out of the Agency's custody as soon as she was removed from
    his home, specifically
    specifically focusing on the Alleged POAS
    POA. 5 Id,
    Id. at 98
    98.
    45. At the close of the hearing the Court denied the petitions to remove the
    Agency                I.M.R.'s person
    Agency as guardian of IM.R.'s  person and estate and to reconsider the
    appointment of the
    appointment        Agency as emergency
    the Agency    emergency guardian,
    guardian. The Court also stated
    on the record its limited reasons for denying the petitions, and that it
    believed I.M.R.'s
    IM.R's dementia and need for care were sufficient to support the
    guardianship.
    emergency guardianship
    THE COURT:               I
    l appreciate
    appreciate the argument.
    argument. However, under
    the circumstances based on the testimony that
    IIheard I I think there's more than enough to
    deny the emergency petition to   to remove the
    the
    current guardian.
    guardian. II believe that Ms.
    Ms.  Roush  is
    at risk
    risk based
    based on the
    the testimony.
    testimony. II believe
    believe she
    has been at risk.
    Again,
    Again, IIwould imagine that the testimony will
    be developed further but IIdon't think there's
    any
    any question
    question that she has dementia.
    dementia. She's in a
    a
    SThe Court notes that it did not allow further questioning or testimony on this issue given the possibility of
    Te
    privileged              being revealed.
    privileged information being  revealed, The fact that Petitioner did contact Attorney"Toole
    Attorney O'Toole is relevant,
    however, to      question of
    to the question of whether
    whether he
    he should have been
    been permitted  to represent
    permitted to           I.M.R.
    represent IM.R
    28
    I
    l
    I                                                     dementia
    dementia unitunit now
    now which
    which I think
    think is
    ►1
    appropriate based on the testimony. It sounds
    as if she needs round the clock care. There's
    no evidence that round the clock care has
    been
    been provided
    provided under
    under the circumstances.****
    the circumstances.
    Id. at
    Id,    102-103.
    at 102-103
    46. The Court further ordered Petitioner to provided fully executed trust
    46,
    documents within ten days. Id,
    Id. at 103.
    47. Following
    Following the First Hearing, aafull hearing on the Guardianship Petition was
    scheduled for February 1, 2022.
    48.
    48. On January 13,
    0n January 13, 2022, Attorney
    Attorney O'Toole filed an emergency petition
    petition for
    for leave
    leave
    to serve as legal             I.M.R. That petition was incomplete, as it
    legal counsel for IM.R.                                   it did
    not include an engagement
    engagement letter as required by Pa.R.0.C.P.
    Pa.R.O.C.P. 14.4(b).
    14.4(b). The
    following
    following day, the Court entered an order directing Attorney O'Toole to file
    acopy of the engagement
    acopy        engagement letter as aaconfidential document and giving the
    other parties
    parties until January
    January 21, 2022, to file any written responses to
    Attorney O'Toole's petition. After review of the then-existing
    Attorney O"Toole's                               then- existing record, the
    petition,
    petition, and the response
    response filed by Attorney Ghaner, the Court denied
    Attorney O'Toole's petition on January 24, 2022.
    49. The second hearing
    49,            hearing in this matter
    matter (the
    (the "Second
    Second Hearing") occurred as
    scheduled on February 1, 2022.
    50,
    50. The Agency
    Agency presented the testimony of Dr. Brandon Michael Roscoe,
    Dr.
    Dr. Amy
    Amy Sellers, Brittany
    Brittany Bacher,
    Bacher, and
    and Carissa Beish.
    51. Dr. Roscoe
    51.Dr   Roscoe is aaprimary
    primary care physician
    physician who specializes in geriatrics. He is
    is
    an attending physician at Mountain
    attending physician    Mountain6 Laurel
    Laurel Healthcare and Rehabilitation
    Rehabilitation
    facility at
    Center in Clearfield, PA, the facility at which I.M.R. was
    which IM.R.  was placed
    placed after being
    being
    removed from Petitioner's home.
    home. N.T.,
    N.T., Second Hearing, at 6-7
    6-7. He
    examined I.M.R.
    IM.R. in that capacity upon her admission to the f
    facility,
    cility,
    a       and
    reviewed her medical records from before that time and those generated by
    I.M.R.'s
    L.M.R.'s treatment
    treatment by
    by other staff at the                           Id. at 7,
    the facility after admission. Id,       9-10.
    7, 9-10
    I!: -,.-,-,-,
    , --"-"-,-,-,-,-m-
    "   ,-.-   , --.,-. .,r�rs to
    , "-,-0-,
    The hearing transcript continually refers to "Mount t..urel, • but
    Mount Laurel,"   but "Moun!•1n
    Mountain Laurel"is
    Laurel" is correct
    correct.
    .,
    6
    I
    29
    II
    He
    He concurred with Dr.                                          Id. at
    Dr. Seller's diagnosis of vascular dementia. Id, at 7. In
    In
    his opinion,
    opinion, it "completely
    " completely impairs her ability to function independently,"
    rendering
    rendering her in need of round-the-clock skilled care. Id,
    Id. at 8. When asked
    specific activities he
    about specific               opined that
    he opined that she would
    would not
    not be
    be able to negotiate
    negotiate
    contracts, handle her own checkbook, administer he own medicines, cook
    cools
    her own meals, or regularly
    regularly use the bathroom on her own. Id,at
    Id.at 8, 10--11,
    10-11.
    On cross-examination by
    by Petitioner's counsel, Dr. Roscoe specifically
    referenced I.M.R.'s
    LM.R'S BIMS    score. BIMS is aaneurologic
    BRIMS score,           neurologic assessment tool used
    by
    by the nursing
    nursing facility,
    facility, scored 0-15; 13-15 is normal, 8-12 is moderate
    cognitive impairment, and anything less than 7
    cognitive                                    7 is severe cognitive
    impairment.
    impairment, I.M.R.'s
    LM.R's score was 6. Dr. Roscoe characterized this as
    as "aa
    profound           Id. at 11. He further testified that the prognosis for
    profound deficit." Id,
    I.M.R.'s vascular dementia is poor, with the condition expected to be
    I.M.R's
    progressive
    progressive and worsening. Id,
    Id. at •
    9.
    52. Dr. Sellers is aaphysician in private practice in Harrisburg, PA, specializing
    family medicine. She began
    in family               began treating
    treating I.M.R.
    IM.R. in 2014 and continued as
    I.M.R.'s primary
    I.M.R's  primary care physician
    physician until she was placed in the Mountain Laurel
    facility. Dr. Sellers first saw I.M.R. for
    facility.                              for "difficulty
    difficulty with her memory" after aa
    fall. Id. at 14-15. Dr. Sellers first prescribed medication to treat her
    "memory difficulties" in December 2014, and, with, some changes in
    medication, she has been treated with medication for cognitive issues ever
    since that time. Id,
    Id. at 15, 20--21.
    20-21. Although Dr. Sellers prescribed
    I.M.R. in 2014, she did not diagnose her with vascular
    medication for IM.R.
    dementia at time;
    time; "The
    "The official diagnosis was made aabit later but it was
    mild cognitive impairment
    impairment at that point
    point that we were using the
    [medication]
    [medication] to treat." Id. at 20,
    treat" Id,     20. Dr. Sellers confirmed that she personally
    prepared
    prepared the form M-851 Physician's Statement Regarding Patient's
    Medical Condition and
    Medical Condition and Capacity
    Capacity that
    that was attached to
    was attached to the Emergency
    the Emergency
    Petition. d.
    Id. at 27-28.
    27-28. She confirmed that I.M.R.
    I.M.R. needs round-the-clock
    nursing
    nursing care, cannot live independently, and can only complete basic tasks
    such as getting food and going to the bathroom with assistance. Id,
    Id. at 15-
    30
    ,",
    l
    I
    n                         16, 23-24. On cross-examination by
    16,23-24.                       by Petitioner's counsel, Dr. Sellers
    characterized I.M.R.'s
    LM.R.'s impairment
    impairment as being milder than opined by
    Dr. Roscoe, repeating
    repeating her
    her "mild to moderate" characterization from the
    Id. at 23, 27. Dr. Sellers also noted, however, that in addition
    form M-851. Id,
    to her baseline dementia, I.M.R.
    IM.R. had suffered several instances in which
    "things flared" and she suffered
    "things                 suffered "acute
    acute mental status changes." This was
    attributed to urinary
    urinary tract infections and instances of T[As
    TIAs or
    or "mini-
    mini-
    Id. at 29. The TIAs contributed to her vascular dementia.
    strokes." Id,                                             dementia. Id,
    Id.
    Upon
    Upon further questioning, Dr. Sellers noted that the acute mental status
    changes had led to multiple emergency room visits for IM.R.,
    changes                                               I.M.R., and had been
    occurring "frequently."
    occurring   frequently." Id,
    Id. at 30. She agreed with Dr. Roscoe that L.M.R's
    I.M.R.'s
    prognosis is poor and progressive. Id,
    prognosis                          Id. at 16.
    16
    53. With specific respect to her knowledge of Petitioner and his relationship
    with I.M.R., Dr. Sellers first met him in 2017, when he began taking I.M.R.
    IM.R., Dr                                                       IM.R. to
    her medical appointments. Id,
    Id. at 22. She characterized I.M.R.
    IM.R. as always
    being dressed appropriately and not appearing malnourished or neglected.
    Id. at 22-23. She noted that she had had discussions with I.M.R.
    Id                                                        IM.R. and
    Petitioner sometime after I.M.R.'s
    IL.M.R's husband died about the fact that I.M.R.
    IM.R.
    could no longer
    longer live alone, after which I.M.R.
    IM.R. moved in with Petitioner. Id,
    Id.
    at 16.
    16, She had also
    also discussed with Petitioner
    Petitioner more
    more recently
    recently that I.M.R.
    I.M.R. was
    was
    Id. at 17-18. Notably, at aavisit in
    now in need of round-the-clock care. Id
    April 20187
    April 2018 7 Petitioner asked Dr. Sellers about becoming a
    apower- of-
    power-of-
    attorney for I.M.R.
    LM.R. Id. at 18, 22.
    54. Brittany
    54. Brittany Bacher is the Director of the Alzheimer's Unit at Mountain Laurel.
    I.M.R.
    L.M.R. was housed in that unit. Id,
    Id. at 46. Ms. Bacher's testimony only briefly
    addressed I.M.R.,
    IM.R. whom she characterized as having taken some time to
    adjust to the transition before showing improvement,
    improvement, but generally doing
    I                     adjust
    Id. at 47. The focus of Ms. Bacher's testimony was on Petitioner's
    well. Id,
    '             behavior
    behavior at visits and
    and his
    his actions afterward. Petitioner's
    Petitioner's harassment
    harassment and
    I
    7 Dr. Sellers first testified that this occurred in April 2019, but then consistently referred to it as occurring in
    'Dre
    April
    April 2018 inin all later testimony, See
    later testimony.   See id. at 18, 19,22.
    id.            19, 22,
    31
    intimidation
    intimidation of Mountain
    Mountain Laurel's
    Laurel's staff matched that
    that he had
    had committed
    11
    against the Agency. He had repeatedly photographed and videoed staff,
    continuing to do so after being
    being directed to stop.
    stop, He was loud and disruptive
    during
    during visits, to the point that he upset other patients. He repeatedly
    threatened to sue Mountain Laurel and its staff. He subjected multiple staff
    members to questioning and caused aascene if any of them answered
    others. He claimed that the Alleged POA trumped the
    differently than the others.
    orders of this Court. He told Ms. Bacher that he was placing pennies on the
    floor to see if the facility
    facility was being cleaned, and then the next day reported
    Mountain Laurel to the Department of Health. (The
    (The resulting investigation
    was returned
    returned "unfounded.")
    "unfounded.") Petitioner complained that he had taken the
    wedding ring off IM.R.'s
    I.M.R.'s finger and no staff members had noticed.
    noticed. Ms.
    Bacher personally
    personally witnessed Petitioner eating food off of IM.R's
    I.M.R.'s tray and
    had to "redirect" him not to do so.
    so, And she had witnessed him intimidating
    I.M.R., pressuring her to change her drink selection
    selection ("[H]e
    ("[HJe told her no. You
    don't drink that.
    that. You drink the other one.") Id,
    Id. at 48-50. These actions had
    led the Agency to suspend Petitioner's visits with I.M.R. Id. at 48.
    IM.R. Id
    55. Carissa Beish is the Director of Nursing Services at Mountain Laurel.
    55.                                                               Laurel. She
    was familiar with IM.R.
    I.M.R. and, similar to Ms. Bacher, characterized I.M.R.
    IM.R. as
    having
    having adjusted to the transition and doing well. Id. at 57-58. Also as with
    well. Id,
    Ms. Bacher, the focus of Ms. Beish's testimony was Petitioner's behavior at
    the facility.
    facility
    Q:      Do you recall an event at your facility during which
    Mr. Cardwell was yelling in in Iva's room and Iva's  lva's
    roommate pleaded
    pleaded for the yelling and fighting to stop?
    A:      Yes.
    Q:
    Q:      Is
    ls it fair to say
    say that your facility isn't equipped
    your facility       equipped to
    to handle
    that kind of behavior by visitors?
    A:
    A.      Correct.
    Correct
    58.
    Id. at 58
    ,,                                           32
    32
    ,,
    11
    56. On cross-examination by Petitioner's counsel, Ms.
    56.On                                             Ms. Beish testified that she
    had been made aware of Petitioner photographing staff, including while
    staff was providing
    providing care to IM.R.
    I.M.R. in her room, and that Petitioner had made
    and "frequent"
    "numerous" and   frequent" complaints regarding the cleanliness of the
    facility     alleged noncompliance with €OVID-19
    facility and alleged                    COVID-19 infection management
    protocols. Id,
    Id. at 59-63.
    57. Petitioner presented
    presented the testimony of Dr. William Kauffman.
    Kauffman. Dr. Kauffman
    practices in the hospice
    hospice and nursing home setting, and was previously
    engaged in family practice. Id,
    engaged                     Id. at 35. He was originally presented to the
    having been aatreating physician for IM.R.
    Court as having                               I.M.R. He was accepted as aa
    witness on that basis, and not as an expert. Id,
    Id. at 36. However, it soon
    became apparent that I.M.R.
    [.M.R. had never been aapatient of Dr. Kauffman
    Kauffman (he
    (he
    characterized it as
    as "[n]ot officially aapatient"). Id,
    Id. at 36, 43.
    43. Instead,
    Dr. Kauffman knew Petitioner as both aapatient and aafriend. In fact, they
    had known each other for 30 years.
    years. Id,
    Id. at 36, 44. Dr. Kauffman had been
    contacted by Petitioner, given Petitioner's version of events, and was
    testifying
    testifying as aafavor to him. Id
    Id. at 44.8
    44. 8 Dr. Kauffman had last seen I.M.R.
    LM.R. in
    March 2021 when she was hospitalized in Carlisle, and presumably had
    checked in on her as a
    a favor to Petitioner. Id
    Id. at 37.
    37 The primary thrust of
    Dr. Kauffman's testimony was to dispute the severity of I.M.R.'s
    IM.R.'s cognitive
    impairment
    impairment as characterized by Dr. Roscoe. Dr. Kauffman was skeptical of
    the BIMS score, which he alleged could vary day-by-day, and the fact that
    Dr. Roscoe did not evaluate IM.R.
    I.M.R. multiple times, because her level of
    eSee id
    See  id. (cross-examination by the Agency's counsel).
    Agency's counsel)
    Q
    Q:       ***And             your attendance here today, is that as aafavor to Mr. Cardwell? Are yo
    And so, Doctor, your                                                                 you
    being paid to be here today? ls
    being paid                   Is it
    it an accommodation? Can you help me do that?
    I'                A;       Iam not being paid.
    paid
    Q;       Okay, sorry
    Okay  sorry.
    '                 Q
    A;
    A:       No, that's okay,
    No,that's  okay. So he and I talk—we
    I talk -we get together maybe four times aayear because we have
    a hobby
    a            common, so we get together for dinner about four times a
    hobby in common,                                                     ayear and so when he
    told me what had happened and it   it did not make aalot of sense to me, IIsaid IIwas happy to
    help
    help out if I
    I could.
    could
    33
    11
    I,
    it
    cognitive impairment
    cognitive impairment could also vary
    vary day-to-day and would have been
    exacerbated by
    by the move into the nursing home. Id,
    Id. at 39-40.
    39-40. However, he
    also confirmed that beyond
    beyond the BIMS score, he had no reason to disbelieve
    Dr. Roscoe's findings
    findings regarding
    regarding I.M.R.
    IM.R. nor Dr. Roscoe's ultimate conclusion
    that she was incapacitated. Id. at 40-41.
    incapacitated. [d,
    58.
    58. Due to time constraints, the Second Hearing was adjourned, with the
    remainder of the testimony to be presented on February 8, 2022. Id. at 67.
    59. Two days
    59.Two  days after
    after the
    the Second
    Second Hearing
    Hearing (February 3, 2022)
    (February 3, 2022) Petitioner
    Petitioner filed
    filed aa
    motion in limine seeking to have all medical and financial records obtained
    by
    by the Agency
    Agency excluded from evidence,
    evidence. The basis for the motion was that
    the Records Petition had been wrongfully
    wrongfully granted ex parte, without notice
    to I.M.R.    Petitioner. In essence, Petitioner was making a "fruit
    IM.R. and Petitioner,                                       fruit of the
    poisonous
    poisonous tree" argument,
    argument, claiming that the alleged impropriety with
    respect to the information obtained via the Records Petition extended
    across the entirety of the Agency's case, and significantly prejudiced both
    I.M.R.
    IM.R. and Petitioner.
    Petitioner
    60. The final hearing was held as scheduled on February 8, 2022
    60,                                                        2022 (the
    (the "Third
    Hearing"). The Court began
    Hearing"). 'The      began by
    by hearing argument from counsel for all of the
    parties
    parties regarding
    regarding the motion in limine. N.T., Third Hearing, at 1-9. While
    the Court agreed
    agreed with Petitioner's counsel that the Records Petition should
    the Interest of
    not have been granted ex parte, citing In the          of M.B.,
    MB, 
    686 A.2d 877
    (Pa. CmnwIth.
    (Pa. Cmnwlth. 1996), it did not agree that significant prejudice had
    occurred, nor that the proper resolution was to exclude all of the Agency's
    evidence. Rather, the Court denied the motion, citing the facts that: (i)
    () even
    without
    without the
    the evidence obtained
    obtained using
    using the
    the Records
    Records Petition, the
    the remaining
    evidence in the possession
    possession of the Agency
    Agency at the time the Emergency Petition
    was filed                  grant the emergency guardianship;
    fled was sufficient to grant               guardianship; (ii)
    [ii] the
    the
    Agency
    Agency would have obtained all of the records at issue as aaresult of the
    emergency guardianship
    emergency guardianship (i.e.,
    (ie., inevitable discovery); and
    and (iii)
    (iii) Petitioner did
    not have an interest in protecting the records, as that interest belonged to
    I.M.R.
    L.M.R. N.T., Third Hearing, at 10-11
    10-11.
    11
    11
    34
    61. Petitioner's
    Petitioner's counsel specifically
    specifically raised
    raised the
    the question of why
    why Attorney
    Attorney
    Ghaner, as counsel for I.M.R.,
    IM.R., had not joined in the motion in himine
    limine in order
    to protect
    protect I.M.R.'s       
    Id.
     at2.
    LM.R's rights. Id  at 2. Attorney Ghaner first noted his concern
    that the motion in Aimine
    limine appeared to be an attempt by Petitioner to use
    I.M.R.'s rights
    rights as aashield to protect himself. Attorney Ghaner then
    explained his reasoning for not joining
    explained                       joining the motion in limine
    imine as follows:
    Moreover, Your Honor, and factually specific to this, I
    I have met
    with my client two times at length because of the controversial
    nature of this specific guardianship. I   I spent an extended
    amount of time with her. And on neither of those occasions did
    she present
    she           as somebody
    present as   somebody whowho I I believe
    believe would
    would have     the
    have the
    capacity to understand the argument that is being made and
    capacity
    the records that
    that were
    were taken.
    taken
    So with that, I
    I conducted some research and am led by Rule of
    Professional Conduct 1.14
    1.14 which
    which directs that
    that aalawyer when
    when
    dealing
    dealing  with  a
    a client of diminished capacity,  shall, as far as
    reasonably possible, maintain aa normal client/lawyer
    relationship.
    relationship
    That rule goes on to state that if the lawyer reasonably believes
    that the client is of diminished capacity and at aasubstantial
    risk
    risk of physical,
    physical, financial,
    financial, or other harm,
    harm, then
    then the
    the lawyer
    lawyer can
    can
    seek
    seek the
    the appointment
    appointment of aaguardian.
    guardian
    exactly why we are here. For the appointment of aa
    That is exactly
    guardian.
    guardian. There is       emergency guardian
    is an emergency    guardian in
    in place,
    place, which
    which I
    I
    believe is proper.
    proper. And IIwill tell you whenever I'm called upon,
    that based on lengthy discussions with Iva,
    lva, that a
    a guardian is
    needed.
    Id. at 8, 9.
    Id,
    62. The Agency
    Agency presented
    presented further testimony from Ms.
    Ms. Burnell and Ms. Heaton
    Heaton.
    63. Ms. Burnell's testimony was in follow-up to her original testimony
    63.Ms.
    regarding                           I.M.R. by Petitioner from the First
    regarding financial exploitation of IM.R.
    Hearing,
    Hearing, as she had been able to review
    review "many
    "many hundreds of pages of bank
    I,       documents" as well as other items in the intervening time and had prepared
    '       aafinal report. Id. at 14-16. Although Ms. Burnell did not provide aafinal
    report. Id,
    number for the amount of misappropriated assets, she noted aanumber of
    transactions and occurrences that totaled hundreds of thousands of dollars,
    35
    and
    and which led her
    her to
    to the
    the conclusion that financial
    financial exploitation had been
    substantiated. Id. at 23.
    substantiated.        23. These included:
    a.a. The assets that were to have been transferred into the income-only
    income- only trust
    for I.M.R.
    IM.R. were not the properties
    properties actually transferred into it.
    it. The
    properties that had been transferred into it
    properties                                it were sold in January 202O,
    2020,
    with no indication of what happened to the proceeds. Although it
    it
    appeared
    appeared that they
    they had
    had been
    been placed
    placed in the joint account
    the joint account between I.M.R.
    between LM.R.
    and Petitioner
    and            at Members
    Petitioner at Members First
    First Bank,
    Bank, there
    there was,
    was, at
    at most, only $103,000
    most, only $ 103,000
    of those assets remaining. Id,
    Id. at 17.
    b. Also with respect
    respect to the Members First account, in November 2018
    of IM.R.'s
    $180,000 0f I.M.R.'s money had been transferred into that account. By
    March 2019 very little of those funds were left. The funds were spent in
    aaway
    way that both violated the Multiple Parties Account Act and that would
    penalize I.M.R. in terms of eligibility for medical assistance, including
    penalize IM.R.
    $ 41,000 paid to vendors who were
    $81,000 that was withdrawn in cash, $41,000
    not identified or who could not be identified in terms of the services
    they
    they provided, and
    and $$18,000
    18,000 paid to vendors dealing in automotive
    repair
    repair and restoration, including painting                     Id. at 18.
    painting and transportation. Id,
    Payments that were received from aaDarren M.
    c. Payments                                  M. Weaver/Weaver
    Weaver/Weaver Family
    Farm, which appeared to be ground rent paid for the use of property
    owned by I.M.R.
    IM.R. and payment for property of I.M.R.
    IM.R. that was sold to
    Mr. Weaver, had been made via check payable to Petitioner and
    deposited in
    deposited in the joint account, rather
    the joint          rather than
    than the trust.
    trust. The ground
    ground rent
    rent
    payment
    payment was for $24,800
    $ 24,800 and the other check, the purpose of which
    1'
    could not be definitively
    definitively identified, was for $363,700,
    $ 363,700. Id,
    Id. at 20-21.
    d. Because
    Because the
    the property
    property that had been held
    held in
    in the
    the trust was sold to
    I       Mr. Weaver for $250,000,
    $ 250,000, the $ 363,700 check raised the possibility that
    the $363,700
    Petitioner had arranged
    arranged some sort of installment sale of the farm still
    ,.           owned by
    by I.M.R.
    IM.R. to Mr. Weaver. That farm had aavalue of approximately
    Mr Weaver,
    I
    $800,000, and was the only significant asset I.M.R.
    IM.R. had remaining. Id. at
    ,I          21-22.
    21-22
    I
    36
    64. In addition to the bank and land records, Ms.
    64.                                           Ms. Burnell had reviewed the
    Alleged
    Alleged POA and the trust document for the Iva
    lva M. Roush Income-Only
    Income- Only
    Trust. The Alleged
    Alleged POA included
    included aaprovision that I.M.R.
    IM.R. has
    has an interest in
    receiving medical assistance; the trust document includes aasimilar
    provision.
    provision. These provisions
    provisions both authorized the holder of the property or
    power
    power to undertake actions that would hasten or facilitate such eligibility
    for I.M.R.
    IM.R. However, even if the transactions undertaken by Petitioner were
    claimed to be a "spend
    spend down" of assets so as to hasten such eligibility, none
    of them had that effect.
    effect. In fact, they had just the opposite effect, potentially
    rendering
    rendering I.M.R. ineligible for up to five years into the future. Id,
    Id. at 16-17,
    18,19-20.
    18,19-20
    65. On cross-examination by IM.R's
    I.M.R.'s counsel, Ms. Burnell confirmed that the
    copy of the Alleged
    copy        Alleged POA she had received had not been signed by Petitioner.
    She also confirmed that it contained language requiring Petitioner to act in
    I.M.R.'s best interests. Id,
    L.M.R.'s                 Id. at 40-42
    40-42.
    66. Ms.
    66. Ms. Heaton's testimony
    testimony was limited to the issues regarding Petitioner's
    visits to I.M.R.
    I.M.R. at the Mountain Laurel facility that had been raised at the
    Hearing, and specifically
    Second Hearing,     specifically with respect to the Agency's suspension of
    Petitioner's visiting privileges.
    a. Not long
    long after IM.R.
    I.M.R. was removed from Petitioner's home he contacted
    Ms. Heaton asking her where I.M.R. was and requesting to visit IM.R.
    Ms.                                                            I.M.R.
    Ms.        agreed to
    Ms. Heaton agreed to provide
    provide this
    this information and allow visits
    visits so long
    as Petitioner agreed
    agreed to comply with rules established by the Agency for
    visitation.
    visitation, Those rules
    rules were
    were laid
    laid out in an email Ms.
    Ms. Heaton
    Heaton sent
    Petitioner
    Petitioner on December
    December 10, 2021. The rules
    rules included
    included that
    that Petitioner
    Petitioner
    would follow the rules and protocols
    protocols of the facility regarding
    regarding COVID-19;
    that he understood that he was not to remove or attempt to remove
    I.M.R.
    L.M.R. from the facility; that he would not
    not "engage
    engage in contentious
    staff; and that he would
    behavior with facility staff";            would "not
    "not speak with
    Mrs. Roush in an intimidating tone or upset Mrs. Roush in any way
    I.           during the
    during the visit." Id. at 45-46.
    visit." Id     45-46. After
    After some back
    back and forth regarding
    regarding
    37
    visiting
    visiting hours, Petitioner agreed to the rules via email on December 13th.
    13,
    Id. at 46.
    Id,
    b.   Problems with Petitioner's behavior at Mountain Laurel began almost
    immediately.
    immediately. On December 15th,
    15t, the Agency received its first call from
    the facility regarding
    regarding Petitioner's behavior there. Between December
    15, 2021, and
    and January
    January 13, 2022,
    2022, Ms. Heaton
    Heaton received
    received 11 separate
    reports
    reports from the facility regarding Petitioner's behavior and actions
    actions.
    The issue was significant enough that the Agency was in danger of losing
    the placement
    placement for I.M.R.,
    IM.R., as the facility was prepared to discharge I.M:R.
    IM.R.
    if the behavior continued.
    continued. As a
    a result the Agency, both of its own
    I
    volition and on the request
    request of the facility, suspended Petitioner's visiting
    ,,
    privileges. Id,
    privileges. Id. at 47-48. Ms.
    Ms. Heaton noted that before this action
    occurred, she had communicated with Petitioner's counsel regarding
    the issue, but that no change in
    in Petitioner's behavior and actions
    dI. at 48.
    resulted. Id,
    c. Ms. Heaton further testified that in her roughly 30 years of working for
    the Agency,
    Agency, she could only recall suspending visits for family members
    in two or three cases. She concurred that it was a "pretty severe action"
    to get to that point. Id,
    Id. at 48-49.
    48--49.
    67. Cross-examination of Ms. Burnell and Ms. Heaton by Petitioner's counsel
    67,Cross-examination
    mirrored what occurred at the First Hearing. Ms. Burnell was repeatedly
    questioned about the sufficiency of her methods and the information she
    questioned
    reviewed as well as her conclusions that the Alleged POA and trust
    document did not permit Petitioner to make unfettered use of1.MR.'s
    of I.M.R.'s assets
    for his own benefit. Id,
    Id. at 24-38. Ms. Heaton was questioned regarding the
    sufficiency
    sufficiency of the Agency's
    Agency's communications with Petitioner prior to the
    f        removal of I.M.R.,
    LM.R, the sufficiency
    sufficiency of its actions with respect to suspending
    visits and not providing
    providing alternatives such as video calls, the quality of the
    I       Mountain Laurel facility,
    facility, and the timeliness of aanotification to Petitioner
    regarding
    regarding a "lump" that had been discovered on I.M.R.'s       Id. at 59.
    IM.R's armpit. Id,
    I',
    Nothing raised on cross-examination weakened the Agency's evidence, and
    11
    38
    38
    I
    ii           at times it strengthened it (including
    [including with respect to the unreasonableness
    of Petitioner's demands and behavior).
    behavior].
    68.
    68. Petitioner
    Petitioner presented
    presented the testimony
    testimony of Terry Lynn
    Lynn Lumbard-Monnat,
    Lumbard-Monnat, Valerie
    Valerie
    Scott, and himself
    himself.
    69. Ms. Lumbard-Monnat is LM.R's
    69,Ms.                    I.M.R.'s niece and Petitioner's first cousin,
    cousin. She lives
    in New York state and has a
    a cottage in Black Lake, New York. Her testimony
    I.M.R.'s cognitive capacity, the relationship between IM.R.
    focused on IM.R.'s                                               I.M.R. and
    Petitioner, and IM.R.'s
    I.M.R.'s condition while in Petitioner's care. She had last
    seen I.M.R. in September
    September 2021 when they
    they came to her cottage for aa
    weeklong
    weeklong visit. She characterized IM.R.
    I.M.R. as having dementia but being able
    to care for herself, dressing
    dressing herself and using
    using the bathroom unassisted. Id.
    unassisted. Id,
    at 61, 62-63. Per Ms.
    61,62-63,      Ms. Lumbard-Monnat, I.M.R.'s
    IM.R's mind is still sharp when it
    comes to playing games, and she and Ms. Lumbard-Monnat played games
    nightly.
    nightly, Ms. Lumbard-Monnat noted multiple times that I.M.R.
    IM.R. likes to
    gamble and go to the casino.
    casino. Id,
    Id. at 61, 63, 65. She also discussed the extent
    to which I,M.R.
    I.M.R. and Petitioner would gamble,
    gamble.
    Q:     You said that Iva
    lva likes to gamble.
    gamble. Was that always at the
    house or would you go to casinos?
    A:     We would frequent a    a casino when we were together.
    together,
    We have been to The Turning Stone,Stone. We have been to
    Akwesasne. I  I wouldn't stay as long because Iva and
    Bill like to gamble.
    gamble. My aunt more so than him. She
    would sit there for hours and hours and hours. IIalso
    work for the federal government,
    government, so I I didn't spend
    money
    money the way
    way they
    they did. I
    I would limit myself to maybe
    $500.   They would
    $500. They    would bring
    bring in
    in thousands.
    thousands.
    Id. at 65
    Id,    65 (emphasis added).
    (emphasis added)
    70. Ms. Lumbard-Monnat characterized the relationship between Petitioner
    70,Ms.
    I.M.R. as
    and IM.R.  as "very
    "very good," and his care of her as
    as "exceptional."
    exceptional."
    Ms. Lumbard-Monnat emphasized that I.M.R.
    Ms.                                I.M.R. always had her hair done, her
    nails done, had on nice clothes, and that Petitioner took
    tools her out to eat and
    out shopping
    shopping all the time. Id. at 64, 65. When questioned further about
    time. ld,
    I.M.R.'s
    I.M.R's mental capacity, though, Ms.
    Ms, Lumbard-Monnat noted that aalot of
    39
    II
    I{                                                          I.M.R.'s childhood and
    their conversations focused on past events, such as IM.R.'s
    family. Id,
    Id. at 61, 63.
    Q:
    Q•     How was her conversation?      Could she hold aa
    conversation and understand what you were saying,
    make sense?
    A:     Her conversation is limited. My aunt likes to talk about
    her childhood upbringing. Bill and her
    her. We would talk
    about going to the casino. Not aanormal conversation you
    would have about what is going
    going on, you know, in the
    world, no.
    Id. at 63.
    71. Valarie Scott is another of1.MR.'s
    71.Valarie                   of I.M.R.'s nieces, first cousin to Petitioner, and also
    lives in New York. Her testimony was largely irrelevant. The
    'The relevant
    portions,
    portions, though,
    though, mirrored Ms. Lumbard-Monnat's. Specifically, Ms.
    Ms. Scott
    lives jn
    in New York, had last seen I.M.R.
    I.M.R. when she and Petitioner visited in
    in
    September 2021, downplayed the degree of I.M.R.'s
    IM.R's cognitive impairment,
    believed that I.M.R.
    IM.R. could largely take care of herself, and noted how close
    Petitioner and I.M.R.
    IM.R. had always
    always been. Id,
    Id. at 68--69,
    68-69, 70-72,75-76.
    70-72, 75-76. She also
    I.M.R.'s skill at card games
    noted IM.R.'s                games.
    Q:
    0:     Tell me aalittle bit about her demeanor, her well-being
    well-being?
    A:     She was fine. She doesn't change,
    change. I'm the one who calls
    her on aaregular basis. I
    I have always done that.
    that She has
    always been with us.us. She slowed down like anybody
    does at her age, but she is still able to walk around and
    join everybody, and she is aawhiz at cards. She is pretty
    sharp.
    Id. at 71.
    Id,
    72. After discussion with his counsel over the lunch break, Petitioner once
    again elected to testify. Id,
    Id. at 77--79.
    77-79. Much of his testimony on direct
    examination was aarepeat
    repeat of his testimony at the First Hearing, at times
    with more detail and at times with less, but with the same tone and
    demeanor. He did make, however, yet more troubling admissions regarding
    I.M.R.'s
    his handling of LM.R.'s finances.
    40
    a. Petitioner confirmed that he, I.M.R.,
    IM.R., and his mechanic lived in the home
    at 3916 Tussey Lane in the James Creek area of Huntingdon County.
    However, he also claimed that they did not have aamailbox there as they
    considered it
    it a "cabin,"
    cabin," and not aaresidence. He maintained that I.M.R.'s
    L.M.R.'s
    residence was at the farm in Dauphin County (4206
    Dauphin County (4206 Roush Road), and
    he consistently gave aaFranklin County mailing address for himself,
    which he later admitted was nothing
    nothing more than aaUPS box. Id,
    Id. at 80, 85-
    86, 129-130. He faulted the Agency for attempting to send notices to
    the
    the home in
    in Huntingdon County, as
    Huntingdon County,    opposed to
    as opposed to the out- of- county
    the out-of-county
    addresses. Id,
    addresses. Id. at 85.
    b. Petitioner once again railed about the Agency, accusing it and its staff of
    wrongdoings. Id,
    multiple wrongdoings. Id. at 84--91.
    84-91.
    c.   Petitioner testified that he had done extensive work to his home since
    I.M.R. had been removed to make it handicapped accessible for her, and
    that such work had been planned
    planned prior to the removal
    removal (this
    [this was also
    raised at the First Hearing).
    Hearing). He believed this made his home an entirely
    appropriate and safe place for I.M.R.
    appropriate                           Id. at 92--95.
    IM.R. Id,     92-95.
    d. He made extensive allegations
    allegations of poor conditions and neglectful care at
    the Mountain Laurel facility. Id. at 95-102.
    facility. Id,    95-102. Yet he also confirmed that
    he began
    began making
    making complaints to the facility administrator right away,
    focused excessively on the cleanliness of the floors, and had been taking
    pictures in the facility. Id,
    Id. at 97, 99-100, 102-103. This testimony also
    confirmed his absolute disregard for authority.
    Q:
    Q•     After you were told to leave the facility and that you were
    longer welcome back, did anybody reach out to you to
    no longer
    I                          try
    try to arrange
    arrange any
    telephone
    any other form of communication like
    telephone or video?
    ',                  A:     No. That's when II told you to get aahold of somebody
    II                         because they
    they can't stop
    stop me from seeing my mom. I   I
    '                      don't care who they are.
    11          ld.
    l           Id. at 103
    103 (emphasis
    (emphasis added).
    "1''
    41
    I.M.R.'s only sources of income were rental
    e. Petitioner confirmed that IM.R's
    from the farm in the amount of
    of $25,000
    $ 25,000 annually and Social Security
    $ 1,375 monthly. Id. at 106.
    of $1,375
    payments of
    f.         I.M.R.'s husband died in
    After LM.R.'s               in 2018, her land assets included the core
    farm ((128
    family farm   128 acres in Dauphin County) and an unspecified number
    of properties in the surrounding area. Petitioner testified that at that
    I.M.R. gave him all of the properties.
    point IM.R.                      properties. Id,
    Id. at 107.
    107, He then sold all of
    properties other than the farm, because the farm was generating
    the properties
    income, and claimed that he had put the farm into the income- only trust
    income-only
    I.M.R. He claimed that doing this allowed himself and I.M.R.
    for LM.R.                                                 IM.R. to avoid
    paying $$375,000
    paying   375,000 in
    in taxes. Id,
    Id. at 107-108.
    g.g. Petitioner confirmed that Darren Weaver was the person who was
    leasing the farm and who had purchased all of the other properties. Id.
    at 109.
    h.   Petitioner's testimony took aamarked turn when he addressed the funds
    from the Members First Bank joint account.
    Q:
    Q:     From the—
    the-IIbelieve it was just the Member's[sic] First
    bank account. What do you  you have to say in response to
    any of that
    that [Ms.
    [Ms. Burrell's testimony] as far as any kind of
    explanation?
    "'              A:     Well, there is no explanation to it.
    it.All
    All that money was
    put in that account belonged to me.
    me. My mom gave me
    all of that.
    that. That'
    That'sswhy it's in there.
    there, The only income
    my mom has is $1357
    $1357 in social security, and she has
    the  $ 25 ,
    000 coming in from the farm.
    the $25,000
    Q:     If
    [f there ever was a
    a time mom needed long-term care and
    was unable to afford it—
    it--
    A:     Never will my mom not afford anything.         If she needs
    something, IIprovide for it.
    Q:
    Q•     Was there ever aatime that mom was hospitalized and
    couldn't pay a
    a hospital bill?
    A:
    A.     No.
    No
    Q:     Was there ever a a time that you didn't have enough
    money to pay for food or medicine or anything else?
    42
    "I'
    ,,
    A:      No. I
    I have
    have $40,000 in food at my house right now. I'm
    $40,000
    a preparer.
    a  preparer.      I
    I have got aa building buried
    underground
    underground   full of food
    food..There is no way we're ever
    going
    going to be without anything.
    L Id
    i. Id. at 110-111
    110-111 (emphasis added).
    (emphasis added)
    j.j.    Per Petitioner, when I.M.R.
    IM.R. received the $ 250,000 check from her
    the $250,000
    husband's life insurance policy,
    policy, she simply signed it over to him and
    gave       him. Id. at 112. Petitioner testified that he put the funds into
    gave it to him.
    the joint bank account, put I.M.R.'s
    L.M.R.'s name on the property in Huntingdon
    County, and then used the funds to build aa50x80x16 shop building and
    automotive paint
    paint booth on the property. He also testified that he put an
    addition on the house that doubled its size, but then clarified that this
    L.M.R. had been removed. Id. at 113.
    occurred after I.M.R.
    k. Petitioner believed that the additions greatly improved the value of the
    property in Huntingdon County, and that it could be sold
    property                                            sold (along
    [along with
    other property
    property he owns) if he ever needed funds to pay for IM.R.'
    I.M.R.'s
    s long-
    term care. Id,
    Id. at 114.
    114
    I.1.   Petitioner closed his direct testimony with the following troubling
    admissions:
    admissions
    Q:
    Q:     Anything
    Anything in relation to mom's finances that we didn't
    cover here today that you want to make sure?
    A:     No.
    No. Mom's finances are very simple,simple. It's
    It's $1357
    $ 1357 and
    $25,000 for farm rental,
    rental. That's her finances. So when
    they
    they   are confused     about the money
    money coming in and
    account,it's very simple,
    out of the account,             simple .The money going
    into the account is mine. The money coming out of the
    $ 25,000 and
    account is $25,000     and $$1357,
    1357, which those are for her
    hair, to do her nails, doctor appointments. Whatever she
    needed is covered.
    Q:
    Q•     Is it true that mom liked
    Isit                lilted to
    to gamble as well?
    A:     Oh absolutely. I       take $
    I would take   10,000 out of the bank,
    $10,000
    and we would go to the casinos. That's why there is
    cash withdrawals all over the place.
    place
    Id. at 117
    117 (emphasis added).
    (emphasis added].
    43
    73. On cross-examination by the Agency's counsel, Petitioner exhibited aa
    73.0n
    significant degree of confusion regarding what property was in
    in the trust for
    I.M.R., swearing
    swearing that he thought the farm was in it, but also claiming he had
    not transferred title to it. Id,
    Id. at 119, 120.
    120. He claimed that he was given no
    explanation as to how the Alleged
    Alleged POA was supposed to work, and could
    not recall if he had ever signed it as I.M.R.'s
    IM.R's agent. Petitioner went so far as
    to attempt
    attempt to have his counsel answer whether there existed aasigned copy
    of the Alleged
    Alleged POA. Id,
    Id. at 120-122. He was unaware of any of the
    requirements
    requirements for exercising aafinancial power of attorney, such as keeping
    l           separate accounts
    separate accounts for his own and I.M.R.'s property,
    and IM.R's   property, keeping
    keeping records
    records of all
    transactions, and fiduciary duties generally. Id,
    Id. at 122-123
    122-123.
    74. Petitioner confirmed that the $$360,000
    74.                                 360,000 deposited from Mr. Weaver was a
    a
    loan to him, stating
    stating "IIborrow money off of Weaver any time IIwant to." He
    claimed that there was no full agreement for Mr
    Mr. Weaver to buy the farm,
    but that there was an option to buy in
    in the lease agreement and
    and "Weaver
    "Weaver will
    probably
    probably end up
    up with the farm because he bought
    bought all the rest of it." Id,
    Id. at
    126-127. Petitioner further confirmed that he believed the farm was in the
    126-127,
    trust, even though
    though it was still held in the name of I.M.R.
    IM.R. and her deceased
    husband. Id,
    Id. at 128.
    75. Cross-examination by I.M.R.'s
    75.Cross-examination     LM.R.'s counsel largely affirmed the testimony
    Petitioner provided the Agency's counsel. He once again confirmed that he
    did not have aacopy of the Alleged POA that he had signed, this time
    claiming that he would have to call Attorney O"Toole.
    claiming                                     O'Toole. Id,
    Id. at 131-133. He
    further claimed that he had done everything according to her wishes or in
    her best interest before providing the following testimony regarding the
    improvements to the Huntingdon County property.
    Q:
    Q:     You testified that you built a
    a 50 by 80 by 16 building?
    A:
    A.     Yes.
    Yes
    Q:     On the property?
    A:     Yes.
    44
    44
    11
    Q:     It has aapaint
    Ithas    paint booth in
    in the back?
    A:     Yes.
    Yes
    Q:
    Q:           paint booth is for refurbishing cars, for painting
    That paint
    cars?
    A:
    A.     Yes.
    Q:      Does your mom paint cars?
    A:      My mom? No.
    Q:      But you have used money from her to build that building?
    i'                   A:      No.
    No. I used my money that my mom gave me to build the
    ]used
    build the garage and put the big addition on the house.
    That's when II put my mom on the property
    Q:
    Q:      How was that building
    building benefitting your mom?
    A:      It doesn't have to benefit mom,mom. Everything in that
    building
    building is sellable stuff,
    stuff. If mom needs any kind of
    care, that is how I I make money. That's how—set
    how--set up
    for me to make money. It has nothing to do with my
    mom. Other than mom lives there. IIasked mom what
    were we gonna
    gonna do.
    do. She said you have got the money; use
    it. And that's what II did.
    Id. at 133-134
    Id,    133-134 (emphasis
    (emphasis added).
    76. On re-
    76.0n      direct, Petitioner alleged that he had
    re-direct,                             had $ 250,000 worth of cars in the
    $250,000
    building
    building that could be sold
    sold "within two weeks" to raise money to fund care
    for I.M.R. Id. at 134.
    LM.R. Id      134
    77. Finally, follow-up questions from the Court revealed that Petitioner had not
    77Finally,
    filed aafederal income tax return since at least 2015
    2015 ("
    ("IIdon't file a
    a tax return
    l            because I'm disabled.
    disabled. I
    I stopped doing that."),
    that.") had not notified the IRS that
    ,1
    he had received significant funds from I.M.R., and likely had not even
    accounted for income from the sale of IM.R's
    I.M.R.'s properties appropriately for
    tax           Id. at 137-138.
    tax purposes. Id,
    78.
    78. The Court ordered that transcripts be prepared of all of the hearings, and
    allowed the parties
    parties 30 days
    days after the filing of the transcript for the Third
    Hearing
    Hearing to file proposed
    proposed findings of fact and conclusions of law. The
    ,1'
    u
    I
    45
    transcript
    transcript was filed on February 28, 2022, meaning the parties had until
    March 30, 2022, to make their filings.
    filings.
    79. On March 30, 2022, the Agency filed an emergency petition for relief,
    79,0n
    seeking to set aside and vacate an alleged transfer by Petitioner of the farm
    seeking
    .",
    from I.M.R.
    IM.R. to the trust. The transfer was evidenced by aadeed executed by
    Petitioner on March 16, 2022, allegedly acting as power of attorney for
    I.M.R., and recorded in the Dauphin County land records on March 18, 2022.
    20Z2.
    80. A
    A hearing
    hearing was
    was held
    held on the
    the emergency
    emergency petition
    petition on April    2022 (the
    April 7, 2022 (the "Fourth
    Fourth
    Hearing").
    Hearing"). The Agency
    Agency presented the testimony of Ms. Hughes,
    Hughes, and
    Petitioner presented the
    Petitioner presented the testimony
    testimony of
    of himself.
    himself
    81. Per Ms. Hughes, the Agency learned of the transfer from the Huntingdon
    County
    County Assistance Office, which was evaluating
    evaluating I.M.R.'s
    IM.R.'s eligibility
    eligibility for
    medical assistance. As of the date just prior to the transfer, I.M.R.
    IM.R. had aa
    of $748.269.60,
    "penalty" of $ 748.269.60, which would mean she was not eligible for
    :I           medical assistance for 4.24 years. The transfer made by Petitioner added
    11
    I      $699,660 to the penalty amount, and extended the period of ineligibility to
    eight years. N.T., Fourth Hearing, at 1-3.
    82. After claiming that he had made the transfer solely to address the matter of
    the farm not being in the trust that was raised at the Third Hearing,
    Petitioner
    Petitioner testified
    testified that
    that he
    he had
    had searched through
    through I.M.R.'s
    IM.R's documents and
    found not one but two prior powers of attorney.
    attorney, The first was from 2008
    and the second was from 2016. Both had been signed by him. Id,
    Id. at 10-12.
    He was able to locate it in aapile of papers
    papers "in
    "in my truck" which apparently
    also included I.M.R.'s
    IM.R's will. [d,
    Id. at 12, 13. After further examination by
    counsel for all parties regarding
    regarding matters surrounding the execution and
    notarization of the powers
    powers of attorney, and hearing legal argument from
    counsel for the Agency and for I.M.R.,
    IM.R., the Court took aa15- minute recess to
    15-minute
    perform legal research. Id,
    perform                 Id. at 13-28. Upon return from recess, Petitioner's
    counsel submitted to the court an executed copy of the Alleged POA, which
    Petitioner claimed he had also found in the pile of documents in his truck.
    Id. at 28.
    28. After making clear on the record that it was not making any
    46
    determinations regarding
    regarding the validity or invalidity of any of the three
    powers
    powers of attorney that had been presented
    presented (including
    [including the Alleged POA),
    the Court set aside and vacated the transfer of the farm due to the alleged
    agent's failure to act in good
    good faith and failure to act loyally for the
    principal's benefit. Id. at 28-29. This was set forth in aawritten order
    principal's benefit.
    entered          day.
    entered the same day
    On the following day, April 8, 2022, the Court entered the order appealed
    83. 0n
    from, finding
    finding I.M.R.
    IM.R. totally
    totally incapacitated
    incapacitated and appointing
    appointing the Agency as
    guardian of her person and estate.
    III.
    It. ANALYSIS
    A. Standard of
    of Review and Pertinent Statutes
    •           Here, the bulk of Petitioner's claims of error, though characterized as issues
    of law, are actually attacks upon this Court's determinations regarding the
    credibility of witnesses and the weight given to their testimony. This means he has
    a
    a very
    very high
    high bar to overcome.
    overcome. The findings of an orphans' court judge, sitting
    without aajury,                                                           a jury. In
    jury, are accorded the same weight and effect as the verdict of a        In
    re: Jackson, 
    174 A.3d 14
    , 23
    re;                       23 (Pa.              (citing and quoting In re:
    2017) (citing
    (Pa. Super. 2017)                        re: Paxson
    Trust
    Trust1,I, 
    893 A.2d 99
    , 112-13
    112-13 (Pa.        2006). They cannot be reversed by an
    (Pa. Super. 2006).
    appellate court in the
    appellate          the absence of an abuse of discretion or lack
    lack of evidentiary
    
    Id.
     This rule is of particular
    support. Id,                 particular importance when applied to findings of fact
    predicated on the credibility of witnesses and the weight
    predicated                                         weight to be given to their
    testimony. 
    Id.
     It is not sufficient for an appellant to persuade the higher court that
    testimony.
    it might
    might have reached a
    a different conclusion on the evidence than the one reached
    I
    by
    by the orphans' court, as an abuse of discretion is not merely an error in judgment.
    
    Id.
     Rather, to establish an abuse of discretion the appellant must establish:
    Id,                                                                establish: (i)
    (1) that
    the orphans'
    orphans' court overrode or misapplied the law;
    law; (ii)
    [ii) the determination of the
    orphans' court is manifestly unreasonable; or
    or (iii)
    [iii) the orphans' court acted based
    on partiality, prejudice, bias, or
    partiality, prejudice,       or ill-will, as shown by
    by the
    the evidence of record.
    record. 
    Id.
    The orphans' court's findings will be upheld if they are supported by competent
    47
    11
    and adequate evidence, and will be overruled only if they are predicated upon
    I capnc1ou� d1�bel1ef of competent and credible evidence kl.
    capricious disbelief of competent and credible evidence. 
    Id.
    Under 20 Pa. C.S. $§ 5601(d), aapower of attorney, other than one that is
    Under20Pa.CS.
    limited to making
    making decisions regarding
    regarding health care or mental health care, is valid
    I only if accompanied
    accompanied by an acknowledgment signed by the agent using the form
    specified in the statute. 9
    ,:
    "~"..do-otoo
    Under 20 Pa. C.S. § 5601.3(a), an agent who has accepted appointment
    under
    under a
    a power    attorney (other
    power of attorney (other than
    than one that
    that is limited to malting
    making decisions
    regarding
    regarding health care or mental health care) shall do the following, regardless of
    any provisions in the power
    power of attorney to the contrary:
    (1) Act in accordance with the principal's reasonable expectations to
    (1)Act
    the extent actually known by the agent and, otherwise, in the
    principal's
    principal's best interest.
    interest
    (2) Act in
    (2)        good faith.
    in good
    (3) Act only within the scope of authority granted in the power of
    attorney.
    attorney
    I' !JI.
    Id.
    B. Granting of
    of the Records Petition Without Notice and Opportunity to Respond
    Petitioner's first and second claims of error address the issue of the Court
    granting the Records Petition ex parte. Although Petitioner takes aaslightly
    granting
    different tack here, these are the same claims he raised in his February 3, 2022,
    9 See   id.
    (d) Acknowledgment executed by agent-An
    (d)Acknowledgment                agent.--An agent shall have no authority to act as agent under
    power of attorney unless the agent has first executed and affixed to the power of attorney
    the power
    an acknowledgment inin substantially the following form;
    form
    I,   , have read the attached power of attorney and am
    l. ...,have                                         am the person
    identified as the agent for the principal,
    principal. I
    I hereby acknowledge that when I
    agent;
    act as agent
    IIshall act in
    in accordance with the principal's reasonable expectations to the
    extent actually known by me and, otherwise,
    otherwise, in the principal's best interest,
    act in good
    good faith and act only within the scope of authority granted to me by
    the principal in the power of attorney.
    attorney
    (Agent)                                  (Date)
    48
    motion in limine. In the motion, Petitioner sought relief in the form of exclusion of
    all of the evidence obtained as aaresult of the Records Petition. Here, Petitioner
    proffers
    proffers no solution, but makes the bare claim that the granting of the Records
    Petition was
    was "an
    "an abuse of discretion and/or an error of law." The Court believes
    that appropriate and thorough discussion of the issues raised, and explanation of
    '     its reasons for denyrng
    denying the
    Lhe motion, occurred in open court at the beginning of the
    Hearing. See N.T., Third Hearing, at 1-11. However, aabrief treatment is
    Third Hearing.
    appropriate here
    here.
    As stated at the Third Hearing, the Court agrees with Petitioner that the
    Records Petition should not have been granted ex parte without notice and
    opportunity to respond for I.M.R.
    LM.R.IO10 This holding is based on In the          of M.B
    the Interest of M.B.,
    A.2d 877
    686 A.24 877 (Pa. Cmnwlth. 1996).
    (Pa. Cmnwth.  1996). The Court does not, however, agree that
    Petitioner himself had aaright to notice and opportunity to respond. Despite being
    I.M.R.'s son!'
    IM.R's   son 11 and despite allegedly having aapower of attorney to manage her
    affairs, he did not have aadirect interest in preventing disclosure of LM.R.'s
    I.M.R.'s records
    to the Agency.
    Agency, First, the fact that an individual has aapower of attorney does not
    mean that they
    they are automatically substituted for their principal in all legal matters.
    Rather, it only permits the holder to act on the principal's behalf. Second, and
    more significantly,
    significantly, the simple fact that Petitioner is I.M.R.'s
    IM.R.'s son does not give him aa
    direct interest in protecting her records.
    Having established that the Records Petition should not have been granted
    without notice to I.M.R.,
    IM.R., the question turns to the appropriate resolution.
    resolution
    Petitioner would have the entirety of the evidence thrown out, the matter
    dismissed, and I.M.R. dropped off on his doorstep. This is nowhere close to
    appropriate. Such drastic action does not even occur in criminal matters without
    appropriate.
    careful consideration and analysis. Here, the Court, after finding no controlling
    I• caselaw, looked to
    to the
    the nature
    nature of the
    the error and
    and the impact it            case. The
    it had on the case
    I ·,- ,Th-,-�-�--,-ro-�-•-.-., -,-,.-=- r
    •• corrected this error lo
    to The Court has                        procedure for records
    in pl'O«dn..,             "!"•st•
    r,rords requests und,r
    under th•
    the DAl'M In future matters, and
    OAPSA in
    does not take the issue lightly,
    lightly
    11 Because the records request
    request falls under the 0AP'SA,
    OAPSA, and not
    not §$5511
    SS 11 of the Probate, Estates and Fiduciaries
    Code (the
    Code  (the "PE
    PEF Code;
    Code"; 20 Pa, C.S. §§ 101,
    Pa.CS.$8        etseq.),
    101 et  seq.) the expanded standing provision of $§ 5511(a)
    SS11(a) does not apply
    to the Records Petition
    Petition.
    49
    most reasonable approach was to place the Agency
    Agency in the position it would have
    been at the time of the filing of the Emergency Petition had the Records Petition
    not been granted,
    granted, and then determine whether the remaining evidence was
    sufficient to support the emergency
    emergency guardianship. This would mean that the
    Agency would have the testimony of Ms. Parks
    Parks (conditions
    (conditions inside the home, I.M.R.'s
    IM.R.'s
    care needs and cognitive impairment, and lack of round-the-clock care), Ms.
    Hughes
    Hughes (report
    (report of walkaway incident from PSP,
    SP, denial of access to I.M.R.
    IM.R. by
    Petitioner, intimidating and aggressive behavior by Petitioner at the home), and
    Ms. Heaton
    Heaton (attempts
    [attempts by Petitioner to intimidate the Agency into backing down,
    , retaliatory
    retaliatory actions against the Agency
    Agency by Petitioner). These were more than
    I.M.R. was incapacitated and in need of an emergency
    sufficient to establish that IM.R.
    °    guardian of both her person
    guardian             person and her estate. As soon as the Agency was appointed
    as emergency guardian,
    guardian, it had
    had full
    full right
    right and authority
    authority to access the
    the records
    records at
    issue. As aaresult, it was inevitable that the medical and financial records in
    ii question
    question would have been discovered by the Agency and entered as evidence in
    would have been discovered by the Agency and entered as evidence in
    this matter. The error was therefore harmless.
    this matter, The error was therefore harmless.
    ,.          It must be noted that there are equitable considerations at play here. As
    noted by both counsel for the Agency and counsel for I.M.R.,
    IM.R., the motion in limine
    ultimately
    ultimately amounted to the
    the "alleged
    alleged perpetrator
    perpetrator...• of financial exploitation asking
    that the Court enforce the victim's rights so that he doesn't get in trouble for what
    he did to the victim." NT.,
    N.T., Third Hearing, at 6-7
    6-7 (argument
    (argument of Attorney Kipphan);
    see al
    $Re    so id.
    also         8-10 (argument
    id, at 8-10 (argument of Attorney Ghaner).
    Ghaner). The focus of this matter is
    I.M.R., and not Petitioner. Allowing him to enforce her rights to shield himself so
    that he may
    may continue his abusive behavior toward her and her property would
    amount to an abuse of the law and of the courts.
    C.   Granting of the Emergency
    Granting of     Emergency Petition
    Petitioner's third and fourth claims of error pertain
    pertain to the granting of the
    Emergency
    Emergency Petition. The third claim is that the Court erred in granting the
    Emergency
    Emergency Petition without aahearing
    hearing "when
    "when there was no adequate proof of an
    actual emergency." The fourth claim pertains
    pertains to the granting of the Petition
    so
    50
    "without any medical expert testimony or any medical evidence showing aaneed
    for guardianship."
    The Court has reviewed the extensive record and filings in this matter, and
    has not found aapoint at which Petitioner has raised these specific issues before.
    This means that they
    they have been waived.
    waived. However, in the event that the Superior
    Court finds that they have not been waived or are non-waivable, the Court
    addresses them here
    here.
    As an initial matter, it must be noted that while
    while §$ 5513 of the PEF Code
    incorporates the requirements for full guardianship proceedings under
    under §$ 5511, it
    also provides
    provides an exception for those requirements in situations where
    where "the
    "the court
    has found that it is not feasible in the circumstances" to satisfy them prior to
    granting the emergency guardianship. See.&.g
    See, e.g., In re:
    re; Sylvester, 
    598 A.2d 76
    , 78,
    82 (Pa. Super. 1991)
    / 82(Pa.         199 1) (orphans' court properly dispensed with
    with §$ 5511 notice to the
    • appellants, both holders of powers of attorney executed by the incapacitated
    person
    person and both executors under his will, under the exception set forth in $§ 5513;
    appellants were alleged to have been isolating the incapacitated person from his
    friends, disposing of his assets against his wishes, and misappropriating his assets
    for their own benefit; notice to the appellants under such circumstances would
    have provided them with time to take additional harmful actions toward to the
    incapacitated person
    person and hide assets so they could not be recovered).
    recovered).A?
    12 Thus,
    there are situations in which the requirements of
    of 8§ 5511 may be waived.
    waived.13
    Turning to the analysis of Petitioner's third and fourth claims, these claims
    of error present aaquestion that is somewhat convoluted, but ultimately easily
    ' resolved. Specifically, Petitioner is arguing from aaposition that assumes his late-
    Ii
    '------
    Seealso
    1zSee  also hare:  Estate of
    In re; Estate of Dorone, 517 Pa.
    Doro4,          Pa. 3,7,
    7, 9
    9 (1987)
    (1987) (The
    (The orphans' court properly disposed of notice to the
    Incapacitated person's parents and conducted aabrief hearing via telephone with the administrator and
    incapacitated
    surgeon
    surgeon for the
    the hospital
    hospital where
    where the incapacitated
    incapacitated person
    person was
    was aapatient
    patient before granting
    granting the
    the emergency petition
    to appoint
    appoint aa temporary
    temporary guardian
    guardian to consent to medical procedures; the incapacitated person had been
    seriously injured in an accident, was unconscious, needed emergency surgery, was lying on the operating table
    at the time of the telephone
    telephone hearing, and his parents refused to give permission for aablood transfusion
    necessary for the surgery
    surgery to occur
    occur; the orphans' court's actions were reasonable under the circumstances]
    circumstances).
    The Court
    13The  Court notes       it recognizes
    notes that it  recognizes and respects the need to follow
    follow the
    the requirements    § 5511 in regard
    requirements of 65511in     regard to
    to
    emergency guardianships
    emergency   guardianships in the absence of circumstances that render such compliance not feasible.      Involving
    feasible. Invoking
    this exception is not the standard practice of the Court, and the issue should have been noted clearly n in the
    order granting the Emergency
    Emergency Petition.
    Petition
    51
    filed motion in limine precludes any consideration of the information the Agency
    obtained using the records request.
    request. This is significant because the Agency
    Agency based
    the Emergency Petition exclusively on the medical information obtained from Dr.
    Sellers, and did not include any of the information obtained from Ms. Parks or by
    Ms. Hughes's
    Hughes's and Ms. Heaton's interactions
    and Ms.          interactions with
    with I.M.R.
    IM.R. and Petitioner.
    Petitioner.
    1. Analysis of the Emergency Petition as filed.
    The Court believes that the equities of this situation, including the facts that
    the motion in limine was filed late in the action and that the Agency's
    unprecedented difficulty in obtaining records and information regarding IM.R.
    I.M.R.
    II   was
    w.1� due to Petitioner's
    Petitioner'� own actions, do not merit excluding the information from
    Dr. Sellers in analyzing the Emergency Petition. Moving forward on this basis
    basis (i.e.,
    (i.e.
    on the information the Court was actually presented with at the time the
    Emergency Petition was filed), Petitioner's claims have no merit. The Emergency
    Petition clearly alleged that I.M.R.
    l.M.R. was in
    in immediate need of round-the-clock
    round-the-dock care,
    did not have such care, and could not provide for her own care and safety due to
    her cognitive impairment. That is an emergency situation by any objective
    measure, and thus the Court appropriately moved forward prior to conducting aa
    hearing so that appropriate housing
    housing and care could be provided for I.M.R.
    IM.R.
    immediately. This addresses Petitioner's third claim. As for his fourth claim, the
    immediately.
    j: Emergency
    Emergenly Petition was supported
    supported by the statement from Dr. Sellers, which is
    sufficient to meet the requirements of
    of $§ 5518 of the PEF Code.
    2. Analysis in the absence of information obtained using the Records
    Petition.
    Assuming, arguendo, that Petitioner's position is correct, and that the
    Emergency
    Emergency Petition must be evaluated without the benefit of information obtained
    using the Records Petition, the only fair and equitable way to address the situation
    is to evaluate the position the Agency would have been in without the Records
    Petition, and therefore what information it could have included in the Emergency
    52
    Petition. 14 Even proceeding on this basis, Petitioner's third and fourth claims of
    Petition.IM
    error fail.
    fail
    As noted above, Ms.
    Ms. Parks provided significant, credible testimony
    regarding
    regarding the degree of I.M.R.'s cognitive impairment, her need for constant
    monitoring and care, the failure of Petitioner to provide such constant monitoring
    and care, and the deplorable living conditions in Petitioner's home. Ms.
    Ms. Hughes
    provided credible testimony regarding Petitioner's tight control over IM.R.,
    I.M.R., his
    intimidation of I.M.R.,
    LM.R., his attempts to intimidate Ms. Hughes, his refusal to allow
    I.M.R. to be interviewed separately, his refusal to allow anyone from the Agency
    inside the home, and his refusal to provide any information regarding IM.R.'s
    I.M.R.'s
    medical condition and financial resources. Ms.
    Ms. Hughes's testimony was supported
    by the testimony of Ms. Heaton, which further included Petitioner's attempts
    attempts to
    harass and intimidate the Agency into dropping its investigation. Finally, there
    was the highly concerning nature of the walkaway that occurred in September
    2021. This information is more than sufficient to establish that IM.R.
    2021.                                                            I.M.R. was at risk
    and an emergency situation existed, such that she needed to be removed from the
    home prior to aahearing being held. This negates Petitioner's third claim.
    With respect to Petitioner's fourth claim, Petitioner's assertion that the
    Agency was
    Agency was required
    required to
    to present
    present the
    the Court
    Court with
    with medical
    medical expert
    expert testimony
    testimony and
    and
    I'i medical
    medical evidence showing aneed for an emergency guardianship is false as a
    evidence showing a need for an emergency guardianship is false as a
    matter of law.
    matter of law.
    Medical testimony is of great significance since it assists the trial court
    in determining the nature, severity, and consequences of an alleged
    incompetent's disability,
    disability. The Pennsylvania Supreme Court has stated
    in dicta that
    that "[e]xpert
    "[e]xpert testimony is needed when transactions fall
    within the penumbra between competence and incompetence, when
    the light
    light of reason may may come andand go
    go unbidden." Hagopian
    Hagopian v   v.
    Eskandarian, 
    396 Pa. 404
    ,153
    Pa. 401, 404,                899 ( 1959),cert
    
    153 A.2d 897
    , 899(1959)     cent. denied,
    
    361 U.S. 0
    .S. 938, 
    80 S.Ct. 381
    , 4 4 L.Ed.2d
    LEd.2d 358 ((1960).
    1960). However, the
    appellate  courts  have  never adopted aa rule  of evidence  which would
    require
    require the use of expert testimony in in all incompetency
    incompetency proceedings
    proceedings
    without exception. The testimony of lay witnesses who have
    observed the alleged incompetent is admissible and highlyhighly probative
    probative
    To do
    4To
    14   do otherwise
    otherwise would
    would reward
    reward Petitioner
    Petitioner for
    for his behavior in
    his behavior in stonewalling
    stonewalling the Agency and
    the Agency and ignore the
    ignore the
    overwhelming evidence of I.M.R.'s
    IM.R's incapacity and need for aaguardian of both her person and her estate
    estate.
    53
    since "[o]ne's
    "[o]ne's mental capacity is best determined by his spoken
    words, his acts, and his conduct." Urquhart Estate, 
    431 Pa. 134
    , 142,
    245 A.2d
    A2d 141, 146146 ((1968).
    1968). See also Weir
    Weir by
    by Gasper v.v. Ciao, 364
    Pa.Super.
    Pa.Super, 490, 494-495, 
    528 A.2d 619
    -620 ((1987)
    A2d 616, 619-620     1987) (court
    (court may
    base finding of competency on evidence provided
    provided by
    by lay
    lay witness).
    witness].
    Although
    Although the introduction of expert testimony from psychiatrists,
    psychiatrists,
    psychiatric nurses, and other health care professionals is to be
    encouraged, we cannot say that lay testimony alone can never be
    sufficient to meet the heavy burden of establishing
    establishing incompetency.
    In re:
    ln re; Estate of Wood,
    Wood, 533 A.2d
    A.24 772, 774 (Pa.
    772,774  (Pa. Super. 1987)
    1987) (internal
    (internal quotations
    quotations
    and citations as in the original).
    Here, the core allegations of the Emergency Petition were that I.M.R. was an
    83 year- old woman who suffered from debilitating cognitive impairment, was in
    year-old                                                                 in
    immediate need of round-the-clock care, and was not receiving that care.
    care. The
    Agency was in possession of, and presented to the Court at the First Hearing,
    evidence in support of those allegations from:
    from: ((1)
    1) Ms. Parks, a
    a lay witness with
    direct and extensive knowledge of I.M.R.'s
    LM.R's day-to-day care needs, mental condition,
    and
    Ad living situation; and
    and ((2)
    2) Ms. Hughes,
    Hughes, a
    a lay witnesses experienced in the field of
    I cider care, who had personally seen the nature of the interactions between l.M.R.
    elder care, who had personally seen the nature of the interactions between I.M.R.
    and Petitioner; and
    and (3)
    (3) Ms. Heaton, aalay witness experienced in the field of elder
    I• care who has investigated countless cases of elder abuse and neglect, who
    personally interacted with Petitioner and observed his actions in response to the
    Agency's attempts to investigate the situation and determine if LM.R.'
    I.M.R.'s
    s needs were
    being met.
    met. That evidence is
    is sufficient both
    both to
    to meet
    meet the requirements
    requirements of $§ 5518 and
    !I
    to establish that I.M.R.
    LM.R. was in need of an emergency guardian.
    guardian.
    I
    D.        ofAttorney O'Toole's Petition to Represent LM.R
    D. Denial of                                         I.M.R.
    Petitioner's fifth claim of error arises from his first avenue of attack against
    against
    the guardianship proceedings, which was to attempt to have Attorney 0"Toole
    O'Toole
    appointed as counsel for I.M.R.
    IM.R. The Court addressed this issue at length in its
    order and opinion filed January
    January 24, 2022,
    2OZ2, and incorporates that order and opinion
    by reference here. The Court will not provide further analysis of the issue here.
    However, it is appropriate to note that Attorney O'Toole's petition, which was
    54
    requested and directed by Petitioner, is aarather bold attempt by Petitioner to take
    control of
    control of the
    the proceedings and, ultimately,
    proceedings and, ultimately, retain control over
    retain control over I.M.R. and her
    LM.R. and  her assets
    assets.
    E. Failure
    Failure to Appoint
    Appoint Petitioner
    Petitioner as Guardian Based on Alleged
    Alleged Weaknesses in the
    l       Agency's
    Agency's Evidence
    Evidence
    "           Petitioner's sixth claim of error contains aanumber of issues, and thus bears
    ] repeating here.
    11
    The trial court abused its discretion and/or made an error of law
    when it failed to appoint William Cardwell as guardian of Iva  lva M.
    '           Roush's person despite no Area Agency on Aging observing inside
    ,I          their home; only oneone ((1)
    1) caretaker witness who observed William
    Cardwell and Iva
    lva M. Roush together inside the home over aaspan of aa
    I
    few months; and Ivalva M. Roush walking away from the home on one
    (1) brief occasion three months before the guardianship petition
    (1)brief                                                petition was
    filed?
    The first item of note is that this claim of error contains an implicit
    implicit
    admission—that IM.R.
    admission--that I.M.R. is incapacitated and in need of a guardian. This admission
    a guardian.
    alone should be sufficient to negate
    negate the previous
    previous four claims of error raised by
    by
    Petitioner, because he is attempting to argue out of both sides of his mouth.
    mouth. On the
    one hand, he argues that this Court erred in
    in finding I.M.R.
    IM.R. incapacitated and in
    in
    need of aaguardian based on the overwhelming evidence presented. On the other
    hand, he now says that the Court rightfully
    rightfully found I.M.R.
    IM.R. to be incapacitated
    incapacitated and
    erred only with respect
    respect to its judgment as to who should be her guardian. Only
    under the application of the most twisted and disingenuous pretzel logic can these
    two positions
    positions be reconciled.
    Turning to the claim itself, what Petitioner is really challenging is this
    Court's determinations regarding
    regarding the
    the credibility of the
    the witnesses and the
    the weight
    weight to
    to
    be given to their testimony. The Court found Ms. Parks to be credible, and her
    testimony alone is sufficient to find that Petitioner was not providing I.M.R.
    IM.R. with
    the care she needs. 'The
    The Court found Ms. Hughes and Ms. Heaton to be credible as
    well, and their testimony regarding Petitioner's behavior and actions only
    bolstered the Agency's argument that Petitioner is not aafit caretaker and guardian
    for IM.R,
    I.M.R. 'To
    To the extent that Petitioner claims this evidence is weak because
    55
    neither Ms. Hughes nor Ms. Heaton ever entered the home, he has only himself to
    blame. He blocked all of their attempts at entry.
    entry. Finally,
    Finally, it is both troubling
    troubling and
    telling that Petitioner continues to attempt to downplay IM.R's
    I.M.R.'s walkaway in
    September 2021 as aaminor event
    event. His 83 year-old
    year- old mother, aawoman who must use
    aawalker to get
    get around, cannot perform tasks of daily living as simple
    simple as preparing
    preparing
    food for herself, has significant cognitive impairment, and has serious
    hallucinatory episodes, left the home, walked an unspecified distance along busy
    busy
    roads
    roads+15 until someone stopped to help
    help her, and wound up being transported
    transported to the
    Huntingdon PSP station. It is only by the grace of God that I.M.R.
    IM.R. did not end up hit
    by a
    a car or lost in the woods surrounding the area.
    While Petitioner does not specifically mention the witnesses who testified
    in his favor regarding his care for I.M.R.,
    IM.R., he will undoubtedly tout their testimony
    testimony
    in his brief. The Court found the testimony of Petitioner's cousins, Terry Lynn
    Lynn
    Lumbard-Monnat and Valerie Scott, to be generally credible, but of little weight.
    They each certainly believed that Petitioner took good and appropriate
    appropriate care of
    I.M.R., but they did not have enough awareness of her day-to-day needs and the
    situation in Petitioner's home to provide significant testimony on those matters.
    They                               I.M.R.'s cognitive decline, focusing primarily
    They also downplayed the extent of I.M.R's                              primarily on
    what she can still do as opposed to how her limitations affect her ability
    ability to make
    decisions and take care of herself. With respect to the testimony
    testimony of Dr. William
    Kauffman, the Court found it to be largely irrelevant and worthy of little weight.
    1: Dr.
    Dr. Kauffman
    Kauffman has
    has never treated I.M.R,
    never tre.ited I.M.R., h.i�
    has not evaluated her, has only "read
    has only •read her
    charts" occasionally when she was in the hospital,
    hospital, and the primary
    primary thrust of his
    testimony
    testimony was an attempt to weaken the findings
    findings of Dr. Roscoe, I.M.R.'s
    LM.R's current
    I treating physician
    treating physician.
    ,I             There remains, of course, Petitioner's own testimony
    testimony regarding
    regarding the care he
    '!   provided for IM.R.
    I.M.R. Petitioner certainly appeared to believe his repeated,
    repeated, self-
    '
    serving, and conclusory statements that he tools
    took excellent care of I.M.R.,
    IM.R., gave her
    isThe
    The Court takes judicial notice
    notice of      fact that while
    of the fact      while Tussey
    Tussey Lane,
    Lane, the
    the road that
    that Petitioner's home is
    is located
    on, maybe     low-trattic road, it leads to State Route 26.
    may be aalow-traffic                                  26. State Route 26 is the major north-south route on the
    western side of Raystown Lake,
    Lake, the only route that leads from Petitioner's home to the Huntingdon PSp     PSP
    station, has
    has a
    a prevailing
    prevailing speed                             definitely "high-traffic."
    speed limit of 55 MPH, and is definitely     high-traffie."
    56
    exactly what she needed, and that she
    she "wanted
    "wanted for nothing." Yet his testimony
    testimony also
    j showed that he is not cogmz,rnt
    cognizant of I.M.R.'s
    L.M.R.'s care needs, did not provide
    provide round-the-
    clock care, left her on her own in the house often
    often (regardless of the fact that he or
    his mechanic were elsewhere on the property), and downplayed
    downplayed the very
    very real risks
    to her safety. And all the while, he was reducing
    reducing her net worth by hundreds of
    thousands of dollars, significantly benefiting himself and harming
    h.1rmmg her best interest.
    interest
    II
    On these facts it is unquestionable that Petitioner is not an appropriate guardian
    guardian
    for
    for I.M.R.
    i       IM.R
    F.   Failure
    Failure to Appoint
    Appoint Petitioner
    Petitioner as Guardian Based
    Based on the
    the Claim that I.M.R.
    LM.R. Desired
    of Her Assets to Petitioner and that He had Authority
    to Give All of                                          Authority to Do
    Do With Them
    as He Pleased
    As with Petitioner's sixth claim of error, his seventh claim of error contains
    aanumber of issues, and bears repeating here.
    here
    The trial court abused its discretion and/or made an error of law
    when it failed to appoint William Cardwell as guardian of Iva   va M.
    Roush's estate in light of four
    four (4) witnesses and the estate planning
    documents presented clearly stating lva
    Iva M. Roush's desired intention
    for William Cardwell to inherit everything from her and the ability
    ability to
    make gifts to himself?
    It is axiomatic that the law recognizes the right of a
    a competent person to do
    as they wish with their assets, even if they spend or distribute those assets to the
    point of insolvency, and whether they
    they take such action while alive or in aa
    testamentary capacity after death. And, the law establishes a
    a strong preference
    preference for
    choices made by individuals prior
    prior to incapacity
    incapacity when appointing
    appointing guardians.
    guardians. 20 Pa.
    C.S. $5511(f)("If
    CS.  § 5511(f) (" If appropriate, the court shall give preference
    preference to aanominee of the
    incapacitated person. "). However, the law does not recognize: (i)
    person.").                                       [i) aaright
    right for agents
    acting under aapower of attorney to take actions that are both against an
    ,I   incapacitated person's best interests and contrary to their previously
    previously expressed
    expressed
    wishes; (ii)
    wishes; (ii) aaright
    right for heirs
    heirs having control of an incapacitated
    incapacitated person's
    person's property
    property to
    to
    take their inheritance prior
    prior to
    to the incapacitated
    incapacitated person's        or (iii)
    person's death; or (iii) a
    a right
    right for
    trustees to take trust property and use it as their own. Yet all of these actions
    occurred in
    in this case
    case.
    57
    As aapreliminary matter, the Court notes that Petitioner's count of witnesses
    11
    for this claim of error is incorrect. Presumably the four witnesses to which he
    refers
    refers are
    are himself, his
    his cousins
    cousins Terry
    Terry Lynn
    Lynn Lumbard-Monnat
    Lumbard-Monnat and Valerie
    Valerie Scott,
    Scott, and
    ' Attorney 0'Toole.
    O'Toole. However, Attorney O'Toole never testified as aawitness, and his
    comments and filings regarding I.M.R.'s
    IM.R.'s actions and intent were purely
    purely in the form
    of allegations and argument intended to support
    support his petition
    petition to represent I.M.R.
    represent IM.R.
    Petitioner attempted to testify as to what I.M.R.
    IM.R. told him her wishes were, but that
    I evidence was not admitted because it is hearsay. See, e.g., N.T.,
    See.&.g.   N.T, Third Hearing, at
    l
    ii   106, 111. Even if admissible, such testimony has little weight, not only
    106,111.                                                            only because of
    Petitioner's own self-interest
    self-interest (his
    [his interests with respect
    respect to the financial issues are
    'I   adverse to IM.R.'s),
    I.M.R.'s), but also because:
    because: (i)
    [i) there is aavast difference between the
    statement "IIwant you to have everything" and the alleged implication
    general statement                                                  implication "II
    want you to take everything I
    I have now, use it for your own benefit, and leave me
    with minimal income and no eligibility for medical assistance despite
    despite my
    my
    progressively worsening condition"; and
    and (ii)
    (ii) the competency of I.M.R.
    LM.R. when she
    made the statements is highly suspect, particularly
    particularly since she had already
    already been
    suffering from dementia for four years when her husband died and Petitioner took
    control of her life and property.
    property
    As
    As such, there were only two witnesses— Ms. Lumbard-Monnat and
    witnesses-Ms.
    Ms. Scott--who
    Scott—who provided testimony
    testimony to the effect that I.M.R. had expressed
    expressed aadesire
    to
    to give
    give all
    all of her property
    of her property to Petitioner. However,
    to Petitioner. However, their testimony on
    their testimony on this point has
    this point has
    only nominal weight. First, aside from the matter of self-interest, their testimony
    testimony
    Ii   suffers from the same issues as identified for Petitioner's testimony
    testimony above.
    Second, their primary interactions with I.M.R.
    LM.R. have been short, periodic
    periodic visits, and
    the time period covered by their testimony is well after I.M.R.
    I.M.R was diagnosed
    diagnosed with
    dementia and began
    began suffering cognitive impairment.
    impairment.
    Turning to the core of Petitioner's seventh claim of error, that the Court
    erred in not appointing him as guardian of LM.R's
    I.M.R.'s estate, the issues raised by
    by
    Petitioner are largely irrelevant. This is because the preference
    preference for the
    incapacitated person's chosen agent or guardian is strong, but not absolute.
    58
    When a a patient has executed a [durable
    [durable power of attorney]
    attorney] and
    named a a personal representative, that choice is given paramount
    paramount
    importance. In Re Sylvester, 409 Pa.Super,
    Pa.Super. 439, 
    598 A.2d 76
    , 83
    (1991). Under these circumstances, Section 5604(0)(2),
    5604(c)(2), regulating
    regulating
    durable powers of attorney, must be read in conjunction with Section
    5511. 
    Id.
     Read together, these Sections require the court to give
    effect to the patient's selection of aa guardian,
    guardian, except for good
    good
    
    Id.
    cause or disqualification. Id
    In re:
    re: Duran, 
    769 A.2d 497
    , 506
    506 (Pa.
    (Pa. Super. 2001)
    2001) (internal
    (internal citations as in the
    added).
    original; emphasis added)].
    Assuming, arguendo, that I.M.R.
    IM.R. clearly     competently expressed
    dearly and competently expressed an
    intent for Petitioner to take the
    the $$250,000
    250,000 life insurance payment
    payment as aagift,
    gift, and for
    him to be able to make other gifts of her property to himself via aavalid power
    power of
    attorney, his actions were so noncompliant
    noncom pliant with the Alleged POA, trust document,
    and controlling law as to be nearly unfathomable.
    Petitioner maintained no separation between his own funds and I.M.R.'s.
    IM.R.'s.
    He stated many times that her assets were his, and that she had no assets other
    than her income from the farm rent and social security. He spent hundreds of
    thousands of dollars of her money to buy
    buy things
    things that benefitted only
    only himself.
    I          The Alleged POA and the trust document contain clear provisions regarding
    regarding
    I,
    the importance to IM.R.
    I.M.R. of obtaining and maintaining eligibility for medical
    maintaining eligibility
    assistance benefits. Yet, Petitioner's actions led to an ineligibility
    ineligibility period
    period of over
    years (which
    four years [which would have been extended to eight if the transfer of the farm
    had been upheld). Nothing in the trust document or the Alleged
    Alleged POA authorized
    Petitioner
    Petitioner to
    to avoid placing
    placing any
    any of
    of the real
    real estate properties
    properties transferred
    transferred to
    to I.M.R.
    IM.R
    l
    I after her husband's death into the trust, and even if Petitioner actually
    actually believed the
    '
    i    farm had been transferred into the trust, nothing
    nothing authorized him to sell the
    remaining properties
    properties in the trust and keep
    keep the proceeds
    proceeds for himself
    himself.
    Finally, even if it is true that Petitioner undertook the above actions
    actions (and
    (and
    others) based on the innocent belief that I.M.R.
    LM.R. wanted him and had authorized
    him to do so, the testimony established that he is singularly
    singularly unfit to manage
    manage her
    financial affairs. He had no awareness of the medical assistance eligibility
    eligibility issue, no
    idea about his recordkeeping obligations, no awareness of the risk of converting
    converting
    59
    assets (land)
    appreciating assets (land) into depreciating assets
    assets (cars,
    (cars, building,
    building, paint
    paint shop),
    shop), and
    no awareness of the fact that was a
    a poor idea to allow an 83 year- old dementia
    year-old
    'ppatient
    atient in need of long term care to spend hours at aatime sitting
    sitting in a
    a casino losing
    losing
    I
    $10,000 aavisit. He also likely created significant federal income tax risk for
    himself and I.M.R.
    LM.R. by failing to properly report the alleged gift transfers and failing
    alleged gift               failing
    '   to file income tax returns.
    The sum total of all of these issues is that it is beyond
    beyond aareasonable doubt
    that there is good cause to override I.M.R.'s
    IM.R.'s selection of Petitioner as her agent
    agent
    with respect to her estate, and that he should be disqualified from serving
    serving in
    in that
    capacity.
    capacity.
    G. The Court's Order Vacating and Setting Aside Petitioner's Attempt
    Attempt to Transfer
    Transfer the
    Farm Into the Trust
    The Court
    Court first notes
    notes that, as identified by
    by the Superior
    Superior Court in
    in its
    its March
    March
    16, 2020 opinion remanding the case to this Court for the entry
    entry of aafull Rule 1925
    opinion, Petitioner did not file aatimely appeal from the separate order regarding
    regarding
    the property transfer, and that issue has therefore been waived. See Superior
    Superior
    Court Opinion, Docket No. 728 MDA 2022, March 16, 2023, at 3-4 n. 1.
    3-4n.
    In a
    a separate order, the orphans' court invalidated aaMarch 18, 2022
    transfer of land stating that
    that "if there was aavalid power of attorney,
    attorney,
    the alleged agent has failed to act in
    in good faith and failed to act loyally
    loyally
    for  the principal's benefit."    Orphans'   Court  Order,   4/7/22.
    for the principal's benefit." Orphans' Court Order, 4/7/22. As          As
    Appellant failed to appeal that order, this Court will not address it or
    the propriety of the deed referenced in Appellant's
    Appellant's statement of
    questions presented.
    Should the Superior Court decide, upon further reflection, to take up
    up this
    issue, Petitioner's eighth claim of error is meritless.
    meritless. As stated, he bases it on there
    being no request from the Agency to remove Petitioner as power
    power of attorney
    attorney and
    no
    no order
    order from
    from this
    this Court removing
    removing him
    him as
    as power
    power of attorney prior
    of attorney prior to
    to him signing
    him signing
    the
    the deed on
    on March 16, 2022.
    March 16, 2022. This is
    is a
    a red
    red herring.
    herring. The
    The Court made
    made no
    no
    determination regarding whether Petitioner had aavalid power
    power of attorney
    attorney on
    March 16, 2022.
    2022. Instead, the Court, as noted in
    in the order, found that if there was a
    a
    valid power of attorney, Petitioner had failed to act in good faith and loyally
    in good           loyally for
    60
    60
    I,
    i'
    I.M.R.'s benefit. 16 His act of transferring
    L.M.R's benefit.Io              transferring the farm into the trust was clearly
    clearly an
    attempt to wrest control of IM.R.'s
    I.M.R.'s sole remaining                   away from the
    remaining significant asset away
    Agency, and to prevent the Agency from potentially using it to pay
    using it    pay for IM.R's
    I.M.R.'s care,
    as Petitioner is
    is the sole trustee
    trustee of the trust
    trust and admitted that he     already taken
    he had already
    out loans from
    from Darren Weaver
    Weaver in
    in anticipation
    anticipation of selling
    selling the
    the farm
    farm to him in
    in the
    the
    future. Further, this act risked nearly doubling
    doubling IM.R's
    I.M.R.'s period    ineligibility for
    period of ineligibility
    medical
    medical assistance to eight           any objective
    eight years. By any objective measure,
    measure, Petitioner's
    Petitioner's transfer
    of the
    the farm
    farm was
    was neither
    neither in good faith
    in good faith nor          I.M.R.'s benefit.
    nor done for L.M.R's  benefit.
    Finally, Petitioner's argument regarding his alleged removal as power
    power of
    attorney has aafatal flaw in its logic.
    logic. Petitioner did not submit aasigned
    signed copy
    copy of the
    Alleged
    Alleged POA, or
    or any power
    power of attorney, to
    to the
    the Court prior
    prior to attempting to transfer
    to attempting    transfer
    farm. Therefore, neither the Agency nor the Court would have had any
    the farm.                                                            any reason
    r to address Petitioner's removal. Petitioner's actions were a complete surprise to
    to address Petitioner's removal. Petitioner's actions were acomplete surprise to
    11 the
    the Agency, I.M.R.'s
    IM.R's counsel, and the
    the Court, as was
    was his alleged location
    his alleged                 one,
    location of not one,
    but three, signed powers of attorney behind the seat of his truck.
    truck 17 Petitioner
    I        cannot fault the Court and the Agency for failing to anticipate his unannounced and
    surprise attempt to make an end run around the emergency
    emergency guardianship.
    guardianship.
    IV. CONCLUSION
    I.
    The focus of this
    this case should be I.M.R.
    IM.R. However,
    However, Petitioner
    Petitioner has
    continuously attempted
    continuously attempted to
    to make
    make it about himself,
    it about himself. 'Time
    Time and
    and time again he
    time again he has
    has
    shown that his true concern is maintaining control over I.M.R.
    IM.R. and her assets,
    rather than acting in her best interest. I.M.R.
    LM.R. is incapacitated
    incapacitated and in need of aa
    guardian. 'That
    guardian. That guardian needs to be someone other than Petitioner, so that he can
    ·I       no longer exploit
    no longer exploit her.
    her
    !
    BY THE COURT:
    As required by 20 Pa.CS.$
    As
    16                 Pa. C.S. § 5601.3(a)
    5601,3(a).
    George
    ;;2�,,
    Geo"rge N,  •
    eu
    N. Zanic,  ••
    Zanic, President
    President Judge
    Judge
    The Court
    Te
    17   Court notes
    notes its
    its high degree of
    high degree of skepticism
    skepticism regarding
    regarding the validity of
    the validity of the
    the "discovered"
    discovered" powers of attore
    powers of attorney.
    61
    

Document Info

Docket Number: 728 MDA 2022

Judges: Bowes, J.

Filed Date: 6/7/2023

Precedential Status: Precedential

Modified Date: 6/7/2023