Probate Court Appointed Counsels Report For Developmentally Disabled Adults (Dementia) {PRO077}

PRO 077, PROBATE COURT APPOINTED COUNSEL'S REPORT FOR DEVELOPMENTALLY DISABLED ADULTS WITH MAJOR OR MILD NEUROCOGNITIVE DISORDER (DEMENTIA) ATTACHMENT, 1. Has the proposed conservatee been diagnosed with major or mild Neurocognitive Disorder (Dementia)? 2. I have considered, to the extent practicable, whether I believe that the proposed conservatee suffers from any of the mental deficits listed in subdivision(a) of Probate Code Section 811 that significantly impair the proposed conservatee’s ability to understand and appreciate the consequences of his/her action(s) in connection with the proposed conservatee’s ability to: 3. Does the proposed conservatee currently reside in a locked skilled nursing facility which specializes in the care and treatment of people with dementia pursuant to subdivision (c) of Section 1569.691 of the Health and Safety Code and which has a care plan that meets the requirements of Section 87724 of Title 22 of the California Regulations? 4. Is the proposed conservatee administered medications appropriate to the care of dementia? LASC PRO 077 Rev. 10/18 For Mandatory Use. www.FormsWorkflow.com