Sorry Comply Guy, I don't really look in the PA forums. I just stumbled across your question.
NJ has a social services division in which you can call and ask them to pay a "social call" to the targeted victim. Usually, an in depth discussion with the elder or handicapped person and with the caregiver will take place. Based on that informal interview, social services will either get authorization to investigate or not. Then the fun begins...
I don't really know much about PA, but I am sure that there must be protections in place. Did you check with the ADA?
Get your facts first, then you can distort them as you please. - Mark Twain