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PROTECTIVE SUPERVISION 24-HOURS-A-DAY COVERAGE …

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESPROTECTIVE SUPERVISION24-HOURS-A-DAY COVERAGE PLANPLEASE PRINTNAME OF IHSS RECIPIENT:RECIPIENT S TELEPHONE #:ADDRESS OF IHSS RECIPIENT:NAME OF PRIMARY CONTACT RESPONSIBLE:CONTACT S TELEPHONE #:RELATIONSHIP TO RECIPIENT:As the primary contact for arranging the 24- hour -a-day COVERAGE plan for the above named Recipient, I acknowledge myunderstanding of the following: A 24- hour -a-day COVERAGE plan has been arranged and is in continuous 24- hour -a-day COVERAGE plan can be met regardless of paid In-Home Supportive Service (IHSS) hoursalong with various alternate resources ( ; Adult or Child Day Care Centers, community resource centers, SeniorCenters, respite centers, etc.)

The IHSS Protective Supervision 24-Hours-A-Day Coverage Plan (SOC 825) is an optional form for County use. The SOC 825 is intended to ensure that recipients who need Protective Supervision have the 24-hours of care needed for their health and safety 24 hours a day.

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CONSENT FOR EMERGENCY MEDICAL TREATMENT-Child …

cdss.ca.gov

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cdss.ca.gov

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SAWS2ASAR: Rights, Responsibilities and Other Important ...

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RIGHTS, RESPONSIBILITIES AND OTHER IMPORTANT INFORMATION For the Cash Aid and CalFresh Programs, and/or Medi-Cal/34-County Medical Services Program (CMSP) These pages give you your rights and responsibilities and other important information. The county needs your facts to see if you are eligible for cash aid, CalFresh benefits, and/or Medi-Cal ...

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CONFIDENTIAL REPORT - NOT SUBJECT TO PUBLIC …

cdss.ca.gov

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State and Federal Mandated Reporting Guidelines in Long ...

cdss.ca.gov

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Recertification for Calfresh Benefits

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Statement Of Facts To Add A Child Under Age 16

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STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT …

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341, “Report of Suspected Dependent Adult/Elder Abuse” for each report of known or suspected instance of abuse (physical abuse, sexual abuse, financial abuse, abduction, neglect (self-neglect), isolation, and abandonment) involving an elder or dependent adult. Reporting shall be completed as follows:

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INSTRUCTIONS FOR THE CONTRACT FOR SUPERVISION THIS ...

health.maryland.gov

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www.andrews.edu

Supervision Defined n“Supervision is instructional leadership that relates perspectives to behavior, clarifies purposes, contributes to and supports organizational actions, coordinates interactions, provides for maintenance and improvement of the instructional program, and assesses goal achievements.” Krey & Burke

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www3.nd.edu

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