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The document is an IHSS Protective Supervision Hazard/Injury Log designed to assess the risk of injury or harm for individuals receiving in-home supportive services. It lists various activities that may pose risks, such as wandering, unsafe cooking practices, and self-harm behaviors. The log requires the caregiver to indicate whether these activities would occur without supervision and includes sections for dates of occurrence, comments, and declarations from both the caregiver and a medical professional.

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What are the requirements for IHSS protective supervision?

ing to the California Department of Social Services (CDSS) current interpretation of the regulations, an individual must: be nonself-directing due to a mental impairment or mental illness; be likely to engage in potentially dangerous activity; and, need 24-hour-a-day supervision in order to remain safely at home.

What qualifies a child for IHSS in California?

When May Children Receive IHSS? When they have a disability and come from a low-income family (receipt of SSI means automatic eligibility). If their income is too high for SSI, they may qualify with a share of cost.

What is the assessment for protective supervision?

To get Protective Supervision you will need to call your social worker and ask for an assessment for protective supervision. This is a meeting with the social worker where you will need to provide documentation that supports the need for 24/7 monitoring of your child in order to keep him/her from harming themselves.

What to say to get protective supervision?

Generally, applicants who are determined to have severe deficits in their mental functioning are more likely to qualify for protective supervision. Provide the doctor with specific examples of the applicants dangerous behaviors and deficiencies in memory, orientation, and judgment.

What is an example of a dangerous behavior log?

For example, if your child tries to escape from home, tries to eat something inedible, tries to touch a hot stove, etc., but you prevent it from happening, that should be recorded. The more entries you include in the log, the stronger the case for protective supervision.

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What qualifies a child for protective supervision in the IHSS?

The person eligible for Protective Supervision must have a mental illness or mental impairment that impairs their judgement, memory and orientation. For example, a parent (Provider) has an autistic child that is constantly engaging in dangerous activities or unknowingly harms them self.

What are the reasons for protective supervision?

In order to be eligible for protective supervision a person must have a mental illness or mental impairment that causes behaviors like: poor judgment (making bad decisions about health or safety), confusion/disorientation (wandering off, getting lost, mixing up people, days or times) or bad memory (forgetting to start

How to win protective supervision in IHSS?

To demonstrate eligibility for protective supervision you will need to provide documentation that shows that because of mental impairment or mental illness, the IHSS recipient is at risk of injury if left unsupervised at any time during a twenty-four-hour day.

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What are the requirements for IHSS protective supervision?

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