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Ihss protective supervision form

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The document outlines the California Department of Social Services' Protective Supervision 24-Hours-A-Day Coverage Plan (SOC 825) for In-Home Supportive Services (IHSS) recipients. It details the responsibilities of the primary contact in arranging continuous care, the necessity of notifying the IHSS social worker about any changes, and provides a framework for documenting care providers and their contact information. The form aims to ensure that recipients who require protective supervision receive adequate care around the clock.

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Who qualifies for protective supervision for 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.

What is 24 hour supervision in IHSS?

In-Home Supportive Services Protective Supervision Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards, or accidents.

What is the SOC 821 release of information form?

Medical Information The form SOC 821 will be used in combination with other pertinent information, such as an interview or report, to assess the recipients need for Protective Supervision. The completed form SOC 821 will not be determinative, but considered as one indicator of the need for Protective Supervision.

What are the reasons for protective supervision?

A recipient must have a mental impairment/illness and determined to be nonself-directing due to the mental impairment/illness in order to be eligible for Protective Supervision. The recipient would be considered nonself-directing if he/she is unable to assess danger and the risk of self-harm.

What is a SOC 873 form?

This health care certification form must be completed and returned to the IHSS worker listed above. The IHSS worker will use the information provided to evaluate the individuals present condition and his/her need for out-of-home care if IHSS services were not provided.

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What qualifies for protective supervision in the IHSS?

Who Can Get Protective Supervision? Three criteria that a person must meet in order to be granted PS. limitations in memory, orientation and/or Judgment. and an inability to self-direct their behaviors to keep them safe and free from harm or injury.

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What qualifies for protective supervision in the IHSS?

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