Soc 825 2026

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The document outlines the '24-Hour Coverage Plan for Protective Supervision' (SOC 825) for beneficiaries of In-Home Supportive Services (IHSS) in California. It serves as an optional form for counties to ensure that individuals requiring constant supervision have the necessary care for their health and safety. The plan involves coordination between the beneficiary, their primary contact person, and caregivers to establish a schedule that guarantees 24-hour coverage. It includes sections for personal information, caregiver details, and a description of the implementation plan, along with signatures from both the primary contact and the IHSS social worker.

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Click ‘Get Form’ to open the SOC 825 in the editor.
Begin by entering the full name of the IHSS beneficiary in the designated field.
Next, input the beneficiary's phone number to ensure easy communication.
Fill in the address where most of the 24-hour coverage will take place.
Identify and enter the name of the primary contact person responsible for coordinating care.
Specify your relationship to the beneficiary, such as family member or caregiver.
List up to three caregivers along with their phone numbers for each provider responsible for care.
Describe how the 24-hour supervision plan will be implemented, detailing schedules or arrangements.
Once completed, have the primary contact sign and date the form to authorize supervision.
Finally, ensure that a social worker reviews and signs off on the document before submission.

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Soc 825 2026

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