Ihss Dangerous Behavior Log Form
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People also ask ihss protective supervision maximum hours
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How to win protective supervision in IHSS?
In order to show that your child is eligible for Protective Supervision and IHSS, you need extensive paperwork proving that your child is at risk of injury if left unsupervised at any time during a twenty-four-hour day.
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Who can fill out SOC 821?
The form can only be signed by a medical professional with a medical specialty or scope of practice in the area of memory, orientation, and judgment. MPP 30-757.173(a)(1)(A). The SOC 821 form will ask the recipient's doctor for information about the recipient's function in the areas of memory, orientation and judgment.
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Who can complete an SOC 821?
Recipients may obtain documentation (such as the SOC 821) from their physicians or other appropriate medical professionals for submission to the county social service staff to substantiate the need for protective supervision .
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Who fills out the IHSS form?
You (or your authorized representative) must complete PART A of this form to let the county know who you have chosen to provide your authorized services. If you have multiple providers, you must fill out a separate form for each person who will be providing authorized services for you.
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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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How many hours does IHSS give for dementia patients?
Once the needs assessment is completed a letter (Notice of Action)will be sent from the IHSS to notify the individual of the services and the number of hours per month which have been granted to them. California has qualified 195 hours/moth for the non-severely impaired and a maximum of 283 hours/month for the severely ...
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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.
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Who is eligible 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.
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