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Get the free Referral for Protective Supervision, Protective Intervention, CCDA or HCDA Services

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Este formulario es usado por investigadores de protección al adulto para referir a un individuo a servicios de supervisión protectora, intervención protectora o servicios comunitarios para adultos
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How to fill out referral for protective supervision

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How to fill out Referral for Protective Supervision, Protective Intervention, CCDA or HCDA Services

01
Identify the individual needing services.
02
Gather necessary personal information: name, age, and contact details.
03
Determine the specific type of service required: Protective Supervision, Protective Intervention, CCDA, or HCDA.
04
Complete the referral form with the individual's details and the type of service needed.
05
Include any relevant history or context that justifies the need for referral.
06
Obtain signatures from relevant parties, if required.
07
Submit the referral form to the appropriate agency or service provider.

Who needs Referral for Protective Supervision, Protective Intervention, CCDA or HCDA Services?

01
Individuals with disabilities requiring supervision for safety.
02
Children at risk needing protective intervention.
03
Individuals with behavioral or mental health issues needing support services.
04
Families in crisis seeking assistance through CCDA or HCDA.
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People Also Ask about

Protective supervision provides constant monitoring for individuals with disabilities who cannot safely live alone, helping them stay in their homes and communities instead of being placed in a facility.
IHSS Overtime Exemptions As required under State statutes, the maximum number of hours an IHSS or WPCS provider may work in a workweek for all the time he/she works for two or more recipients is 66 hours.
Under the law, you are ineligible to work in the IHSS program ONLY if you have been convicted within the last 10 years of: 1) fraud against a government health care or supportive services program; 2) child abuse; or 3) abuse of an elder or dependent adult.
The only time you ever see partial is with people who have that “severely impaired” classification, where, if they require more than 20 hours a week, they're not going to get all 195 of the IHSS protective supervision hours. There's a maximum of around 45 hours a week that they can award for protective supervision.
Recipients eligible for protective supervision may be authorized for up to 283 hours per month of total IHSS services.
To officially request additional IHSS hours, you'll need to submit the appropriate forms. These include: SOC 295 (Request for reassessment of IHSS hours) Doctor's verification form to confirm increased care needs.

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Referral for Protective Supervision, Protective Intervention, CCDA (Child Care and Development Act), or HCDA (Home and Community Based Development Act) Services involves the process by which individuals or agencies submit a request for assistance or intervention for vulnerable individuals who may be at risk of harm or neglect.
Typically, mandated reporters such as social workers, teachers, healthcare professionals, and law enforcement officials are required to file referrals for Protective Supervision, Protective Intervention, CCDA, or HCDA Services when they suspect that an individual is in need of protective services.
To fill out the referral, the individual must provide relevant information including the person's details (name, age, and address), the nature of the concern, any observed behaviors or incidents, and the referral source's information. It is essential to be as detailed and accurate as possible to ensure appropriate response.
The purpose of the referral is to initiate an assessment and provide the necessary support or intervention for individuals at risk, ensuring their safety and well-being while addressing any immediate concerns related to their care or protection.
The report must include the individual's identification details, description of concerns or incidents, observations of behaviors, any existing family or social dynamics, and the reporter's contact information. Accurate and comprehensive information assists authorities in making informed decisions.
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