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STATE OF CALIFORNIA DEPARTMENT OF AGING ADC/CBA BALANCE SHEET CDA IMS 33 (REV 02/2021) As of: Licensee Name: Center Name: ASSETS Current Assets Cash in Bank and On Hand Notes Receivable Current Accounts
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How to fill out community-based adult services

How to fill out community-based adult services
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Gather all necessary documents and information such as personal identification, medical history, financial information, and any relevant paperwork.
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Who needs community-based adult services?
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Adults who require assistance with daily activities due to physical or cognitive impairments.
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Adults who are medically fragile and need ongoing medical care and support.
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Adults who are aging and require support to live independently in their community.
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Adults with disabilities who need assistance with tasks such as transportation, meal preparation, and personal care.
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What is community-based adult services?
Community-based adult services are programs that provide assistance to adults with disabilities or older adults to help them remain living in their own homes or in the community.
Who is required to file community-based adult services?
Community-based adult services providers are required to file the necessary documentation for their clients.
How to fill out community-based adult services?
Providers must fill out the required forms and submit them to the appropriate agency or department.
What is the purpose of community-based adult services?
The purpose of community-based adult services is to support individuals with disabilities or older adults in living independently and staying connected to their community.
What information must be reported on community-based adult services?
Providers must report on the services provided, the number of clients served, and any outcomes or goals achieved by the clients.
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