Follow the steps to fill out the CA SOC 825 (SP) online.

1. Press the ‘Get Form’ button to access the document and open it in your chosen editor.
2. Enter the full name of the beneficiary receiving in-home supportive services (IHSS) in the designated field.
3. Provide the phone number of the beneficiary in the appropriate box.
4. Fill in the address of the beneficiary where the majority of the 24-hour coverage will take place.
5. Enter the name of the primary contact person responsible for coordinating the 24-hour coverage plan.
6. Indicate the relationship or connection of the primary contact person to the beneficiary, such as family member, IHSS provider, or friend.
7. List the names and phone numbers of the care providers responsible for the beneficiary during the 24-hour coverage period. Up to three can be included; if more providers are involved, an additional sheet can be attached.
8. In the designated area, describe the implementation of the 24-hour coverage plan, including the schedule or explanation of how care will be provided throughout the day.
9. Have the primary contact person sign and date the form once the plan has been discussed with the social worker.
10. The IHSS social worker should then sign the form and include their phone number for further communication.
11. After completing the form, ensure to save changes, download the document, print it, or share it as necessary.

Complete the CA SOC 825 (SP) online today to ensure the necessary protective supervision.