Get Sr2b (12/02) - Social Work Component Program Worksheet (sr 2b) - Cdss Ca

Filling out the SR2B (12/02) - Social Work Component Program Worksheet is a key step in ensuring compliance with social work program documentation. This guide offers clear, step-by-step instructions tailored to help users navigate each section of the form online with ease.

Follow the steps to complete the SR2B form successfully.

1. Click the ‘Get Form’ button to access the worksheet. This will allow you to obtain the document for digital completion.
2. Enter the provider or licensee name as shown on the Group Home Program Rate Application (SR 1) in the designated field.
3. Fill in the program number if applicable. If it is an initial entry, you may leave this field blank.
4. Indicate the month and year for the hours worked in the provided area.
5. List the names of each qualified staff member or contractor who performs social work activities in the 'Employee/Contractor Name' section.
6. In COLUMN A, input the total number of paid-awake hours worked, including paid vacation and/or sick leave.
7. COLUMN B is for verified hours, which is for FCARB use only and does not require entry from the provider.
8. In COLUMN C, enter the number of direct contact hours in subcolumn (1) as specified by the written contract, ensuring it only includes direct services.
9. For COLUMN D, specify the social work professional level based on the qualifications of the staff member, as outlined in the instructions.
10. Calculate the total weighted hours in COLUMN E by multiplying the values accordingly from the previous columns.
11. Finally, sum the total hours from COLUMN A and COLUMN C(3), and document the total weighted hours for submission.
12. Once you have completed the form, you can save your changes, download, print, or share the completed worksheet as necessary.

Complete your SR2B form online today to ensure prompt processing of your social work component program documentation.