This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.
In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
Caregiver Form Application With Database In Riverside
Category:
State:
Multi-State
County:
Riverside
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
In Los Angeles County, you can apply by phone by calling (888) 944-IHSS (4477) or (213) 744-IHSS (4477) or complete the application SOC 295 - Application For In-Home Supportive Services, available at .
Apply for In-Home Supportive Services Gather important information. You will need your contact information, date of birth, social security number, and Medi-Cal number. Apply for IHSS. Turn in a completed IHSS application by email, fax, mail, or in-person. Home visit. Service approval. Hire provider(s).
To apply for IHSS over the phone, contact Riverside's HOME Call Center at (888) 960-4477. Phones are answered Monday – Friday from AM to PM Pacific time, excluding County holidays.
Who is it For: You must also be a California resident. You must have a Medi-Cal eligibility determination. You must live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home").
The California Family Rights Act (CFRA) is a law that allows family caregivers in California to take job-protected leave away from work to provide care without fear of losing their job. The law applies to individuals in California who meet the following requirements: Employed by a company with five or more employees.
Information for Home Care Aides Access the Guardian Applicant Portal at . Create an Account by clicking “Register as a new user.” A temporary password will be sent to your email account. Enter Application Information. Retrieve the Live Scan Form.
Home Care Aide Application Process Access the Guardian Applicant Portal at . Create an Account by clicking “Register as a new user.” A temporary password will be sent to your email account. Enter Application Information. Retrieve the Live Scan Form.
To become a caregiver in California, you need to complete a state-approved Home Care Aide training program (40+ hours), pass background checks through the Home Care Services Bureau (HCSB), obtain HCA certification, and complete mandatory safety and infection control training.
To become a caregiver in California, meet state requirements (work authorization, background check, good health), complete a Home Care Aide certification course and provide proof of vaccinations and a negative TB test.
More info
To apply for IHSS over the phone, contact Riverside's HOME Call Center at . Provides referrals for people who need assistance gaining access to healthcare, food, shelter, childcare and education resources available.This website provides individuals with the ability to check the status of a Home Care Aide (HCA) who is listed on the Home Care Aide Registry. Relief for caregivers programs and help in Riverside, ca. Search 36 social services programs to assist you. By signing in or creating an account, some fields will auto-populate with your information. Special Needs Reunification Program. To register and for up to date information on current programming, call us at or complete the contact form at the bottom of this page. To register and for up to date information on current programming, call us at or complete the contact form at the bottom of this page. Call the Caregiver Support Line at ( TTY: 711 ) and ask for help filling out the form.