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 Sacramento
Category:
State:
Multi-State
County:
Sacramento
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
The applicant or their representative calls (916) 874-9471 to apply for IHSS.
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.
Go to an IHSS Provider Orientation given by the county. Here you will learn important information about the program and the requirements for you to follow as a provider. Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority.
The applicant or their representative calls (916) 874-9471 to apply for IHSS. An Eligibility Specialist will take the application. Check if you are on Medi-Cal. If you don't have current Medi-Cal, a referral will be made for you to the Medi-Cal program and they will send you an application.
To obtain a Home Health Aide license in California, you need to complete a state-approved training program that includes both classroom and practical instruction. You can choose between a 120-hour HHA course or, if you already hold a CNA certification, a shorter 40-hour HHA course.
In-Home Supportive Services (IHSS) serves aged, blind, or people with disabilities who are unable to perform activities of daily living and cannot remain safely in their own homes without help. For more information, visit the IHSS Web page.
Be at least sixteen (16) years of age. Have successfully completed a 120-hour training program approved by The California Department of Public Health, which includes an examination to test the applicant's knowledge and skills related to basic patient care services. Obtain a criminal record clearance.
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.
California doesn't require a license for individual caregivers, but professional certification as a Home Care Aide (HCA) is highly recommended. This involves completing a state-approved training program and passing a state exam.