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.
Application Form For Caregiver In San Diego
Category:
State:
Multi-State
County:
San Diego
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .
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.
Phone. Call (800) 339-4661 to apply with Call Center staff.
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.
Call (800) 339-4661 to apply with Call Center staff.
Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.
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.