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Name Description
Provider-2nd-Violation-Self-Certification-Instructional-Review-Materials-SP

Provider 2nd Violation Self-Certification Instructional Review Materials SP
Provider 2nd Violation Self-Certification Instructional Review Materials Provider 2nd Violation Self-Certification Instructional Review Materials
SOC 341A Mandated Reporter Acknowledgement SOC 341A Mandated Reporter Acknowledgement
SOC 341A (Sp) Mandated Reporter Acknowledgement SOC 341A (Spanish) Mandated Reporter Acknowledgement
SOC 426 IHSS Provider Enrollment Form SOC 426 IHSS Provider Enrollment Form
SOC 426 (Sp) IHSS Provider Enrollment Form SOC 426 (Spanish) IHSS Provider Enrollment Form
SOC 846 IHSS Provider Enrollment Agreement SOC 846 IHSS Provider Enrollment Agreement
SOC 846 (Sp) IHSS Provider Enrollment Agreement SOC 846 (Spanish) IHSS Provider Enrollment Agreement
SOC 2255 Provider Workweek & Travel Time Agreement SOC 2255 Provider Workweek & Travel Time Agreement
SOC 2255 (Sp) Provider Workweek & Travel Time Agreement SOC 2255 (Spanish) Provider Workweek & Travel Time Agreement
SOC 2256 IHSS Program Recipient and Provider Workweek Agreement SOC 2256 IHSS Program Recipient and Provider Workweek Agreement
SOC 2256 (Sp) IHSS Program Recipient and Provider Workweek Agreement http://www.cdss.ca.gov/cdssweb/entres/forms/Spanish/SOC2256_SP.pdf
SOC 2279 Live In Family Care Provider Overtime Exemption SOC 2279 Live In Family Care Provider Overtime Exemption
SOC 2279 (Sp) Live In Family Care Provider Overtime Exemption SOC 2279 (Spanish) Live In Family Care Provider Overtime Exemption
SOC 2302 In-Home Supportive Services (IHSS) Program Provider Paid Sick Leave Request Form In-Home Supportive Services (IHSS) Program Provider Paid Sick Leave Request Form
PA Eform

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Child Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437)

Adult Hotline Information:

  • If you suspect there is an emergency requiring immediate intervention, call 911
  • To report suspected elder abuse or neglect call the Adult Services Hotline at (805) 781-1790 during regular business hours, or after business hours call (844) 729-8011
  • Mandated Reporter