This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SOC864?
A: Form SOC864 is the Individualized Back-Up Plan and Risk Assessment form for the In-home Supportive Services (IHSS) Program in California.
Q: What is the IHSS Program?
A: The IHSS Program is a program in California that provides assistance with daily activities for eligible individuals who have disabilities or are elderly.
Q: What is the purpose of Form SOC864?
A: The purpose of Form SOC864 is to create a personalized back-up plan and assess the potential risks involved in providing care through the IHSS Program.
Q: Who needs to complete Form SOC864?
A: IHSS recipients and their designated representatives are required to complete Form SOC864.
Q: What information is included in Form SOC864?
A: Form SOC864 includes information such as the recipient's personal and medical information, emergency contacts, available resources, and identified risks.
Q: Is Form SOC864 mandatory?
A: Yes, Form SOC864 is mandatory for IHSS recipients and their designated representatives.
Q: Can someone help me in filling out Form SOC864?
A: Yes, IHSS staff or designated representatives can provide assistance in filling out Form SOC864.
Q: Do I need to update Form SOC864 regularly?
A: Yes, IHSS recipients are required to update Form SOC864 annually or whenever there are changes in their circumstances.
Q: What are the potential risks that are assessed in Form SOC864?
A: The potential risks that are assessed in Form SOC864 may include falls, medication errors, emergencies, and caregiver availability.
Form Details:
Download a fillable version of Form SOC864 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.