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Do you need help withhousehold chores andpersonal care?After I receive the letter,how can I find someone tohelp me? You may hire a relative or friend,or find someone new to you. You can find new people byadvertising in a newspaper, or byputting notices on bulletin boardsor in newsletters. You can contact your county’sPublic Authority for assistance infinding someone to work for you.Their phone number appears in thecounty government listings underPublic Authority – IHSS.What does thePublic Authority do?The Public Authority maintains aregistry of homecare providers andprovides access to training for peoplewho receive in-home supportiveservices and the people who carefor them.In-Home Supportive ServicesFor more information about IHSS,Call 1-800-952-5253 or1-800-952-8349 (TDD), select➌ for public social service programsand then select➎ for IHSS.The In-Home SupportiveServices (IHSS) ProgramProvides These Services
What is IHSS?The In-Home Supportive Services(IHSS) Program provides personaland household services to aged,blind or disabled individuals whohave limited ability to care forthemselves but who could live intheir own home with some help.Who is eligible?You may be eligible for the programif you: Are 65 years old or over, or arelegally blind or disabled. Receive or are eligible for theSupplemental Security Income/StateSupplementary Payment Program(SSI/SSP), or meet the requirementsfor SSI except for income. If youdo not qualify for SSI, your incomeand property will determine youreligibility for IHSS. Need assistance to remain safely inyour own home.What servicesare offered?How do I apply for theIHSS program?Federal, state andcounty fundsare used to paysomeone to cometo your home andhelp you with thefollowing tasks:Check your local telephone book forthe county government listings for thesocial services or health and humanservices agency. Look for senior oradult programs or IHSS. Call the“intake” or adult programs number andyou will be referred to the person whocan determine whether you would beeligible for the IHSS program. Household chores, such as housecleaning, changing bed linen,laundry, meal preparation and cleanup, food shopping and other errands. Personal care services, such as helpwith bathing, grooming, dressing,eating, getting in and out of bed,moving around one’s home, bowel/bladder care, breathing, medications,prosthetic care, and escortingto medical appointments andalternative resources.What happens next?A county social worker will come toyour home to interview you and findout what type of help you need, ifany. If the social worker determinesthat help is needed, you will receive aletter that lists the types of services youcan receive and the number of hourssomeone can be paid to work for you.
How can I become ahomecare provider?There are three ways to become ahomecare provider:➊ One way is to contact thecounty’s Public Authority, whichassists people with IHSS in findinga homecare provider. The PublicAuthority maintains a Registry ofhomecare providers and offers accessto training in caregiving skills.Most Public Authorities ask peoplewanting to be on their Registry toprovide: Proof of citizenship or legalimmigration Social Security Card Valid picture ID or Driver’sLicense Documentation orcertificates for any trainingyou may have hadTo be listed on the Registry, callthe Public Authority. Their numberappears in the county governmentlistings under Public Authority – IHSS.In some counties, you may be asked toparticipate in an orientation session.Counties may also ask you to befingerprinted or agree to a criminalbackground check. You may be askedto pay for the cost of doing this.Are you a caring personlooking for work?➋ You can also become a homecareprovider if a family member orfriend qualifies for IHSS services. Tobecome the paid provider for someof their needs, call the County AdultPrograms or IHSS office, whichappears in the county governmentlistings under social services or healthand human services.➌ You can also find a job as ahomecare provider through helpwanted ads in your local newspaperand notices on bulletin boards atsenior centers, independent livingcenters and churches in your area.Homecare Opportuntiesin the In-Home SupportiveServices (IHSS) Program
What services are offered?Are you a caring personlooking for work?Federal, state, and county funds areused to pay family, friends or others tohelp people in their own home withthe following tasks:You can make a difference toelderly or disabled people whoneed personal and householdhelp in order to live safely andindependently in their own home.Experience in caregiving is notrequired. Through a governmentfunded program, you could bepaid to help elderly or disabledindividuals with their personal careand household chores. Household chores, such as housecleaning, changing bed linen,laundry, meal preparation andclean-up, food shopping and othererrandsWhat is IHSS?The In-Home Supportive Services(IHSS) program provides personaland household services to aged,blind or disabled individuals whohave limited ability to care forthemselves but who could live intheir own home with some help. Personal care services, such ashelp with bathing, grooming,dressing, eating, getting in and outof bed, moving around one’s home,bowel/bladder care, breathing,medications, prosthetic care, andescorting to medical appointments.Persons who provide this care arecalled homecare providers.
IHSS Task Grid – Meals and CleaningProvider Name:Day of the week:Date:Hours scheduled for day:MealsMeal preparationHelp with eatingWash dishes and clean up kitchenMenu planning/shopping listShopping for foodEmpty trashClean kitchen surfaces/appliancesThrow out spoiled foodCleaningMake bedChange linenClutter management/tidy upDustClean bathroomSweep/vacuumMopLaundry/ironingIHSS Task GridMonth: Total Authorized Hours for Month:
IHSS Task Grid – Personal Care and Other ServicesMonth:Day of the week:Date:Help with medicationBathing/bed bathOral hygiene/groomingPersonal CareDressingBowel/bladderMenstrual careShift body positionRub skin/massageLift/transferHelp with walkingHelp with prescribed exercisesOtherHelp with breathing equipmentMedical appointmentsOther shopping and errandsTotal Hours WorkedProvider InitialsConsumer Initials
IHSS CONSUMER AND PROVIDER JOB AGREEMENT1. This job agreement is between:Employer (Print consumer name)and Employee (Print provider name)2. The consumer and provider agree to the following general principles.The consumer agrees to: Assign and direct the work of the provider Give the provider advance notice, whenever possible, when hours or duties change Only ask the provider to do work for the consumer Sign the provider’s time sheet if it reflects the hours that were workedThe provider agrees to: Perform the agreed-upon tasks and duties (see duties and responsibilities below) Call the consumer as soon as possible if they are late, sick or unable to work Come to work on time (see hours of work below) Not make personal or long distance phone calls while at work Not ask to borrow money or ask for a cash advance Give the consumer two weeks notice, whenever possible, before leaving the job3. The provider will be paid at the rate set by the county for IHSS providers.4. The total number of hours per week for this job are .5. The hours of work for this job are shown below. Changes in the scheduled days andhours are to be negotiated by both parties, with advance notice.SunMonTueWedThuFriSatStartEnd6. Will consumer pay provider for gasused to drive to shopping or medicalappointments?NoYesIHHS Job Areeement7. Does consumer have a Share-of-Cost?NoYesIf yes, indicate maximum amount:
8. The duties and responsibilities for this job are shown below. The consumer shouldmark the tasks they need the provider to do and show how often the task needs to bedone (D Daily, W Weekly, M Monthly, O Other). If a task needs to be done on adifferent schedule, the consumer should write this in next to the task.D DailyW WeeklyM MonthlyNon-MedicalPersonal ServicesMealsPrepare mealsMeal cleanupWash dishesHelp with eatingCleaning and LaundryEmpty trashWipe counterClean sinksClean stove topClean ovenClean refrigeratorVacuum/sweepDustMop kitchen & bathroom floorsClean bathroomMake bedChange bed linenRoutine laundry (wash, dry,fold and put away laundryHeavy house cleaning (one-timeonly with approval from IHSS)DressingGrooming and oral hygieneBathingBed bathsBowel and bladder careMenstrual careHelp with walkingMove in and out of bedHelp on/off seat or in/out of vehicleRepositioningRub skinCare/assistance with prosthesisRespiration assistanceOther personal services:Paramedical ServicesAdministration of medicationBlood sugar checksInjectionsOther paramedical services:ShoppingO-OtherGrocery shoppingOther shopping errandsTransportation ServicesEscorting to medical appointmentsEscorting to alternative resourcesThe consumer and provider, by signing this document, agree to the terms outlinedabove. If the agreement changes, both parties will initial and date the changes.Consumer SignatureDateProvider SignaturePhone NumberDatePhone Number
You can make a difference to elderly or disabled people who need personal and household help in order to live safely and independently in their own home. Experience in caregiving is not required. Through a government-funded program, you could be paid to help elderly or disabled individuals with their personal care and household chores. What is .
