Form Soc 817nmd - Checklist Of Health And Safety Standards For Approval Of Family Caregiver Home - Nonminor Dependent Page 5

Download a blank fillable Form Soc 817nmd - Checklist Of Health And Safety Standards For Approval Of Family Caregiver Home - Nonminor Dependent in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Soc 817nmd - Checklist Of Health And Safety Standards For Approval Of Family Caregiver Home - Nonminor Dependent with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

STATE OF CALIFORNIA -- HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
Nonminor Dependent Name:
Case Number:
Caregiver Name: ___________________________________________________
THE CORRECTIVE ACTION PLAN SHALL SPECIFY CORRECTIVE ACTIONS WHICH MUST BE
TAKEN WITHIN 30 DAYS OR OTHER SPECIFIED TIME PERIOD AND THE DATE ON WHICH THE
CORRECTION(S) WILL BE COMPLETED.
In determining the date for correcting a deficiency, the worker should consider the following:
1. Whether there is a nonminor dependent in care.
2. The potential hazard presented by the deficiency.
3. The availability of equipment or personnel necessary to correct the deficiency.
4. The estimated time necessary for delivery and installation of any necessary equipment.
If a written plan of correction is used, the worker is responsible for ensuring corrections have been
completed within the required timeframes.
NOTES/COMMENTS:
SOC 817NMD (1/12)
Checklist of Health and Safety Standards for
Page 5 of 5
Required-No Substitution Permitted
Approval of Family Caregiver Home-Nonminor Dependent

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Soc 815 - Approval Of Family Caregiver Home Form Soc 815 - Approval Of Family Caregiver Home Legal
Form Soc 157b - Silp Inspection - Checklist Of Facility Health And Safety Standards Form Soc 157b - Silp Inspection - Checklist Of Facility Health And Safety Standards Legal
Health And Safety Policy For School Health And Safety Policy For School Legal
Form Soc 818nmd - Relative Or Nonrelative Extended Family Member Caregiver Assessment - Nonminor Dependent Form Soc 818nmd - Relative Or Nonrelative Extended Family Member Caregiver Assessment - Nonminor Dependent Legal
Form Soc 153 - Placement Agency - Foster Family Agency Agreement - Nonminor Dependent Placed By Agency In Foster Family Agency Form Soc 153 - Placement Agency - Foster Family Agency Agreement - Nonminor Dependent Placed By Agency In Foster Family Agency Legal
Form Rfa 03 - Resource Family Home Health And Safety Assessment Checklist Form Rfa 03 - Resource Family Home Health And Safety Assessment Checklist Legal
Form Lic 03 - Resource Family Home Health And Safety Assessment Checklist Form Lic 03 - Resource Family Home Health And Safety Assessment Checklist Legal
Form Soc 872 - Statement Of Facts (sof) Preparation Checklist In-home Supportive Services (ihss) Program Caregiver Background Check Bureau (cbcb), General Exception Unit (geu) Form Soc 872 - Statement Of Facts (sof) Preparation Checklist In-home Supportive Services (ihss) Program Caregiver Background Check Bureau (cbcb), General Exception Unit (geu) Legal
Form Soc 871 - Statement Of Facts (sof) Summary Sheet In-home Supportive Services (ihss) Program Caregiver Background Check Bureau (cbcb), General Exception Unit (geu) Form Soc 871 - Statement Of Facts (sof) Summary Sheet In-home Supportive Services (ihss) Program Caregiver Background Check Bureau (cbcb), General Exception Unit (geu) Legal
Health And Safety Induction Checklist Template (for New Staff And Trainees) Health And Safety Induction Checklist Template (for New Staff And Trainees) Life

Related Categories

Parent category: Legal
Download
Go
Page of 5