Form Soc 2320 - In-Home Supportive Services (Ihss) And Waiver Personal Care Services (Wpcs) Cdss Violation Removal Request

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State of California – Health and Human Services Agency
California Department of Social Services
INFORMATION FOR SUBMITTING CDSS VIOLATION REMOVAL
REQUESTS
Counties may request a CDSS review of a violation by submitting a completed
IN-HOME SUPPORTIVE SERVICES (IHSS) AND WAIVER PERSONAL CARE
SERVICES (WPCS) REQUEST FOR CDSS VIOLATION REMOVAL request form
through email to address
FLSAViolationReview@dss.ca.gov.
Requests will not be accepted via fax, postal mail or from Providers/Recipients.
Requests must come from the county only and have a supervisor’s signature. Please
note that requests will not automatically be granted. CDSS will review each request
and inform the County of the decision. Also, please note that the e-mail box is for
requests only.
No questions will be answered via this e-mail box that do not pertain to a submitted
IN-HOME SUPPORTIVE SERVICES (IHSS) AND WAIVER PERSONAL CARE
SERVICES (WPCS) REQUEST FOR CDSS VIOLATION REMOVAL request form.
General inquiries may be sent through the existing county communication venues.
SOC 2320 (10/17)
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