Form Soc 2247 - Ihss Uhv Findings Report Page 2
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7STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
D. REPORT OF RECOMMENDATIONS (Provide details in Section F)
Recommend reassessment to:
Terminate services
Increase hours
Decrease hours
Provided Information and/or Referral (specify):
Overpay recovery / Administrative action
Refer IHSS complaint to:
Against:
Recipient
APS
DHCS
Provider (number)
CPS
DOJ
Other:
DA/SIU
Other
Termination for non-compliance with program requirements
Other follow-up (specify in Section F)
No further action
UHV staff signature:
Date of report:
E. CASE FILE AND VISIT SUMMARY
F. FINDINGS AND RECOMMENDATIONS
SOC 2247 (1/14)
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Parent category: Legal