ihss application form san bernardino county

<> IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Disabled children are also eligible for IHSS. The Public Authority is here to assist you, the IHSS recipient, in finding a provider that meets your needs and to provide excellent service. You may be eligible if you are 65 years of age, disabled, or blind. This program covers residents of the following counties: San Bernardino County, CA. (760) 256-5544, 1090 E. Broadway St. Website by ITSD Copyright 784 E. Hospitality Lane, San Bernardino, CA 92415, Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. If the provider qualifies, the State withholds the applicable amounts for disability insurance and Social Security taxes. Find out more CPR/First Aid February 17, 2023 9:00 am-4:00 pm Recurring - see all IHSS Office 784 E Hospitality Ln. In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. The Public Authority has a recruitment staff dedicated to recruiting caring and hardworking individuals to meet the needs of IHSS clients. Improves the well-being of children, empowers families and strengthens communities. San Bernardino County Workforce Development Board, Behavioral Health Commission (BHC) Meeting is Going Dark, Community Policy Advisory Committee (CPAC), Cultural Competency Advisory Committee (CCAC). Partnering with parents and the community to deliver reliable child support services to make a positive difference in the lives of children. This form allows you to confirm your current address, your new home address and/or a new contact phone number. The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired. If your county has contracted IHSS providers, you may choose to have services provided by the contractor. Learn first aid assessment and treatment techniques. endobj 4 0 obj The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. We hope you find our site helpful, and encourage you to feel free to call us with any questions you have about our services here at the IHSS Public Authority. IHSS Fraud Hotline: 888-717-8302 The Enrollment Packet is the employment paperwork for . You may fax the requests to (909) 891-9130 or email to IHSSEmploymentVerif@hss.sbcounty.gov. IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. In-Home Supportive Services Registry by San Bernardino County Public Authority serving Rimforest, CA. A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services. form and you must return it to the county before care services can be authorized. Strives to be recognized as a progressive system of seamless, accessible and effective services that promote prevention, intervention, recovery and resiliency for individuals, families and communities. If you are interested in joining an IHSS Provider Orientation in Riverside County, call us at 888-960-4477.. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. The appropriate CDSS form to download and fill out is the SOC 840 IHSS Program Provider or Recipient Change of Address and/or Telephone. IHSS Application in Spanish. IIN 22-001. myAvatar Chart Documentation Procedural Changes (IIN 21-002) Disabled children are also eligible for IHSS. A county social worker will interview you at your home to determine your child's eligibility and need for IHSS. Print . Live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home"). If you qualify for Medi-Cal Services, then a a county social worker will interview you at your home to determine your eligibility and need for IHSS. % In-Home Supportive Services, also known as IHSS, can help pay for services if you're a low-income elderly, blind or disabled individual, including children, so that you can remain safely in your own home. From working safely in the home to proper lifting techniques, the Public Authority can assist in locating training classes that are low cost, or in many cases free to all IHSS providers. 1505 E Warner Ave. Santa Ana, CA 92705. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> As a team, Human Services departments collaborate with community partners to provide a wide range of quality programs and services that address the changing and emerging needs of county residents. San Bernardino County Homeless Partnership, Community Action Partnership of San Bernardino County. The State issues all checks for individual provider payments. Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. (760) 243-8400. 2 0 obj If you have any questions about the provider enrollment process or requirements, contact your county IHSS Office or IHSS Public Authority. IIN 22-003. If you need to complete IHSS Provider Orientation, call us at (888) 960-4477.Be prepared with your current email address so our staff can set up access to our online system. IHSS Provider Help Line, (866) 376-7066, Suspect Fraud? Serves veterans and their families and ensure they receive the benefits they have earned. Check out our Become a Service Provider and Training Resources links below for information on how to become an IHSS provider, as well as what types of training opportunities are available for providers who desire additional skill building. To keep you safe during COVID-19,we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. Service Center locations:On our map below, click on our two Service Centers for their location details. If denied, you will be notified of the reason for the denial. To keep you safe during COVID-19, we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. For IHSS Provider questions: Email ihsspaymentunits@sfgov.org . All other IHSS correspondence should be sent to the assigned IHSS worker. Submit a completed Health Care Certification form. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Disabled children are also eligible for IHSS. IHSS Fraud Hotline: 888-717-8302 IIN 22-002. To apply for IHSS: Call (415) 355-6700. The goal of our new site is to keep both IHSS Providers and Recipients informed about what services and resources are available from the Public Authority as well as other community agencies. To be eligible, you must be over 65 years of age, or disabled, or blind. 784 E. Hospitality Lane San Bernardino, CA 92415 Phone: 866-985-6322Fax: 909-927-4176 Employment Verifications: 909-927-4177, San Bernardino County IHSS Public Authority, What is the IHSS Career Pathways Program? endobj Enroll my Preschooler in a Head Start Program? New Timeframes for Completion of Progress Notes. Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life, and valuing people. Disabled children are also eligible for IHSS. Helps at-risk children by improving communication, planning, coordination and collaboration between child serving agencies. Who live or work in San Bernardino County, Through San Bernardino County Homeless Veterans Initiative. Strives to protect endangered children, preserve and strengthen their families and develop alternative family settings. In addition, we want to share important information about what is happening at the state and local level regarding IHSS budgets, wages, benefits and other information. 1-(800)-722-0432, Copyright 2023 California Department of Social Services, Functional Index Rankings and Hourly Task Guidelines (revised 5/29/19)-, IHSS Protective Supervision Services for Minor Children -, Interviewing, Hiring and Firing a Provider -, IHSS Consumer and Provider Job Agreement -, Blind and Visually Impaired Accommodations -. (909) 891-3700, 17270 Bear Valley Road Suite 108 Disabled children are also eligible for IHSS. Learn more about howwe partner with the IHSS Public Authority and Homebridge to oversee and deliver high-quality services of the IHSSsystem. get answers. For more information and resourcesvisit the In-Home Supportive Services Program website. You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: If you are currently receiving Medi-Cal Services, a county social worker will interview you at your home to determine your eligibility and need for IHSS. Uncategorized. Welcome to the County of Orange Social Services Agency In-Home Supportive Services (IHSS) website. You may contact the social worker assigned to your case to determine the IHSS hourly rate in your county. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other health practitioner. In addition, I understand and agree to the following terms and limitations regarding payment for services by the IHSS program: 1. Preschool services feeds meals to children. Over 550,000 IHSS providers currently serve over 650,000 recipients. bUH \@le>x$;C+92L?DTGKtpS(t``hurRCjy`(V/iF/1YwXV zRR@~)r*"D8+KCU$r?P2YS;`]/"EqyN8XBIMuU:: E;JTD1$tTTXdnDB\ vR 5vuP>.},FQei1`EH* 'dV0cg`eZ*. You may be eligible if you are 65 years of age, disabled, or blind. Care for a family member, a friend, or a referral who is an IHSS Recipient. The IHSS Career Pathways Program Is Now Available. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other health practitioner. For your safety and the safety of our employees, this office encourages all customers to conduct business by telephone as much as possible. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. San Bernardino County IHSS Public Authority - Updated by MS: 5/21/2018 Public Authority Provider Registry Application 784 East Hospitality Lane San Bernardino, CA 92415-0034 Toll Free: (866) 985-6322 Fax: (909) 891-9130 RELEASE OF INFORMATION/WAIVER FORM To Whom It May Concern: If parents are sleeping or caring for other family members. 2008 Department of Aging and Adult Services. stream Based on the information gathered the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. You will be notified if IHSS has been approved or denied. Preparing for Power Outages - Recipient Registration Register for the IHSS Website to: View your timesheet and payment statuses Enter and submit timesheets No longer mail paper timesheets Request additional timesheets Enroll in direct deposit Claim sick leave Registration FAQs (PDF) If you are approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. We are aware that the IHSS client needs to have a choice about who they employ. Website by ITSD Copyright Disabled children are also potentially eligible for IHSS. 2008 Department of Aging and Adult Services. In order for any individual to be paid by the IHSS program, they must be approved as an IHSS eligible provider. IHSS Office 784 E Hospitality Ln. Click the links for the employment verification forms. IHSS Fraud Hotline: 888-717-8302 Help Stop Medi-Cal Fraud and Abuse Provider Fraud and Elder Abuse complaint line: 1-(800)-722-0432 Get Services APS I am an older adult and need help taking care of myself. Welcome to the County of San Bernardino Human Services' website. You may be eligible if you are 65 years of age, disabled, or blind. If you want to become an IHSS provider, you must complete all the steps outlined in the document linked below before you can be enrolled as a provider and receive payment from the IHSS program for providing services. Welcome to the San Bernardino County HSS Public Authority Website! Help Stop Medi-Cal Fraud and Abuse 760) 326-9328, 9445 Fairway View Place Suite 110 The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. IHSS Application in English 536 E. Virginia Way A county social worker will interview you at your home to determine your child's eligibility and need for IHSS. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. If denied, you will be notified of the reason for the denial. The IHSS program provides hands-on and/or verbal assistance (reminding or prompting) for the services listed above. File a USDA program discrimination complaint? Have a Medi-Cal eligibility determination. %PDF-1.5 ihss application form san bernardino county. Public Authority assists in administering the IHSS program by connecting care providers with clients that qualify for this type of assistance. x=nH|12d'Yq,+NdKU-r EdUWgx~|OLOgz?gWx=[Gir_?EN.>:9{"Ie/K#0A_c|E|*GS9W,cp"=Kgs>G}~8`k!H7^/x-|gp~Clc/,6;W'4ms*TDYyyxr,zRw8HSd;2x+OE"UJ1UL*AlAFYqiDvLqSS@U"$+2eRf-dT)uzRD~+>_~xMa[GZHTrvA!S`,j=G4Y$z{2*oHS4M"-,%c$y8(Y [s^fF>Z,lk/`p*yS+90.xR! contact your county social services agency. 4. If approved, you will be notified of the services and the number of hours per month which have been authorized. Strives to provide services, support, protection and conservatorship to older adults, at-risk individuals and adults with disabilities so they may thrive in their communities. 1 0 obj May 14, 2022; gta 5 drunk driver 1 not spawning; scotland recycling bins . IHSS Application in Chinese (909) 948-6200, 784 E. Hospitality Lane, San Bernardino, CA 92415 2008 Department of Aging and Adult Services. Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. English Spanish Employment Verification Confidential fax 909-891-9077 is designed for a limited number of IHSS providers who are not eligible for Medi-Cal, Medicare, or other health insurance. Safety. IHSS Providers Getting Paid by IHSS For providers hired by IHSS recipients Enrollment Packet. Disabled children are also eligible for IHSS. Training is an important tool in supporting the daily routine of all care providers. Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. Website by ITSD Copyright A social worker will conduct a reassessment of your needs on an annual basis, however, if your needs or condition changes, it is your responsibility to notify your social worker immediately. 1-(800)-722-0432, Copyright 2023 California Department of Social Services, Important Information for Prospective Providers About the In-Home Supportive Services (IHSS) Program Provider Enrollment Process (SOC 847). IHSS/WPCS providers to enhance providers skills and improve, Due to a change in State law, effective July 1, 2022, IHSS and WPCS providers, You are receiving this letter because the new Public Health Order issued on December 22,, Providers with an Electronic Services Portal (ESP) account can view and download a copy of, Beginning 3/28/22, providers and recipients will have the option to receive notifications through text message, Providers will now be able to update their residence/mailing address and/or telephone via the ESP. You can view the video to the right or open the guide below and we will walk you through the process. If approved, you will be notified of the services and the number of hours per month which have been authorized for you. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? You may be eligible if you are 65 years of age, disabled, or blind. If parents are unable to provide care due to disability or illness. This resource is designed to assistcounty eligibility workers and other partners who provide services to the public. The county welfare department worker must state the applicant/recipient's full name, date of birth, address, county of residence. . Fax Complete and fax the IHSS application to (619) 344-8077. Thank you for the opportunity to assist you! The Registry is a service that includes recruiting and screening IHSS caregivers, maintaining a database of available caregivers, helping clients with interview assistance, and referring Registry caregivers to IHSS clients. You will be required to complete an Application for In-Home Supportive Services (SOC 295). ihss application form san bernardino county. Provider Fraud and Elder Abuse complaint line: Find substance use disorders and/or alcohol recovery services? Visit IRS's Certain Medicaid Waiver Payments May Be Excludable from Income for more information. Service Center locations: On our map below, click on our two Service Centers for their location details. Call IHSS at (510) 577-1800 or; Go to the Alameda County Social Services website; Find My IHSS Social Worker. If you have any questions you can email us at employment@hr.sbcounty.gov or give us a call at (909) 387-8304. . Call IHSS at (510) 577-1900 or; Go to the Alameda County Social Services web portal. Disabled children are also eligible for IHSS. Learn More Assisting You at Every Stage of the Process Based on the information gathered the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. Unless, something changes, then you must update immediately. An In-Home Supportive Services (IHSS) provider is someone who gets paid to provide services to a person who receives in-home supportive services under the IHSS Program. IHSS Application in Armenian Get Form Find and fill out the correct ihss san bernardino signNow helps you fill in and sign documents in minutes, error-free. endobj You will be notified if IHSS has been approved or denied. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. TEMP 3021 (3/21) Page 2 of 2 XX MAIL TO: PLACER COUNTY IHSS PAYROLL-COVID SICK LEAVE 11512 B. Help Stop Medi-Cal Fraud and Abuse The Public Authority was established to enhance inhome supportive services ("IHSS") in San - Bernardino County ("the County") under California Welfare and Institutions Code Section 12300 et seq., and San Bernardino County Ordinance #3842 (Chapter 42 of Division 2 of Title 1 of the San Bernardino County Code). If approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM HEALTH CARE CERTIFICATION FORM CAL IF O RND EP TM V A. APPLICANT/RECIPIENT INFORMATION (To be completed by the county) The IHSS certification form must be completed by the local county welfare department, the applicant/recipient, and the licensed health care professional: Applicant/Recipient Information. To apply for IHSS, complete an application and submit it to your County IHSS Office. <> In order to be eligible for IHSS, you must be eligible for Medi-Cal. Disabled children are also eligible for IHSS. Provider Fraud and Elder Abuse complaint line: CONTACT US BY PHONE: 1-866-985-6322. Phone: 714-825-3000, Monday - Friday, 8:00 a.m. to 5:00 p.m. You may be eligible if you are 65 years of age, disabled, or blind. Complete the SOC 295 Application For IHSS. When disabled and low-income (receipt of SSI means automatic eligibility). AVENUE AUBURN, CA 95603 **PLEASE CALL YOUR COUNTY TO GET LOCAL IHSS OFFICE ADDRESS** \r ONLY PLACER COUNTY PROVIDERS AND CASES SHOULD MAIL TO PLACER COUNTY. In-Home Supportive Services (IHSS) Program The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. 01/17/2023. IHSS IHSS Appeals Conservatorships Educational Advocacy Due Process Representation Blog Contact Us Our Mission American Advocacy Group exists to provide top quality, affordable advocacy services for the elderly and individuals, of any age, diagnosed with developmental and physical disabilities. 2008 Department of Aging and Adult Services. Cost: Free. Because unions negotiate with the employer of record in each county, the wage rates may vary from county to county. The following resources are provided for program recipients/consumers. You can print this out and hand-write your answers or fill it out online directly on the page. You may be eligible if you are 65 years of age, disabled, or blind. Documentation of Co-Occurring Disorders. You may be eligible if you are 65 years of age, disabled, or blind. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. If you are not receiving Medi-Cal Services, a county Eligibility Worker will send you an application for Medi-Cal Services to assess your eligibility. Complete Health Care Certification IHSS Consumer and Provider Job Agreement - Full Color, Black and White Communicating with Your Provider - Full Color, Black and White Setting and Maintaining Boundaries - Full Color, Black and White Supervising Your Provider - Full Color, Black and White Deciding When to Fire a Provider - Full Color, Black and White San Bernardino County 211 get connected. The goal of our new site is to keep both IHSS Providers and Recipients informed about what services and resources are available from the Public Authority. San Bernardino County In-Home Supportive Services Public Authority 784 E. Hospitality Lane San Bernardino, CA 92415-0034 x Toll Free 1 (866) 985-6322 x Fax (909) 891-9130 CLIENT REGISTRY ASSESSMENT NAME:_____ Last Name First Name MI To be eligible, you must be over 65 years of age, or disabled, or blind. To be eligible, you must be 65 year of age and over, or disabled, or blind. In-Home Supportive Services (IHSS) Program | County of San Bernardino In-Home Supportive Services The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. A new State Law (SB 72) requires that all applicants submit a Medical Certification Form or certain acceptable alternative documents as a condition of eligibility. The Public Authority phone number is 1-866 985-6322. For translated documents, please go to Fact Sheets, Armenian, or Chinese. visit the In-Home Supportive Services Program website. To learn more about how the State verifies the safety of a vaccine before it becomes available to residents view our COVID-19 Vaccine Safety FAQS. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual. Website by ITSD Copyright San Bernardino, CA 92408 + Google Map CRP/First Aid - Learn the signs of cardiac arrest, assessment, compressions, and rescue breathing. Providers play an important role by providing vital services to IHSS consumers. Choose the correct version of the editable PDF form from the list and get started filling it out. The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes. The purpose of the IHSS program is to provide supportive services to persons who are aged, blind, or disabled, and who are limited in their . Former foster youth perseveres, becomes veterinarian. This process may take slightly longer depending on how you respond to the Eligibility Workers request for information. Enhances the quality of life in the community by administrating support programs to persons in need of financial, nutritional and/or medical assistance while working with families and individuals to attain self-sufficiency. IHSS Timesheet Issues/Questions: We also encourage you to schedule an appointment if you need to conduct business in person. Complete an IHSS Application or Referral County of San Luis Obispo Residents can start an application by calling the Atascadero Office at (805) 461-6110, Arroyo Grande Office at (805) 474-2103, or by completing the Online Application Form. IHSS is a Medi-Cal benefit. 01/17/2023. You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: 877-800-4544 Fax 909-948-6560 An IHSS referral may be assigned to one of the six offices in San Bernardino County listed below: Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. If income too high for SSI, may qualify with share of cost. It is easy to set up your profile and start applying with San Bernardino County. If you do not have a provider then you may contact the San Bernardino County IHSS Public Authority to assist you in finding a provider. The IHSS PA helps providers locate a variety of high-level quality training opportunities in their area by working cooperatively with other SB County agencies. Home | About Us | Services | Senior Centers | Disabled children are also eligible for IHSS. How to Become an IHSS Provider How to Appeal if You are Denied IHSS Provider Resources IHSS Timesheet Issues/Questions: IHSS Service Desk for Providers & Recipients, (866) 376-7066 Suspect Fraud? Our Department of Public Health is working closely with the California Department of Public Health to ensure FDA-approved vaccinations meet state guidance on safety and effectiveness. ihss application form san bernardino county. 2. To learn how to apply for services: Get Services IHSS . <>>> IHSS Timesheet Issues/Questions: Step 1 - Visit your County IHSS Office If you already have Medi-Cal or once you are approved for it, call or visit your county In-Home Supportive Services (IHSS) office to complete an IHSS application. Versions Form popularity Fillable & printable CA Public Authority Registry Update Form - San Bernardino County 2018 For additional resources, go to IHSS Recipient/Consumer Resources. Registry providers are requirement to update monthly. Notifying the County IHSS office within 10 days when I hire or fire a provider. If your county has homemaker employees, you may receive services from a county homemaker. It is intended to help individuals understand their rights and responsibilities in the In-Home Supportive Services (IHSS) program.

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ihss application form san bernardino county