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SERVICE PLAN SAMPLE
             John Doe                                                                1/1/11
              1111 S. Broadway, Santa Maria, CA                        123-4567



    Mr. Doe was a housing inspector in Fresno
    He was active in the Elks until his stroke two years ago
    Approx age 82
    Able to stand but unsteady when standing, can ambulate with    
    assistance
    Very poor vision from macular degeneration
    Decreased hearing
    Becomes upset and frustrated easily from hemorrhoids pain
    Significant near memory loss    
  Remain alert for requests to assist with transferring to commode
  Prompt to void every 2 hours, to reduce incontinence
  Encourage to ambulate for voiding. Assist with gait belt. Use 
  wheel chair if he declines to walk.
  Office juice or water to reduce thirst.
  Give instructions in slow steady voice. Give time to react. Repeat 
  phrases exactly.
  If frustration or anger appear, stop, give distance, remain calm, 
  resume simple instructions.
  Remain ready to assist for night time voiding and in case of 
  discomfort.
  Report significant pain to wife in AM.
10 Standards of Service








We strive to meet each of these ten standards continually for each client.  Your needs are systematically assessed to create an individualized service plan.
How Your Care Giver Gets Paid Is Important








State and federal tax laws require care givers be paid by a payroll process. Earnings need to be reported, taxes paid, workers' compensation coverage provided, and W-2's issues.. 
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Updated Nov 17, 2017