San Francisco IHSS Public Authority | Mentorship Progress Reporting

Mentorship Progress Reporting

Please fill out the form below to report on the progress of the Consumer. Answer each question as thoroughly as you can.

Coordinator's Name & Email:

Mentor's Name & Email:

Consumer's Name:

Meeting / Event Date:

Part 1: How to Hire a Provider

Authorized Tasks:

Notice of Action (NOA) Unique Service Tasks Worksheet Service tasks not authorized by IHSS

Searching for a Provider:

Self-Reflection Worksheet Where to look for your Provider The PA Registry How to read a Registry IP list / Copy of list

Pre-Screen Phone Calls / Arrange Interviews:

Goal of Pre-screen phone calls Interview questions not to ask Phone pre-screen Questions Script #1: leaving a message for the IP Script #2: speaking live with the IP Model & role play phone calls* Check phone for operation & voicemail setup

The Live Interview:

Goal of the live interview Open-ended questions Role play live interview Presentation of interview site Mentor attends live interview

Selecting & Designating a Provider:

Selecting a Care Provider Job Agreement Designating a Provider / SOC 426A Filling out the W4 Enrollment process for Care Provider new to IHSS

Part 2: Getting Started with Your Provider

Part 3: Retaining Your Provider

The Consumer as the Employer:

Communicating with your Care Provider Supervising your Care Provider Recognizing abusive behaviors When to let go of your Care Provider Currently has IP

Additional Notes: (1,000 characters remaining.)