Sacramento County Intake Report Form They handle all levels of abuse - not just criminal. For 24/7 Access to Mental Health services and/or if you are experiencing a Mental Health Crisis please call Ventura County Behavioral Health Access & Crisis Team at 1-866-998-2243. Glenn County Intake Report Form For more information on who is a Mandated Reporter visit: This site is for use by Mandated Reporters only, *I acknowledge that I am a mandated reporter by provision of the California Welfare and Institutions Code (WIC) and the report I am submitting, *I understand that if I make errors in completing the form, the page will display error messages at the. Mendocino: Fort Brag (707) 962-1102 or (877) 327-1799 All Rights Reserved. Required fields are marked *. Provide any known time frame (2 days, 1 week, ongoing etc.) Notify me of follow-up comments by email. Modoc: After hours, weekends, or holidays (530) 233-4416 Marin: (415) 473-2774 or (415) 473-7118 The agency provides services for older adults in La Mirada. View user20068627algers profile on Vimeo. Referral line for health, human and community services. Does the Suspected Abuser still have access to the victim? Website www.ventura.org/human-services-agency/adult-protective-services Copyright 2021 JUMP Technology Services . (500 characters max), Is there a potential danger to the investigating worker, or other problem with access? Alameda: (866) 225-5277 or (510) 577-3500 or 1-866-CALL-APS By submitting this report: *I acknowledge that I am a mandated reporter by provision of the California Welfare and Institutions Code (WIC) and the report I am submitting does not require an emergency response. Your email address will not be published. For more information or to report abuse, please visit the Adult Protective Services website. Reports will be kept confidential and callers who are not mandated reporters may remain anonymous.#OurVenturaTV#AdultProtectiveServices#elderly#VenturaCountyProducer:GEORGE ALGERhttp://GeorgeAlger.comDirector:PETRINA SHARPAsst. Sutter: (530) 822-7227 Outputs include SOC 242, SOC 341, SOC 342, and SOC 343. (NOTE: The most error is phone number. Humboldt: (707) 476-2100 Siskiyou: (530) 842-7009 San Bernardino: (877) 565-2020 Lake: (888) 221-2204 or (707) 995-4680 Inyo: (800) 841-5011 or (760) 872-1727 For cell phones or calls made outside of Contra Costa County, you can call (925) 602-4179. Lassen: After hours, weekends, holidays (530) 257-6121 LEAPS for Adult Protective Services LEAPS has a version specifically designed for California Counties. Fill out our online form and it will be directed to the appropriate department. Suspected elder and dependent adult abuse should be reported to Adult Protective Services, as well as the Police, if that abuse took place outside a long-term care facility. For counties using LEAPS for Adult Protective Services, our LEAPS PAGC add on module provides an affordable, secure approach to visibility and transparency in Public Administrator, Public Guardian, Public Conservator programs. Tehama: (800) 323-7711 or (530) 527-1911 Mariposa: After hours, weekends or holidays (209) 966-3615 Achievingindependence Del Norte: (707) 464-3191 Ventura County Area Agency on Aging; 646 County Square Drive, Suite 100, Ventura, CA 93003 (805) 477-7300; LOIS.VCAAA@ventura.org; Chat With Us Online; . Kings County Intake Report Form PJmurals.com, Sponsor: SKYWORKS MARKETING, Performance Advertising -- Select County from List -- Riverside: (800) 491-7123 San Francisco County Intake Report Form Services include adolescent/youth counseling, child abuse counseling,, The program provides mental health services for low-income adults and adolescents ages 12 to 21, and children ages two to six, who are Medicaid/Medi-Cal recipients in Los Angeles, Services and hours may have been affected due to Coronavirus. top of the page or next to the phone number. 365 Ventura , CA 93003 (Physical) Get directions Site Hours Monday through Friday, 8:00am to 5:00pm. Riverside County Intake Report Form Ventura County Intake Report Form. Alpine: After-hours, weekends, holidays (866) 900-0525 Sonoma County Intake Report Form. Last Name. The staff investigates allegations of abuse and neglect, assesses client needs, and provides short-term case management and a connection to other services.To make a report of suspected abuse or neglect, call (805) 654-3200. Trinity County Intake Report Form. , CA 93003 The agency develops and maintains directories of services for elder and dependent adults which are available to community members. If the Alleged Victim is under 60, please describe their cognitive and/or physical limitations. Santa Clara: (800) 414-2002 or (408) 975-4900 Fresno: (800) 418-1426 or (559) 600-3383 Solano: (800) 850-0012 or (707) 784-8259 May 11, 2023. Napa: (888) 619-6913 or (707) 253-4398 Emergency Medical Servicese-notifications CoPBirth & Death CertificatesHazardous WastePlan CheckCustodian of RecordsHealth Information Exchange. Contra Costa: (877) 839-4347 or (925) 602-4179 For landlines in Contra Costa County, you can make a report by phone toll free at (877) 839-4347. Adult Protective Services; Long Term Care Ombudsman; California Department of Aging; California Association of Area Agencies on Aging; Federal Poverty Guidelines; Trilogy Integrated Resources is a California-based Internet company that focuses on providing access to high-quality information and community-based programs in the health and human services arena. Trinity County Intake Report Form With configurations for counties who share workforce with APS, the system provides a single solution for tracking the workers entire caseload. Need to cross report to another LEAPS county? Kern: (800) 277-7866 or (661) 868-1006 Amador: Business hours (209) 223-6550 Read More . With the multi-county search tool, counties can locate cases for clients in other counties and improve their chances for locating family members and client history. Outputs include SOC 242, SOC 341, SOC 342, and SOC 343. (500 characters max), Contact Thank you. Please call for more information. chance to print it after that. Mendocino: Willets (707) 456-3740 or (800) 575-4357 To learn more about our company or to read case studies of our collaborative solutions, please visit us atwww.jumpfaster.com. Amador: After hours, weekend, holidays (209) 223-1075 These agencies include: The California Department of Health Services (DHCS), Licensing & Certification, handles cases of alleged abuse by a member of a hospital or health clinic. Solano County Intake Report Form. San Luis Obispo: After hours, weekends, holidays (844) 729-8011 NonProfitFire.org, Sponsor: PJ MURALS, We Paint Your World Beautiful San Joaquin: (888) 800-4800 or (209) 468-3780 The staff investigates allegations of abuse and neglect, assesses client needs . All services provided by APS are voluntary and can be declined by the elder or dependent adult. We leverage the information from the County Welfare Directors Association guidelines to ensure that the solution supportsCaliforniaobjectives. The LEAPS team also provides annual training and support on current topics facing the national APS community including data governance and quality assurance to enable proactive leadership at the county level. Napa County Intake Report Form There are no geographic restrictions. Copyright HCA 2017 All Rights Reserved. Sonoma County Intake Report Form LEAPS Software Systems are offered by JUMP Technology Services. Marcy Snider speaks with Monique Nowlin about Ventura County's Adult Protective Services.VC's Adult Protective Services is part of a California-mandated prog. Solano County Intake Report Form Imperial: (760) 337-7878 SkyworksMarketing.com, Your email address will not be published. Anyone else may make a report to APS. Tulare: (877) 657-3092 For cell phones or calls made outside of Contra Costa County, you can call (925) 602-4179. Services include blood tests for cholesterol, childhood immunizations, blood, COVID-19 TESTING AT LAX Enhanced Care Management (ECM)A benefit that provides extra care coordination services to members with very complex needs. Marcy Snider speaks with Monique Nowlin about Ventura County's Adult Protective Services. Plumas: After hours, weekends, holidays (530) 283-6300 There are no geographic restrictions. Butte: (800) 664-9774 or (530) 538-7711 Contra Costa County Intake Report Form (Do they need a caregiver to meet their basic daily needs? Monterey: (831) 755-4466 or (831) 647-7900 admin@trilogyir.com or (415) 458-5900. If your county is not listed, please contact your local APS agency by telephone. Contact us to view a demonstration and request access to an evaluation version of the system. Feel free to contact the Network of Care staff for further assistance at admin@trilogyir.com or (415) 458-5900. Counties with large rep payee caseloads benefit from quick access and look up screens to serve clients who arrive at the office. The program provides adult and child protective services for Ventura County. *I understand that if I make errors in completing the form, the page will display error messages at the For more information or to report abuse, please visit the Adult Protective Services website. Two types of rapid COVID-19 tests are available through a pilot sample collection program by Clarity Lab Solutions. For landlines in Contra Costa County, you can make a report by phone toll free at (877) 839-4347. LEAPS has a version specifically designed for California Counties. *I understand that I will be presented with an option to print the SOC 341 for my records once the report has been submitted. Madera: (559) 675-7839 Lassen: Business hours (530) 251-8158 I will not have a San Mateo: (800) 675-8437 For 24/7 Access to Substance Use services, please call Ventura County Behavioral Health Substance Use Treatment Services Toll-free Access Line at 1-844-385-9200. California counties take advantage of our excellent customer service which enables them to adapt to State requested data and county changes. Ventura County Intake Report Form. I will not have a Learn more >, Alcohol & Drug Abuse Women, Infants, Children(WIC) Child Health & Disability Prevention Family Health Healthy Pregnancy Immunizations Mental Health, Charity Care Program Self-Pay Discount Program Health Care for Kids-ACE California Children's Services Health Care for the Uninsured No Surprises Act Medi-Cal Expansion Program Price Transparency, Adult Mental Health Alcohol & Drug Abuse Child Mental Health ChildrenDental HIV/AIDS Programs Immunizations & STDPrimary and Specialty Care Tuberculosis (TB). Yuba: (866) 999-9113 or (530) 749-6471 or (530) 749-6311, Alameda County Intake Report Form Orange: (800) 451-5155 or next to the phone number. Trinity: (530) 623-1314 or (800) 851-5658 San Luis Obispo County Intake Report Form (Physical). San Luis Obispo: Business hours (805) 781-1790 San Benito: (831) 636-4190 Health Care Foundation for Ventura County is dedicated to strengthening the capacity of the Ventura County Health Care Agency to provide high quality health care for all. The identity of the reporting party can be kept confidential. Humboldt: After hours, weekends, holidays (707) 445-7715 Adult ProtectiveServices Safety and well-being for elderly and dependent adults Human Services Agency Providing Support Each year, more than 3,000 elderly and dependent adults areprovided support so that they can live in a comfortable and caringenvironment, free from abuse, neglect and financial mistreatment. PITCHFORD COMPANION ANIMAL VILLAGE AND EDUCATION CENTER, TRI-CITY MENTAL HEALTH CENTER - WELLNESS DROP IN CENTER, PROTOTYPES - A PROGRAM OF HEALTHRIGHT 360 - PASADENA OUTPATIENT BEHAVIORAL HEALTH TREATMENT CENTER, CITY OF LA MIRADA - COMMUNITY SERVICES DEPARTMENT - LA MIRADA ACTIVITY CENTER, WHOLE CHILD MENTAL HEALTH AND HOUSING SERVICES, THE, PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY - GLENDORA HEALTH CENTER. To find information about your local programs and services, you may wish to contact a social-services agency in your area. Sonoma: (800) 667-0404 or (707) 565-5940 One thing APS cannot do is take an elder or dependent adult out of the home and place them in "protective custody.". APS is staffed with specially trained social workers who provide preventative and remedial services to seniors and dependent adults with the goal of keeping them independent in their homes as long as possible. Adult To report suspected elder or dependent adult abuse or neglect, contact the Child & Elder Abuse 24-Hour Hotline at (805) 654-3200. I must resolve the errors before I submit the form. APS Phone Hotlines by County: San Francisco: (800) 814-0009 or (415) 355-6700 Feel free to contact the Network of Care staff for further assistance at Sierra: (530) 289-3720 Services include adult immunizations, childbirth education, childhood immunizations,, The agency provides animal services for the residents of Los Angeles County. 300 Ventura , CA 93003 (Physical) Get directions Site Hours Monday through Sunday, 24 hours per day. 24-Hour Toll-Free Hotline (800) 754-7600 www.vchsa.org HSA-005 Protective Services Safetyandwell-being forelderlyand Glenn: (530) 934-1429 and I must check for errors or incomplete entries on the form. Mariposa: Business hours (209) 966-7000 or (209) 966-3030 VCs Adult Protective Services is part of a California-mandated program that helps to ensure the safety and well-being of elderly and other adults with limited abilities. *I understand that if I did not see a confirmation message stating that my report has been submitted it means my report. Merced: (209) 385-3105 or (209) 385-3000 Services include animal adoptions, animal rescue, animal shelters, cruelty to animals investigation,, The agency provides mental health services for people of all ages who live in Claremont, La Verne and Pomona. ), If yes please specify: (500 characters max). For media inquiries: (805) 677-5277 HCAPIO@ventura.org SOCIAL MEDIA. 415-458-5900 . Colusa: (530) 458-0280 Calaveras: After hours, weekends, holidays (209) 754-6500 The agency provides health services for people of all ages who live in the Pasadena area. Ventura, CA 93003, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window). Director:BILL O'CONNORSponsor: NONPROFIT FIRE, Marketing/Fundraising for Nonprofits.http://NonProfitFire.orgSponsor: PJ MURALS, We Paint Your World Beautiful.http://PJmurals.comSponsor: SKYWORKS MARKETING, Performance Advertising.http://SkyworksMarketing.com Copyright Trilogy Integrated Resources, All Rights Reserved. To find information about your local programs and services, you may wish to contact a social-services agency in your area. It has been an honor to serve your community. chance to print it after that. Stanislaus: (800) 336-4316 or (209) 558-2637 Marcy Snider speaks with Monique Nowlin about Ventura County's Adult Protective Services.VC's Adult Protective Services is part of a California-mandated program that helps to ensure the safety and well-being of elderly and other adults with limited abilities. Next Dementia Friendly Ventura County One-Stop Shop is June 7. Phone numbers must be xxx-xxx-xxxx.) The staff investigates allegations of abuse and neglect, assesses client needs, and provides short-term case management and a connection to other services. I must resolve the errors before I submit the form. Our role based security allows you to restrict access to certain types of information while providing essential visibility when collaboration or coordination is necessary. Santa Cruz County Intake Report Form Mendocino: Ukiah (707) 463-7900 or (877) 327-1799 Santa Barbara County Intake Report Form Contact Us: Public Information Contacts Media Inquiries ContactWebmaster County Administration Building: 1025 Escobar Street, Martinez, CA 945531st Floor: Clerk of the Board2nd Floor: Human Resources3rd Floor: County Counsel4th Floor: County Administration. Are they wheelchair dependent? Los Angeles: (877) 477-3646 or APS Mandated Reporter Hotline (888) 202-4248 Services include transitional housing/shelter targeted to homeless families and, The center provides health services for girls and women of all ages in the San Gabriel Valley area. Website www.ventura.org/human-services-agency/ All services by this agency Adult Protective Intervention/Investigation Adult Protective Services Child Abuse Hotlines Child Abuse Reporting/Emergency Response Calaveras: (209) 754-6452 To make a report of suspected abuse or neglect, call (805) 654-3200. (NOTE: The most error is phone number. Address 1001 Partridge Dr., Ste. It has been an honor to serve your community. Tests are available to anyone,, VENTURA COUNTY HUMAN SERVICES AGENCY - ADULT AND CHILD PROTECTIVE SERVICES, ADRC - Aging and Disability Resource Connection, CITY OF PASADENA DEPARTMENT OF PUBLIC HEALTH, SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS LOS ANGELES - P.D. Plumas: Business hours (530) 283-6350 document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); CAPS Media Center The agency provides adult protective services for people who live in Ventura County. Just click a button and LEAPS will send the intake to the other county. (guns, animals, recent violence etc. Shasta: (530) 225-5798 Many professionals are required by law to make these reports (including law enforcement, health care, clergy, humane society workers). LEAPS also includes many out of the box no programming customization tools that allow counties to include preformatted letters and county specific assessment tools. does not require an emergency response. San Luis Obispo County Intake Report Form, http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15630. LEAPS also includes many out of the box no programming customization tools that allow counties to include preformatted letters and county specific assessment tools. San Joaquin County Intake Report Form Community Alcohol & Drug Prevention Emergency Preparedness Mental Illness Prevention & Intervention Our Neighborhood - Our Health Health Promotion and Education Live Tobacco Free! Adult Protective Services Home TEST Services For 24/7 Access to Mental Health services and/or if you are experiencing a Mental Health Crisis please call Ventura County Behavioral Health Access & Crisis Team at 1-866-998-2243. Ventura Alpine: Business hours (530) 694-2235 Best time of day to reach you (25 chars max): Select the financial institution reporting (if applicable): If Yes, explain. Placer: (888) 886-5401 or (916) 787-8860 This site is for use by Mandated Reporters only. Yolo: (888) 675-1115 or (530) 661-2727 or (530) 661-2750 Services include a, The organization provides animal services for the communities of Altadena, Arcadia, Bradbury, Glendale, La Canada/Flintridge, La Crescenta, Monrovia, Pasadena, San Marino, Sierra, The agency provides housing services for homeless families with children in who live in SPA 7. Counties can also participate in the LEAPS Workgroup and share leverage knowledge transfer from counties with similar program operations. County APS staff evaluates abuse cases and arranges for services such as advocacy, counseling, money management, out-of-home placement, or conservatorship. VC's Adult Protective Services is part of a California-mandated program that helps to ensure the safety and well-being of elderly and other adults with limited abilities. El Dorado: (530) 642-4800 Reports will be kept confidential and callers who are not mandated reporters may remain anonymous. Adult Protective Services REPORT OF SUSPECTED DEPENDENT ADULT/ELDER ABUSE VICTIM Vulnerabilities: SUSPECTED ABUSER #1 SUSPECTED ABUSER #2 SUSPECTED ABUSER #3 REPORTING PARTY INCIDENT INFORMATION REPORTED TYPES OF ABUSE (Check All That Apply) What happened today that led you to make this report? *I understand that if I did not see a confirmation message stating that my report has been submitted it means my report has not been submitted Nevada: (888) 339-7248 4651 Telephone Rd. For all other County departments and offices, see their web pages. *I acknowledge that I am a mandated reporter by provision of the California Welfare and Institutions Code (WIC) and the report I am submitting Santa Barbara: Santa Barbara (844) 751-6729 Sponsor: NONPROFIT FIRE, Fundraising for Nonprofits Adult Protective Services 1001 Partridge Drive, Suite 365 Ventura, CA 93003 24 Hour Abuse Hotline: (805)654-3200 Meals / Nutrition: Area Agency on Aging 646 County Square Drive #100 Ventura CA 93003 Phone: (805)477-7300 Colonia Senior Center 126 Amelia Court #B Oxnard, CA 93030 Phone: (805)385-8163 Food Share 4156 North Southbank Drive Sacramento: (916) 874-9377 For counties with staff that do not manage APS workloads, our confidential configuration keeps information restricted to only those who require access. San Diego: (800) 339-4661 or (800) 510-2020 Ste. What current third party assistance are you aware of for this person?) Spanish version follows / La versin en espaol sigue VENTURA, California - Dementia Friendly Ventura County's next one-stop workshop to help people living with a dementia-related disease and their caregivers. Kings: (866) 582-8776 65 Day Rd. Ventura: (805) 654-3200 *I understand that I will be presented with an option to print the SOC 341 for my records once the report has been submitted. Mono: (800) 340-5411 or (760) 924-1770 Tuolumne: (209) 533-4357 or (866) 388-7502 or (209) 768-7753 Santa Cruz: (866) 580-4357 Modoc: Business hours (530) 233-6602
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