Older Adult Providers
Older Americans Act: Reference Materials for Contract Providers
ARPA Data Reporting Forms
Participant Intake Forms
- Master Intake (English)
- Master Intake (Spanish)
- Master Intake (Chinese)
- Master Intake (Tagalog)
- Master Intake - FCSP
- Master Intake - FCSPGP
Sexual Orientation Gender Identity (SOGI) Resource
Materials
- BHRS SOGI: Defining Terms
- BHRS SOGI: Quick Reference Guide
- BHRS SOGI: Working with Transgender Clients
- SOGI: Asking Intake Questions- English or Spanish
- SAGE Care 101 Handouts
- Assembly Bill AB 959
Participation Forms for Home Delivered Meals
- HDM Assessment Form Description
- HDM Initial Assessment
- HDM Reassessment
- HDM Telephone Contact
- HDM Waiting List Report
Reporting Documents
Procedure for signing invoices & MIS reports
- MIS Report - Congregate Program FY 23-24
- MIS Report - Home Delivered Meals FY 23-24
- MIS Report - Support Services FY 23-24
- MIS Report - Legal Program Services FY 23-24
- MIS Report - Ombudsman Services FY 23-24
- MIS Report - Family Caregiver Support Program FY 23-24
- Total Unduplicated Count Report FY 23-24
- Total Unduplicated Cout Report FY 23-24
California Department of Aging – Resources for Older Californias Nutrition Program
- AAS Yearly Nutrition Education Plan
- In-Service Evaluation Form for Staff
- AAS Yearly Staff In-Service Training
- Nutrition Education Plan Tracking Sheet
Pre-Approved In-Service Materials
- Accident Prevention
- Adult First Aid_CPR_AED
- Concious Choking
- Emergency Preparedness
- General Food Safety In-Service
- HACCP Pages 1-6 to 1-8
- Michigan Emergency Procedures
- Preventing Food Contamination
- ServSafe Handwashing Guidelines
- ServSafe Glove Use
Pre-Approved Nutrition Education Materials – Updated June 2023
- Fiber for the Elderly - English
- Food Safety Booklet - English
- Food Safety for at Risk Adults - English
- Healthy Lifestyle - English
- Healthy Lifestyle for Men - English
- Nutrition Facts Label - English
- Nutrition Facts Label - Spanish
- Preventing Muscle Loss - English
- Whole Grain Recipes - English
- Whole Grain Recipes - Spanish
- Whole Grain Tips - English