Save or instantly send your ready documents. '/*{2 Kl,f9%22Yxr - |Fe w} The California Public Records Act is found in the California Government Code, beginning at Section 6250. If you are struggling with a juvenile matter involving CFS in San Bernardino or CPS in Riverside, The Haynes Law Firm, APLC is available to provide a consultation regarding your case. hb```e``0i% X8 99p0P0]3 D+Zd NU*0C!UC %%EOF Get e-mail updates on the latest COVID-19 news. Create this form in 5 minutes! New Medicare Beneficiary Identifier (MBI) New! 2023 San Bernardino County | Department of Behavioral Health | Privacy Policy | Accessibility | Newsletter Sign-up | Site Map. File a USDA program discrimination complaint? Take a look back at San Bernardino Countys major accomplishments in 2022, Homeless to Home, a road to self-sufficiency. Request for Second Opinion (Spanish) QM048_S Revised! Try it now! f Step 2: A Code Enforcement Officer will conduct an exterior inspection of the property to verify compliance with the County's requirements. Services. 0.749023 g Call the child abuse hotline at 909-384-9233 (San Bernardino area) or 1-800-827-8724 (outside of San Bernardino). To speak to someone about behavioral health services, call 888.743.1478. For Financial Institutions If you are interested in viewing a PowerPoint presentation on financial abuse, please click here: Please turn on JavaScript and try again. endstream endobj 34 0 obj <>/Subtype/Form/Type/XObject>>stream Phone : 909.384.9233 Phone : 800.827.8724 Code Enforcement Hotline The Code Enforcement Division of the Land Use Services Department receives complaints regarding land use, zoning, housing, public nuisances, vehicle abatement, and vegetation or fire hazard abatement. 0.749023 g Try it today! Change of Provider Request Form - 18pt. Follow the installation instructions on Adobe's web site to properly install and configure the Acrobat Reader. Network Adequacy Requirements and Deadline (03/01/2018), Updated Authorization to Release Protected Health Info, Child and Adolescent Needs and Strengths (CANS)(PSC-35), UCLA Treatment Perceptions Survey Information (9/20/18), Mental Health Consumer Perception Survey Fall 2018. Child and Family Teams (CFTs) During this state of emergency related to the Novel Coronavirus (COVID-19), the CFT process serves as an essential strategy to ensure families and providers can continue caring for children and that the county is aware of the practical and emotional needs of caregivers and children. Step 2: Fill out your forms completely. http://www.childsworld.ca.gov/res/pdf/CPSEmergNumbers.pdf. Americas largest county. San Bernardino Independent: 36: 150 E Holt Blvd, 3rd Floor, Ontario, CA 91762: 909-458-1637: 909-986-2970: San Diego Independent: 37: Request for Second Opinion QM048_E Revised! In cases of an immediate emergency, always call 9-1-1 for Law Enforcement intervention. Information on California Workers' Compensation rights and responsibilities There are no geographic restrictions. Box 1409 San Bernardino, CA 92408. Former social worker Eric Bahra has been awarded a $2.5 million jury verdict against San Bernardino County. He was beaten and burned while in state custody foster "care". to anonymously report if they suspect a child is being abused. Strives to protect endangered children, preserve and strengthen their families and develop alternative family settings. IU#q4QCP"@y2P[{[SI(1Yr=MOS`z1 Q`R)d\zOH45|6s5K1)==Aw,13#fR;di$a')0yhLXavVBLjU"5=%PAKaa .IkTf8,MkH63PrQ`5A6LgjZbiT-sIjb$Ujrp[-Dem2S+mL#9by6MZ,U1ejXlFe4&mtN. For your convenience, virtual interviews are available. Resource Parents are often called upon to provide information to the child protective services worker, as well as to testify in court. endstream endobj 47 0 obj <>/Subtype/Form/Type/XObject>>stream H*2T0T037U03U(J H237402VH2P0P32UT(JJ*2T0T0D|3@.XHT! % A ^ send to the address listed on the form. For graffiti abatement, call 1.877.442.2283. 0.749023 g . Office Configuration Safety Standards (12/18/2018) New! 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. Records of San Bernardino County which are not exempt from disclosure are available for inspection and copying in accordance with the California Public Records Act upon a request that reasonably describes an identifiable record or records. APS - Central Intake. hAAgpBE TN= 3j:)iZ#Y:TV@[F^KA `Gs'1?4Tyk'us*"Oz~~WP6W3=BA!>vHh &kd4:[FO] lA Call (833) 526-5197 to schedule a consultation to get your immediate questions answered and get the legal representation you need. The forms may be posted on their site. E\i\\ The following are forms for the California Children's Services Program.. Child Abuse Reporting Policy: 05/13/2021 CHD0303 Child Abuse Reporting Procedure . report abuse california. WHITE COPY-Police or Sheriff's Department; BLUE COPY-County Welfare or Probation Department; GREEN COPY-District Attorney's Office; YELLOW COPY-Reporting Party SS 8572 (12/02) Page 2 of 2 Title Contact Us Visit Website View Profile. endstream endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream DCS 125 CPS (7/04) Author: L1634 County Job Descriptions and Salaries endstream endobj startxref . Covering 20,105 square miles, San Bernardino County is Americas largest county and a diverse public service organization governed by an elected Board of Supervisors and serving a community of nearly 2.2 million residents. Claim Against County of San Bernardino (pdf) County of San Bernardino Employees If you need to file a claim for Workers' Compensation please report to your supervisor for appropriate follow-up and related document completion. Mental Health and Alcohol and Drug Services Agency Evaluation, Timely Access Notice (NOABD) (Vietnamese), Mental Health Plan (MHP) to Medi-Cal Plan (MCP) Referral Form For Non Open Cases, Financial Liability Notice (NOABD) (Spanish), Financial Liability Notice (NOABD) (Mandarin), Financial Liability Notice (NOABD) (Vietnamese), myAvatar Program Assignment (Mental Health), myAvatar Program Assignment (Mental Health)(Spanish), myAvatar Initial Contact Form (Mental Health, myAvatar Initial Contact Form (Mental Health) (Spanish), Authorization to Release Protected Health Information (PHI), Authorization to Release Protected Health Information (PHI) (Spanish), Authorization to Release Protected Health Information (PHI) (Vietnamese), Code of Conduct and Code of Conduct Acknowledgement, Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices, Certification Review Hearing Waiver of Presence, Outpatient Treatment Reauthorization Request for Adults, List of Disclosures of Protected Health Information (PHI), Consent for Outpatient Treatment (Spanish), Consent for Outpatient Treatment (Vietnamese), Medical Care Authorization for Minor (Spanish), Consent for Sound and/or Photographic Recordings, Consent for Sound and/or Photographic Recordings (Spanish), Consent to Record and/or Photograph and Authorization for Use or Disclosure, Consent to Record and/or Photograph and Authorization for Use or Disclosure (Spanish), Conflict of Interest Disclosure Statement, Access to Medical Records Request (Spanish), Response to Request to Access Medical Records, Response to Request to Access Medical Records (Spanish), Request to Amend Protected Health Information (PHI), Request Request to Amend Protected Health Information (PHI) (Spanish), Response to Request to Amend Protected Health Information (PHI), Response to Request to Amend Protected Health Information (PHI) (Spanish), Internal Tracking of Request to Access Medical Records, Release of Information: Patients Right of Access to His/Her Own Medical Record, Release of Information: Patients Right of Access to His/Her Own Medical Record (Spanish), Advance Health Care Directive (Brochure) (Spanish), Advance Health Care Directive (Brochure) (Vietnamese), Privacy and Security Agreement Confidentiality Statement, Ineligible Persons Policy Acknowledgement and Attestation, Attestation Regarding Completion of Sanction Checks, Electronic Signature Agreement and E-Signature and Provider Signature List, DBH & BBS Complaint Notifications to Clients (8-20), DBH & BBS Complaint Notifications to Clients (8-20) (Spanish), myAvatar Policy/Procedure Acknowledgement Form, Patients Rights Grievance Form (Spanish), Patients Rights Office Grievance Appeal Form, Patients Rights Office Grievance Appeal Form (Spanish), Request for Restriction of Confidential Communication, Request for Restriction of Confidential Communication (Spanish), Response to Request for Restriction of Confidential Information, Response to Request for Restriction of Confidential Information (Spanish), Grievance and Appeal Timely Resolution Notice, Grievance and Appeal Timely Resolution Notice (Spanish), Adult (21+) ASAM Triage Level of Care Screening, Consent for SUD Care Coordination Services (English), Termination of Provider Notice Template_Spanish, Receipt of Grievance Acknowledgement Letter, Receipt of Grievance Acknowledgement Letter (Spanish), Grievance Investigation Supplemental Response Form, Pre-Licensed/Out-of-State Licensed Psychologists Statement of Awareness for Continued Employment, Non-Medication Resource Log and Instructions, Emotional Support Animal Clinical Documentation Policy, DMC-ODS Requirements for period 2022-2026, Documentation Requirements for all SMHS DMC and DMC-ODS Services, Clinical Supervision for Pre-Licensed Psychologists, Request to Change the DBH Websites Policy (BOP3047), Request to Change the DBH Websites Procedure (BOP3047-1), Adult System of Care, Intensive and Aggressive Case Management, and ACSP Coordinated Services, Reporting Dependent Adult/Elder Abuse and Neglect Policy, Reporting Dependent Adult/Elder Abuse Procedure, Adult System of Care Out-of-County Placement Policy, DBH Alcohol and Other Drug (AOD) Programs Counselor Certification Policy, Alcohol and Drug Services Code of Professional Conduct Policy, Medication Policy for Clients Seeking Alcohol and Drug Treatment Services, Alcohol and Drug Services (ADS) Youth Treatment Policy, Alcohol and Drug Services (ADS) Perinatal Treatment Policy, Admission Preference and Interim Services Policy, Admission Preference and Interim Services Procedure, Expenditure of the Substance Abuse Prevention and Treatment Block Grant Policy, Substance Use Disorder Medication Safety and Effectiveness Policy, Substance Use Disorder Service Utilization Policy, Substance Use Disorder and Recovery Services Coordination of Care Policy, Substance Use Disorder and Recovery Services Coordination of Care Procedure, Post Client Satisfaction Survey Procedure, Substance Use Disorder and Recovery Services Residential Prior Authorization Policy, Case Management Services for Child and Adolescent Clients, Providing Services to Foster Care, Adoption Assistance Program (AAP) and Kinship Guardianship Assistance Payment (KinGAP) Children Placed Out-of County Policy, Providing Services to Foster Care Children Placed Out-of-County Procedure, Providing Services to Adoption Assistance Program (AAP) and Kinship Guardianship Assistance Payment (KinGAP) Children Placed Out-of County Procedure, Childrens Fund Immediate Need Voucher Policy, Childrens Fund Immediate Need Voucher Procedure, Consent to Treat a Minor: Procedures for Parents/Legal Guardians, Consent to Treat a Dependent Minor Procedure, Clinic Responsibility for Processing Client Registration, PFI, CDI, Charge Data Invoice (CDI) Process Procedure, Treatment of DBH Employees by DBH Facilities, Acknowledgement of Abuse Reporting Duties Policy, Clinical Supervision for Licensure AMFT, ACSW, APCC, Admission Standards for Penal Code Misdemeanor Violations, Out-of-County Access for Mental Health Services, Waiver of Consumers Responsibility to Pay for Medications, Authorization and Designation Pursuant to the Lanterman-Petris-Short (LPS) Act, Duty to Warn and Protect Third Parties in, Duty to Warn and Protect Third Parties in Response to a Client Threat (Tarasoff) Procedure, Day Treatment Weekly Charting in Staff Meetings, Confidentiality When Dealing with Client Support Persons, Clients with Physical Medical Conditions Policy, Transformational Collaborative Outcomes Management (TCOM) Policy, Transformational Collaborative Outcomes Management (TCOM) Procedure, Client Notice Regarding Termination of Provider Procedure, Sending Confidential Information by Facsimile, Medical Record Security Policy for Outpatient Services, Confidentiality of Protected Health Information (PHI), Unauthorized Access of Confidential Medical Records, Medical Records Requiring Special Handling, Medical Records Requiring Special Handling Procedure, HIPAA Notice of Privacy Practices (NOPP) Policy, Authorization to Release Protected Health Information (PHI) Procedure, Trafficking Victims Protection Act of 2000, Compliance Verification, Monitoring and Auditing Policy, Security of Protected Electronic Health Information Policy, Access and Amendment of Medical Records Policy, Patients Rights Inpatient Grievance Process, Patients Rights Outpatient Grievance Process, HIPAA National Provider Identifier (NPI) Policy, HIPAA National Provider Identifier (NPI) Procedure, Right to Request Alternative Means of Communication Protected Health Information Policy, Medi-Cal Eligibility Data Systems (MEDS) Policy, Transportation of Protected Health Information (PHI) Policy, Transportation of Protected Health Information (PHI) Procedure, Non-Discrimination of Clients (Affordable Care Act) Policy (COM0953) Rev. Easily fill out PDF blank, edit, and sign them. Our Family Court division is committed to the processing and management of all domestic matters with integrity, sensitivity and timeliness. The Court Executive Office's hours are 8:00 a.m. to 5:00 p.m., Monday through Friday, excluding court holidays. The nature of specific incident(s) you are reportingand, Date(s) and descriptions(s) of the injuries or dangers, Identities of perpetrator(s) and their relationship/s to thechild, Witnesses to the incident(s) and how they may be reached, Details of any physical evidence available, The perpetrator'scurrent access to the child, Present condition/status of the child (for example: inneed of medical attention), Statements from the child(ren) when possible, San Bernardino County Children and Family Within the State of California you may call toll free 1 (800) 344-6000. Fraud, Waste, and Abuse Hotline 800.547.9540. %PDF-1.7 % H*2T0T03Tp. H*2T0T0 Requests may be submitted by completing the Request for Judicial Administrative Records Form and sending it to the Court by e-mail or U.S. Mail. f e-Prescribing Chart Documentation (12/07/2016) New! Assistance with Family law, Child support, Landlord/tenant, and more. font (Spanish), SUDRS-MH Grievance and Appeals Process Brochure-18pt. Mental Health Consumer Perception Survey-Fall 2019 New! San Bernardino County 211 get connected. 238 0 obj <>stream Box 1359 Susanville, CA 96130-1359 Website Lassen County Health & Social Services Agency Ms. Barbara Longo, Director P.O. To download a form (in PDF format), click on the form number in the appropriate table. Welcome to San Bernardino County's Career Opportunities page! It looks like your browser does not have JavaScript enabled. endstream endobj 46 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream Find your local county office. 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. C Substance Use Disorder and Recovery Services Policy, Substance Use Disorder and Recovery Services Procedure, Naloxone Intranasal Distribution Procedure, Client Tuberculosis (TB) Testing and Services Policy, Client Tuberculosis (TB) Testing and Services Procedure, myAvatar Electronic Health Records Policy, myAvatar User Account Creation and Reinstatement Procedure, myAvatar User Account Modification Procedure, myAvatar User Account Deactivation Procedure, Criteria for Beneficiary Access to SMHS Medical Necessity and other Requirements, No Wrong Door for Mental Health Services Policy, Revised Mental Health Co-Staffing Chart Documentation a, Personal Protective Equipment (PPE) for DBH Programs, Quality Management Chart Documentation Guidance due to, New Classification of Other Qualified Providers, Coronavirus (COVID-19) Information for DBH Workforce, Mental Health Consumer Perception Survey Spring 2019, DMC-ODS UCLA Treatment Perception Survey-October 2019, Notice of Changes to EPSDT Data Collection Requirements, Editing Notice of Adverse Benefit Determination (NOABD). 0.749023 g endstream endobj 49 0 obj <>/Subtype/Form/Type/XObject>>stream The San Bernardino County Department of Child Support Services determines paternity, establishes and enforces child support orders, and secures payments to assist the financial and medical needs of their children. 0 0 6.75 7.5 re To Report Child Abuse. These 24-hour Hotlines are staffed by trained social workers. f Box 1359 Susanville, CA 96130-1359 Website Los Angeles County Department of Children & Family Services Vice Chairman/Supervisor First District Jesse Armendarez endstream endobj 42 0 obj <>/Subtype/Form/Type/XObject>>stream However. The Hotline is contacted when a member of the community has a concern regarding potential abuse or neglect of a child. CFS works to prevent further harm to children from physical or mental injury, sexual abuse, exploitation, or neglect. endstream endobj 54 0 obj <>/Subtype/Form/Type/XObject>>stream 2rLr2Fz@2"c. H237402VH2P0P007 The San Bernardino County Department of Child Support Services determines paternity, establishes and enforces child support orders, and secures payments to assist the financial and medical needs of their children. *{Dt8P *7,Jccd0%m3lz%tDE}vdYiBiplo+4 endstream endobj 29 0 obj <>/Subtype/Form/Type/XObject>>stream E\i\\ 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. hbbd```b``" 0i"H`s.8C>nf"Ynu8X8=L?jd &7$+: ,"y3L`qQr&):w4"3p vkJ4 ENGLISH SPANISH Claim Against County of San Bernardino (pdf). 2r\.1K 7 Form Number Description Revised Date; SB-598: Settlement Conference Brief: 09/17/13: SB-12039: Stipulation And Order On Request For Order: 11/05/12: SB-19447 H237402VH2P0P Employment Information and Recruitment Videos. To file a claim against the County please complete the form below, print, sign and Consolidation of Electronic Signature (E-Signature). Use Arrears calculator to figure out balance. Services are provided in person, by phone, online, and by email. To Report Child Abuse San Bernardino County residents can dial 2-1-1 to anonymously report if they suspect a child is being abused. f I am an older adult and need help taking care of myself. San Bernardino County APS strives to have all elders and dependent adults live their lives free from the threat or reality of abuse. Information on how to report child abuse or make complaints. 0 0 9 8.625 re Mail the completed SS 8572 form to: Child Abuse Hotline P.O. 2023 San Bernardino County | . 0 Box 6083 San Bernardino, CA 92412 Fax the completed SS 8572 form to: Children and Family Services at (909) 891-3545 or (909) 891-3560 of Industrial Relations web site. Complete the CPS Records Request Form below and fill it out with as much information as possible. This form documents the information given by the reporting party on the suspected incident of abuse or neglect of an elder or dependent adult. 2307rYF endstream endobj 48 0 obj <>/Subtype/Form/Type/XObject>>stream III. Samples can be emailed to you by request at: selfhelpforms@sb-court.org. f . endstream endobj 27 0 obj <>/Subtype/Form/Type/XObject>>stream . endstream endobj 40 0 obj <>/Subtype/Form/Type/XObject>>stream 0 0 6.75 7.5 re Adolescent (Age 12-17) and Young Adult (Age 18-20) DMC-ODS Transition New! Who live or work in San Bernardino County, Through San Bernardino County Homeless Veterans Initiative. H237402VH2P0P32UT(JJ*2T0T0D|3@.XHT! % endstream endobj 43 0 obj <>/Subtype/Form/Type/XObject>>stream and at-risk adults in our county. Standing Order Requirement for Administering NARCAN. H237402VH2P0P32f@(+PP$j 2rMMrFz@^T)T!Q` R San Bernardino County Homeless Partnership, Community Action Partnership of San Bernardino County. f The San Bernardino County District Attorney's Office serves the residents, business owners, and visitors of San Bernardino County, California. First time applicants can access helpful information on how to get started by clicking "Applicant Information" in the menu drop down. CFS values collaboration with community agencies and private citizens to accomplish our mission of protecting children and promoting their well-being. The Job of the County of San Bernardino is to create a county in which those who reside and invest can prosper and achieve well-being. San Bernardino County size in square miles, Incorporated cities in San Bernardino County, Auditor-Controller/Treasurer/Tax Collector, George Air Force Base: Commemorating Its Legacy 30 Years Later Exhibit. Reporting Medical Conditions and Communicable Diseases, Pill Organizers for DBH Clients (11/06/2015), ICD-10 Diagnosis and Procedure Code Transition, State Requirements for Treatment Authorization Requests, Electrical Safety: Personal Appliances (04/11/2014), Medication Policy and Procedure (11/20/2013), Prepaid Debit Cards/Bus Pass Continuous Written Log, Use of Electronic Signatures (04/22/2010), Use of Episode Closing Codes (03/02/2009), IN 15-01 Non-use of Blood Glucometers (06/02/2015), IN 13-01 Disclosure of Ownership (03/18/2013). A hotline for impacted residents is open from Monday through Friday, 8 a.m. to 7 p.m. at (909) 356-2563. for appropriate follow-up and related document completion. endstream endobj startxref ,&?(bYY Vb4*LgPr`2GH X, 9974|3/ Wy8L@O q][Wk9URk#w+mr5A! Col. Paul Cook (Ret. endstream endobj 41 0 obj <>/Subtype/Form/Type/XObject>>stream 1. Child Abuse Report. cps report form san bernardino county. Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life, and valuing people. If you suspect that a child has been, or is in danger of, abuse or neglect , contact the county Children's Protective Services 24-hour emergency response phone. Welcome to the County of San Bernardino Human Services' website. Disaster Response Requirements (02/01/2017) New! CFS receives and reviews allegations of child abuse and neglect made within San Bernardino County and provides intervention and support services to families and children when those allegations are substantiated. 11-22, Affordable Care Act (ACA) 1557 Grievance Procedure, Behavioral Health Services for Clients/Family, Field Testing of Written Materials Policy, Field Testing of Written Materials Procedure, Providing Interpretation Services Procedure, Providing Written Communications in Threshold/Primary Languages for Consumers/Family Members Policy, Incorporated Employees Fiscal Control Procedures, Guidelines For Psychiatrists Assigned to Outpatient Clinics, Deviation from Standard of Practice of Medicine, Control, Access and Accountability of Medications and Medical Supplies Policy, Control, Access and Accountability of Medications and Medical Supplies Procedure, Controlled Substance Utilization Review and Evaluation System (CURES) Policy, Controlled Substance Utilization Review and Evaluation System (CURES) Procedure, Handling of Contaminated Waste/Needles and Syringes, Consent for Administration of Psychotropic Medication to Minors Policy, Laboratory Services/Physical Assessment Policy, Laboratory Services/Physical Assessment Procedure, Medication Authorization for Dependent Children and Youth Policy, Urgent and Emergency Conditions Procedure, Control and Organization of the Standard Practice Manual (SPM) Policy, Requests to Modify Standard Practice Manual Procedure, Department Vision, Mission and Values Policy, Public Information and Media Release Policy, Reimbursement for Travel and Related Expenses, Use of Supplies and Equipment/Notification of Loss or Damage, Furniture and Equipment Relocation Procedure, Assignment of Pagers to Divisions/Programs and Staff, Facility Physical Security and Access Control Policy, Facility Physical Security and Access Control Procedures, Billing and Collection for Treatment Services Policy, Guidelines for Promotional, Educational, and/or Informational Materials, DBH Review Panel for Promotional, Educations, and/or Informational Materials, Review of Promotional, Educational and/or Informational Materials Procedure, Assignment, Closure, Merger or Relocation of Clinics Policy, Closure of DBH Contract Provider Procedure, Assignment of DBH Contract Provider Procedure, Merger of DBH Contract Provider Procedure, Medi-Cal Claim Certification of Authenticity Policy, Intra-Department Reassignment Policy (Supersedes-Employee Reassignment Requests), Waiver for Pre-Licensed/Out-of-State Licensed Ready Psychologists, Registration and Licensure Requirements for Clinical Therapists, Volunteer Request and Registration Procedure, Non-Discrimination / Equal Employment Opportunity, Time and Attendance Form How to Complete, Position Transfer Reassignment & Borrowing Policy, Position Transfer Reassignment & Borrowing Procedure, Procedure for Purchasing Computer Equipment, Request for Information Technology Support Procedure, Computer and Network Appropriate Use Policy, Superseded by myAvatar User Account Creation and Reinstatement Procedure, QShort-Doyle and Short-Doyle/Medi-Cal Clinic Change of Ownership or Location, Requesting an Initial Choice of Provider or Change of Provider Procedure, Requesting an Initial Choice of Provider or Change of Provider Policy, Quality Management Committee Membership/Participation, Pre State Chart Audit Responsibilities & Procedures, Billing Guidelines for Quality Assurance Activities, Outpatient Chart Audit Site Review Policy, Investigating and Reporting Death of a DBH Client, SAMHSA Block Grant-Annual Program Review Procedure, Standard and Expedited Resolution of Appeals Procedure, Consistency in Inpatient and Outpatient Utilization Review and Authorization Practices Policy, Consistency in Inpatient Utilization Review and Authorization Practices Procedure, Consistency in Outpatient Utilization Review and Authorization Practices Procedure, MHP Point of Authorization Plan for Inpatient Psychiatric Hospitalization Protocol, Selection and Retention of Network Provider Policy, Department Liability for Employees and Volunteers Action Outside Work, Electrical Safety Policy: Personal Appliances, Threats Against Federal or State Officials Policy, Threats and Assault on DBH Staff Procedure, Special Incident Reporting Procedure Client Related, Occupational Injury or Illness Reporting Procedure, Local Community Crisis Incident Response Procedure, Office Ergonomics Intervention Program Policy, Interagency Communication of Unusual Events Procedure. Child Abuse Hotline (800) 827-8724 Child Abuse Prevention/Safe Kids (909) 383-9677: Child and Family Health . If you are interested becoming a volunteer and working with social workers at CFS, please apply at: http://hss.sbcounty.gov/VIP/default.asp VIP CFS brochure 2019.pdf font (Spanish), Opioid Agreement for Buprenorphine Medication Assisted Treatment (Spanish), Opioid Agreement for Buprenorphine Medication Assisted Treatment (English), Beneficiary Nondiscrimination Notice (Mandarin), Beneficiary Nondiscrimination Notice (Vietnamese), Your Rights Attachment (NOABD) (Mandarin), Your Rights Attachment (NOABD) (Vietnamese), Change of Provider Request Form 18pt. A concern regarding potential abuse or neglect of an immediate emergency, always call 9-1-1 for Law intervention. To build a healthy community by strengthening individuals and families, enhancing quality of life, and sign them for! Back at San Bernardino County & # x27 ; s web Site to properly install and the... 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