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000vSign Envelope ID: 8eE8uAu0-4CEE-4AC3eC41'ee34nE3nn1*4 <br /> O. High Risk In-Home Aide Service requests are to be staffed within five days. All other request <br /> are to he filled within ten working days of the request. <br /> P. Changes in the service hours are to be made by the County. Requests for changes may be made <br /> by the Contractor, but are not finalized until notification is given by the County. <br /> Q. The Contractor will immediately notify the County when Protective Services Cases are not <br /> staffed, when 1n'}1onoe Aide workers are absent, and/or when any of the following occur: <br /> a. The client dies. <br /> b. The client enters a rest home, nursing home, or hospital. <br /> c. The client moves from the original address on the request. <br /> d. The client refuses to accept the services or to comply with care requirements. <br /> e. There are significant factors that affect the client or significant changes in a client's <br /> situation. <br /> DocuSigned by: <br /> v"'m"uA ' "~' °j",^ Agency director <br /> =e2rlaDensuacgkETE— <br /> Signature Title <br /> personalized Patient Home Assistance 7/13/2016 <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Outcomes (06/04) Page 2 of 2 <br />