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DocuSign Envelope ID: E51E535C-r71e-44A8-80o0eEAe7rrA0A81 .' <br /> (J. High Risk In-Home Aide Service requests are to be staffed within five days. All other requests <br /> are to be filled within ten working days of the request. <br /> Y. 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 In-Home 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 /> L w"�*` <br /> Agency director <br /> J,d�Signature <br /> personalized Patient Home Assistance 7/21/2017 <br /> Agency/Organization Date <br /> (Certification si ature should be same as Contract si atnro.) <br /> , <br /> Outcomes (00X04) Page 2 of 2 <br />