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Contract #68-2006 <br />Triangle Home Health Care, Inc. <br />• <br />L. The Contractor will immediately notify the County when Protective Services Cases are <br />not staffed, when In-Home Aide workers are absent, and/or when any of the following <br />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 <br />client's situation. <br />• <br />• <br />r ~ f(c,~-.i. <br />Signature <br />~~ ~ r <br />Title <br />Agency/Org tion , ~,,,t, Date <br />(Certification signature should be same as Contract signature.) <br />Outcomes (06/04) <br />Page 2 of 2 <br />