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<br />r <br />~~ <br />Contract #68-2007 <br />Touched by Angels Home Healthcare II, Inc. <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 />C7 <br />r ~ <br />~J <br />,~ , <br />Si tore <br />Agency/Organizatio <br />~.yt_a.~ <br />Title <br />Ca ~~= v~ <br />Date <br />(Certification signature should be same as Contract signature.) <br />Outcomes (06/04) <br />Page 2 of 2 <br />