Facilities exempt Non-staff (including Within the facility Physical Ombudsman from licensure family/friends, legal Sexual APS (e.g. Independent and financial Neglect Both Living Facilities, professionals, Self Neglect Lead will be: Sober Living Houses visitors) Financial Ombudsman that are not Other________ APS providing care and supervision, etc) Facilities exempt Non-staff (including Outside the facility Physical Ombudsman from licensure family/friends, legal Sexual APS (e.g. Independent and financial Neglect Both Living Facilities, professionals, Self Neglect Lead will be: Sober Living Houses visitors) Financial Ombudsman that are not Other________ APS providing care and supervision, etc) Prisons and jails Neither program has jurisdiction (for prisons, refer to California Dept of Corrections and Rehabilitation; for jail, refer back to local law enforcement) State Hospitals and Neither program has Developmental jurisdiction (report Centers may be made to the designated investigator at the Department of State Hospitals or Developmental Center or local law enforcement) This page intentionally left blank.
Facilities exempt from licensure (e.g. Independent Living Facilities, Sober Living Houses that are not providing care and supervision, etc) Non-staff (including family/friends, legal and financial professionals, visitors) Within the facility Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS Facilities exempt from licensure (e.g. Independent Living Facilities, Sober Living Houses that are not providing care and supervision, etc) Non-staff (including family/friends, legal and financial professionals, visitors) Outside the facility Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS Prisons and jails Neither program has jurisdiction (for prisons, refer to California Dept of Corrections and Rehabilitation; for jail, refer back to local law enforcement) State Hospitals and Developmental Centers Neither program has jurisdiction (report may be made to the designated investigator at the Department of State Hospitals or Developmental Center or local law enforcement) This page intentionally left blank.
templatemoulongtermcare.docx