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Printables for IHSS households

Printable tools for IHSS care

Logs, planners and workbooks you download as a PDF and print at home. Each one comes in color and in a printer-friendly black-and-white version. Every picture below is a real page from the file you get.

All four printables for $15

The Care Log, Hours Planner, Reassessment Workbook and Backup Care Plan together. You save $7.

THIS PRODUCT OR SERVICE HAS NOT BEEN APPROVED OR ENDORSED BY ANY GOVERNMENTAL AGENCY, AND THIS OFFER IS NOT BEING MADE BY AN AGENCY OF THE GOVERNMENT.

For providers and families

Daily Care Log

One page a day to write down the care you give: tasks, minutes, how much help was needed and anything that changed. Makes timesheets easier and gives you a real record for the next reassessment.

  • 31 daily sheets, one for each day of the month
  • Personal care, meals and household, and medical tasks
  • A monthly summary page that totals the minutes
$5PDF · 34 pages · color + printer-friendly
For providers

Weekly Hours Planner

Plan each Sunday-to-Saturday workweek, then check what you worked against your weekly maximum, the 66-hour limit and the 7-hour travel limit before you submit a timesheet.

  • The rules, in plain English, with sources
  • Weekly maximum worksheet and monthly tracker
  • 5 weekly grids for up to two recipients
$5PDF · 9 pages · color + printer-friendly
For recipients and families

Reassessment Prep Workbook

Walk into the next IHSS reassessment ready to explain, task by task, how much help is really needed and what has changed since last time.

  • Before-the-visit checklist (including the last SOC 293)
  • 12 service-area worksheets with real examples
  • After the visit: the Notice of Action and the 90-day deadline
$7PDF · 13 pages · color + printer-friendly
For recipients, families and providers

Backup Care Plan

Everything a substitute caregiver needs when the regular provider is sick or away: contacts, medications, the daily routine, the home and what to do if something goes wrong.

  • Emergency contacts and enrolled backup providers
  • Medication list and daily routine
  • “What to do if…” page for a substitute
$5PDF · 7 pages · color + printer-friendly

Becoming a provider? The Provider Enrollment Kit walks you through enrollment step by step. $9, in English or Spanish.

See the Enrollment Kit →

Questions

Are these official IHSS forms?

No. They are IHSSHours.com’s own printables to help you stay organized. They don’t replace your timesheet, EVV check-in or any form your county asks for. Official IHSS decisions come from your county IHSS office.

How do I get the file?

Right after payment you land on a page with download buttons for the color and printer-friendly PDFs. Bookmark that page to download again anytime.

Will it print on a black-and-white printer?

Yes. Every printable comes with two PDFs: a color version and a printer-friendly version in plain black and white, with no dark backgrounds, so it uses very little ink. You get both with your purchase.

Can I print more than one copy?

Yes. Print as many copies as you need for your own household. Please don’t share or resell the files.

What size are they?

US letter (8.5 × 11 in), made to print well in black and white or color.

Can I get a refund?

Printables are delivered instantly, so they are final sale. If a file won’t open or something is wrong with it, email support@ihsshours.com and we’ll fix it.

IHSSHours.com is a private, independent educational business and is not affiliated with CDSS, any county IHSS office or any IHSS Public Authority. Official IHSS decisions come from your county.

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