Let's get started

Welcome to your Clarity Report.

This takes about 10 minutes. We'll walk through each service category together — one section at a time. Your answers help us estimate the IHSS hours you may qualify for.

📋

The Clarity Report — All Inclusive

PS included · All 58 counties · Instant PDF

^$39

🔒

Your answers — including health information — are encrypted in transit and stored securely only to generate and deliver your report. We never sell your data and we are not a government agency. See our Privacy Policy & Terms.

Your information*

🔒

Secure Payment via Stripe

Complete your information above then click the button below. You'll be redirected to Stripe's secure checkout and returned here automatically after payment.

Once you pay, your assessment is linked to your email. If anything goes wrong during report generation, your submission is saved — just email support@ihsshours.com and we'll deliver your report or issue a fix. You won't lose your place.

All sales final · Results are estimates only

Pay $39 & Begin Assessment

First things first

Tell us about the person receiving care.

This helps us personalize your report to the right county and recipient. All information is kept private and secure.

👤

Basic Information

First name*

Last name*

Date of birth*

Age

California county*

Medical Information

Primary diagnosis* Secondary diagnoses (if any)

Preparer Notes — Medical Conditions

Living Situation

Current living situation*

Lives alone

Lives with spouse or partner

Lives with family member(s)

Lives with non-family housemate(s)

Number of people in household* Current care arrangements*

No current provider

Recipient manages independently or goes without

Informal family caregiver (unpaid)

Currently receiving IHSS

Seeking reassessment or appeal

Paid private caregiver

Section 1 of 7 — Personal Care

How much help does the recipient need with daily personal care?

Rate each task using CDSS's official Functional Index ranking. Think about their worst days, not their best — and remember Rank 1 means no safety risk, not necessarily "no difficulty."

🛁

1. Bathing, Oral Hygiene & Grooming

Bathing/showering, oral care, hair care, nail care, and shaving.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

2. Dressing

Putting on/taking off clothing, fastening buttons/zippers, selecting appropriate attire.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

3. Ambulation

Walking and moving around the home safely, with or without assistive devices.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

4. Transfer

Moving between surfaces — bed to chair, chair to toilet, in/out of car, etc.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

5. Routine Bed Baths

Bed baths when the recipient cannot access shower/tub safely.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

6. Bowel & Bladder Care

Toileting assistance, catheter/ostomy care, incontinence management.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

7. Feeding

Eating assistance — cutting food, feeding, feeding tubes, monitoring swallowing.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

Section 2 of 7 — Related Services

What about meals, shopping, and laundry?

These are daily living tasks that go beyond personal care. Select any that apply and rate the level of assistance needed.

🍽

1. Preparation of Meals

Planning, cooking, and preparing nutritious meals — stove, oven, microwave, food prep.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

2. Meal Clean-up

Washing dishes, cleaning cooking surfaces, putting food away, kitchen hygiene after meals.

1

Independent

2

Verbal Only

3

Some Help

4

Substantial

5

Cannot Do

3. Shopping for Food

Grocery shopping — list, transport, selecting items, carrying groceries home.

Needs assistance with food shopping?*

Yes

No — shops independently

Preparer Notes — Shopping

4. Other Shopping & Errands

Non-food errands — pharmacy, post office, bank, and other community tasks.

Needs assistance with other errands?*

Yes

No

Preparer Notes — Errands

5. Laundry

Washing, drying, folding, and putting away clothing and linens.

Needs laundry assistance?*

Yes

No

Laundry facility location

In-home (1:00 hr/wk)

Laundromat — out of home (1:30 hrs/wk)

Preparer Notes — Laundry

Section 3 of 7 — Domestic Services

Let's talk about housecleaning.

Domestic services covers housecleaning only — capped at 6 hours per month and prorated based on your household. This takes about 30 seconds.

🏠

Does the recipient need housecleaning assistance?*

Yes

No — manages independently

How many rooms are in the home?*

Count all rooms used by the household — bedrooms, living room, kitchen, bathrooms, dining room, etc.

How many rooms does the recipient use exclusively or primarily?*

Rooms used only by the recipient do not need to be prorated. Shared rooms are divided among all occupants who use them.

For shared rooms, how many people (14 or older) use each shared room?*

This determines the proration fraction. For example, if 2 people share a room, the recipient is allocated 1/2 of the cleaning time for that room. Natural or adoptive children under 14 are excluded from proration per IHSS policy.

Are there other IHSS recipients in the same household?*

Yes

No

Are there adults (18+) or children 14+ in the household who could assist with cleaning?

Yes

No

Preparer Notes — Domestic Services

Section 4 of 7 — Non-Medical Services

Does the recipient need help with medication or repositioning?

These non-medical tasks are often overlooked but can add meaningful hours to an authorization. Select everything that applies.

💊

1. Repositioning & Rubbing Skin

Turning and repositioning to prevent pressure sores; skin rubbing to promote circulation.

Is repositioning or skin care needed?*

Yes

No

Frequency of need (used for Low/Mid/High estimate)

Low (0:45/wk)

Moderate (1:47/wk)

High (2:48/wk)

Preparer Notes — Repositioning

2. Care of & Assistance with Prosthetic Devices

Assistance putting on/taking off prosthetics, orthotics, hearing aids, glasses, and other assistive devices.

Does the recipient use prosthetic or assistive devices requiring help?*

Yes

No

Preparer Notes — Prosthetic Devices

3. Medication Management

Setting up medications, reminders, organizing pill boxes, and monitoring correct dosage and timing.

Does the recipient need medication management assistance?*

Yes

No — manages independently

Type of medication assistance needed

Reminders only

Setup and organization (pill box, sorting)

Full administration — cannot manage any aspect independently

Preparer Notes — Medication Management

4. Menstrual Care

Assistance with menstrual hygiene tasks the recipient cannot manage independently.

Does the recipient need menstrual care assistance?*

Yes

No / Not applicable

Preparer Notes — Menstrual Care

Section 5 of 7 — Paramedical

Are there any physician-prescribed medical tasks?

Paramedical services require a doctor's order and trained assistance. Most recipients don't need these — but for those who do, they add significant hours.

🏥

Does the recipient have physician-prescribed paramedical needs?*

Yes

No

Select all that apply

Wound Care

Dressing changes, irrigation, wound monitoring

Catheter Care

Foley, intermittent catheterization, suprapubic care

Injections

Insulin, blood thinners, other physician-ordered injections

Other Physician-Prescribed Tasks

Tube feeding, suctioning, tracheostomy care, etc.

Preparer Notes — Paramedical Services

Section 6 of 7 — Accompaniment

Does the recipient need someone to accompany them to appointments?

If a provider's presence is medically necessary at appointments, that travel and wait time counts toward authorized hours.

🚗

Does the recipient require a provider to accompany them to medical appointments?*

Yes

No

Approximate medical appointments per month* Does the recipient also need accompaniment to alternative resource sites?

e.g. adult day programs, mental health services, dialysis centers

Yes

No

Is wait time at appointments typically of unknown duration?*

Wait time is authorized when appointment duration is unpredictable and provider cannot use that time for their own purposes.

Yes

No

Why does the recipient require accompaniment?*

Physical assistance needed during transport or at appointment

Cognitive impairment — cannot navigate or communicate independently

Both physical and cognitive assistance needed

Preparer Notes — Accompaniment & Wait Time

Important assessment

Does the recipient need supervision when alone?

Protective Supervision is one of the most significant IHSS service categories. We'll ask a few questions to determine whether it may apply to your situation.

🛡

Block DSupervision Requirements

Hours per day recipient cannot safely be left alone* Is overnight supervision required?*

Yes

No

Hospitalized or required emergency services due to being unsupervised?*

Yes

No

Preparer Notes — Supervision Requirements

Block ECurrent Supervision Arrangements

Who currently provides supervision?*

Family member (unpaid)

Paid caregiver

No supervision — recipient is left alone

Combination of family and paid caregiver

Are there gaps in supervision coverage?*

Yes

No

Has the caregiver's ability to work or leave home been significantly impacted?*

Yes

No

Preparer Notes — Current Arrangements

Block FPhysician & Documentation

Has a physician recommended 24-hour supervision?*

Yes

No

Not asked

Behavioral health records supporting supervision need?*

Yes

No

Unknown

Neuropsychological or cognitive evaluation completed?*

Yes

No

Pending

Preparer Notes — Documentation

Almost done!

We're generating your Clarity Report now.

Your personalized IHSS hour estimate is being calculated based on your answers and California's official CDSS Hourly Task Guidelines.

✨

Calculating your estimates...

Applying California's official Hourly Task Guidelines to your responses