Progress Summary Report. If requested, the Progress Summary Report must be provided in a format approved by Board, which details:
Progress Summary Report. A brief report will be provide to each school district which 4 includes name of placement, student identifying information, educational progress, mental health 5 treatment progress, medications, Special Incident Reports, condition of the facility, and 6 transition/discharge plan information. Alternative summary reports or forms will be completed to the 7 extent made possible by the placement facility to meet the Local Educational Agency’s (LEA’s) or School 8 District’s NPS/NPA onsite monitoring obligations. 9 10 Services will be provided in person if clinically necessary or upon specific request by the 11 client/parent(s). Alternatively, services may be provided via telephonic or telehealth (virtual) technology 12 or methods. 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 // 1 EXHIBIT C 2 TO AGREEMENT FOR PROVISION OF 3 EDUCATIONALLY RELATED MENTAL HEALTH SERVICES 4 BETWEEN 5 COUNTY OF ORANGE 6 AND 7 SAVANNA SCHOOL DISTRICT 8 JULY 1, 2022 THROUGH JUNE 30, 2023 9 10 LIST OF HCA/CYBH SERVICE CHIEFS North Region: Xxxxxxxx Xx Xxxxxxxxx, MFT II 000 X. Xxxxx Xxxxxxx Xxxx., Xxxxx 000 Phone Number: 000-000-0000 Email: xxxxxxxxxxxx@xxxxx.xxx West Region: Xxxxxxx Xxxxxx, LCSW14140 Xxxxx Xxxx., Xxx. 000, Xxxxxxxxxxx, XX 00000 Phone Number: 000-000-0000 Email: xxxxxxx@xxxxx.xxx East Region: Xxxxxx Xxxxxxxx, LCSW 0000 X. Xxxx Xx., Xxx. 000, Xxxxx Xxx, XX 00000 Phone Number: 000-000-0000 Email: xxxxxxxxx@xxxxx.xxx South Region: (Costa Mesa) (Laguna Beach) Xxxxxx Xxxx, DSW 0000 Xxx Xxxx Xxx., Xxxxx Xxxx, XX 00000 Phone Number: 000-000-0000 Email: xxxxx@xxxxx.xxx Xxxxx Xxxxxxxxx, LCSW 00000 Xxxxxx Xx., Laguna Beach, CA 92651 Phone Number: 000-000-0000 Email: xxxxxxxxxx@xxxxx.xxx HCA/CYBH Educationally Related Mental Health Services Program Manager: Xxxxxx Xxxxx, Ph.D. 000 X. 0xx Xxxxxx, Xxx. 000, Xxxxx Xxx, XX 00000 Phone Number: 000-000-0000 Email: xxxxxx@xxxxx.xxx 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
Progress Summary Report. If requested, the Progress Summary Report must be provided in a format approved by Board, which details the name of each employee engaged in the work, the total time each employee worked during the invoice period (on the specific work assignment), the classification and rate of each employee and a description of the work performed by each employee.
Progress Summary Report. A brief report will be provide to each school district which 4 includes name of placement, student identifying information, educational progress, mental health 5 treatment progress, medications, Special Incident Reports, condition of the facility, and 6 transition/discharge plan information. 7 // 8 // 9 // 10 // 11 // 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 29 // 30 // 31 // 32 // 33 // 34 // 35 // 36 // 37 // 1 EXHIBIT C 2 TO AGREEMENT FOR PROVISION OF 3 EDUCATIONALLY RELATED MENTAL HEALTH SERVICES 4 BETWEEN 5 COUNTY OF ORANGE 6 AND 7 «UC_SD» 8 JULY 1, 2019 2020 THROUGH JUNE 30, 20202021
Progress Summary Report. If requested, t he Progress Summary Repor t must be provided in a format approved by Board, which details the name of each employee engaged in the work, the total time each employee worked during the invoice period (on the specific work assignment), the classification and rate of each employee and a description of the work performed by each employee.
