IHSS Cheat Sheet 2026

The 30 highest-yield IHSS facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. An IHSS recipient disagrees with the number of hours authorized in their care plan. What is the appropriate way to challenge this decision? → File a state fair hearing request within the specified timeframe on the NOA
2. Under IHSS rules, what generally happens to a recipient's authorized services when they are admitted to a hospital or skilled nursing facility? → Services are temporarily suspended during the inpatient stay
3. Who is responsible for paying the costs associated with the Live Scan fingerprinting and criminal background check? → The prospective provider.
4. If an IHSS provider is convicted of fraud against a government health care program, what is the consequence for their eligibility to be an IHSS provider? → They are ineligible to be an IHSS provider for 10 years following the conviction.
5. What should be the response of an IHSS provider in case of an allergic reaction with symptoms like swelling and difficulty breathing? → Call 911 and administer an epinephrine injection if instructed.
6. How often is an IHSS recipient's care plan required to be formally reassessed at minimum? → Every year
7. When must an IHSS provider submit their timesheets to ensure timely payment without potential delays? → On the last day of each pay period (the 15th and the last day of the month).
8. An applicant was convicted of a Tier 2 crime 7 years ago. Under what circumstance might they still become an eligible IHSS provider? → If the recipient requests and is granted an individual waiver for the provider.
9. How should an IHSS provider respond if a client asks for personal favors unrelated to their care? → Politely decline and maintain professional boundaries.
10. Which of the following situations would be considered an immediate health and safety hazard in the recipient's home that the provider should address or report? → A frayed electrical cord on a frequently used lamp, located near a walkway.
11. The number of hours authorized in an IHSS care plan is primarily based on what factor? → The recipient's functional limitations and assessed needs
12. What vital sign should an IHSS provider regularly monitor for clients with hypertension? → Blood pressure.
13. What is the primary purpose of the mandatory provider orientation in the IHSS enrollment process? → To inform providers about program rules, their responsibilities, and the payroll process.
14. What is the SOC 821 form used for in the IHSS program? → To inform the recipient and provider of program rights and responsibilities
15. What document formally notifies an IHSS recipient of their authorized services and monthly hours? → The Notice of Action (NOA)
16. Which task related to medication is generally authorized for an IHSS provider without requiring special paramedical authorization? → Reminding the recipient to take their pre-sorted medications at the correct time.
17. What action should an IHSS provider take if a client shows signs of dehydration? → Encourage the client to drink fluids and monitor symptoms.
18. How should an IHSS provider handle a situation where a client's blood sugar is abnormally high or low? → Notify the healthcare provider and follow the care plan.
19. What is the best approach for an IHSS provider to ensure compliance with state and federal regulations? → Stay informed through ongoing training and by following current regulations.
20. Which of the following is the best way to prevent falls in elderly clients receiving IHSS? → Make sure the home is free of obstacles and well-lit.
21. What should an IHSS provider do if they are unsure whether a client’s request is ethical? → Consult with a supervisor or review policies for guidance.
22. Who is responsible for conducting the in-home needs assessment that determines an IHSS recipient's authorized services? → A county social worker
23. If an IHSS recipient's medical condition significantly worsens, what should they do regarding their care plan? → Contact their county social worker to request a reassessment
24. Which of the following is a mandatory step for all prospective In-Home Supportive Services (IHSS) providers as part of the enrollment process? → Submitting fingerprints for a Department of Justice background check.
25. If a client falls and cannot get up, what is the appropriate response by the IHSS provider? → Remain calm, assess the situation, and call for help if necessary.
26. What is the key requirement for an IHSS provider when assisting a client with mobility? → Provide assistance while ensuring the client's safety and dignity.
27. What should an IHSS provider do if a client refuses to take their prescribed medication? → Document the refusal and inform the healthcare team.
28. Which of the following is an example of a domestic service that may be included in an IHSS care plan? → Performing light housekeeping and laundry
29. If an IHSS recipient temporarily moves to a different county in California, what happens to their authorized services? → Their case transfers to the new county, which may reassess their needs
30. What is the consequence for an IHSS provider who receives their fourth timesheet violation within a 12-month period? → A one-year termination from the IHSS program.