Re: Add Counties to Illinois License

From
Amanda Fults <amanda.fults@thekey.com>
To
Diane Mockenhaupt <dmockenhaupt@thekey.com>
CC
Sean Cygan <scygan@thekey.com>, Timothy Thomas <tt@thekey.com>, Analissa Sanchez <analissa.sanchez@thekey.com>, Emily Swackhamer <emily.swackhamer@thekey.com>, Audra Williams <audraw@thekey.com>, Brittany Kortz <brittany.kortz@thekey.com>
Date
Mon, 2 Dec 2024 11:19:16 -0600
Folder
INBOX
Hi Diane,
The state just asks the question of the reason for expansion and we are
telling the state that we are currently receiving requests for services in
multiple counties. I think the first step is to see if the state accepts
our application for expansion of counties and then if approved we can go
from there if they request any additional information.

On Mon, Dec 2, 2024 at 11:12 AM Diane Mockenhaupt <dmockenhaupt@thekey.com>
wrote:

> Amanda or Sean,
>
> I have one question, please.  If we add all of the contingent counties
> between Chicago and Southwestern Illinois will we have to demonstrate that
> we are able to provide services to all of this territory?   Meaning will
> Illinois question our business  plan to expand?
>
> Thanks,
> Diane
>
> On Mon, Dec 2, 2024 at 11:07 AM Sean Cygan <scygan@thekey.com> wrote:
>
>> Also Team, I will need an updated cg roster with the new givers on
>> there.  Sean
>>
>> On Mon, Dec 2, 2024 at 9:00 AM Timothy Thomas <tt@thekey.com> wrote:
>>
>>> Just add the Chicago office so that they can support both.
>>>
>>> Thanks!
>>>
>>> On Mon, Dec 2, 2024 at 11:54 AM Analissa Sanchez <
>>> analissa.sanchez@thekey.com> wrote:
>>>
>>>> Hi Tim!
>>>>
>>>> Just confirming my understanding of the action required here...
>>>>
>>>> Do you want us to transfer these 4 individuals from the St. Louis to
>>>> the Chicago office or just add the Chicago office as an
>>>> additional location?
>>>>
>>>> Analissa
>>>>
>>>>
>>>> On Mon, Dec 2, 2024 at 10:36 AM Timothy Thomas <tt@thekey.com> wrote:
>>>>
>>>>> + @Analissa Sanchez <analissa.sanchez@thekey.com> I need help with a
>>>>> unique issue. We're trying to service the Illinois side of St-Louis which
>>>>> requires a license. We would like to use our Chicago entities license and
>>>>> funnel the revenue through it.
>>>>>
>>>>> In order to add the new Illinois counties to our license, we need
>>>>> caregivers in the region to service them. Could your team assist us in
>>>>> hiring / associating the following St-Louis caregivers with our Chicago
>>>>> office?
>>>>>
>>>>> Joanne Allen
>>>>> Zarria McGhee
>>>>> Carmella Collier
>>>>> Logan Timberlake
>>>>>
>>>>> If I'm missing something please let me know. This is a first for me.
>>>>> Thanks
>>>>>
>>>>> On Mon, Dec 2, 2024 at 11:30 AM Amanda Fults <amanda.fults@thekey.com>
>>>>> wrote:
>>>>>
>>>>>> We also probably need to identify on the staff roster the
>>>>>> supervisor(s) for the new service area.
>>>>>>
>>>>>> On Mon, Dec 2, 2024 at 10:28 AM Sean Cygan <scygan@thekey.com> wrote:
>>>>>>
>>>>>>> Hi,
>>>>>>>
>>>>>>> Please let me know once the caregivers have been associated with
>>>>>>> TheKey of IL, LLC and I will send in the request.
>>>>>>>
>>>>>>> Sean
>>>>>>>
>>>>>>>
>>>>>>> On Mon, Dec 2, 2024 at 6:25 AM Timothy Thomas <tt@thekey.com> wrote:
>>>>>>>
>>>>>>>> Good morning,
>>>>>>>>
>>>>>>>> Just closing the loop on this thread. Anything more needed from us
>>>>>>>> to prep the application?
>>>>>>>>
>>>>>>>> On Tue, Nov 26, 2024 at 11:27 AM Emily Swackhamer <
>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>
>>>>>>>>> Hi!
>>>>>>>>>
>>>>>>>>> The caregivers we would be adding are from the MO side. They will
>>>>>>>>> have to be put through Illinois iCIMS to be included in that list.
>>>>>>>>>
>>>>>>>>> On Tue, Nov 26, 2024 at 9:54 AM Amanda Fults <
>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>
>>>>>>>>>> Hi Emily,
>>>>>>>>>> Can you identify the caregivers that would service the new
>>>>>>>>>> counties we are adding? We need to identify them with an asterisk on the
>>>>>>>>>> application for it to be accepted by the state.
>>>>>>>>>>
>>>>>>>>>> On Tue, Nov 26, 2024 at 9:50 AM Sean Cygan <scygan@thekey.com>
>>>>>>>>>> wrote:
>>>>>>>>>>
>>>>>>>>>>> I have a meeting with Amanda today and we will talk about this.
>>>>>>>>>>>
>>>>>>>>>>> On Mon, Nov 25, 2024 at 3:56 PM Emily Swackhamer <
>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>
>>>>>>>>>>>> Understood. Will the list of IL caregivers suffice?
>>>>>>>>>>>>
>>>>>>>>>>>> On Mon, Nov 25, 2024 at 5:36 PM Sean Cygan <scygan@thekey.com>
>>>>>>>>>>>> wrote:
>>>>>>>>>>>>
>>>>>>>>>>>>> Well, I can't add them to the IL roster until they areTheKey
>>>>>>>>>>>>> of IL caregivers.  They will need to complete the onboarding for IL.
>>>>>>>>>>>>>
>>>>>>>>>>>>> Please let me know if you have any questions.
>>>>>>>>>>>>>
>>>>>>>>>>>>> Sean
>>>>>>>>>>>>>
>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 3:27 PM Emily Swackhamer <
>>>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>>>
>>>>>>>>>>>>>> The 4 I provided work for TheKey of MO.
>>>>>>>>>>>>>>
>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 5:21 PM Sean Cygan <scygan@thekey.com>
>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>
>>>>>>>>>>>>>>> Hi,
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>> I don't see any of the following caregivers on the list.  Do
>>>>>>>>>>>>>>> they work for TheKey of IL or Thekey of MO?
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>    1. Joanne Allen
>>>>>>>>>>>>>>>    2. Zarria McGhee
>>>>>>>>>>>>>>>    3. Carmella Collier
>>>>>>>>>>>>>>>    4. Logan Timberlake
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 3:14 PM Sean Cygan <
>>>>>>>>>>>>>>> scygan@thekey.com> wrote:
>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> Perfect!!!!   Thank you so much!!!!
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 3:01 PM Diane Mockenhaupt <
>>>>>>>>>>>>>>>> dmockenhaupt@thekey.com> wrote:
>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>> Hi Sean,
>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>> Attached is a list of all active caregivers for TheKey of
>>>>>>>>>>>>>>>>> Illinois. This is not including any St Louis caregivers.
>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>> Thanks,
>>>>>>>>>>>>>>>>> Diane
>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 4:56 PM Amanda Fults <
>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>> Hi Team,
>>>>>>>>>>>>>>>>>> We need to provide the employee roster in the application
>>>>>>>>>>>>>>>>>> form, so Sean needs all the CG's on the roster for TheKey of Illinois, LLC.
>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 4:50 PM Diane Mockenhaupt <
>>>>>>>>>>>>>>>>>> dmockenhaupt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>> Sean,
>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>> Do you need a combined list of both Chicago and St Louis
>>>>>>>>>>>>>>>>>>> caregivers?
>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>> Thanks,
>>>>>>>>>>>>>>>>>>> Diane
>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 4:11 PM Sean Cygan <
>>>>>>>>>>>>>>>>>>> scygan@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>> Can you please send me an updated cg list, with just
>>>>>>>>>>>>>>>>>>>> their names on it?
>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 12:38 PM Emily Swackhamer <
>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>> Yes, we are currently receiving requests for service
>>>>>>>>>>>>>>>>>>>>> in multiple counties.
>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 2:33 PM Sean Cygan <
>>>>>>>>>>>>>>>>>>>>> scygan@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>> Hi Team,
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>> I still need the following information.  Sean
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>    The reason for the expansion request (i.e.
>>>>>>>>>>>>>>>>>>>>>>    currently receiving requests for service in
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>> that county).
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 11:45 AM Sean Cygan <
>>>>>>>>>>>>>>>>>>>>>> scygan@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>> Ok, thank you.
>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 11:43 AM Emily Swackhamer <
>>>>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>> These are the originally requested counties:
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>    - Madison
>>>>>>>>>>>>>>>>>>>>>>>>    - St. Clair
>>>>>>>>>>>>>>>>>>>>>>>>    - Monroe
>>>>>>>>>>>>>>>>>>>>>>>>    - Clinton
>>>>>>>>>>>>>>>>>>>>>>>>    - Washington
>>>>>>>>>>>>>>>>>>>>>>>>    - Bond
>>>>>>>>>>>>>>>>>>>>>>>>    - Jersey
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>> In order to make each county contiguous to the
>>>>>>>>>>>>>>>>>>>>>>>> current counties on the license we would need to add:
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>    - Livingston
>>>>>>>>>>>>>>>>>>>>>>>>    - Woodford
>>>>>>>>>>>>>>>>>>>>>>>>    - Tazewell
>>>>>>>>>>>>>>>>>>>>>>>>    - Mason
>>>>>>>>>>>>>>>>>>>>>>>>    - Cass
>>>>>>>>>>>>>>>>>>>>>>>>    - Morgan
>>>>>>>>>>>>>>>>>>>>>>>>    - Macoupin
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>> Thank you,
>>>>>>>>>>>>>>>>>>>>>>>> Emily
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 1:36 PM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>> Thanks so much Emily!
>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 1:08 PM Emily Swackhamer <
>>>>>>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>> Thank you! You will have it shortly!
>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 25, 2024 at 1:00 PM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>> Hi Team,
>>>>>>>>>>>>>>>>>>>>>>>>>>> Just following up on the counties list. We would
>>>>>>>>>>>>>>>>>>>>>>>>>>> like to get the application to the state ASAP. Thanks so much!
>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>> On Thu, Nov 21, 2024 at 10:53 AM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>> Ok will do, not sure it will work but we will
>>>>>>>>>>>>>>>>>>>>>>>>>>>> cross our fingers! Can you send the full list of counties please?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Thu, Nov 21, 2024 at 10:45 AM Timothy Thomas
>>>>>>>>>>>>>>>>>>>>>>>>>>>> <tt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Got it, please proceed with option 1.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thank you!
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Thu, Nov 21, 2024 at 11:29 AM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Hi Tim,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> My recommendation would be to try the 1st
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> option. If we decide to apply for a new license we would need to take the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> following into consideration:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Separate Office Location:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> If the second license is for a different
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> geographic service area or office location, IDPH will
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> require proof that the new location operates
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> independently from the first.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Distinct Operations:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Each licensed location must comply
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> independently with IDPH regulations, including separate:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Staff rosters,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Administrator or supervisor oversight,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Policies and procedures specific to the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    new location.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> No Duplicate Licensing for Same Location:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> IDPH generally does not allow two separate
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> licenses for the same location unless there is a
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> clear distinction in services offered (e.g.,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> home services vs. home nursing).
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Agency Name Considerations:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> While the entity name can remain the same,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> ensure the name does not cause confusion about
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> the agency's operations or locations. Some
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> applicants add a suffix to differentiate between
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> locations (e.g., "XYZ Home Services - North").
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>  Initial Survey:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    IDPH will conduct an onsite inspection to
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    verify compliance with state regulations.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Thu, Nov 21, 2024 at 8:37 AM Timothy
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thomas <tt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> I see two options.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 1. We submit a full list of counties that
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> are contiguous and see how they respond.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2. We apply for a new license - What are the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> typical wait times?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 5:22 PM Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> When we do the initial license application
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> we provide counties we will have clients in, at that time we chose the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> counties we have listed, not sure why we only did those as it was before my
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> time. Now that we have a license with established counties we can add more
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> counties as the business grows but the caveat is they have to be
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> contiguous to our current counties listed.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> We can jump on a call to discuss further if
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> that helps.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 3:59 PM Timothy
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thomas <tt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Ok.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Question. How do you open a new company
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> and start day 1 if you have no clients? Are you supposed to only begin in
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> one county? Perhaps we can talk it through with the state?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 4:45 PM Amanda
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Fults <amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> I think we can probably try that, but the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> state might ask about us having clients in those counties. Can you provide
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> all the counties that would make it contiguous?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 3:41 PM Timothy
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thomas <tt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Can we request approval in all counties
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> that require us to make it contiguous?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 4:33 PM Amanda
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Fults <amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Below is the message from the state so
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> I don't believe they will approve our application if the counties are not
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> contiguous.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Please visit our website’s forms
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> section for guidance in submitting a removal or request additional
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> geographical areas and the required form. *Please
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> note, if requesting additional counties, the requested counties must be
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> contiguous to the currently approved counties in order to consider the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> request.*
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> https://dph.illinois.gov/topics-services/health-care-regulation/health-care-facilities/home-services.html
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Please consider bookmarking the IDPH
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Website to your internet browser’s favorites for quick access in the future.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Regards,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Rani Harms, MSN, RN
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Home Services & Home Nursing Program
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Supervisor
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> IDPH, Division of Health Care
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Facilities & Programs
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 525 West Jefferson St
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.google.com/maps/search/525+West+Jefferson+St?entry=gmail&source=g>.,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 4th Floor
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Springfield, IL. 62761
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 3:30 PM Timothy
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thomas <tt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Can we still try? It doesn't make
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> operational sense for an office in Chicago to service the whole state.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 3:21 PM Emily
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Swackhamer <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> What a bummer. None are anywhere
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> close. Thank you for all of the help.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 2:03 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults <amanda.fults@thekey.com>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Here are the current counties on our
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> license:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Cook
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> DuPage
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Will
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Kendall
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Grundy
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Lake
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Kane
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> McHenry
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> DeKalb
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 2:02 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Diane Mockenhaupt <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> dmockenhaupt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> There are probably 300 or more
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> miles in between my southernmost county and downstate counties.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Diane
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 2:00 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Emily Swackhamer <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> I’m not sure what the furthest
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> county south is that is currently licensed for IL..but I highly doubt it.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> These are the southernmost counties right on the boarder or IL and MO
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 1:44 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Ugh, none of them are? Hmm then I
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> don't believe the state will approve the request. :(
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 1:42 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Emily Swackhamer <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> These counties are not
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> contiguous unfortunately.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 1:39 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Additionally, please confirm
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> that the requested additional counties are contiguous to our current
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> approved counties, otherwise the state will not approve.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at 1:30 PM
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Emily Swackhamer <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> emily.swackhamer@thekey.com>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thank you Amanda!
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 1:29 PM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Hi Team,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Here is what I put together
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> for 3-5. Let me know if it makes sense and aligns with our practices or if
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> sections need to be revised.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 1. How administration will
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> manage the added service area for staff assignment and supervisionThe
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> agency will implement a structured management system to ensure the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> efficient assignment and supervision of staff within the expanded service
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> area:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Staffing Plan: The
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    agency will assess the staff-to-client ratio in the added area and hire
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    additional personnel if necessary to maintain quality service delivery.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Technology Integration:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    The agency will use its scheduling software to assign staff based on client
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    needs, geographic proximity, and staff availability. This system ensures
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    minimal travel time and optimal coverage.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Supervisory Framework:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    The agency will designate regional supervisors for the added service area,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    ensuring consistent oversight of caregivers and regular communication with
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    the main office. These supervisors will monitor performance and adherence
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    to policies.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2. The process for client
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> onsite home supervisory visits per regulations going to be met
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> The agency will ensure
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> compliance with regulatory requirements for supervisory visits by:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Supervisor Assignments:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Each client will be assigned a qualified supervisor responsible for
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    conducting onsite home visits within the required timeframe as outlined by
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    IDPH regulations.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Visit Scheduling:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Supervisory visits will be scheduled in advance, documented, and tracked in
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    the agency's case management system. Unscheduled spot-checks will also be
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    conducted as needed to ensure service quality.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Documentation and
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Follow-Up: During each
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    visit, the supervisor will assess caregiver performance, review the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    client's care plan, and address any issues. A standardized checklist will
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    be used to document observations, which will then be reviewed and
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    maintained at the agency office.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 3. How the client medical
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> records will be sent to the agency office from the staff in the proposed
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> areaThe agency will maintain
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> secure and efficient processes for transferring client medical records to
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> the main office:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Electronic Records
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    System: All client
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    documentation will be maintained in the agency’s electronic records system
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    WellSky which  allows caregivers and staff to upload documentation in real
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    time.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Verification and Filing:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    Once received, the main office will verify the completeness of the records
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    and integrate them into the client's primary file. The agency will
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    establish a quality assurance process to verify that all client records
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    from the expanded service area are received, reviewed, and filed
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    appropriately in compliance with IDPH regulations.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Wed, Nov 20, 2024 at
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 9:27 AM Timothy Thomas <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> tt@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda, would you have
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> answers to question 4 & 5 based on previous applications?
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> In the meantime, Emily, can
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> you take a stab at the first three and let's come together for a quick
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> meeting to review.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thanks!
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Tue, Nov 19, 2024 at
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2:04 PM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Hi Team,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> We will need the following
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> information in order to request new counties in our letter to the state for
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> approval. Please provide the requested information as soon as possible.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    All the staff you
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    employ with an asterisk (*) to identify the staff you have allocated to
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> service the requested area
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> upon approval.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    The reason for the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    expansion request (i.e. currently receiving requests for service in
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> that county).
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    How administration will
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    manage the added service area for staff assignment and
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> supervision.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    The process for client
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    onsite home supervisory visits per regulations going to be met.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    -
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    How the client medical
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    records will be sent to the agency office from the staff in the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> proposed area.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Tue, Nov 19, 2024 at
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 10:38 AM Sean Cygan <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> scygan@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> I will start working on
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> this.  Sean
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Tue, Nov 19, 2024 at
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 8:28 AM Amanda Fults <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thanks Audra. @Sean Cygan
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <scygan@thekey.com> please
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> complete the process for adding counties to our Illinois license and submit
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> to the state for approval.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> On Mon, Nov 18, 2024 at
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 6:03 PM Audra Williams <
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> audraw@thekey.com> wrote:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Hi Amanda!
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> We would like to be able
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> to service clients in the below Illinois counties.  Would you be able to
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> add these counties and submit to the state for approval?  Also, do you know
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> how long the approval process will take?  We have 2 clients now that need
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> service.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Madison
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - St. Claire
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Monroe
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Clinton
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Washington
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Bond
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>    - Jersey
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Thank you so much!  Let
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> us know if you need anything else.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Best,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Audra Williams
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Director, Divisional
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Operations
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> (425) 757-7027
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Senior Regulatory,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Compliance Manager
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE:
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> The information in the Email is confidential and may be privileged. This
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Email is intended solely for the named recipient or
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> recipients. If you are
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> not the intended recipient, any use, disclosure,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> copying or distribution
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> of this Email is prohibited. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> please inform us by replying with the subject line
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> marked "Wrong Address"
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> and then deleting this Email and any attachments.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Senior Regulatory,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Compliance Manager
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> information in the Email is confidential and may be privileged. This Email
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> is intended solely for the named recipient or
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> recipients. If you are not
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> the intended recipient, any use, disclosure,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> copying or distribution of
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> this Email is prohibited. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, please
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> inform us by replying with the subject line
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> marked "Wrong Address" and
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> then deleting this Email and any attachments.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Senior Regulatory, Compliance
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Manager
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> information in the Email is confidential and may be privileged. This Email
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> is intended solely for the named recipient or
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> recipients. If you are not
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> the intended recipient, any use, disclosure,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> copying or distribution of
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> this Email is prohibited. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, please
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> inform us by replying with the subject line
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> marked "Wrong Address" and
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> then deleting this Email and any attachments.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Senior Regulatory, Compliance
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Manager
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> information in the Email is confidential and may be privileged. This Email
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> is intended solely for the named recipient or
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> recipients. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, any use, disclosure,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> copying or distribution of this
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Email is prohibited. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, please
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> inform us by replying with the subject line
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> marked "Wrong Address" and then
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> deleting this Email and any attachments.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Senior Regulatory, Compliance
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Manager
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> information in the Email is confidential and may be privileged. This Email
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> is intended solely for the named recipient or
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> recipients. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, any use, disclosure,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> copying or distribution of this
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Email is prohibited. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, please inform
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> us by replying with the subject line
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> marked "Wrong Address" and then
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> deleting this Email and any attachments.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Senior Regulatory, Compliance Manager
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 714-623-6918
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> amanda.fults@thekey.com
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TheKey.com <https://www.thekey.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> [image: TheKey]
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> <https://homecareassistance.com/>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> CONFIDENTIALITY NOTICE: The
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> information in the Email is confidential and may be privileged. This Email
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> is intended solely for the named recipient or
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> recipients. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, any use, disclosure,
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> copying or distribution of this
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Email is prohibited. If you are not the
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> intended recipient, please inform us
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> by replying with the subject line
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> marked "Wrong Address" and then
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> deleting this Email and any attachments.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> --
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Amanda Fults
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

-- 
Amanda Fults
Senior Regulatory, Compliance Manager
714-623-6918
amanda.fults@thekey.com
TheKey.com <https://www.thekey.com/>
[image: TheKey] <https://homecareassistance.com/>
CONFIDENTIALITY NOTICE: The information in the Email is confidential and
may be privileged. This Email is intended solely for the named recipient or
recipients. If you are not the intended recipient, any use, disclosure,
copying or distribution of this Email is prohibited. If you are not the
intended recipient, please inform us by replying with the subject line
marked "Wrong Address" and then deleting this Email and any attachments.

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