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
>>>>>>>>>> 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.
>
>