Ohio group home progress note requirements
Every page prints this at the foot, so a licensing specialist can look it up:Ohio Administrative Code 5123-9-30(E).
What the rule says
Ohio Administrative Code 5123-9-30(E) — Home and community-based services waivers - homemaker/personal care
“Description and details of the services delivered that directly relate to the services specified in the approved individual service plan”
What it asks a note to show
- Type of service
- Date of service
- Place of service
- Name of individual receiving service
- Medicaid identification number of individual receiving service
- Name of provider
- Provider identifier/contract number
- Written or electronic signature of the person delivering the service
- Group size in which the service was provided
- Description and details of the services delivered that directly relate to the approved individual service plan
- Number of units of the delivered service or continuous amount of uninterrupted time
- Times the delivered service started and stopped
Checked against the source document on 14 October 2026. This is a summary to help you find the rule, not legal advice; your licensing specialist reads the rule itself.
New to writing these? How to write a DSP shift note covers what the rules we have read ask of every note.
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Service Documentation — Homemaker/Personal Care
Alex was observed asleep and resting comfortably at the start of the shift. Staff supported Alex in completing his morning routine with verbal prompts. Alex chose to walk to the corner shop, where he paid for his own item. There were no problems or concerns during shift.
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