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Placer County Human Resources Department
#2015-16804-01


Supplemental Questionnaire

Last Name First Name
 

 

This is the supplemental questionnaire for the classification of Client Services Assistant I. Parts I and  II are not scored but may be used for screening to specific assignments. Part III of this supplemental questionnaire will be scored based on your checked responses. Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority and maybe utilized for interview and selection determinations. 



 

PART I: ASSIGNMENT PREFERENCE (Not scored)

(Responses may be used as selection criteria for specific assignments.)

Client Services Assistants provide direct care and supervision to clients in learning and applying daily living skills and are a key and critical part of service delivery by assisting professional staff with ensuring treatment plans are carried out. Client Services Assistant assignments with Placer County vary in terms of the nature of services provided and the population served.

In an attempt to match applicants' knowledge, skills, abilities, and interest to assignments, PLEASE CHECK ALL for which you have preference in working and would like to be considered for interviews.


 

SERVICE/ASSIGNMENT PREFERENCE(S)

Residential Care – Children’s Emergency Shelter

The role of the Client Service Assistant when assigned to the Children’s Emergency Shelter is to provide direct supervision and care of children residing in the custody of Placer County. This includes: overseeing residents' daily routine, providing a positive living environment including activities, meal preparation, assistance with hygiene, transportation to medical, court or other appointments, medication distribution; answering phones, interacting and working with children, parents, staff and other professionals involved in the residents' lives, documentation, cleaning, and answering a 24 hours Child Protective Services crisis line. Shifts may be scheduled or on-call. Available shifts include weekends, early mornings, evenings, overnight and including county holidays. (Please note that this position does not involve therapeutic counseling or case management.)

Yes No
 

Transport

The role of Client Services Assistant in the Adult System of Care is to transport mental health/behavioral health clients from home or residential facilities to and from medical appointments, and to court. Staff must have the ability to communicate well with clients who are severely mentally ill as well as with the client’s care providers at residential facilities, hospitals, or care centers. The Client Services Assistant may also be required to take notes at medical appointments, assist clients with making future appointments, and keep the public guardian deputies informed of updates to the client’s care.

Yes No
 

Court Supervised Visitation

The role of the Client Services Assistant when assigned to the Visitation Unit is to provide direct supervision for court ordered visits to families. This includes: transportation of children to and from their placements to county designated visitation areas, close supervision of interactions between the parents and children, documentation, ability to set limits and boundaries with families during visits, ability to terminate visits when it's in the best interest of the child, interacting and working with parents, children, foster care providers and social workers.

Yes No
 

Welcome Center

The Client Services Assistants assigned to the Welcome Center are responsible for providing direct assistance to individuals in securing housing, food, jobs, or any other resource to improve daily living conditions. Staff accomplishes these goals by providing a safe and supportive learning environment. Staff may be called upon to do psycho-educational groups, transporting clients, and attending community events to educate the public regarding County mental health services and resources. This population requires that staff possess public service skills and a genuine desire to engage those who are seeking services.

Yes No
 

POPULATION SERVED PREFERENCE(S)

Children/Adolescent
Transition Age Youth (17 - 23 years of age)
Adult
Older Adult

 

PART II: SPECIALIZED SKILLS AND/OR EXPERIENCE (Not scored) 


 

Bilingual

Are you English/Spanish bilingual? (Placer County may administer a Spanish Language Skills Examination as part of the selection process.)

Yes No
 

Are you English/Russian bilingual? (Placer County may administer a Russian Language Skills Examination as part of the selection process.)

Yes No
 

Native American

Are you interested in working with a Native American caseload?

Yes No
 

Do you have experience working with a Native American population?

Yes No
 

Residential Experience

Do you have experience working at a residential program licensed by the State of California Community Care Licensing?

Yes No
 

Lived Experience

Do you possess Lived Experience of receiving mental health services for self and/or a family member? Please note that if you check “Yes” and are selected for interview, you may be asked to provide a description of such Lived Experience, absent any confidential medical information, relevant to program assignment.

Yes No

 

PART III: EXPERIENCE AND TRAINING – (Scored ExaminationTraining)

Please answer the following questions based on your training and/or experience. Based on your checked responses, your job-related training and experience will be scored and then ranked. Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority and may be utilized for interview and selection determinations.


1.

Public speaking to a medium sized audience and/or facilitating group meetings?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

2.

Providing care and supervision of assigned client population, which may include infants, children, adolescents, or adults, in all aspects of daily living activities?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

3.

Assisting clients in performing and learning living skills in any of the following: (check all that apply)

Grooming and hygiene
Meal planning and preparation
Budgeting
Routine household maintenance
Structured recreational activities
 

If you indicated any experience above, please describe below.

4.

Instructing clients in appropriate use of prescribed medications, dispensing and controlling medications as necessary?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

5.

Assisting clients in learning and displaying appropriate behavior in classroom, recreational, work and social settings?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

6.

Observing potential crisis situations and report or intervene according to prescribed procedures?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

7.

Practicing behavior management techniques?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

8.

Documenting activities, behavior, incidents and respond/refer to each appropriately?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

9.

Counsel clients and provide role model behavior?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

10.

Communicating with professional staff, other staff members, and representatives from involved agencies regarding clients' needs, behaviors, and treatments as necessary and appropriate?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

11.

Communicating with case management staff, families and other agencies/interested parties to coordinate treatment plan and activities?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

12.

Assisting clients in transitioning to higher levels of self-awareness and responsibility?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

13.

Providing transportation for clients to appointments, shopping, school, work and recreational activities?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

14.

Supervising visits to with detained children or conserved adults and their family members?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

15.

Performing general maintenance and housekeeping as appropriate to include mopping, vacuuming, cleaning bathrooms, washing/drying clothes, and meal preparation and serving?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

16.

Responding to inquiries from clients' families and the general public?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

17.

 Building and maintaining positive working relationships with co-workers, other County employees and the public utilizing principles of effective customer service?

I have no experience performing this task.
I have experience with this task in a non-work/non-volunteer setting.
I have experience with this task and have performed it in a work/volunteer setting under close supervision.
I have experience with this task and have performed it in a work/volunteer setting under normal supervision.
I have experience training and/or providing consultation to others on how to perform this task.
 

If you indicated any experience above, please describe below.

18.

Basic daily living needs, including hygiene, exercise, entertainment, food, clothing and shelter, of all age groups from infants to geriatrics?

I possess no or a very limited amount of this knowledge.
I possess this knowledgebut have not applied it in a job setting.
I have applied this knowledge under close supervision.
I have applied this knowledgeunder normal supervision.
I have used this knowledge to train or provide consultation to others.
 

If you indicated any knowledge above, please describe below.

19.

Routine and basic health and safety practices?

I possess no or a very limited amount of this knowledge.
I possess this knowledgebut have not applied it in a job setting.
I have applied this knowledge under close supervision.
I have applied this knowledgeunder normal supervision.
I have used this knowledge to train or provide consultation to others.
 

If you indicated any knowledge above, please describe below.

20.

Identify and problem solve situations involving clients' needs and circumstances?

I possess no a very limited amount of this ability.
I possess this ability but have not applied it in a job setting.
I have applied this ability under close supervision.
I have applied this ability under normal supervision.
I have used this ability to train or provide consultation to others.
 

If you indicated any ability above, please describe below.

21.

Work cooperatively as part of a team providing services and treatment to special need clients?

I possess no a very limited amount of this ability.
I possess this ability but have not applied it in a job setting.
I have applied this ability under close supervision.
I have applied this ability under normal supervision.
I have used this ability to train or provide consultation to others.
 

If you indicated any ability above, please describe below.

22.

Work with various cultural and ethnic groups in a tactful and effective manner?

I possess no a very limited amount of this ability.
I possess this ability but have not applied it in a job setting.
I have applied this ability under close supervision.
I have applied this ability under normal supervision.
I have used this ability to train or provide consultation to others.
 

If you indicated any ability above, please describe below.

23.

This position requires the ability to stand, walk, bend, squat, kneel, and twist while observing, restraining, bathing/dressing, and interacting with clients as well as in the performance of housekeeping tasks. Do you possess this ability?

Yes No
24.

This position requires the ability to see and hear with sufficient acuity to observe and be aware of clients at all times? Do you possess these abilities?

Yes No

 

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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A notice of your status will be sent to you after the posted final filing date.