County of San Diego Health and Human Services Agency HHSACalWORKs Program Guide Employment Services Activity Documentation and
Number
Page Reporting Requirements
1of 2
10300A
Revision Date
May 1 2021
Background
Employment Services ES is a comprehensive statewide program designed to enable participants to achieve selfsufficiency through education employment andor training
Purpose
The purpose of this revision is to add enrollment verification requirements for ES participants enrolled in publicly funded postsecondary education programs
Policy
CalWORKs recipients are required to participate in ES activities as a condition of eligibility for CalWORKs unless exempt The recipients participation hours and status of assigned ES activities must be monitored verified and documented monthly
Proof of Participation Due Date The ES participant is required to submit documentation of participation hours for all assigned activities to the Employment Case Manager ECM by the 5th of the following month If the 5th of the following month falls on a weekend or holiday the documentation will be due on the following business day
Acceptable Documentation
Timesheets
Attendance reports
School printouts
Any additional documentation needed to verify that participation requirements are met
Documentation must include
Participants name
Hours of participation and corresponding dates
Name of the participation site educationaltraining institution employer work experience WEX site or other activityservice provider
Name title and phone number of the person verifying the hours if applicable
Signature of the person verifying the hours if applicable
Date the hours are verified and documentation is signed if applicable
Satisfactory progress
Educational documentation must include the ECMs determination that the participant is enrolled in an approved course of study and attended regularly during the Report Month
ES participants enrolled in publicly funded postsecondary education programs must provide verification of enrollment as defined by the postsecondary education provider which may include but is not limited to a welcome letter or acceptance email from the school proof of registration for the upcoming or current academic period and class schedule when available
County of San Diego Health and Human Services Agency HHSACalWORKs Program Guide Employment Services Activity Documentation and
Number
Page Reporting Requirements
2of 2
10300A
A signature of the person verifying participation hours is required for the following documentation
Form 116 Monthly Attendance Verification
Form 0721 Employment Verification
Form 0766 SelfEmployment Income Statement
Form 27302 WEXCS Activity Attendance Verification
Form 27322 BHS Monthly Activity Attendance Verification
Form 27340 ES Activity Attendance Verification
Learning Disabilities Report
A signature of the person verifying participation hours is not required for the following documentation
Official School DocumentsTranscripts
Pay Stubs
Official employment documents from employer
Telephone call to employer
The Work Number
Satisfactory Progress Determination Review ES participants must maintain satisfactory progress in assigned activities and participate for the required number of hours agreed upon in their ES plan When a potential failure to make satisfactory progress exists an assessment will be completed to address barriers determine if additional resources are needed or an alternative activity is required
Supportive Services Review A Supportive Services Review will be completed on a monthly basis to determine ongoing eligibility for transportation ancillary and childcare services
References
Processing Guide 10300A1 ACL 1580 ACL 1480 ACL 2104 MPP 42701 MPP 4271148 MPP 427121 MPP 4272123 MPP 427502 WVP Rev 102014
Sunset Date
This policy will be reviewed for continuance on or by 04302024
Approval for Release
Rick Wanne Director Self Sufficiency Services