TX HHS Form 4119. Residential Support Services (RSS) and Supervised Living (SL) Service Delivery Log

The TX HHS Form 4119, Residential Support Services (RSS) and Supervised Living (SL) Service Delivery Log, is a practical tool for documenting the delivery of support services to individuals receiving RSS or SL services. This form helps solve the problem of tracking and recording the provision of these essential services, ensuring that individuals receive the necessary care and support.

The log requires documentation of various aspects of service delivery, including personal hygiene, meal preparation, housekeeping, community integration, and specialized therapies. It also includes space for noting any transportation supervision, safety and security measures, and medication administration. The form is typically used by professionals providing RSS or SL services to individuals in need of support.

This log is essential for ensuring that service providers are meeting the needs of their clients and for tracking progress over time. By using this form, service providers can identify areas where additional support may be needed and make informed decisions about future service delivery. Key features of the form include:

• Documentation of various aspects of RSS and SL services
• Space for noting transportation supervision, safety and security measures, and medication administration
• Tracking progress over time to identify areas where additional support may be needed