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Placer County Human Resources Department
#2021-13621-01


Supplemental Questionnaire

Last Name First Name
 

 

Health and Human Services Program Supervisor

(In Home Support Services)

 Supplemental Questionnaire

2021-13621-01

This is the supplemental questionnaire for the classification of Health and Human Services Program Supervisor. Part I will not be scored or used for determining minimum qualifications but is provided for the applicant to review prior to completing the questionnaire. Part II will be scored based on your checked responses. Part III will not be scored but will be available to hiring authorities for interview and selection determination.

Narratives provided by applicants describing training and/or experience will not be scored but will be available to the hiring authority.

By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge. If selected for an interview, you may be required to display and respond to questions to validate your responses to this exam.

NOTE: Resumes, letters, and other materials will not be evaluated or considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


 

I have read and understood the above information.


 

PART I: MINIMUM QUALIFICATIONS SCREENING (NOT SCORED)

This section will not be scored but may assist the applicant with determining how he/she meets the minimum qualifications for this position.


1.

Do you have four years of increasingly responsible experience in providing professional and/or clinical client services with at least two years of the qualifying experience at the journey level or higher?

Yes No
2.

Do you possess the equivalent to a Bachelor's degree from an accredited college or university?  

Yes No

 

PART II: TRAINING & EXPERIENCE EXAMINATION QUESTIONS (SCORED)

This section of the supplemental questionnaire is the Civil Service examination for this position. This supplemental questionnaire will be scored based on your checked responses below. 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 determination. Scores received from this section will determine applicant ranking and placement on the eligible list.

For the items in this section, please indicate your level of experience and then provide a brief but detailed description of your related experience in the space provided. Please note references to "Experience" is defined as paid employment or internships, with amount of time calculated on a full-time basis (ie. 40 hours/week).

Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.


1.

Describe your experience supervising and monitoring the necessary record keeping and reporting functions of assigned program area(s). 

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

2.

Describe your experience ensuring compliance with stated mission, goals, regulations, and guidelines.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

3.

Describe your experience establishing operational and/or clinical processes, methods, and procedures to effectively meet the program’s goals and the clients’ needs.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

4.

Describe your experience acting as primary resource to assigned staff regarding professional, programmatic, administrative, and/or operational issues.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

5.

Describe you experience reviewing and evaluating operations and activities of assigned program/work unit.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

6.

Describe your experience recommending improvements and modifications to an assigned program/work unit. 

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

7.

Describe your experience acting as team member and/or leader for assigned projects.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

8.

Describe your experience providing or coordinating staff training.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

9.

Describe your experience recommending and implementing discipline procedures for assigned staff.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

10.

Describe your experience responding to inquiries quickly and accurately.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

11.

Describe your experience utilizing In-Home Supportive Services (IHSS) program knowledge to assist eligible aged, blind and disabled individuals.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.

12.

Describe your experience prioritizing and assigning In-Home Supportive Services (IHSS) tasks to staff.

I have none or a very little amount of experience performing this task.
I have been trained on how to complete this task but have not done so in a job setting.
I have experience performing this task under close supervision.
I have experience performing this task under normal supervision.
I have experience performing this task and have trained and/or provided consultation to others.
 

If you indicated experience, please describe below.


 

PART III: ADDITIONAL TRAINING AND/OR EXPERIENCE (NOT SCORED)

Your responses to this section will not be scored, but may be used by the hiring division for the purposes of screening and identifying which applicants to invite to the hiring interview.


1.

The Health & Human Services Program Supervisor provides direct supervision over professional, technical, clinical, and clerical staff. Please describe any experience you may have supervising, mentoring, training and/or evaluating staff. In your response, please include:

  • your experience conducting or providing input on performance evaluations,
  • the type of supervision you provided (e.g., direct or lead supervision),
  • the number of staff and classification(s) you supervised,
  • your specific role and level of responsibility/authority, and
  • the methods used to encourage the professional growth of the staff you supervised.

If you do not have this experience, please type "none."

2.

Please describe your experience with the IHSS and/or Public Authority programs, including position titles, length of time in position(s), and assigned duties.


 

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