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Adult Services

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Adult Protective Services (APS) Program

The goal of the Adult Protective Services Program (APS) is to provide services to correct conditions which cause dependent or elder adults to be abused, neglected or exploited.  APS is designed to serve elders (age 65 or older) and dependent adults (age 18 through 64 years of age) who are unable to protect their own interests or to care for themselves. APS services are free of charge without regard to income or property if there is a need for protective services. Whenever possible, the APS Program seeks to maintain the elder or dependent adult safely in his or her normal environment by strengthening his or her capacity for self-maintenance. These goals are accomplished through the direct provision of adult protective services or by linking the elder or dependent adult with appropriate community-based resources.

• Elder Adults are defined as age 65 or older

• Dependant adults are persons between the age of 18 and 64 who have physical or mental limitations which restrict their ability to carry out normal daily activities or to protect his or her rights, must rely on others for basic needs or to advocate for their safety, and the alleged abuse or neglect is related to their specific disabilities.

• Dependent and elder abuse encompasses the following:

•Neglect (including self abuse)
•Financial abuse
•Physical/Sexual abuse
•Other treatment resulting in pain and mental suffering

• Roles NOT performed by APS:

•APS cannot remove clients from their home against their will
•APS cannot place clients in Skilled nursing Homes or other facilities
•APS cannot provide direct mental health services

• APS Services are completely voluntary. Adults can decline or refuse services.

• To report abuse or neglect, call the 24-hour hotline at (559) 675-7839 OR if you are reporting abuse or neglect in a Long-Term Care Facility, Residential Care or Skilled Nursing Facility, call the Fresno-Madera Ombudsman at (559) 224-9177.

In-Home Supportive Services (IHSS) Program

The IHSS Program provides assistance to those eligible aged, blind and disabled individuals (including children) who are unable to remain safely in their own homes without assistance. IHSS is an alternative to out-of-home care. The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services, bathing, grooming, and accompaniment to medical appointments. Madera County has 1,677 IHSS recipients with approximately 1,300 individual providers. Providers can be a relative, someone selected by the consumer, or a person matched from the Public Authority Registry. An IHSS provider helps a consumer live safely in their own home and avoid living in a nursing home or board and care facility.

Who May be Eligible for IHSS

  • Current recipient of Supplemental Security Income/State Supplementary Payment (SSI/SSP); or
  • Medi-Cal recipient who meets SSI/SSP disability criteria

How to Apply

Call (559) 662-3600 for information

Forms and Publications


Hotline to Report IHSS Fraud: (800) 822-6222


Online IHSS complaint form available at:

Public Authority

The mission of the IHSS Public Authority of Madera County is to enhance the availability and quality of In-Home Supportive Services, to give consumers and providers a voice in IHSS and Public Authority policy, program development and operations, to provide consumers with access to IHSS providers who meet consumers’ needs, and to provide services that support a positive and productive relationship between consumer and provider.

What Does Public Authority Do?

  • Operates a registry of available IHSS independent home care providers
  • Provides lists of screened providers to consumers to interview
  • Helps IHSS Consumers conduct interviews to choose a provider
  • Provides orientation sessions for new IHSS providers
  • Assists both consumers and providers to resolve employment conflicts between them

How to Request an IHSS Provider

Call (559) 662-2600 for English or Spanish

If You Are Interested in Becoming an IHSS Public Authority Provider

Call (559) 479-4857 for English or Spanish to obtain an application and schedule to attend an orientation.

Registry Requirements Include

  • Completed application
  • Attend a group or face-to-face orientation
  • Provide two positive work related references
  • Provide 2 positive personal references (one can be a family member)
  • Provide driver’s license or ID card
  • Provide social security card
  • Provide proof of legal right to work
  • Have no felony convictions
  • Must be 18 years of age or older