Adult Day Health Participants’ Bill of Rights
Be cared for in a safe and humane environment free from abuse and neglect.
Be treated with consideration and respect and with due recognition of personal dignity and individuality.
Present grievances and recommend changes in policies, procedures and services without restraint, interferences, coercion, discrimination, or reprisal.
Upon request, obtain from the center, the names of all staff involved in his/her care.
Confidentiality of all records, information and communications to the extent provided by law.
Obtain a copy of all regulations and rules pertaining to adult day health programs.
To receive an explanation of the relationship, if any, between the Program and any other healthcare or educational institution involved in participant care or treatment.
Participant Rights Under HIPAA
The right to access all records within 24 hours and to purchase copies of the record within 2 business days.
The right to request a list of where your health information has been released.
The right to request that your health information to be restricted from certain uses or disclosures.
The right to file a complaint with the Department of Health and Human Services.
Notification through the “Notice of Privacy and Practices” of how your information will be used and your rights under HIPAA.
You are entitled to a full copy of your rights under HIPAA. To request a copy, please contact the program director.
USDA Non-Discrimination Statement
Child and Adult Care Food Program
Guidance for Usage:
The Child & Adult Care Food Program (CACFP) is a federally funded program which requires the inclusion of the complete USDA non-discrimination statement, or inclusion of the short version of the nondiscrimination statement, on all program forms and informational materials. The purpose of the statement is to inform applicants, participants, and potentially eligible persons of the program availability, program rights and responsibilities, the policy of non-discrimination, and the procedure for filing a complaint.
The full non-discrimination statement must be used in its’ entirety and in print size no smaller than the material’s text font. The usage requirements in FNS Instruction 113-1 have not changed-only the verbiage. If the material is too small to permit the full statement to be included, the material will at a minimum include the statement, in print size no smaller than the material’s text font, that “USDA is an equal opportunity provider and employer”. Please note that the use of the shorter version is the exception, not the rule.
Use of printed existing forms (with the old statement) is permitted. New forms and publications must be printed with the updated statement. Websites, online applications, IT systems and social media should be updated immediately.
USDA Non-Discrimination Statement:
The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal and, where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or if all or part of an individual's income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.)
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at email@example.com.
Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).
Persons with disabilities, who wish to file a program complaint, please see information above on how to contact us by mail directly or by email. If you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). USDA is an equal opportunity provider and employer.