{"ref":"CA-HH-PR-04","title":"Language Access, Auxiliary Aids, and Effective Communication","category":"Client rights","summary":"Sets the Agency’s written language access, effective communication, and reasonable modification procedures (45 CFR §92.8(d)-(f)): how staff identify a patient or companion with limited English proficiency or a communication disability; how they get a qualified interpreter, qualified translator, or auxiliary aid at no cost; who may not interpret; machine translation; translated materials; and how information is given in plain language and accessible formats (42 CFR §484.50(f)).","inShort":["Ask every patient which language they prefer and whether they need help to see, hear, or communicate.","Interpreters and other aids are free. Book them before the visit and use the Agency’s interpreter service.","Do not use family, friends, or children to interpret, except in an emergency or when the patient asks in private and it is safe.","Never give a patient a machine translation of care instructions or forms unless a qualified translator has checked it.","Write down the interpreter’s name or ID and the language in your visit note."],"primaryCitation":"45 CFR §92.201","citations":["Cal. Civ. Code §51","Cal. Gov. Code §11135","22 CCR §74743(b)(5)","22 CCR §74743(a)"],"federalCitations":["45 CFR §92.201","45 CFR §92.202","45 CFR §92.8(d)","45 CFR §92.8(e)","45 CFR §92.8(f)","45 CFR §92.11","42 CFR §484.50(f)","42 CFR §484.50(c)(12)","28 CFR Part 36"],"surveyorAsks":["How do your staff find out whether a patient needs an interpreter, and where is that recorded?","Show me how a nurse gets a qualified interpreter for a home visit today."],"forms":[{"ref":"CA-HH-PR-04-A","title":"Interpreter and Communication Needs Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (45 CFR §92.201)","5. Section 1557 Coordinator and Contacts","6. Identifying Language and Communication Needs","7. Getting a Qualified Interpreter","8. Who May Not Interpret","9. Written Translations and Machine Translation","10. Auxiliary Aids and Services for People with Disabilities","11. Plain Language and Teaching","12. Reasonable Modifications","13. Emergencies","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"ca-hha","state":"California","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}