{"ref":"NC-HC-CR-02","title":"Nondiscrimination, Language Access, and Effective Communication","category":"Client rights","summary":"Prohibits discrimination in the Agency's services; finds out at first contact whether a client or companion needs an interpreter, translated documents or an auxiliary aid; provides qualified interpreters and aids free of charge; makes reasonable modifications for people with disabilities; names a Section 1557 Coordinator; handles discrimination grievances; and gives the federal notices of nondiscrimination and language assistance.","inShort":["Treat every client the same, whatever their race, color, national origin, sex, age or disability.","Ask about language and communication needs at first contact.","Use qualified interpreters, free of charge. Do not use children, family or friends to interpret, except in an emergency.","Offer aids such as large print or a sign language interpreter when a client needs them.","Pass any discrimination complaint to the office the same day."],"primaryCitation":"45 CFR Part 92","citations":["G.S. 131E-144.3(2), (4)"],"federalCitations":["45 CFR Part 92","45 CFR §92.7","45 CFR §92.8","45 CFR §92.9","45 CFR §92.10","45 CFR §92.11","45 CFR §92.101","45 CFR §92.201","45 CFR §92.202","45 CFR §92.205","42 U.S.C. §18116","42 U.S.C. §2000d","29 U.S.C. §794","42 U.S.C. §12182"],"surveyorAsks":["How do you find out at intake whether a client needs an interpreter or an auxiliary aid, and where is that recorded?","Who interprets for a client with limited English proficiency when the plan of care is explained? Do you ever use family members or children?"],"forms":[{"ref":"NC-HC-CR-02-A","title":"Notice of Nondiscrimination and Language Assistance"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (45 CFR Part 92)","5. Section 1557 Coordinator and Discrimination Grievances","6. Identifying Communication Needs at First Contact","7. Language Access Procedures","8. Who May Interpret","9. Effective Communication for People with Disabilities","10. Reasonable Modifications","11. Fair Assignment of Staff","12. Notices","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"nc-hca","state":"North Carolina","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}