Title VI Notice to the Public
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Title VI Notice to the Public -Spanish
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6
Discrimination ADA/Title VI Complaint Procedures
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Discrimination ADA/Title VI Complaint Form
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Discrimination ADA/Title VI Investigations, Complaints, and
Lawsuits ......................................................
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Public Participation Plan
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Non-elected Committees Membership
Table.............................................................................................
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Title VI Training
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Board Approval for the Title VI Program
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Organizational
Chart……………………………………………………………………………………………………………………………..24
Executive Summary
Easterseals Blake Foundation is dedicated to the idea that all
people deserve the chance to live healthy, productive, and
independent lives. Our educational, therapeutic, family support and
community living programs are designed in accordance with our
mission: to enable each individual served to discover and meet his
or her maximum potential for independent, productive living and
developmental growth.
What type of program fund(s) did you apply for?
X 5310 5311 Other (please explain)
Type of Funding Requests? (Select all that apply)
Vehicle Funds Operating Funds Other (please explain)
Non Discrimination Policy Statement
Easterseals Blake Foundation policy assures full compliance with
Title VI of the Civil Rights act of 1964, the Restoration Act of
1987, section 504 of the Rehabilitation Act of 1973, the Americans
with Disabilities Act of 1990 (ADA), and related statutes and
regulations in all programs and activities. Title VI states that
“no person shall on the grounds of race, color, national origin, or
disability be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination” under any
Easterseals Blake Foundation sponsored program or activity. There
is no distinction between the sources of funding.
Easterseals Blake Foundation also assures that every effort will be
made to prevent discrimination through the impacts of its programs,
policies and activities on minority and low- income populations.
Furthermore, Easterseals Blake Foundation will take reasonable
steps to provide meaningful access to services for persons with
limited English proficiency.
______________________
Non Discrimination Notice to the Public
Notifying the Public of Rights Under Title VI and ADA
EASTERSEALS BLAKE FOUNDATION
Easterseals Blake Foundation operates its programs and services
without regard to race, color, national origin or disability in
accordance with Title VI of the Civil Rights Act of 1964, Section
504 of the Rehabilitation Act of 1973, and the Americans with
Disabilities Act of 1990 (ADA). Any person who believes she or he
has been aggrieved by any unlawful discriminatory practice under
Title VI may file a complaint with Easterseals Blake
Foundation.
For more information on Easterseals Blake Foundation’s civil rights
program, and the procedures to file a complaint, contact Ema
Kammeyer, CEO, 520-327-1529, email
[email protected]
or visit our administrative office at 7750 E. Broadway Blvd, Suite
A200, Tucson, AZ 85710. For more information, visit
www.blake.easterseals.com A complainant may file a complaint
directly with the Arizona Department of Transportation (ADOT) or
the Federal Transit Administration (FTA) by filing a complaint
directly with the corresponding offices of Civil Rights: ADOT:
ATTN: Title VI Program Manager 206 S. 17TH Ave MD 155A RM: 183
Phoenix AZ, 85007 FTA: ATTN: Title VI Program Coordinator, East
Building, 5th Floor-TCR 1200 New Jersey Ave., SE Washington DC
20590
If information is needed in another language, contact 520-327-1529.
Para información en Español llame: Ema Kammeyer, CEO,
[email protected], 520-327-1529
Non Discrimination Notice to the Public Spanish
Aviso al Público Sobre los Derechos Bajo el Título VI y ADA
EASTERSEALS BLAKE FOUNDATION
Easterseals Blake Foundation (y sus subcontratistas, si cualquiera)
asegura complir con el Título VI de la Ley de los Derechos Civiles
de 1964, Sección 504 de la Ley de Rehabilitación de 1973 y La Ley
de ciudadanos Americanos con Discapacidades de 1990 (ADA). El nivel
y la calidad de servicios de transporte serán provehidos sin
consideración a su raza, color, o pais de origen.
Para obtener más información sobre la Easterseals Blake
Foundation’s programa de derechos civiles, y los procedimientos
para presentar una queja, contacte Ema Kammeyer, CEO 520-327- 1529,
[email protected] o visite nuestra oficina
administrativa en 7750 E. Broadway Blvd, Suite A200, Tucson, AZ
85710 Para obtener más información, visite
www.blake.easterseals.com
El puede presentar una queja directamente con Arizona Department of
Transportation (ADOT) o Federal Transit Administration (FTA)
mediante la presentación de una queja directamente con las oficinas
correspondientes de Civil Rights: ADOT: ATTN Title VI Program
Manager 206 S. 17th Ave MD 155A Phoenix AZ, 85007 FTA: ATTN Title
VI Program Coordinator, East Building, 5th Floor –TCR 1200 New
Jersey Ave., SE Washington DC 20590
The above notice is posted in English and Spanish in the following
locations: 7750 E. Broadway Blvd, Suite A200, Tucson, AZ; 332 S.
Convent Ave, Tucson, AZ 85701; 527 Main St., Safford, AZ 85646 This
notice is posted online at www.blake.easterseals.com;
Discrimination Complaint Procedures These procedures provide
guidance for all complaints filed under Title VI of the Civil
Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973,
and the Americans with Disabilities Act of 1990 (ADA) as they
relate to any program or activity that is administered by
Easterseals Blake Foundation, including consultants, contractors
and vendors. Intimidation or retaliation as a result of a complaint
is prohibited by law. In addition to these procedures, complainants
reserve the right to file a formal complaint with other State or
Federal agencies or to seek private counsel for complaints alleging
discrimination. Every effort will be made to resolve complaints at
the lowest possible level.
(1) Any person who believes he and/or she has been discriminated
against on the basis of race, color, national origin, or disability
may file a Discrimination complaint by completing and submitting
the agency’s Title VI Complaint Form.
(2) Formal complaints must be filed within 180 calendar days of the
last date of the alleged act of discrimination or the date when the
alleged discrimination became known to the complainant(s), or where
there has been a continuing course of conduct, the date on which
the conduct was discontinued or the latest instance of the
conduct.
(3) Complaints must be in writing and signed by the complainant(s)
and must include the complainant(s) name, address and phone number.
The ADA/Title VI contact person or designee will assist the
complainant with documenting the issues if necessary.
(4) Allegations received by fax or e-mail will be acknowledged and
processed, once the identity of the complainant(s) and the intent
to proceed with the complaint have been established. For this, the
complainant is required to mail a signed, original copy of the fax
or email transmittal for the complaint to be processed.
(5) Allegations received by telephone will be reduced to writing
and provided to the complainant for confirmation or revision before
processing. A complaint form will be forwarded to the complainant
for him/her to complete, sign and return for processing.
(6) Once submitted Easterseals Blake Foundation will review the
complaint form to determine jurisdiction. All complaints will
receive an acknowledgement letter informing her/him whether the
complaint will be investigated by Easterseals Blake Foundation or
submitted to the State or Federal authority for guidance.
(7) Easterseals Blake Foundation will notify the ADOT Civil Rights
Office of ALL Discrimination complaints within 72 hours via
telephone at 602-712-8946; or email at
[email protected]
(8) Easterseals Blake Foundation has 90 days to investigate the
complaint. If more information is needed to resolve the case, the
Authority may contact the complainant. The complainant has 30
business days from the date of the letter to send requested
information to the investigator assigned to the case. If the
investigator is not contacted by the complainant or does not
receive the additional information within 30 business days, the
Authority can administratively close the case. A case can be
administratively closed also if the complainant no longer wishes to
pursue their case.
(9) After the investigator reviews the complaint, she/he will issue
one of two letters to the complainant: a closure letter or a letter
of finding (LOF). A closure letter summarizes the allegations and
states that there was not a Discrimination violation and that the
case will be closed. An LOF summarizes the allegations and the
interviews regarding the alleged incident, and explains whether any
disciplinary action, additional training of the staff member or
other action will occur.
(10) A copy of either the closure letter or LOF must be also be
submitted to ADOT within 72 hours of that decision. Letters may be
submitted by hardcopy or email.
(11) A complainant dissatisfied with Easterseals Blake Foundation’s
decision may file a complaint with the Arizona Department of
Transportation (ADOT) or the Federal Transit Administration (FTA)
offices of Civil Rights: ADOT: ATTN ADA/Title VI Program
Coordinator 206 S. 17TH Ave MD 155A RM: 183 Phoenix AZ, 85007 FTA:
Attention Title VI Program Coordinator, East Building, 5th
Floor-TCR 1200 New Jersey Ave., SE Washington DC 20590
(12) A copy of these procedures can be found online at:
www.blake.easterseals.com
If information is needed in another language, contact 520-327-1529.
Para información en Español llame: Ema Kammeyer, CEO, 520-327=1529,
[email protected]
Discrimination Complaint Form Section I: Name: Address: Telephone
(Home): Telephone (Work): Electronic Mail Address:
Accessible Format Requirements? Large Print Audio Tape TDD
Other
Section II: Are you filing this complaint on your own behalf? Yes*
No *If you answered “yes” to this question, go to Section III. If
not, please supply the name and relationship of the person for whom
you are complaining.
Please explain why you have filed for a third party: Please confirm
that you have obtained the permission of the aggrieved party if you
are filing on behalf of a third party.
Yes No
Section III: I believe the discrimination I experienced was based
on (check all that apply): Race Color National Origin Disability
Date of Alleged Discrimination (Month, Day, Year):
Explain as clearly as possible what happened and why you believe
you were discriminated against. Describe all persons who were
involved. Include the name and contact information of the person(s)
who discriminated against you (if known) as well as names and
contact information of any witnesses. If more space is needed,
please use the back of this form. Section IV:
Have you previously filed a Discrimination complaint with this
agency?
Yes No
If yes, please provide any reference information regarding your
previous complaint.
Section V: Have you filed this complaint with any other Federal,
State, or local agency, or with any Federal or State court? Yes No
If yes, check all that apply: Federal Agency: Federal Court: State
Agency: State Court : Local Agency:
Please provide information about a contact person at the
agency/court where the complaint was filed. Name: Title: Agency:
Address: Telephone: Section VI: Name of agency complaint is
against
Name of person complaint is against: Title: Location: Telephone
Number (if available): You may attach any written materials or
other information that you think is relevant to your complaint.
Your signature and date are required below Signature Date Please
submit this form in person at the address below, or mail this form
to: Easterseals Blake Foundation, Ema Kammeyer 7750 E. Broadway
Blvd Tucson, AZ 85710 520-327-1529 A copy of this form can be found
online at www.blake.easterseals.com
Discrimination Investigations, Complaints, and Lawsuit This form
will be submitted annually. If no investigations, lawsuits, or
complaints were filed, a blank form will be submitted.
EASTERSEALS BLAKE FOUNDATION
PUBLIC PARTICIPATION PLAN
_________________________
______________________________________________________________________________
Easterseals Blake Foundation is engaging the public in its planning
and decision-making processes, as well as its marketing and
outreach activities. The public will be invited to participate in
the process whether through public meetings or surveys. As an
agency receiving federal financial assistance, Easterseals Blake
Foundation made the following community outreach efforts:
Easterseals Blake Foundation Community Outreach: Surveys annually
to individuals and/or families receiving services through Agency
Programs. Invites community members to participate as Board
Members. Holds meetings annually with individuals, State of Arizona
Representatives (DES/DDD/RSA) advocates and family members who
participate in Agency Programs. Invites public comment through our
website. In the upcoming year Easterseals Blake Foundation will
make the following community outreach efforts: Continue to send out
surveys to individuals and/or families receiving services through
Agency Programs. Continue to invite public comment through our
website. Continue to hold meetings annually with individuals, DES
State of Arizona Representatives, advocates and family members who
participate in Agency Programs. MEETINGS/PUBLIC EVENTS: Cooking
With The Stars October 27, 2016 at Mr. An’s Restaurant, (N. Oracle
Road) Tucson, Arizona Fund raising event. The dinner is a special
evening with 150+ guests, where local athletic and entertainment
celebrity’s “host” the event as personal chefs. The evening
includes dinner, a silent and live auction and some entertainment
for all our guests to have fun. Walk Run Roll Saturday, May 6, 2017
at Reid Park (22nd and Country Club) The Walk Run Roll event is an
opportunity for the community to come together to raise funds for
Easterseals Blake Foundation. The walk will be a family friendly
event that includes a 2.5K leisurely walk, followed by an expo,
food and snacks and entertainment. We are expecting in excess of
1,000 walkers that day.
Spring Golf Classic
May 19, 2017 at Casino del Sol
The Spring Golf Classic is an annual event to benefit Easterseals
Blake Foundation. The event includes the golf tournament, followed
by a buffet dinner with a raffle and prizes.
El Tour de Tucson
When: November 19, 2016, Where: The perimeter of Tucson, Arizona
and Downtown Tucson, Events: Ride 104, 75, 55, 40, or 25 Miles
around the perimeter of Tucson, Arizona. Or, join a Fun Ride of 11
Miles, 5 Miles, or 1/4 Mile in downtown Tucson.
Easterseals Blake Foundation is the Primary Beneficiary for El Tour
de Tucson and welcome everyone to support this event whether
through volunteering and/or ridiing!
Held annually the Saturday before Thanksgiving, El Tour is a fun
adventure ride attracting over 9,000 cyclists of all ages and
abilities from throughout the United States and worldwide,
consisting of novice, intermediate, advanced, and professional
riders. This cycling event is an opportunity for the community to
come together to raise funds for Easterseals Blake Foundation and
is followed by a Downtown Fiesta with food vendors and medallions
for all cyclists.
Volunteer Opportunities: We also post all volunteer opportunities
on Volunteer Match and they roll onto our website
http://www.easterseals.com/blakefoundation/get-involved/volunteer/
BOARD OF TRUSTEES MEETING SCHEDULE: 2016 Open to the public.
January 26, 2016 Administrative Offices, 7750 E Broadway Blvd
February 23, 2016 Administrative Offices, 7750 E Broadway
Blvd
March 23, 2016 Administrative Offices, 7750 E Broadway Blvd
April 27, 2016 Administrative Offices, 7750 E Broadway Blvd
May 25, 2016 Administrative Offices, 7750 E Broadway Blvd
June 22, 2016 Administrative Offices, 7750 E Broadway Blvd
July 2016 No Meeting Scheduled
August 2016 (TBD) Annual Board Dinner
September 28, 2016 Administrative Offices, 7750 E Broadway
Blvd
October 26, 2016 Administrative Offices, 7750 E Broadway Blvd
November 23, 2016 Administrative Offices, 7750 E Broadway
Blvd
December 2016 No Meeting Scheduled
BOARD OF TRUSTEES MEETING SCHEDULE: 2017 Open to the public.
January 25, 2017 Administrative Offices, 7750 E Broadway Blvd
February 22, 2017 Administrative Offices, 7750 E Broadway
Blvd
March 22, 2017 Administrative Offices, 7750 E Broadway Blvd
July 2017 No Meeting Scheduled
August 2017 Annual Board Dinner
September 27, 2017 Administrative Offices, 7750 E Broadway
Blvd
October 25, 2017 Administrative Offices, 7750 E Broadway Blvd
November 22, 2017 Administrative Offices, 7750 E Broadway
Blvd
December 2017 No Meeting Scheduled
Easterseals Blake Foundation
AGENDA
1. Call to order 2. Welcome/Introductions 3. Agenda Review
4. Approval of the minutes of the last board meeting 5. Committee
Updates;
a. Board Development Committee-Brent VanKoevering b. Golf
Committee-Michael Goldsmith c. Finance Committee-Lindsay Cote
6. President’s Report 7. CEO Report/Financial Report 8. Gina Judy,
COO, on scope of the position and status of HR?PR transitions 9.
New Business 10. Announcements 11. Next meeting 12. Adjournment 13.
PLEASE NOTE3; NO BOARD MEETING WILL BE HELD IN JULY, HAPPY
SUMMER
EASTERSEALS BLAKE FOUNDATION
PURPOSE:
In compliance with Executive Order 13166, Easterseals Blake
Foundation has developed the following Language Access Plan
(LAP)/Four Factor Analysis for Limited English Proficiency (LEP)
persons. Persons who, as a result of national origin, do not speak
English as their primary language and who have limited ability to
speak, read, write, or understand English may be entitled to
language assistance under Title VI in order to receive a particular
service, benefit, or encounter.
The following Four-Factor Analysis will serve as the guide for
determining which language assistance measures Easterseals Blake
Foundation will undertake to guarantee access to the services
provided by the Agency.
1. Demography: The number and/or proportion of LEP individuals
served or encountered in the service area.
2. Frequency: Rate with which the LEP persons come into contact
with Agency services/programs.
3. Importance: The nature and importance of the program, activity,
or service to individual’s lives.
4. Resources: Available resources and costs to the recipient.
RESULTS:
1. According to the Center for Immigration Studies 2013 the US
population speaking a language other than English at home was 21%.
The American Community Survey (ACS) 5 year estimates in 2014 shows
that in Pima County 71.39% of the population speak only English.
The Survey shows that in Pima County the language that has the
highest percentage after English is Spanish with 14% of Spanish
households speaking English less than very well. In Graham County
5.9% of Spanish households speak English less than very well and in
Greenlee County 4.2% of Spanish households speak English less than
very well.
2. ESBF provides direct services, such as transportation services,
day programs, employment services and behavioral health services
and approximately 10% of individuals served require language
assistance. Vital materials pertaining to services are translated
into Spanish.
3. Programs provided by Easterseals Blake Foundation assist
individuals with disabilities to be independent and lead full lives
as contributing members of their communities. Without these
services/programs many of these individuals would be homebound and
unable to participate in daily activities.
4. Resources to translate materials and interpret for individuals
are available but finite. EBF provides vital materials in Spanish
and offers to translate additional materials into Spanish as well
as additional languages. EBF also offers alternative formats as
requested. EBF employs many bilingual staff who have the ability to
interpret a variety of languages as well as a certified Spanish
interpreter. There is no additional costs to the individuals served
by Easterseals Blake Foundation.
See attached demographic charts.
EBF complies with the Safe Harbor Provision, as evidenced by the
number of documents available in the Spanish language. With respect
to Title VI information, EBF makes available in Spanish both the
Title VI Public Notice and complaint information. When conducting
marketing, EBF ensures that LEP groups are reached as necessary for
programs with which LEP persons are involved.
Non-elected Committees Membership Table A subrecipient who selects
the membership of transit-related, non-elected planning boards,
advisory councils, or committees must provide a table depicting the
membership of those organizations broken down by race.
Subrecipients also must include a description of the efforts made
to encourage participation of minorities on these boards, councils,
and committees.
Table Depicting Membership of Committees, Councils, Broken Down by
Race
Body Caucasian Latino African
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
TYPE % HERE%
X Easterseals Blake Foundation does NOT select the membership of
any transit-related committees, planning boards, or advisory
councils.
Monitoring for Subrecipient Title VI Compliance
ESBF does not subcontract transportation services and therefore
conducts no monitoring of sub recipients for Title VI
compliance,
X Easterseals Blake Foundation does NOT monitor subrecipients for
Title VI compliance.
Title VI Training
Easterseals Blake Foundation staff receive Title VI training during
the hiring process. Easterseals Blake Foundation provides required
on-going trainings for all Agency Staff which includes non-
discrimination/Title VI training. Easterseals Blake Foundation
provides a link on our website to our Title VI Plan for staff as
well as the public.
Title VI Equity Analysis
A subrecipient planning to acquire land to construct certain types
of facilities must not discriminate on the basis of race, color, or
national origin, against persons who may, as a result of the
construction, be displaced from their homes or businesses.
“Facilities” in this context does not include transit stations or
bus shelters, but instead refers to storage facilities, maintenance
facilities, and operation centers.
There are many steps involved in the planning process prior to the
actual construction of a facility. It is during these planning
phases that attention needs to be paid to equity and
non-discrimination through equity analysis. The Title VI Equity
Analysis must be done before the selection of the preferred
site.
Note: Even if facility construction is financed with non-FTA funds,
if the subrecipient organization receives any FTA dollars, it must
comply with this requirement.
A. EBF has no current or anticipated plans to develop new transit
facilities covered by these requirements. EBF has never developed
any transit facilities.
Board Approval for the Title VI Program
Organizational Chart
Non Discrimination Notice to the Public Spanish
Discrimination Complaint Procedures
Discrimination Complaint Form
Non-elected Committees Membership Table
Title VI Training
Organizational Chart
