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Attachment #4, 9.01 3 of 9 How are other types of complaints handled?

Describe the procedure when a non-English speaking participant is enrolled or otherwise contacts your clinic?

What do you do to ensure ease of access to the clinic for persons with disabilities?

Describe any alternate method(s) of providing services when your clinic site is not accessible to persons with disabilities.

Clinic Accountability

Documentation which is required to be accessible:

Clerk demonstrates ability to access: Yes No Comments Crossroads User Manual within the Application

Policy and Procedure Manual (may be electronic)

Vendor Manual (may be electronic)

Quarterly Vendor Listing (may be electronic)

Motor Voter Declination forms

Are all required public notices present and prominently displayed during clinic observation?

a) Emergency Escape Plan b) “And Justice for All”, USDA Form AD-475A (Revised 3/98) c) USDA Hotline poster d) “Don’t Fall for the Trap” WV fraud poster e) No Smoking Policy

Is the Food List explained at an initial certification or if changes to the Food List have occurred?