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Standard Assurance to Comply with Older Americans Act <br />Requirements for Regarding Client Rights <br />for <br /> Agencies Providing In-Home Services through the <br />Home and Community Care Block Grant for Older Adults <br /> <br />As a provider of one or more of the services listed below, our agency agrees to notify all Home and <br />Community Care Block Grant clients receiving any of the below listed services provided by this agency <br />of the their dghts as a service recipient. Services included in this assurance include: <br /> <br />-In-Home Aide <br />-Home Care (home health) <br />-Adult Day Care or Adult Day Health Care <br /> <br />Notification will include, at a minimum, an oral review of the information outlined below as well as providing <br />each service recipient with a copy of the information in written form. In addition, providers of in-home services <br />will establish a procedure document that client dghts information has been discussed with in-home services <br />clients (e.g. copy of signed Client Bill of Rights statement). <br /> <br />Client Rights information to be communicated to service recipients will include, at a minimum, the dght to: <br /> <br />-be fully informed, in advance, about each in-home service to be provided and any change in <br />service(s) that may affect the well-being of the participant; <br />-participate in planning and changing any in-home service provided unless the client is <br />adjudicated incompetent; <br />-voice a grievance with respect to service that is or fails to be provided, without discrimination <br />or repdsal as a result of voicing a grievance <br />-confidentiality of records relating to the individual; <br />-have property treated with respect; and <br />-be fully informed both orally and in wdting in advance of receiving an in-home service, of the <br />individual's dghts and obligations <br /> <br />Client Rights will be distributed to, and discussed with, each new client receiving one or more of the above <br />listed services prior to the on-set of service. For all existing clients, the above information will be provided <br />no later than the next regularly scheduled service reassessment. <br /> <br />Agency Name: Cabarrus County Department of Social Services <br /> <br />Name of Agency Administrator:. James Cook <br /> <br />Signatu~ <br /> <br />Date: <br /> <br /> <br />