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Standard Assurance to Comply with 01der Americans Act <br /> Requirements Regarding Client Rights <br /> for <br /> Agencies Providing In-Home Services through the <br /> Home and Commun/ty Care Block Grant for Older Adults <br /> <br />As a provider of one or more of the services listed below, our <br />agency agrees to notify all Home and Community Care Block Grant <br />clients receiving any of the below .listed services provided by <br />this agency of the their rights as a service recipient. Services <br />included in this assurance include: -In-Home Aide <br /> -Home Care (home health) <br /> -Housing and Home Improvement <br /> -Adult Day Care or Adult Day Health Care <br /> <br />Notification will include, at a minimum, an oral review of the <br />information outlined below as well as providing each service <br />recipient with a copy of the information in written form. In <br />addition, providers of in-home services will establish a procedure <br />to document that client rights information has been discussed with <br />in-home services clients (e.g. copy of signed Client Bill of <br />Rights statement). <br /> <br />Client Rights information to be communicated to service recipients <br />will include, at a minimum, the right to: <br /> -be fully informed, in advance, about each in-home <br /> service to be provided and any change in service(s) <br /> that may affect the well-being of the participant; <br /> -participate in planning and changing any in-home service <br /> provided unless the client is adjudicated incompetent; <br /> -voice a grievance with respect to service that is or fails <br /> to be provided, without discrimination or reprisal' as a <br /> 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 writing, in advance <br /> of receiving an in-home service, of the individual's rights <br /> and obligations. <br /> <br />Client Rights will be distributed to, and disc~sed with, each new <br />client receiving one or more of the above listed services prior to <br />the on-set of service. For all existing clients, the above <br />information will be provided no later than the next regularly <br />scheduled service reassessment. <br /> <br />Agency Name: CABARRUS COUNTY DEPARTMENT OF AGING <br /> <br />Name of Agency Administrator: MICHAEL L. MURPHY <br /> <br />(Please return the this form to your Area Agency on Aging and <br />retain a copy for your files.) <br /> <br /> <br />