Nondiscrimination Notice and Language Assistance

Discrimination Is Against the Law

Lumos Youth Counseling complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex. Lumos Youth Counseling does not exclude people or treat them less favorably because of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex.

Lumos Youth Counseling:

• Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:
  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provides free language assistance services to people whose primary language is not English, which may include:
  • Qualified interpreters
  • Information written in other languages

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact our Civil Rights Coordinator or speak to your provider. These services are free of charge.

If you believe that Lumos Youth Counseling has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our Civil Rights Coordinator. You can file a grievance in person or by mail, email, or phone. If you need help filing a grievance, our Civil Rights Coordinator is available to help you.

Civil Rights Coordinator (Section 504 and Section 1557)

Grievance Procedure

It is the policy of Lumos Youth Counseling not to discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex. This is our grievance procedure for the prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act and its implementing regulations at 45 CFR part 92, or by Section 504 of the Rehabilitation Act of 1973 and its implementing regulations at 45 CFR part 84, issued by the U.S. Department of Health and Human Services.

Anyone who believes that Lumos Youth Counseling subjected someone to discrimination prohibited by these laws may file a grievance under this procedure.

How to file a grievance

Contact our Civil Rights Coordinator in any of these ways:

• In person or by mail: 14241 South Redwood Rd Suite 300, Building A, Bluffdale, Utah 84065
• By email: [email protected]
• By phone: (385) 342-2808 (TTY: Utah Relay 711)

If you need help filing a grievance, the Civil Rights Coordinator is available to help you, including by putting your grievance in writing. You have the right to reasonable modifications to this grievance procedure if you need them.

When to file and what to include

• File your grievance within 60 days of the date you become aware of the alleged discriminatory action.
• A grievance should generally be in writing and include the name and contact information of the person filing it, the alleged discriminatory action, the alleged basis (or bases) of discrimination, the date the grievance was filed, and any other pertinent information.

Investigation and decision

• When a grievance includes allegations that would violate Section 1557 or Section 504, the Civil Rights Coordinator (or their designee) will promptly investigate it. The investigation may be informal, but it will be thorough, giving all interested persons an opportunity to submit evidence relevant to the grievance.
• Lumos Youth Counseling will issue a written decision to the person who filed the grievance no later than 30 days after it is filed. The decision will include the resolution date and a notice of the right to pursue further administrative or legal remedies.
• The person who filed the grievance may appeal the written decision by writing to the Civil Rights Coordinator within 15 days of receiving it. Lumos Youth Counseling will issue a written decision on the appeal no later than 30 days after the appeal is filed.

Confidentiality and records

The Civil Rights Coordinator will keep confidential the identity of anyone who files a grievance, except as required by law or to carry out the purposes of this procedure, including to investigate the grievance. Lumos Youth Counseling keeps grievance files and records confidential and retains them for at least three years from the date the grievance is resolved.

No retaliation

It is against the law for Lumos Youth Counseling to intimidate, threaten, coerce, retaliate against, or otherwise discriminate against anyone who files a grievance or participates in the investigation of a grievance.

Help to take part

Lumos Youth Counseling will make appropriate arrangements so that people with disabilities and people with limited English proficiency receive reasonable modifications, appropriate auxiliary aids and services, or language assistance services, if needed to take part in this grievance process. These services are provided in a timely manner and free of charge.

Other options

You do not have to use this grievance procedure before filing a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Filing a grievance does not prevent you from pursuing other legal or administrative remedies, including filing a complaint of discrimination in court or with the Office for Civil Rights.

File a Complaint with the U.S. Department of Health and Human Services

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal (ocrportal.hhs.gov), or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
Phone: 1-800-368-1019
TDD: 800-537-7697

Complaint forms are available at www.hhs.gov/ocr/complaints.

Language Assistance

• English

  ATTENTION: If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call (385) 342-2808 (TTY: 711) or speak to your provider.

• Spanish (Español)

  ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al (385) 342-2808 (TTY: 711) o hable con su proveedor.

• Chinese (Traditional) (繁體中文)

  注意：如果您說中文，我們可以為您提供免費語言協助服務。也可以免費提供適當的輔助工具與服務，以無障礙格式提供資訊。請致電 (385) 342-2808（TTY：711）或與您的提供者討論。

• Chinese (Simplified) (简体中文)

  注意：如果您说中文，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。致电 (385) 342-2808（文本电话：711）或咨询您的服务提供商。

• Vietnamese (Tiếng Việt)

  LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số (385) 342-2808 (Người khuyết tật: 711) hoặc trao đổi với người cung cấp dịch vụ của bạn.

• Korean (한국어)

  주의: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. (385) 342-2808(TTY: 711)번으로 전화하거나 서비스 제공업체에 문의하십시오.

• Navajo (Diné Bizaad)

  SHOOH: Diné bee yániłti’gogo, saad bee aná’awo’ bee áka’anída’awo’ít’áá jiik’eh ná hólǫ́. Bee ahił hane’go bee nida’anishí t’áá ákodaat’éhígíí dóó bee áka’anída’wo’í áko bee baa hane’í bee hadadilyaa bich’į’ ahoot’i’ígíí éí t’áá jiik’eh hólǫ́. Kohjį’ (385) 342-2808 (TTY: 711) hodíilnih doodago nika’análwo’í bich’į’ hanidziih.

• Nepali (नेपाली)

  सावधान: यदि तपाईं नेपाली भाषा बोल्नुहुन्छ भने तपाईंका लागि नि:शुल्क भाषिक सहायता सेवाहरू उपलब्ध छन्। पहुँचयोग्य ढाँचाहरूमा जानकारी प्रदान गर्न उपयुक्त सहायता र सेवाहरू पनि निःशुल्क उपलब्ध छन्। (385) 342-2808 (TTY: 711) मा फोन गर्नुहोस् वा आफ्नो प्रदायकसँग कुरा गर्नुहोस्।

• Tongan (Lea Fakatonga)

  FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai (385) 342-2808 (TTY: 711).

• Serbo-Croatian (Bosnian) (Bosanski)

  PAŽNJA: Ako govorite bosanski, dostupne su vam besplatne jezičke usluge. Odgovarajuća pomagala i usluge za pružanje informacija u pristupačnim formatima takođe se pružaju besplatno. Pozovite (385) 342-2808 (TTY: 711) ili kontaktirajte svog pružatelja usluga.

• Tagalog

  PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa (385) 342-2808 (TTY: 711) o makipag-usap sa iyong provider.

• German (Deutsch)

  ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie (385) 342-2808 (TTY: 711) an oder sprechen Sie mit Ihrem Provider.

• Russian (Русский)

  ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону (385) 342-2808 (TTY: 711) или обратитесь к своему поставщику услуг.

• Arabic (العربية)

  تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرقم (385) 342-2808 (TTY: 711) أو تحدث إلى مقدم الخدمة.

• Khmer (Mon-Khmer, Cambodian) (ភាសាខ្មែរ)

  សូមយកចិត្តទុកដាក់៖ ប្រសិនបើអ្នកនិយាយ ភាសាខ្មែរ សេវាកម្មជំនួយភាសា​ឥតគិតថ្លៃគឺមានសម្រាប់អ្នក។ ជំនួយ និងសេវាកម្មដែលជាការជួយដ៏សមរម្យ ក្នុងការផ្តល់ព័ត៌មានតាមទម្រង់ដែលអាចចូលប្រើប្រាស់បាន ក៏អាចរកបាន​ដោយឥតគិតថ្លៃផងដែរ។ ហៅទូរសព្ទទៅ (385) 342-2808 (TTY: 711) ឬនិយាយទៅកាន់អ្នកផ្តល់សេវារបស់អ្នក។

• French (Français)

  ATTENTION : Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le (385) 342-2808 (TTY : 711) ou parlez à votre fournisseur.

• Japanese (日本語)

  注：日本語を話される場合、無料の言語支援サービスをご利用いただけます。アクセシブル（誰もが利用できるよう配慮された）な形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます。(385) 342-2808（TTY：711）までお電話ください。または、ご利用の事業者にご相談ください。