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AMERICANS WITH DISABILITY ACT (ADA) <br />AND <br />EQUAL OPPORTUNITY (ED) LAW <br />SURVEY <br />Is there a minimum of 2 designated accessibility parking slots? <br />Per Dept. of Rehab Sect. 504 YES NO❑ <br />Are parking slot occupants able to reach the building's entrance for the disabled without having to go behind <br />any other cars, or any other barriers (curb, sidewalks, etc.)? <br />Per Dept. of Rehab. Sect. SO4 YES[�KNO❑ <br />III. Is there a front door labeled with the international wheelchair a ess sign? <br />Per Dept. of Rehab. Sect. 504 YES[Vl NO[—] <br />IV. Is the labeled entrance's threshold not higher than % inch to ally or wheelchair access? <br />Per Dept. of Rehab. Sect. 504 YESP NO❑ <br />V. Is the door -handle to the labeled wheelchair entrance door, a lew handle (not a round doorknob)? <br />Per Dept. of Rehab. Sect. 504 YES 1 NOR <br />VI. If any services are available on second floor, does the building have an elevator? <br />Per Dept. of Rehab. Section 504 YES❑ NO❑ NA[1-' <br />VII. Does the classroom, working area, and break -room have enough room to maneuver a wheelchair and/or <br />crutches? <br />Per Dept. of Rehab. Sect. 504 YESE"'NO❑ <br />Vlll. Does the provider catalog/employee manual, contain the orga tion's Grievance Policy? <br />Per CFR Title 20, 29, 41 YESE NO❑ <br />X. Is the Grievance Procedure and contact person made available in writing to the participant on or before the <br />day of program participation? <br />Per CFR Title 20,29,41 YESEl"NO❑ <br />X. If serving Limited English individuals, is the grievance procedure d procedures available in their language? <br />Per CFR Title 20,29,41 YES9 NO❑ <br />XI. Is there at least one internationally labeled accessible restroom the individuals with disabilities? <br />E <br />Per Dept. of Rehab. Sect. 504 YES[NO❑ <br />XII. Does the toilet stall for individuals with disabilities have bars onperth side of the wall? <br />Per Dept. of Rehab. Sect. 504 YES ff NNO❑ <br />XIII. Is there a telephone reasonably accessible to handicap individu <br />Per Dept. of Rehab. Sect. 504 YES[V NO❑ <br />XIV. Is there a water fountain reasonably accessible to disabled als? <br />Per Dept. of Rehab. Seaind' du. 504 YE NO❑ <br />25B-113 <br />