Appproved by the Welcome Board of Directors in July of 2009
Grounds for Grievance:
·
Denial of
Services: A client is denied a service
typically offered to guests of WELCOME
·
Unfair or Unequal
Treatment: Having a complaint or concern
about a service received is when a guest believes they have been treated
unfairly or has received poor treatment by a service provider or by the
consortium.
·
Breach of
Confidentiality: If a staff or volunteer discloses
personal information about a client without written consent.
·
Allegations of
misconduct: If a staff or volunteer violates
WELCOME’s Professional Ethics Policy.
[See Professional Ethics Policy]
Guests Rights during the Grievance Process
·
Guests’ confidentiality and/or
anonymity are protected during the filing of a grievance and, to the extent
possible, during the investigative process.
·
Retaliatory
or restrictive actions toward clients filing grievances are prohibited. Staff and volunteers found to be involved in
such actions are subject to disciplinary action, up to and including
termination.
·
Documentation
of the grievance and steps taken, will be kept on file for two years.
The Grievance Process
Proceeds in the following way:
1.
When possible, guests talk directly to the staff or volunteer(s) with whom
there is a grievance.
2. The Grievance form is
submitted to the Executive Director who will provide a receipt of the grievance. The Executive Director, or their designee,
will follow up with the staff, volunteer(s) and guests involved in the
grievance. The Executive Director will respond
to the guest who filled out the grievance within thirty (30) days.
3. The guest may submit their
grievance to the personnel committee chair when: (a) the grievance involves the
Executive Director; (b) the guests believes their grievance has not been resolved
by the Executive Director. The Personnel
Committee will respond to the guest who filled out the grievance within thirty
(30) days.
GRIEVANCE PROCEDURE
- Guest completes the grievance form. The grievance must include the date, approximate time and description of incident and names of individuals involved and be submitted within thirty (30) days of the of the act or decision in question.
- Acknowledgment of receipt of grievance is provided to each grievance within 7 (7) working days and includes: (a) date grievance received and (b) overview of investigation process.
WELCOME
GRIEVANCE FORM
Guest
Name: ____________________________________________________________
Guest
Mailing Address (if applicable): ____________________________________________________________
Guest
Phone Number (if applicable): ____________________________________________________________
Date(s) Incident Occurred: ____________________________________________________________
Date(s) Incident Occurred: ____________________________________________________________
Name
of Staff or Volunteer: ____________________________________________________________
Brief Summary of Incident/Complaint: Please tell us what
occurred, when it happened and who it involved. If the grievance involves a
denial of services, include the service requested, (you may summarize on a
separate piece of paper and attach, also feel free to attach and include any
document that may support your complaint).
What outcome(s) are you looking for to address your
grievance?
1. Have you reviewed WELCOME’s grievance policy and
procedures? Yes No
2. Have you discussed this issue with the staff or volunteer(s)
involved? Yes No
3. Was there a satisfactory resolution proposed? Yes No
In accordance with the grievance procedure adopted by WELCOME,
I am submitting this grievance. I hereby
authorize a representative of WELCOME to contact the staff and/or volunteer(s)
listed above and discuss my complaint.
Signature:______________________________________ Date
__________
Mail original to: WELCOME, c/o Rev. Megan Rohrer, Executive
Director, 3201 Ulloa St, San Francisco CA 94116. Mark both sides of the
envelope confidential.
1 comment:
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