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AMERICANS WITH DISABILITY ACT (ADA) <br />AND <br />EQUAL OPPORTUNITY (EO) LAW <br />SURVEY <br />I. Is there a minimum of 2 designated disabled parking slots. <br />Per Dept. of Rehab Sect. 504 YES[:] NO❑ <br />II. Are parking slot occupants able to reach the building's entrance for the disabled without <br />having to go behind any other cars, or any other barriers (curb, sidewalks, etc.). <br />Per Dept. of Rehab. Sect. 504 YES[:] NO❑ <br />III. Is there a front door labeled with the international wheelchair access sign. <br />Per Dept. of Rehab. Sect. 504 YES[] NO[:] <br />IV. Is the labeled entrance's threshold not higher than % inch to allow for <br />V <br />191 <br />ME <br />VIII. <br />wheelchair access. <br />Per Dept. of Rehab. Sect. 504 <br />YES[:] NO[:] <br />Is the door - handle to the labeled wheelchair entrance door, a lever handle (not a round <br />doorknob). <br />YES❑ NO[:] <br />Per Dept. of Rehab. Sect. 504 <br />If any services are available on second floor, does the building have an elevator. <br />Per Dept. of Rehab. Section 504 YES[:] NO[—] NA[:] <br />Does the classroom, working area, and break -room have enough room to maneuver a <br />wheelchair and /or crutches. <br />Per Dept. of Rehab. Sect. 504 <br />YES❑ NO❑ <br />Does the provider catalog /employee manual, contain the organization's <br />Grievance Policy. <br />Per CFR Title 20, 29, 41 <br />YES[] NO[:] <br />IX. Is Grievance Procedure and contact person made available in writing to the participant on or <br />before the first day of program participation. <br />Per CFR Title 20,29,41 YES[:] NO[:] <br />X. If serving any Limited English individuals is the grievance procedure and procedures available <br />in their language. <br />Per CFR Title 20,29,41 YES[:] NO[:] <br />XI. Is there at least one internationally labeled accessible restroom for the disabled. <br />Per Dept. of Rehab. Sect. 504 YES[] NO[:] <br />XII. Does toilet stall for the disabled have bars on each side of wall. <br />Per Dept. of Rehab. Sect. 504 YES[:] NO[:] <br />XIII. Is there a telephone reasonably accessible to handicap individuals. <br />Per Dept. of Rehab. Sect. 504 YES[:] NO[:] <br />32 <br />19D -36 <br />