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observations related to the detainee's <br />disability; <br />3) finding on whether the detainee has a <br />disability and how the disability or <br />impairment limits the detainee's ability to <br />access programs or activities within the <br />detention setting; <br />4) the facility's final decision on any requested <br />accommodations; <br />5) provision of any aids or services to the <br />detainee, including the specific type(s) of <br />accommodation provided and/or steps taken <br />by the facility, and the implementation <br />date(s); <br />6) a copy of any written notification provided to <br />the detainee, including the justification in the <br />case of a denial; and <br />7) the results and date(s) of any reassessment(s), <br />if applicable, including reasons for any <br />decisions made. <br />G. Denial of an Accommodation <br />Permissible reasons for the facility to deny an <br />accommodation to a detainee who has been <br />determined to have a disability include: (1) the <br />detainee is not denied access to the facility's <br />programs or activities because of a disability; (2) <br />there is not a nexus between the disability and the <br />requested accommodation; (3) the requested <br />accommodation would fundamentally alter the <br />nature of the program, service, or activity; (4) the <br />requested accommodation would result in an undue <br />financial and administrative burden; or (5) the <br />detainee poses a direct threat to staff or other <br />detainees. <br />Both "fundamental alteration" and "undue financial <br />and administrative burden" are generally high <br />standards that are difficult to meet. Further, if a <br />particular accommodation would result in an undue <br />financial and administrative burden or fundamental <br />alteration, the facility must take any other action that <br />would not result in such an undue burden or <br />fundamental alteration but would nevertheless <br />ensure that, to the maximum extent possible, <br />detainees with a disability receive the benefits and <br />services of the program or activity. Similarly, <br />determinations that individuals pose a "direct threat" <br />are generally very rare, and require a careful, <br />individualized assessment as described below. <br />1. Fundamental Alteration <br />A "fundamental alteration" to a facility's programs, <br />services, or activities is a change that is so significant <br />that it alters the essential nature of the program, <br />service, or activity offered. Whether a change <br />constitutes a fundamental alteration is a <br />determination that must be made on a case-by-case <br />basis, and that must consider the unique <br />characteristics of each facility and each detainee with <br />a disability. <br />2. Undue Financial and Administrative Burden <br />An "undue financial and administrativeburden" is a <br />significant difficulty or expense related to a facility's <br />operations, programs, or activities. In evaluating <br />whether a particular accommodation would result in <br />an undue burden, the facility must consider all <br />resources available for use in the funding and <br />operation of the conducted program or activity as a <br />Whole. <br />3. Direct Threat <br />The facility may justify the denial of an <br />accommodation to a detainee with a disability on the <br />basis of the detainee posing a direct threat to staff or <br />other detainees only if providing the <br />accommodation would unavoidably exacerbate the <br />threat. The determination that a detainee with a <br />disability poses such a direct threat to staff or other <br />detainees must be reached through an individualized <br />assessment by a multidisciplinary team. The <br />assessment must rely on reasonable judgment and <br />current medical evidence, or the best available <br />4.8 l Disability Identification, Assessment, and 352 PBNDS 2011 <br />Accommodation (Revised December 2016) <br />