If you believe that your regional center, developmental center, or
another provider has violated your rights, you can file a Section 4731
complaint to ask them to stop violating your rights (and the rights of others).
To file a complaint, you can:
·
Fill
out the complaint form at: www.dds.cahwnet.gov/Forms/docs/DS255.pdf, or
·
Write
a letter using the instructions below.
Use the text below as a guide. Fill in
the underlined areas with your information.
Today’s Date
Executive Director,
[Write the regional
center’s address here. You can find the address in Supplement Y.]
Dear Director:
This is a “WIC, §
4731 complaint” about a pattern and practice that violates rights guaranteed by
the Lanterman Act.
This complaint is on
behalf of [list consumer’s name here], and all other regional center consumers in a similar
situation.
[Consumer’s
name] is a [age] year old with a [describe the type of disability]
disability. [Describe the services and supports
the consumer receives now.]
[Describe
the services and supports the consumer is requesting and explain why the
consumer needs them.]
[Describe
why the provider will not provide these services or supports.]
[Explain
which policy or practice violates the consumer’s rights. For example, are the
services you receive based on a policy instead of on the consumer’s individual
needs?]
[Explain
how your complaint can be settled.]
Please investigate
this complaint and respond to me within 20 business days.
If you have any
questions, you may contact me at the number listed below.
Sincerely,
[Consumer’s name – or the name of the person writing on
behalf of the consumer]
[Consumer’s address and phone number – or the address and phone number of the person writing on behalf of the consumer]