NOTICE OF NONDISCRIMINATION
Haven Specialty Home Care, and the agencies it operates, comply with applicable Federal civil rights laws,
and does not discriminate on the basis of race, color, national origin, age, disability, religion, or sex, including
sex characteristics and/ or intersex traits, pregnancy or related conditions, sexual orientation, gender identity,
and sex stereotypes. Haven Specialty Home Care does not exclude people or treat them less favorably
because of race, color, national origin, age, disability, religion, or sex. Haven Specialty Home Care complies
with the Nevada NRS 449.101 requirements as outlined below. Haven Specialty Home Care complies with the
Oregon ORS 441.111-441.119 and 441.993 – Bill of Rights for LGBTQIA2S+ Residents and Residents Living
with HIV as outlined below. Haven Specialty Home Care provides people with disabilities reasonable
modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:
*Written information in other formats (large print, audio, accessible electronic formats, other formats). Haven
Specialty Home Care provides free language assistance services to people whose primary language is not
English, which may include: * Qualified interpreters, or * Information written in other languages. If you need
reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact the
National Director of Clinical Operations. If you believe that Haven Specialty Home Care has failed to provide
these services or discriminated in another way on the basis of race, color, national origin, age, disability,
religion, or sex, you can file a grievance in person with the Executive Director or by mail, fax, or email: Mail:
Haven Specialty Home Care, Compliance Dept./ 16165 N 83rd Ave, Suite 203 Peoria, AZ 85382, EMAIL
jgojkovich@havenhhc.com, Phone: 575-300-2701, Fax 866-422-6034. If you need help filing a grievance, the
Executive Director is available to help you. You can also file a civil rights complaint with the U.S. Department of
Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint
Portal, available at https://ocrportal.hhs. gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of
Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C.
20201 (800) 368-1019 • (800) 537-7697 (TDD) Complaint forms are available at