Pre survey vilil rights compliance review 2026

1. Click ‘Get Form’ to open the pre-survey civil rights compliance review in the editor.
2. Begin by entering the date, name of the facility, and address in the designated fields. Ensure accuracy as this information is crucial for identification.
3. In Section I, provide details about how the Board is oriented to Civil Rights Compliance requirements. Complete Chart 1 with information on Board Members.
4. For Section II, answer whether a nondiscrimination policy is posted and where it can be found. If not, outline corrective steps.
5. Continue through Sections III and IV by filling out patient/resident information and employment policies. Use Charts 2 through 6 to document necessary data accurately.
6. Finally, certify that all provided information is correct by signing at the end of the form.

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