COMPLAINTS/CONCERNS

DO ANY OF THE FOLLOWING

  • Inform a NorCal employee who can relay your concern to a program manager.

  • Request a meeting with a program manager or the CEO in person or on VP.

  • Fill out online shown below.

  • Download and fill out the PDF complaint form and mail to 4044 N Freeway Blvd., Sacramento, CA 95834. Attention: CEO

PDF COMPLAINT FORM

VISIT US AT OUR OFFICE 8:30am-5pm Monday - Friday

4044 N. Freeway Blvd.,
Sacramento, CA 95834

TITLE VI FORM - ENGLISH
TITLE VI FORM - SPANISH
Your Email

YOUR GRIEVANCE DETAILS

A grievance is a complaint made by a client or a community member about a service provided by NorCal or about a NorCal staff or policy. Please submit your grievance within 30 days of the incident. If you prefer, you may request a meeting with a NorCal Supervisor, either a Program Coordinator or Program Manager, who will complete the grievance form.
Please list names and titles of those who were directly involved in the incident. Please exclude witnesses from this list.
Please list the names and titles of those who witnessed the incident.
Please provide as much detail as possible, including relevant events that led up to the incident.
Cite specific information from the employee handbook when possible.
Optional.
What actions do you want in response to your grievance?
Detail action in response not listed above.
Terms and Agreement
I submit this form and confirm that everything on it is true and complete to the best of my knowledge.

CLIENT AND COMMUNITY GRIEVANCE PROCEDURES

NorCal Response

The NorCal Supervisor will investigate your grievance by gathering information from you, NorCal staff and any witnesses and by reviewing any documented records. The Supervisor may request to meet with you to resolve or clarify the situation. The Program Manager will respond to your complaint in writing within 20 working days.

Request for Review

If you are not satisfied with the response from the NorCal Supervisor, you may request the Chief Executive Officer to review the NorCal Manager’s decision. To request a review by the CEO, contact our office within 10 working days from the date that you received the decision from the Supervisor and state you want a review by the CEO.

Review by CEO

The CEO will review the NorCal Manager’s determination of the grievance. The CEO may request further investigation by the NorCal Manager or request a meeting with you. The CEO will either agree or disagree with the decision of the NorCal Manager and respond to you within 20 working days from the date that you request the review. The decision of the CEO is final. Complaint about the CEO: If you have a complaint about the CEO, request a meeting or send your complaint directly to the CEO. The CEO will respond to you within 20 business days. If you are not satisfied with the CEO’s response, then you may contact the Chair of the NorCal Board of Directors.

Complaint about the CEO

If you have a complaint about the CEO, request a meeting or send your complaint directly to the CEO. The CEO will respond to you within 20 business days. If you are not satisfied with the CEO’s response, then you may contact the Chair of the NorCal Board of Directors.

The California Civil Rights Department (CRD) at https://calcivilrights.ca.gov and the U.S. Department of Justice Civil Rights Division at https://civilrights.justice.gov/ investigate and prosecute unlawful discrimination. If you think you have experience unlawful discrimination, you may file a complaint with the appropriate agency.

NO RETAILATION

There shall be no retaliation against any person making a complaint.
Immediately report to the Deputy Director or CEO
of any retaliatory actions or behaviors.