Suggestion and grievance Application
English(PDF)	Spanish (PDF)	Cambodian PDF)

Grievance Procedures

• What if something bothers me?
• Where should I start if I want to file a grievance?
• How do I file a grievance?
• Who can use the grievance procedures?
• What happens to me for filing a grievance?
• Are grievances confidential?

What if something bothers me?

It is our intention to provide you with the kind of mental health service that will help you regain control of your life. Let the people where you receive service know if you are not satisfied with the way you are treated. You and the people helping you may be able solve problems quickly and simply.

Where should I start if I want to file a suggestion or grievance?

We want you to feel free to start with the Grievance Procedure that feels most comfortable to you.

• This is because we know that sometimes you may not agree with the quick, simple solution.
• We also know that sometimes you may not feel comfortable telling your grievance to the person you want to complain about.

Advocates Help with Services

If Immediate help is needed, please call one of the people listd below:

Consumer Support Warm Line
Phone:(209)468-3585

Patient's Rights Advocate (all ages)
Phone:(209)468-8676

A representative with the responsibility of assuring all clients their rights. This individual intervenes for the client in both informal and formal disputes and assists with grievances.

Family Advocate
(209)401-6087

Mental Health Outreach Coordinator
(209)468-3498

Parent Partners (Children and Youth Services)
(209)468-2385

Helps parents and other caregivers solve problems and issues related to children and adolescent care.

Southeast Asian Languages (Cambodian, Hmong, Khmu, Laotian, and Vietnamese languages)
(209)953-8843

Problem Resolution Line
(209)468-9393 in Stockton
(866)468-9393 out of Stockton

Family Advocate Patient's Rights Advocate A representative with the responsibility of assuring all clients their rights. This individual intervenes for the client in both informal and formal disputes and assists with grievances. How do I file a grievance? Grievance:

• You can act on your own behalf.

• You can ask another person such as a good friend or a helpful relative to act for you.

• You can contact one of the Advocates listed inYou can contact one of the Advocates listed above.

• Click here to download the Suggestion/Grievance form. Fill out form then drop if off in a suggestion box or mail it.

• You can call the CAC chairperson, Jennie Montoya at (209)468-3755

• If you have Medi-Cal, you can file for a State Fair Hearing.

  State Hearings Division
  California Department of Social Services
  PO Box 944243, Mail Station 19-37
  Sacramento, CA 94244-2430
  Phone: 1-800-952-5253
  TDD: 1-800-952-8349 

  
  

Who can use the grievance procedures?

All clients have a right to express dissatisfaction. If unable to resolve problems on their own, clients may use the grievance or appeal procedures.

What happens to me for filing a grievance or an appeal?

Your service provider will try to make the changes you are requesting. You will not be discriminated against or penalized in any way for filing grievances or appeals. Are grievances/appeals confidential?

Resolving your grievance or appeals quickly is important to us. The investigation of your grievances or appeal will be handled with your privacy in mind.

Are grievances/appeals confidential?

Resolving your grievance/appeals quickly is important to us. The investigation of your grievances or appeals will be handled with your privacy in mind. Are grievances/appeals confidential?

Resolving your grievance or appeals quickly is important to us. The investigation of your grievances or appeal will be handled with your privacy in mind.