Eligibility

Qualifications

  • One or more chronic or post acute medical, cognitive, or mental health condition(s) requiring monitoring, treatment, without which participant's condition will likely deteriorate & require ER visits & /or hospitalization.
  • A condition resulting in limitations of 2 or more ADL (Activities of Daily Living) &/or IADL's (Instrumental Activities of Daily Living)
    and
  • A need for assistance or supervision in addition to any non-ADHC support received in the home related to the medical / mental health condition. 
  • The individual's network of non-ADHC support is insufficient to maintain the individual in the community, demonstrated by at least one of the following;

            1. Lives alone without family or caregivers available to provide sufficient & needed care or supervision

       2. Lives with one ore more related or unrelated individuals, but they are unwilling or  unable to provide sufficient & needed care & supervision to the individual

       3. The individual has family or caregivers available, but those individuals require        respite in order to continue providing sufficient & necessary care or supervision

  • A high potential exists for the deterioration of the individuals medical, cognitive or mental health condition(s) in a manner likely to result in ER visits, hospitalization if ADHC services are not provided.
  • The individual's condition(s) requires all of the ADHC services proposed on each day of attendance that are individualized & designed to maintain the ability of the individual to remain in the community & avoid ER visits, hospitalization or other institutionalization.

Examples of qualifying medical conditions

  • Cerebral Palsy
  • Alzheimer's Disease / Dementia
  • Psychiatric Disorders
  • Intellectual Disabilities
  • Diabetes
  • Post Stroke
  • Traumatic Brain Injuries
  • Down Syndrome
  • High Blood Pressure
  • Respiratory ailments
  • Arthritis
  • Visual / Hearing Impairments
  • Developmental Disabilities

Age: Adults 18 years of age and older

Service area: Ventura County

Physician Authorization Form
Enroll Now

                                 USDA Nondiscrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. 


Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. 

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (AD-3027) found online at:

http://www.ascr.usda.gov/complaint_filing_cust.html,and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form.  To request a copy of the complaint form, call (866) 632-9992. 

Submit your completed form or letter to USDA by:

1) Mail: U.S. Department of Agriculture,

Office of the Assistant Secretary for Civil Rights,

1400 Independence Avenue S.W.,

Washington, D.C. 20250-9410

2) Fax: (202) 690-7442; or

3) Email: program.intake@usda.gov.

This institution is an equal opportunity provider.

Reminder: The only protected classed in the CACFP are race, color, national origin, sex, age, or disability.

 

  Nondiscrimination Statement & Accessibility Requirements

 

Discrimination is Against the Law

Among Friends ADHC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Among Friends ADHC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Among Friends ADHC:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

      1) Qualified sign language interpreters

      2) Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as:

      1) Qualified interpreters

      2) Information written in other languages

If you need these services, contact Gabriela Mendez-Molina, Civil Rights Coordinator.

If you believe that Among Friends ADHC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Gabriela Mendez-Molina, Civil Rights Coordinator

GabrielaP@amongfriends.org

851 South A St

Oxnard, CA. 93030

Tel: 805-385-7244 Fax: 805-385-7246

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Gabriela Mendez-Molina, Civil Rights Coordinator 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

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Limited English Proficiency Taglines

English

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877-696-6775.

Español (Spanish)

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-696-6775.

Tagalog

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-696-6775.

Kreyòl Ayisyen (Haitian Creole)

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-696-6775.

Français (French)

ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-877-696-6775.

Português (Portuguese)

Se necessita destes serviços, contacte HHS através do número 1-877-696-6775.

Polski (Polish)

UWAGA: Jezeli mówisz po polsku, mozesz skorzystac z bezplatnej pomocy jezykowej. Zadzwon pod numer 1-877-696-6775.

Italiano (Italian)

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-877-696-6775.

Deutsch (German)

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-877-696-6775.

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Among Friends
851 S. A Street
Oxnard, CA 93030
Tel. 805.385.7244