HomeMy WebLinkAboutMN-DAC-1993 Self-Evaluation Forms ADA City of Ithaca
Americans with Disabilities Act
Self-Evaluation
Name of person completing form:
Title: Telephone:
Department:
I. GENERAL REQUIREMENTS
A. List all programs, services, benefits and activities that involve interaction
between your department and the public. Types of interaction may
include permit applications, public hearings, provision of written reports,
response to telephone inquiries, walk-in questions, etc. In addition list all
boards, commissions, committees or agencies that your department is
responsible for staffing. Please be inclusive.
B. Are you familiar with the City's policy of nondiscrimination to ensure that
people with disabilities are not excluded from participation in or denied
the benefits of your departments services, programs and activities?
Yes No
1. Is department staff informed periodically of, and does staff
understand fully, the policy of non-discrimination on the basis of
disability? (For example, through discussion at staff meetings,
posted notice, training?)
Yes No
a. If Yes, how is staff informed?
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2. Is the public informed by department staff of the policy of non-
discrimination on the basis of disability? (For example, by posted
notice, telephone or advertising.)
Yes No
If Yes, how is the public informed?
3. Does the department provide staff training to ensure that all staff
involved in any aspect of programs that serve the public fully
understand the departments obligations under the ADA? (The
purpose of such training should be to foster understanding of
responsibilities, acceptance, and support of nondiscrimination
policies.)
Yes No
a. If Yes, name specific training resource (examples include
video tapes, training programs by Program on Employment
and Disability(Cornell University),Finger Lakes Independent
Center, or Office of Vocational and Educational Services for
Individuals with Disabilities.):
C. Does your department have a policy to hold public meetings only in
accessible facilities?
Yes No
D. Does your department use any of the following alternative formats and
auxiliary for effective communication with persons with disabilities:
braille _interpreters
_audio tapes readers
_large print _dedicated staff assistant
assistive listening _closed caption television
devices (ALDs such _telephone devices for the
as an "FM loop") deaf (TDD)
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1. If Yes, are staff trained to operate auxiliary aids?
2. If Yes, are auxiliary aids available &* during all working hours?
E. List any written guidelines or procedures prepared by the Department
concerning the availability and use of auxiliary aids and alternative
formats. (Examples may include written instructions, posted notices, etc.)
F. Does the department have policies to ensure that all future construction
and renovation work will be carried out in accordance with ADA
Accessibility guidelines?
Yes No
G. A decision that ADA compliance would result in fundamental alteration
in the nature of a particular program or be an undue administrative or
financial burden can only be made by a department director. In making
this decision the director shall consider all resources available for use in
the funding and operation of the service, program, or activity, and must
provide a written statement of the reasons for reaching that conclusion. Is
there any procedure for preparation of a written statement and/or review
by your department director?
Yes No
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H. Is the department involved with hiring full or part time employees,
seasonal employees, temporary employees, students or interns?
Yes No
If yes, analyze the following aspects of employment to make certain that
no discrimination based on disability exists:
recruiting, advertising and processing applications for employment;
hiring, upgrading, promotion, award of tenure, demotion, transfer, layoff,
termination, right of return form layoff, and rehiring;
rates of pay or any other form of compensation and changes in
compensation;
job assignments, job classifications, organizational structures, position
descriptions, lines of progression, and seniority lists;
leaves of absence, sick leave or andy other leave;
fringe benefits available by virtue of employment, whether or not
administered by the recipient;
section and financial support for training, including apprenticeship,
professional meeting,conferences and other related activities,and selection
for leaves of absence to pursue training, including social and recreational
programs; and
any other term, condition of privilege or employment.
J. Is there a complaint process for the public or employees with disabilities
and others should they experience difficulty in gaining access to services,
programs or activities listed above?
Yes No
1. If Yes, how is the public informed of the complaint process? i.e.
reference to the City's ADA Coordinator, posters, addendum on
public notice or taped material.
2. If Yes,provide the name,position, and phone number of the person
to whom the public or employees can submit such complaints.
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3. Describe what happens to a complaint after it is received.
Generally, what steps are undertaken to resolve it, for example, to
what committees or personnel is it referred for evaluation.
4. Identify the individual responsible for making final, administrative,
financial, and policy decisions. Does the department have a
procedure for ensuring that such decisions are made properly and
expeditiously?
K. Has the department established and implemented emergency evacuation
procedures?
Yes No
1. If Yes, how is this information (including the warning that an
evacuation is necessary)communicated to employees,the public and
those who are visually and hearing impaired.
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H. PROGRAM ACCESSIBILITY
A. Recruitment and Advertising
1. Do recruitment and advertising procedures ensure opportunities for
the selection and participation of people with disabilities? This
applies to program participants,employees and those who serve on
citizens advisory boards,commissions and committees. (Recruitment
and advertising procedures may include notifying the City Clerk of
job opportunities to advertise on the cable access network,statement
of encouragement at the bottom of all public notices, posting public
notices on local community bulletin boards and computer bulletin
boards such as FLIC-net, and circulating notices of program
opportunities with the Disability Advisory Council.)
Yes No
If Yes, how?
2. Are recruitment and/or advertising materials effectively
communicated to persons who are blind or deaf, and those with
visual and hearing impairments. (Methods of effective
communication involve providing auxiliary aids or presenting
materials in alternative formats such as pre-recorded telephone job
lines or other audio related services.)
Yes No
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3. Do department recruitment and advertising policies and procedures
include outreach practices to recruit participation of people with
disabilities. (Examples may include community and computer
bulletin boards, personal networking requests, human service
organizations, senior citizen centers, doctors' offices, Disability
Advisory Council, Finger Lakes Independent Center, Office of
Vocational and Educational Services for Individuals with
Disabilities, and Commission for the Blind.)
Yes No
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B. Eligibility/Admission Requirements
1. List any eligibility/admission requirements for participation in
programs, services or activities of your department. (Examples
include permit or job application forms, income levels, residency
requirements, good health, letters of recommendation, professional
expertise, physical requirements or required tests.)
a. Are all listed eligibility/admission requirements non-
discriminatory towards people with disabilities? (Examples
of discriminatory requirements include, small print forms,
written forms, medical exams.)
Yes No
2. Does the department have the capacity to effectively communicate
eligibility and admission requirements to people who are blind or
deaf, and those with hearing or visual impairments through
provision of auxiliary aids or alternative formats.
Yes No
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C. Participation
1. The ADA requires that each service, program or activity, when
viewed in its entirety be readily accessible to and usable by
individuals with disabilities. This may require use of alternate sites,
provision of auxiliary aids and services, modifications of policies,
special assistance for those with limited reading or comprehension
skills, etc. Are all of your department's programs, services and
activities accessible to qualified persons with disabilities?
Yes No
2. Does the department have a mechanism for periodic updating and
re-evaluation of accessibility of programs, services and activities to
accommodate the needs of new or existing program participants or
employees?
Yes No
3. In selecting between alternative plans for accessibility, does your
department have a policy that gives priority to methods that allow
persons with disabilities to participate in programs, activities, or
services in the most integrated setting appropriate?
Yes No
a. Do you consult with any agency about alternative plans,such
as the Finger Lakes Independent Center, Program on
Employment and Disability, or Office of Vocational and
Educational Services for Individuals with Disabilities?
Yes No
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4. List any program or activity in which transportation is provided to
employees or the general public.
a. Is the transportation provides accessible to or useable by
persons with disabilities?
Yes No
5. A department may not offer different or separate services or
programs for persons with disabilities unless it is necessary in order
to provide them with services or benefits that are as effective as
those provided to others. Separate programs must not tend to
restrict the participation of people with disabilities in general
program activities. Are all services and programs inclusive?
(Responding No means that separate services and programs exist.)
Yes No
a. If No, what are the reasons for the special programs?
b. If No, has staff been informed that an individual with a
disability cannot be denied an opportunity to participate in
programs, services or activities that are not separate or
different, even if permissibly separate programs or services
exist?
Yes No
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III. COMMUNICATIONS
ADA regulations state that public entities shall take appropriate steps to ensure that
communications with applicants, participants, and members of the public with
disabilities are as effective as communications with others. This could include people
who are blind, deaf, deaf-blind, or who have limited reading, comprehension and
communication skills.
A. Does your department have a policy to furnish appropriate auxiliary aids
and services(interpreters,readers,assistive listening devices,TDD's,Braille
or large print materials, audio tape, help in filling out forms, etc.) if
necessary so that an individual with a disability has an equal opportunity
to participate in or enjoy the benefits of your services, programs, or
activities? (It is required that individuals with disabilities have the
opportunity to request the auxiliary aids and services of their choice. It is
also required that requested auxiliary aids and services be given primary
consideration.)
Yes No
B. Does your department's reception/point of contact staff receive training in
how to recognize and be sensitive to the needs of people with different
types of communication disabilities in order to assist them?
Yes No
C. Does your department make available to applicants, participants,
beneficiaries and other interested persons information and notice regarding
the provisions of the ADA and its applicability to your services,programs,
or activities in order to apprise them of their rights and of protection
against discrimination?
Yes No
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D. What methods has your department used to ensure that people, including
those with impaired vision and hearing or limited reading and
comprehension skills,can obtain information concerning the existence and
location of accessible services, activities, and facilities?
TV Radio Newspapers_ Auxiliary Aids
Community agency newsletters Alternative formats_
Outreach techniques No methods tried yet
Other
E. Does your department notify the public and other interested persons that
its public meetings, hearings, and conferences are held in accessible
locations and that auxiliary aids will be provided, upon request, to
participants with disabilities?
Yes No
F. Do your handout materials and brochures list: (1)procedures for providing
access to persons with disabilities; and (2) the ADA Coordinator's name
and phone number?
Yes No
G. ADA regulations state that where a department communicates by
telephone with applicants and beneficiaries, TDD's or equally effective
telecommunications systems shall be used to communicate with
individuals with impaired hearing or speech. Does your department have
a TDD?
Yes No
1. If Yes, list number(s) and location(s)
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2. If Yes, What steps have been taken to publicize the TDD number?
3. If No, does your department have standard contact with the public
or with City employees:
Yes—No-
4. Does your department have training on a regular basis to
familiarized any appropriate or new staff members with the
operation of the TTD, the TDD Relay Service, and other effective
means of communicating over the telephone with persons who have
hearing or speech impairments?
Yes No
H. Are printed posters and announcements clearly legible?
Yes No
1. Are they placed in physically accessible locations
where smaller print can be read from a
wheelchair?
Yes No
2. Are high contrasting colors used in printed materials so individuals
with visual impairments, including color blindness, can read it?
Yes No
3. Do graphics permit easy reading of content?
Yes No
I. Are written descriptions and visual representations of people with
disabilities free from patronizing stereotypes?
Yes No
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J. Does your department produce any television or videotape programming?
Yes No
1. If Yes, is it captioned (can be opened or closed)?
Yes No
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Americans with Disabilities Act
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IV. Use of Contractors
ADA regulations state that a public entity, in providing any aid,benefit or service,may
not, directly or through contractual, licensing, or other arrangements deny a qualified
individual with a disability the opportunity to participate or benefit. It also states that
a public entity cannot aid or perpetuate discrimination by providing significant
assistance to an agency, organization,or person that discriminates. In addition,because
the City is a recipient of federal funds, discrimination against people with disabilities is
prohibited by Section 504 of the Rehabilitation Act of 1973.
A. Are steps taken to ensure that department staff responsible for contracting
understand these requirements?
Yes No
B. Is language included in department contracts to ensure that contractors are
aware of their obligations to provide for accessibility for people with
disabilities in programs and activities they operate with funds received
through the City of Ithaca?
Yes No
C. Does your department have procedures for ongoing monitoring of
contracts to ensure that services are accessible to people with disabilities?
Yes No