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Tags Posts tagged with "Civil Rights Compliance"

Civil Rights Compliance

Providers who hold a license to operate a facility licensed by the Pennsylvania Department of Human Services (DHS) are being notified of a change to the Civil Rights Compliance process. There is a new Civil Rights Compliance form when submitting a new licensing application as well as a new Civil Rights Compliance Renewal form when submitting a licensing renewal application.

Entities seeking a new license will utilize a Civil Rights Compliance (CRC) form (HS2126). The prior Civil Rights Compliance (CRC) form is now obsolete and will be returned back to providers. This form must be included in the packet submitted as part of any new license request. The new application, supporting documents, and CRC form must be emailed to the DHS office that issues your license; the email address can be found in the chart below.

Entities licensed by OCDEL or ODP who use CLS or PELICAN to submit new applications must submit the form by email. The CRC forms are not part of the electronic CLS/PELICAN new application process. The updated CRC form for new applications can be found on the DHS website under the “Application for License” page.

For licensing renewals, a licensee will now submit a CRC Renewal form (HS 2125). The prior Attestation form is now obsolete and will be returned back to providers. The renewal form must be submitted as part of a renewal licensing application, and the renewal notice will still be sent out 130 days prior to expiration. The renewal application must be emailed to the DHS office that issues your license; the email address can be found in the chart below.

Entities licensed by OCDEL or ODP who use CLS or PELICAN to submit renewal applications must submit the renewal by email. The renewal is not part of the electronic CLS/PELICAN renewal application process. The CRC form for can be found on the DHS website under the “Application for License” page.

Previously, the DHS Bureau of Equal Opportunity (BEO) would issue you a letter verifying that you are compliant with applicable civil rights laws. With the new process, a letter from BEO will no longer be sent out to licensed entities. Instead, the issuance of the new license or renewal license will indicate that your CRC form or renewal form submission was approved. If there are issues or questions on the submitted CRC or renewal form, a staff member from BEO or DHS will contact you.

If your license is issued by… Submit your application AND your CRC form (if new license)
or  CRC Renewal (if license renewal) to:
The Bureau of Human Services Licensing (Renewals) – PCH & ALR [email protected]
For NEW applications for Personal Care Homes or Assisted Living Residences Send the application, supporting documents, Civil Rights Compliance Form (HS2126) and the application fee, check or money order payable to DHS to:

Via USPS:                              Or via courier:

DHS/BHSL                                 DHS/BHSL

Room 623                                  Health & Human Services Bldg.

PO Box 2675                              Rm 623

Harrisburg, PA 17105-2675        625 Forster Street

Harrisburg, PA 17120

The Office of Children, Youth, and Families [email protected]
The Office of Mental Health and Substance Abuse Services [email protected]
The Office of Developmental Programs* [email protected]
The Office of Child Development and Early Learning* Child care providers should include their MPI number in the subject line and email the appropriate regional office:  

Northeast Region:

[email protected]

Central Region:

[email protected]

Counties: Dauphin, Cumberland,

Lancaster, York, Adams, Lebanon and York

[email protected]

Counties: Snyder, Perry, Juniata, Centre, Mifflin, Tioga, Lycoming, Northumberland, Union and Clinton

South Region:

[email protected]

Western Region:

[email protected]

Counties: Allegheny, Armstrong, Beaver, Butler, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Venango, Warren, Washington and Westmoreland

[email protected]

Counties: Bedford, Blair, Cambria, Franklin, Fulton, Huntingdon and Somerset

*Licensees who use CLS or PELICAN to submit renewal applications must submit the renewal by email. The renewal is not part of the electronic CLS/PELICAN renewal application process.

The new process is effective on Tuesday, October 1, 2024. Existing licensees and applicants must begin following the new process on or before that date.

If you have any questions about the new process, please contact the applicable DHS office, DHS Human Services Licensing Office at 717-705-0383, or, if your facility is a childcare facility, please reach the Office of Development and Early Learning (OCDEL) at Western Region 1-800-222-2149, Central Region (Harrisburg) at 1-800-222-2117, Northeast Region (Scranton) at 1-800-222-2108, or Southeast Region (North & South) at 1-800-346-2929.

If you have any questions or need assistance with the completion of your civil rights compliance application, please contact Bureau of Equal Opportunity Licensing office at 717-787-1579 or electronically.

Thank you for your commitment to protecting the rights of Pennsylvania’s most vulnerable citizens. If you have any additional questions, please contact your respective RCPA Policy Director.

Immediate Action Required for Regulatory Compliance – Please Read Carefully

The Department of Human Services (DHS) is providing a critical update to those providers who hold a license to operate a facility licensed by DHS. On August 18, 2022, DHS and RCPA released an alert regarding changes in how licensed agencies provide information related to civil rights compliance. Since that time, DHS has received several questions and is providing further clarification.

  1. When sending the CRC form or the CRC attestation form, please send it as a PDF. Please do NOT send as a secure file, secure email, or link to a secure portal to retrieve the document. We are unable to access those forms, and they will be returned. When emailing the forms for submission:
    1. Use the following naming convention in the subject line when submitting Renewal HS2125:
      • Attestation – Program Office – Name of Facility or Agency – License number or APP number if assigned
        • Examples:
          • Attestation – OCYF – Apple Agency Home – 123450
          • Attestation – ODP – Apple Agency – APP-00123456
    2. Use the following naming convention in the subject line when submitting a new application HS2126:
      • New – Program Office – Type of Service – Name of Facility or Agency
        • Examples:
          • New – BHSL  – PCH – Apple Personal Care Home
          • New – ODP – Life Sharing – Apple Agency – APP-00223456
  2. In the Office of Developmental Programs (ODP) and the Office Mental Health and Substance Abuse Services (OMHSAS), there are providers who have one license that cover multiple locations. In this case, you only need to submit one form (either the HS2125 or the HS2126) and list the addresses of each satellite site/location that falls under that license.
  3. If in the past, you completed the Civil Rights Compliance Questionnaire (CRCQ) annually, as part of the renewal license process, you will need to complete the Civil Rights Attestation (HS2125) when you receive your next notice to complete the renewal application process.
  4. If you have a current license, your CRC was approved. You will need to complete the Civil Rights Attestation (HS2125) when you receive your next notice to complete the renewal application process.
  5. For Assisted Living and Personal Care Home providers, when submitting the renewal application for a license, the renewal application, the renewal application fee, and the Attestation (HS2125) must be sent in hard copy in one envelope to Licensing Administration in Harrisburg, as noted on the cover letter of the renewal application packet.
  6. Please ensure that the “Non-Discrimination in Employment” policy statement and the “Non-Discrimination in Services” policy statement issued by your facility contain updated contact information (as indicated below). If this administrative update is the only change that has occurred since the facility’s last license was issued, it is not necessary to provide updated copies to the Department as part of Form HS 2125.

Commonwealth of Pennsylvania
Department of Human Services
BEO/Office of Civil Rights Compliance
Room 225, Health & Welfare Building
P.O. Box 2675 Harrisburg, PA 17120
Inquiries: (717) 787-1127
Email

Office for Civil Rights
U.S. Department of Health and Human Services Centralized Case Management Operations 200 Independence Avenue, S.W.
Room 509F HHH Bldg
Washington, D.C. 20201
Customer Response Center: (800) 368-1019 TDD: (800) 537-7697

U.S. Equal Employment Opportunity Commission
801 Market Street, Suite 1000
Philadelphia, PA 19107-3126
Inquiries: (800) 669-4000
Complaint Process Overview

Pennsylvania Human Relations Commission
333 Market Street, 8th Floor
Harrisburg, PA 17101
Inquiries: (717) 787-4410