Grievance Process – Recovery Residence Association

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Grievance Process

Steps in the Grievance Process:

1. File a formal grievance

2. The RRA will reach out within three business days. The individual is encouraged to have an informal conference with the RRA

3. The RRA will review the grievance. Further steps may need to take place to address the grievance and issue a resolution.

Grievance Form

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While Community Health Improvement Partners (CHIP) and the Recovery Residence Association (RRA) will treat all complaints with sensitivity and respect, CHIP and the RRA make no guarantee or representation regarding the confidentiality of information provided through the RRA's complaint process, whether in person, via phone or in writing. By submitting a complaint to the RRA, You acknowledge and agree that CHIP and the RRA reserve the right to use and disclose any information received from you for CHIP's and the RRA's research and enforcement purposes

You may also call 858-609-7979 as an available option for filing a grievance.
*
- Yes, I have read and agree with the above disclosure

IMPORTANT: If you feel you are in immediate danger call 911 immediately. You can complete this form after you have called for help.

Any question marked with * indicates a mandatory field that must be completed
Do you feel you are in immediate danger of loss of life or physical harm?*
- Yes
- No
IMPORTANT: If you feel you are in immediate danger call 911 immediately. You can complete this form after you have called for help.
Any question marked with * indicates a mandatory field that must be completed
CONTACT INFORMATION:
Name*
First Last
Phone Number*
May we leave a message?*
- Yes
- No
Email Address*
Enter Email Confirm Email
How would you prefer to be contacted?*
- Phone
- Email

COMPLAINT INFORMATION
Please summarize your complaint. Include as much detail as possible regarding who was involved and what happened.*
When did this happen (Approximate if exact date is not known)*
MM slash DD slash YYYY
Name and/or address of recovery residence involved*
Name of recovery residence operator involved
Did you report this problem to the recovery residence staff?
- Yes
- No
If yes, what was the date the problem was reported?
MM slash DD slash YYYY
Would you prefer we keep your name from being discussed with the party you are making a complaint against?*
- Yes
- No
Please note this may limit our ability to conduct a thorough investigation. As stated on the disclaimer page that by submitting a complaint to the RRA, You acknowledge and agree that CHIP and the RRA reserve the right to use and disclose any information received from you for CHIP's and the RRA's research and enforcement purposes.
If you have pictures or documents that help us understand your complaint you may upload them here
Drop files here or

Max. file size: 50 MB.

Recovery Residence Association | 5095 Murphy Canyon Road, Ste. 105 San Diego, CA 92123| Main Phone #: (858) 609-7977 | Grievance Phone #: (858) 609-7979 |Email: info@rrasd.org

A PROJECT FACILITATED BY:

FUNDED BY:

HHSA Live Well San Diego

© Copyright Recovery Residence Association (RRA). All Rights Reserved.

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