Non-Discrimination Statement
Nivano Physicians does not discriminate on the basis of race, color, national origin, sex, age, or disability in its health programs and activities.
Legal Framework
This notice is provided in compliance with:
- Section 1557 of the Affordable Care Act (42 USC 18116)
- 45 CFR Part 92 – Section 1557 Final Rule (2024)
- Title VI of the Civil Rights Act of 1964
- Title IX of the Education Amendments of 1972
- Section 504 of the Rehabilitation Act of 1973
- Age Discrimination Act of 1975
- California Unruh Civil Rights Act
- California Fair Employment and Housing Act
Protected Characteristics
We do not discriminate based on:
Race and Color
- All racial backgrounds and ethnic identities
- Mixed race and multiracial individuals
- Perceived race regardless of actual background
- Association with individuals of any race
National Origin
- Country of birth or citizenship status
- Primary language spoken
- Accent or manner of speaking
- Immigration status (with limited exceptions)
Sex
- Biological sex assigned at birth
- Gender identity and gender expression
- Sexual orientation and relationship status
- Pregnancy and related conditions
- Sex characteristics including intersex traits
Age
- All age groups served by our programs
- Age-related stereotypes and assumptions
- Different treatment based solely on age
- Reasonable accommodations for age-related needs
Disability
- Physical disabilities and mobility impairments
- Sensory impairments including vision and hearing
- Intellectual and developmental disabilities
- Mental health conditions and psychiatric disabilities
- Chronic illnesses and medical conditions
- History of disability or perceived disability
Language Access Services
Interpreter Services
We provide free language assistance services to individuals whose primary language is not English:
- In-person interpreters for medical appointments
- Telephone interpretation available 24/7
- Video remote interpreting for specialized needs
- American Sign Language (ASL) interpreters
- Tactile interpreting for deaf-blind individuals
Translated Materials
We provide translated materials in languages spoken by our community:
California’s Threshold Languages
Documents available in the top 15 languages spoken by Limited English Proficient (LEP) populations:
- Spanish, Chinese (Mandarin/Cantonese), Vietnamese, Korean, Tagalog
- Russian, Arabic, Hmong, Japanese, Thai, Punjabi, Cambodian, Laotian, Hindi, Persian
Vital Documents
We translate essential materials including:
- Consent forms and treatment authorizations
- Discharge instructions and medication information
- Privacy notices and patient rights
- Insurance and billing information
- Appointment confirmations and scheduling
How to Request Language Services
- At time of scheduling: Inform staff of language needs
- Upon arrival: Request interpreter services at front desk
- By phone: Call (916) 407-2000 and ask for interpreter
- Online: Submit language preference through patient portal
- No charge: All language services are provided at no cost
Auxiliary Aids and Services
For Individuals with Disabilities
We provide reasonable accommodations and auxiliary aids at no charge:
Communication Aids
- Sign language interpreters (ASL and other sign languages)
- Oral interpreters and speech-to-speech translators
- Assistive listening devices and hearing loops
- Written materials in alternative formats
- Large print and Braille materials
- Audio recordings and digital formats
Mobility and Physical Access
- Wheelchair accessible facilities and examination rooms
- Adjustable examination tables and equipment
- Accessible parking spaces and pathways
- Assistance with transfers and positioning
- Accessible restrooms and waiting areas
- Service animal accommodation
Cognitive and Intellectual Disabilities
- Extended appointment times for complex needs
- Simplified explanations and visual aids
- Caregiver involvement with patient consent
- Flexible scheduling options
- Written instructions in easy-to-understand format
How to Request Accommodations
Advance Notice Preferred (but not required):
- At scheduling: Inform staff of accommodation needs
- By phone: (916) 407-2000 (Accessibility Services)
- By email: customerservice@nivanophysicians.com
- In person: Request at any office location
- Online: Through patient portal accommodation requests
Emergency Accommodations: Available immediately for urgent needs
Filing Complaints
Internal Complaint Process
How to File
You may file a complaint if you believe you have been discriminated against:
Multiple Options Available:
- Phone: (916) 407-2000
- Email: compliance@nivanophysicians.com
- Mail: Section 1557 Coordinator, address above
- In person: At any Nivano Physicians location
- Online: Through our website complaint form
Required Information
- Your name and contact information
- Description of the alleged discrimination
- Date and location of the incident
- Names of individuals involved
- Witnesses to the incident (if any)
- Desired resolution or remedy
Investigation Process
- Acknowledgment within 5 business days
- Thorough investigation of all allegations
- Written response within 30 days
- Corrective action if discrimination found
- Follow-up to ensure resolution
External Complaint Options
U.S. Department of Health and Human Services
Office for Civil Rights (OCR)
Filing Options:
- Online: https://www.hhs.gov/civil-rights/filing-a-complaint/index.html
- Phone: 1-800-368-1019
- TTY: 1-800-537-7697
- Email: OCRComplaint@hhs.gov
Mail:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Regional Office (San Francisco):
Office for Civil Rights, Region IX
90 7th Street, Suite 4-100
San Francisco, CA 94103
Phone: (415) 437-8310
TDD: (415) 437-8311
California State Agencies
Department of Fair Employment and Housing (DFEH):
- Phone: 1-800-884-1684
- Website: www.dfeh.ca.gov
- Services: Investigation and resolution of discrimination complaints
California Attorney General’s Office:
- Phone: 1-800-952-5225
- Website: oag.ca.gov
- Civil Rights Enforcement Section
Notice Requirements
Format and Display Requirements
This notice meets Section 1557 Final Rule requirements:
- Sans serif font (minimum 20-point size for posted notices)
- Conspicuous website placement on homepage
- Posted in all facilities in patient access areas
- Available in alternative formats upon request
- Included in significant communications to patients
Distribution Requirements
This notice is provided:
- At enrollment in health programs
- Upon request at any time
- On our website prominently displayed
- In patient handbooks and materials
- Posted in all facilities and offices
Language Requirements
Taglines informing individuals about language assistance services are provided in:
- The top 15 languages spoken by LEP populations in California
- Additional languages based on local community needs
- All patient-facing materials and communications
Staff Training and Awareness
Training Requirements
All Nivano Physicians staff receive training on:
- Section 1557 requirements and compliance obligations
- Non-discrimination policies and procedures
- Cultural competency and inclusive care practices
- Language access and accommodation services
- Complaint procedures and reporting requirements
Ongoing Education
- Annual training updates on regulation changes
- Specialized training for patient-facing staff
- Leadership training on accommodation processes
- Community cultural competency programs
Accessibility Features
Physical Accessibility
Our facilities feature:
- ADA-compliant entrances and pathways
- Accessible parking spaces near entrances
- Wheelchair accessible examination rooms
- Adjustable examination tables and equipment
- Accessible restrooms with grab bars and space
- Clear signage with Braille and large print
Communication Accessibility
- TTY/TDD telephone access (711)
- Video relay services for deaf and hard of hearing
- Written materials in large print and Braille
- Digital accessibility for website and patient portal
- Visual alerts and communication boards
Program Accessibility
- Service modifications to ensure equal access
- Alternative locations when needed for accessibility
- Extended appointment times for complex needs
- Flexible policies to accommodate disabilities
Contact Information
General Information
Main Phone: (916) 407-2000
TTY: 711
Website: www.nivanophysicians.com
Email: customerservice@nivanophysicians.com
Specific Services
Language Services: (916) 407-2000
Accessibility Services: (916) 407-2000
Section 1557 Coordinator: (916) 407-2000
Patient Relations: (916) 407-2000
Emergency Access
24/7 Language Line: Available through main number
After-hours Accommodation: On-call coordinator available
Emergency Interpretation: Immediate access for urgent care
This notice was last updated on August 7, 2025 and reflects our ongoing commitment to providing equal access to healthcare services for all individuals.
Document Version: 1.0
Effective Date: August 7, 2025
Next Review Date: August 7, 2027