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Complaint form
available online
Good Samaritan of Kissimmee submits this Title VI Program in compliance with Title VI of the Civil Rights Act of 1964, 49 CFR Part 21, and the guidelines of FTA Circular 4702.18, published October 1, 2012.
Good Samaritan of Kissimmee is a sub-recipient of FTA funds and provides service in Osceola County A description of the current Good Samaritan of Kissimmee system is included in Appendix B.
Title VI Liaison
Donnie Alvarez
Senior Living Wellness Recreation Director
(407) 933-3213
1550 Aldersgate Drive, Kissimmee FL 34746
Alternate Title VI Contact
Melisa Foronda
Executive Manager
(407) 933-3213
1550 Aldersgate Drive, Kissimmee, FL 34746
Good Samaritan of Kissimmee must designate a liaison for Title VI issues and complaints within the organization. The liaison is the focal point for Title VI implementation and monitoring of activities receiving federal financial assistance. Key responsibilities of the Title VI Liaison include:
- Maintain knowledge of Title VI requirements.
- Attend training on Title VI and other nondiscrimination authorities when offered by FDOT or any other regulatory agency.
- Disseminate Title VI information to the public including in languages other than English, when necessary.
- Develop a process to collect data related to race, gender, and national origin of service area population to ensure low income, minorities, and other underserved groups are included and not discriminated against.
- Implement procedures for the prompt processing of Title VI complaints.
Click to read the complaint procedure
4.1 Complaint Procedure
Any person who believes he or she has been discriminated against on the basis of race, color, or national origin by Good Samaritan of Kissimmee may file a Title VI complaint by completing and submitting the agency’s Title VI Complaint Form (refer to Appendix E). Good Samaritan of Kissimmee will process complaints that are complete.
Once the complaint is received, Good Samaritan of Kissimmee will review it to determine if our office has jurisdiction. The complainant will receive an acknowledgement letter informing him/her whether the complaint will be investigated by the office.
Good Samaritan of Kissimmee has ninety (90) days to investigate the complaint. If more information is needed to resolve the case, Good Samaritan of Kissimmee may contact the complainant. The complainant has ten (10) business days from the date of the letter to send requested information to the investigator assigned to the case. If the investigator is not contacted by the complainant or does not receive the additional information within ten (10) business days, Good Samaritan of Kissimmee can administratively close the case. A case can also be administratively closed if the complainant no longer wishes to pursue their case.
After the investigator reviews the complaint, she/he will issue one of two letters to the complainant: a closure letter or a letter of finding (LOF). A closure letter summarizes the allegations and states that there was not a Title VI violation and that the case will be closed. A LOF summarizes the allegations and the interviews regarding the alleged incident, and explains whether any disciplinary action, additional training of the staff member or other action will occur. If the complainant wishes to appeal the decision, she/he has seven (7) days to do so from the time he/she receives the closure or the LOF.
The complaint procedure will be made available to the public on Good Samaritan of Kissimmee’s website www.good-sam.com Complaint Form.
A copy of the complaint form in English and Spanish is provided in Appendix E and on Good Samaritan of Kissimmee’s website www.good-sam.com.
Reasonable modification policy
The Department of Transportation has revised its rules under the Americans with Disabilities Act (ADA) and section 504 of the Rehabilitation Act of 1973. It now specifically provides that transportation agencies are required to make reasonable modifications to policies, practices and procedures to avoid discrimination and ensure that their programs are accessible to individuals with disabilities.
Good Samaritan Society – Kissimmee Village is committed to providing safe, reliable, efficient, and accessible service to its customers. To ensure equality and fairness, Good Samaritan Society – Kissimmee Village will make reasonable modifications to policies and procedures to ensure that individuals with disabilities have equal access to all of its services.
Exceptions would include modifications that:
- Cause a direct threat to the health and/or safety of others;
- Result in a fundamental alteration of the nature of the service;
- Are not necessary in order for the individual with a disability to fully utilize Good Samaritan Society – Kissimmee Village’s services
Anyone who would like to request a modification of policies or procedures to participate in a Good Samaritan Society – Kissimmee Village program or service should contact: Donnie Alvarez at (407) 933-3213.