In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Los Olivos School District’s Civil Rights Coordinator: Ray Vazquez, Superintendent.
Ray Vazquez, Principal/Superintendent, Civil Rights Coordinator
P.O. Box 208, 2540 Alamo Pintado Avenue, Los Olivos, Ca 93441
805-688-2540, ext 222

If not anonymous, we will collect the following information from the complaintant:

• The name, address, and telephone number or other means of contacting the complaintant.
• The specific location and name of the entity delivering benefits.
• The nature of the complaint or action that led to the charges being filed.

If the nature of the complaint alleges discrimination, the Civil Rights Coordinator must collect the following:

• Basis on which the complaintant feels that discrimination occured.
• The complaintant must feel discriminated against based on one or more of the protected classes.
• The names, titles, and if known, address of persons who may have knowledge of the discriminatory action or situation.
• The date(s) that the alleges discrimination occurred or duration of such action.

All civil rights complaint documents will be retained for three years beyond the closure of a complaint.

If you wish to file a civil rights complaint directly with the school, please fill out the Child Nutrition Civil Rights Complaint Form and Form AD-3027, linked here or available in our school office addressed to our Civil Rights Coordinator. You may also obtain Form AD-307 from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

1. mail:
   U.S. Department of Agriculture
   Office of the Assistant Secretary for Civil Rights
   1400 Independence Avenue, SW
   Washington, D.C. 20250-9410; or
2. fax:
   (833) 256-1665 or (202) 690-7442; or
3. email:
   Program.Intake@usda.gov

If Los Olivos School District received the letter/forms in the school office, they will be logged and forwarded to the USDA using one of the methods above. You will be sent a letter of receipt of your complaint and the actions we have taken.

Los Olivos School District office staff is trained to accept, log, and forward complaints to the Civil Rights Coordinator, Ray Vazquez, Superintendent. Superintendent Vazquez then confirms the complaint log entry and obtains all required information before forwarding the complaint to the USDA.

If you need instructions in another language besides English, please let us know.

All records are kept on file in the school office for at least 3 years past the completion of the complaint procedure.

Reference: CDE Link to USDA Civil Rights and Complaints