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501 P9N 3Z9 807-467-5225 Fax 807-467-5247 Email: central@kacl.ca |
Dear Kidszone Participant
Re: Kenora Association for Community Living (KACL)’s Commitment to Privacy to KID’S ZONE Children and their families
KACL
has a long history of respecting the rights of their Kid’s Zone children and
their families/guardians. As an operator of a Day Nursery, KACL is committed to
the development of policies, procedures and service offerings that maintain
these rights.
KACL
is doing even more to protect your privacy and your right to control the
collection, use and disclosure of your personal information.
KACL’s
Board of Directors has adopted the Kid’s Zone Code for the Protection of
Personal Information, related Policies and Procedures, and appointed a Privacy
Officer. You are entitled to review the Code at any time, access your personal
information, or contact the Privacy Officer about a privacy issue or concern.
Through these actions, what has been our accepted practice becomes our
documented commitment to you, the member.
We hold
personal information about children attending Kid’s Zone. This information can
include your child’s name, address, birth date, Mother’s Name, Home and Work
Address and telephone numbers, Name of persons to whom child may be released,
Child’s Family Physician, Child’s Ontario Health Card, health related
information, and information required under the authority of the Ontario Health
Promotion and Protection Act, The Day Nurseries Act which is collected for the
purposes of maintaining an immunization record.
We
obtain this information from you directly, and from the service arrangements
you have made with or through us.
With
your consent, we only collect personal information from you for the following
purposes:
The Privacy Officer is your point of contact if you wish to raise any concerns regarding the use of your personal information.
The Privacy Officer is responsible for monitoring information collection and data security, and ensures that other staff receives appropriate training on privacy issues and their responsibilities under the Code. The Privacy Officer also handles personal information access requests under the Code.
Ultimate
responsibility for our compliance with the Code, rests, however, with the
Association’s Board of Directors.
Here is a summary of the 10 Principles of the KACL’s Code for the Protection of Personal Information. contact us.
A complete copy may be found at the following website:privacyprincplies.htm
You can provide us with your consent in a variety of ways (depending upon the sensitivity of the information) – in writing, electronically, or verbally in some instances. Preferably, we will obtain your consent in writing when you enroll your child in our daycare.
The
attached consent forms provide you with an opportunity to affirm your consent
in writing or to limit the uses and disclosures of your personal information
should you choose to do so. You can mail, fax or personally return the attached
form.
If,
for whatever reason, you do not provide us with your written consent or limit
or withdraw your consent, we will assume that we have your implied consent for
the continuing use of your personal information for purposes described within
this handout.
You
can limit or withdraw your consent at any time, subject to legal or contractual
obligations. For example, KACL is required by law to provide a certain health
information to the local Northwestern Health Unit office.
For
information, questions or concerns on KACL privacy issues, write to:
Privacy
Officer
Kenora
Association for Community Living
501
Tel:
807-467-5225 Fax: 807-467-5247
Email:
admin@kacl.ca
Website: www.kacl.ca
KACL will contact those members that wish to withdraw
consent to explain the implications of this decision.
You may return the above Limiting of Consent form at any time. In the event you do not limit or withdraw your consent, we reserve the right to imply your consent for the purposes specified within this accompanying brochure, until such time as you either provide further written consent or limit or withdraw your consent.
Sincerely
,
Dave Lillico, President, Kenora Association for Community Living
Please complete Name, Signature and Date Section below.
I hereby authorize the Kenora Association for Community Living to collect, use or disclose my personal information for the purposes that have been specified as part of this Agreement. I acknowledge that these purposes have been identified to me and they include the purposes listed on this accompanying handout.
No, I do not give unreserved consent to the use of my personal information
for the purposes listed on this accompanying brochure, specifically the listed
purpose(s):
__________________________________________________________________________________________________________________________________________________________________
Name
(please print)________________________ E-Mail
Address ___________________
Address
________________________________ Signature
________________________
Date _________________________ Telephone
Number ___________________________
Preferred method of contact: Telephone Direct Mail E-mail