Compliance Reporting Form


The Compliance Report can be MAILED to:

  • Compliance Officer
  • Sunrise Community, Inc.
  • 9040 Sunset Drive
  • Miami, Florida 33173

Compliance is conforming to established rules, regulations and policies. It is ensuring that those who conduct business for or on behalf of Sunrise are demonstrating established ethical behaviors and upholding established standards as measured against commonly accepted rules of conduct for society or for a profession. Sunrise is committed to conducting its business in accordance with all federal, state and local laws which govern its industry. Sunrise can only meet this commitment through the diligent efforts of its employees. They must demonstrate behavior that reflects integrity, honesty and compliance with applicable legal and regulatory requirements. Sunrise is committed to maintaining a work environment that promotes these principles and permits its employees to perform their daily task in a work culture with the utmost professionalism.

The Compliance Reporting Form is one of the tools available for reporting compliance issues and incidents that may include:

  • Conflicts of Interest
  • Embezzlement or Fraud (Including Kronos)
  • Ethical Standards Violations
  • Medical Billing Irregularities
  • Consumer Abuse
  • Consumer Privacy Rights/Other Consumer Rights (HIPAA Issues)
  • Consumer Safety
  • Safety, Health and Environmental Violations/Concerns
  • Policy Violations
  • Substance/Alcohol Abuse
  • Theft or Abuse of Sunrise Property (Including Sharing of Passwords)
  • Threats to Property
  • Workplace Violence

While it is not the intent of the Compliance Department to replace current procedures for reporting issues to your supervisor or other managerial authority, it is the responsibility of all employees to report any violation of laws or ethical standards to which Sunrise must adhere. In no event shall any individual who reports a concern be subjected to any retaliation related to a report which he or she reasonably believed to be true and offered in good faith.


Do not use this form to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive immediate response. If you require emergency assistance, please contact your local authorities. This form is intended for all staff, vendor and stakeholders, to submit compliance concerns. If you wish to remain anonymous you are not required to enter personal information. Sunrise respects your right to privacy, all information received will be kept confidential.



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No

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No

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Contact Information


Address


Incident Details



Accounting or Auditing Matter
Conflicts of Interest
Consumer Abuse
Consumer Privacy Rights/Other Consumer Rights
Confidentiality and or HIPAA Privacy Violation
Consumer Safety
Discrimination or Harassment
Embezzlement
Fraud
Falsification of Work Hours (including Kronos)
Ethical Standards Violations
Falsification of Contracts, Reports or Records
Medical Billing Irregularities
Misconduct, Inappropriate Behavior or Harassment
Sabotage or Vandalism
Safety, Health and Environmental Violations/Concerns
Substance Abuse
Substance/Alcohol Abuse
Theft from Consumers
Theft, Abuse or Misuse of Sunrise Property
Misuse of Computer Technologies or Equipment (Including Sharing of Passwords)
Threats to Property
Unsafe Working Conditions
Violations of Company Policies, Procedures or Practices
Violence or Threats
Workplace Violence
Other

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No
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Self
Employee
Person/Consumer Receiving Services
Other