LOMA LINDA UNIVERSITY MEDICAL CENTER AND CHILDREN S HOSPITAL

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LOMA LINDA UNIVERSITY MEDICAL CENTER AND CHILDREN S HOSPITAL OPERATING POLICY CATEGORY: HUMAN RESOURCE MANAGEMENT CODE: I-39 EFFECTIVE: 02/2014 SUBJECT: NON-DISCRIMINATION AND REPLACES: 02/2011 PAGE: 1 of 5 A. GENERAL RULE AND DEFINITIONS: 1. Loma Linda University Medical Center (LLUMC) is committed to providing a work environment that is free of unlawful discrimination and harassment. In keeping with this commitment, LLUMC strictly prohibits all forms of harassment, including but not limited to sexual harassment and harassment based on race, color, gender, sexual orientation, gender identity, national origin, medical condition, physical handicap, mental condition, veteran s status, or age. Also prohibited is retaliation of any kind against individuals who file complaints in good faith, or who assist in an LLUMC investigation. 2. Unlawful discrimination is generally defined as actions taken regarding the terms and conditions of one s employment based upon a protected class as defined under applicable law, including but not limited to age, race, color, gender, sexual orientation, veteran status, disability, or national origin. 3. For purposes of this policy, sexual harassment includes, but is not limited to, making unwanted sexual advances and requests for sexual favors where either 3.1 Submission to such conduct is made explicitly or implicitly a term or condition of employment; or 3.2 An employment decision is based on an individual s acceptance or rejection of that conduct; or 3.3 Such conduct interferes with an individual s work performance or creates an intimidating, hostile, or offensive working environment. 4. Examples of sexual harassment: Sexual harassment encompasses perceived sexual attention or conduct that is unwanted or inappropriate. Examples of the verbal or physical conduct prohibited by this policy include, but are not limited to: 4.1 Physical assault, touching

SUBJECT: NON-DISCRIMINATION AND PAGE: 2 of 5 4.2 Direct or implied threats that submission to sexual advances will be a condition of employment, raises, promotions, etc. 4.3 Direct or subtle propositions of a sexual nature 4.4 Dating, requesting dates, or entering into a romantic relationship between two employees wherein one employee is in a position of power over the other or is able to exert influence over the other employee s conditions of employment. Therefore, no supervisor shall date or enter into a romantic relationship with a person under his/her supervision. 4.5 A pattern of conduct that would discomfort or humiliate, or both, a person at whom the conduct was directed, including unnecessary touching, remarks of a sexual nature about a person s clothing or body, remarks about sexual activity or sexual preference, or speculations about previous sexual experiences. 4.6 Displaying posters, calendars, graffiti objects, promotional materials, reading materials, or other materials that are sexually suggestive, sexually demeaning or pornographic, or bringing into the work environment or possessing any such material to read, display, or view at work. NOTE: A picture will be presumed to be sexually suggestive if it depicts a person of either sex who is not fully clothed or in clothes that are not suited to or customarily accepted for the accomplishment of routine work in and around the work place and who is posed for the obvious purpose of displaying or drawing attention to private portions of his or her body. 4.7 Use of computers, including the Internet and the e-mail system, to transmit, communicate, or receive sexually suggestive, pornographic, or sexually explicit pictures, messages or materials. 4.8 Without establishing a pattern of doing so, engaging in isolated conduct of the kind described above, or exhibiting a pattern of engaging in such conduct. 5. To the extent possible, confidentiality will be respected, and those notified shall be only those with a need to know of the investigation of a complaint. and any subsequent action taken in response to the complaint. B. EMPLOYEE RIGHTS AND RESPONSIBILITIES

SUBJECT: NON-DISCRIMINATION AND PAGE: 3 of 5 1. LLUMC employees, applicants for employment, contract employees, students, physicians, residents and fellows, volunteers and vendors shall not engage in unlawful harassing or discriminatory behavior. Those found to have acted in violation of this policy shall be subject to appropriate disciplinary action, including warnings, reprimands, suspensions, and/or discharge. 2. Employees who, without establishing a pattern of doing so, engage in isolated conduct of the kind described in Section A, may be directed to undertake an educational program designed to help them understand the harm that they are doing. Nonetheless, LLUMC retains its right to discipline, up to and including termination, when any such conduct is engaged in, whether it rises to the level of sexual harassment as defined by the law or not. 3. Employees shall be guaranteed that complaints of violations as described in Section A will be taken seriously and investigated. All complaints of sexual harassment shall be reported promptly to Human Resource Management (HRM), either by the employee directly, or by the supervisor to whom it is reported. NOTE: Those observing sexual harassment or retaliation should report it to HRM immediately. The complainant need not be the target of the harassment or retaliation. 4. Retaliation against an employee for complaining of sexual harassment, for reporting harassment, or for cooperating with an investigation shall be prohibited and subject to disciplinary action. 5. Intentionally lying about, falsely denying, exerting pressure, or otherwise attempting to cover up conduct such as that described in pars. 3-5.8 shall be prohibited and subject to disciplinary action. 6. Employees subjected to sexual harassment or discrimination may, if possible or feasible: 6.1 Inform the alleged perpetrator that the conduct is considered offensive and should stop. 6.2 Immediately notify their supervisor or, if the supervisor is the alleged perpetrator, notify the supervisor s superior and HRM and include: a. The facts of the incident or incidents b. The names of the individuals involved (reference Administrative Procedure I-39.A)

SUBJECT: NON-DISCRIMINATION AND PAGE: 4 of 5 NOTE: There shall be no retaliation for making a complaint in good faith. If the employee is in doubt about whether unlawful harassment or retaliation has occurred, he or she should contact HRM for clarification and assistance. 7. The employee may also file a complaint of discrimination or unlawful harassment with the Federal Equal Employment Opportunity Commission at 255, East Temple Street, 4 th floor, Los Angeles, CA 90012 1-800-669-4000 or with the California Department of Fair Employment and Housing, 2218 Kausen Drive, Suite 100, Elk Grove, Ca 95758 (916) 478-7251. 8. A complainant found to have been intentionally dishonest in allegations of fact shall be subject to discipline. 9. Questions concerning this policy may be addressed to the HRM Department. C. HRM RESPONSIBILITIES 1. The HRM Director/Designee is responsible for receiving and investigating complaints, and for recommending appropriate action to management. 1.1 A prompt and thorough investigation shall be conducted, with confidentially maintained to the extent possible. 1.2 Upon completion of the investigation, where warranted, appropriate corrective action shall be taken to eliminate the harassment, which may include, but not be limited to: a. Counseling b. Reassignment c. Discipline, up to and including termination D. TRAINING, EDUCATION AND DISSEMINATION OF POLICY 1. This policy shall be disseminated to LLUMC employees through publication, websites, new employee orientations, and other appropriate channels of communication. 2. LLUMC shall provide training to supervisors as designated by the HRM Department.

SUBJECT: NON-DISCRIMINATION AND PAGE: 5 of 5 APPROVED: President, Medical Staff Date Chief Executive Officer Date

LOMA LINDA UNIVERSITY MEDICAL CENTER AND CHILDREN S HOSPITAL OPERATING POLICY CATEGORY: HUMAN RESOURCE MANAGEMENT CODE: I-39.A EFFECTIVE: 02/2014 SUBJECT: NON-DISCRIMINATION AND REPLACES: 02/2011 PROCEDURE PAGE: 1 of 1 IITIATOR OF ACTIO Individual Alleging Discrimination or Harassment ACTIO 1. Reports promptly to his/her supervisor or to HRM the facts of the incident(s), including the names of the individuals involved. NOTE: If supervisor is the alleged offender, The individual notifies the supervisor s superior. Individual or Supervisor HRM Director/designee 2. Contacts or submits a complaint to Human Resources Management (HRM) at ext. 83124. 3. Conducts a prompt and thorough investigation. 4. Reports findings to management, and recommends appropriate course of action. 5. Briefs complainant and alleged perpetrator on overall findings, as appropriate.