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California Department of Education May 2023 Page 1 of 2

Placentia-Yorba Linda Unified School District

Williams Complaint Form

California Education Code (EC) Section 35186 created a procedure for the filing of

complaints concerning deficiencies related to instructional materials, conditions of

facilities that are not maintained in a clean or safe manner or in good repair, and

teacher vacancy or misassignment. The complaint and response are public documents

as provided by statute. Complaints may be filed anonymously. However, if you wish to

receive a response, you must provide the following contact information.

Is a response requested – Yes or No? [Circle yes or no]

Name: ________________________________________________________________

Mailing Address: ________________________________________________________

______________________________________________________________________

Phone Number: _________________________________________________________

Issue of Complaint: [Select from below]

Textbooks and Instructional Materials

q A pupil, including an English learner, does not have standards-aligned textbooks

or instructional materials or state-adopted or district-adopted textbooks or other

required instructional materials to use in class.

q A pupil does not have access to textbooks or instructional materials to use at

home or after school. This does not require two sets of textbooks or instructional

materials for each pupil.

q Textbooks or instructional materials are in poor or unusable condition, have

missing pages, or are unreadable due to damage.

q A pupil was provided photocopied sheets from only a portion of a textbook or

instructional materials to address a shortage of textbooks or instructional

materials.

Facility Conditions

q A condition poses an urgent or emergency threat to the health or safety of

students or staff, including: gas leaks, nonfunctioning heating, ventilation, fire

sprinklers or air-conditioning systems, electrical power failure, major sewer line

stoppage, major pest or vermin infestation, broken windows or exterior doors or

gates that will not lock and that pose a security risk, abatement of hazardous

materials previously undiscovered that pose an immediate threat to pupils or

staff, structural damage creating a hazardous or uninhabitable condition, and any

other emergency conditions the school district determines appropriate.