Clearances cannot be transferred from a state licensed facility to a county licensed facility, or from county to state. Copyright Arizona Department of Public Safety All rights reserved. RAP sheets are based on fingerprint submissions. 8300 Segrue Road 805.547.9302, 600 West Broadway, Suite 700 5540 -E3 Lake Isabella Blvd., Delays can be caused when there is a fingerprint match to the criminal history database, but other delays can be triggered before the fingerprints reach DOJ. 8 hours of Pediatric CPR and Pediatric First Aid. This form will allow you to add your clearance use any other form, as this form includes information specific to our department. Agencies and organizations must ensure that clearances are obtained in accordance with the CPSL. If an individual has been convicted of a crime other than a minor traffic violation, the individual cannot work or be present in any community care facility unless he/she receives a criminal record exemption from the Care Provider Management Bureau (CPMB). Requires Level 1 Card. New Fingerprint Fees Effective July 1, 2019. Family Child Care. Submit fingerprints to the Department of Justice. 805.547.9300 A licensee may verify clearances older than 30 days by calling his/her local Community Care Licensing Division Regional Office. This is a state-specific form designed and issued by the California Department of Social Services Community Care Licensing Division. DES-Employee or Contractor with access to Federal Tax Information, DES-WIOA-Workforce Innovation & Opportunity Act, DHS-Child Care Group Home; Certification, Employees or Volunteers, DHS-Childrens Behavioral Health Programs Employees and Volunteers, DHS-Nursing Care Administrators & Assisted Living Facility Managers, DHS-Residential or Nursing Care Institutions; Home Health Agencies Employees and Volunteers, Health Science Student & Clinical Assistant, Juvenile Probation-Supreme Court, County Attorney or other Contract Provider Employee or Volunteer, State Board of Pharmacy-3rd Party Logistic Providers Representative, State Board of Education (Teacher or Other Certification), Public and/or Charter School Non-certificated personnel, Public and/or Charter School Contractor, Subcontractor or Vendor and their Employees. Complete a licensing application (application will be given at orientation). A licensee may verify clearances older than 30 days by calling his/her local Community Care Licensing Division Regional Office. Residential Care Facilities for the Elderly. You must obtain a fingerprint clearance and a Child Abuse Index Check for yourself, anyone over age 18 in your home, assistants, and/or volunteers. If the person is applying to be in a Community Care Licensed Facility that cares for children, an additional check is made to the Child Abuse Central Index by the DOJ. When an individual submits fingerprints, the California Department of Justice (DOJ) conducts a criminal history check. Members of the public wishing to comment on matters within the Board's jurisdiction will need to attend the meeting in person to do so, at the time and place stated on the meeting agenda. The result of the criminal background check is sent to CPMB as the agency that requested the background check. The board makes major policy decisions in the areas of budgeting, property acquisition and development. are met The Community Care Licensing Divisions (CCLD) mission is to promote the health, safety, and quality of life of each person in community care through the administration of an effective collaborative regulatory enforcement system. For more information regarding the Arizona Board of Fingerprinting, please visit their website. The Child Protective Services Law (CPSL) requires certain individuals to obtain clearances in order to be employed, be a resource parent (foster or adoptive), or be a volunteer with children. The applicant takes the form to a LiveScan operator, where the LiveScan operator checks the applicants identification, inputs the applicants personal information, captures the applicants fingerprints electronically (without ink), and transmits the data to the California Department of Justice (DOJ).The applicant should receive an applicant transaction identifier (ATI) number as a reference, and this ATI number should be kept for future reference. SDSU College of Education 5500 Campanile Drive San Diego, CA 92182-1154Location: Lamden Hall (LH) Dean's Office: 619-594-6091 Admissions & Advising: 619-594-6320 Fax: 619-594-7082, Fingerprint Letter for Blackboard and Website, Copyright 2023 San Diego State University. DES - DDD/HCBS-Home & Community Based Svcs. When an individual receives a criminal record clearance, he/she may work, reside or volunteer in a licensed facility. In order for the CDSS to process the Out of State Child Abuse background check to determine the Applicants eligibility to work, reside, or be present in the Agency, the Applicant must reside in the state of California. (661) 631-6811, Delano Office Attend a licensing orientation. E`hKkv/ +' < W`k}$ G @"" yr&GZ+J04uv)ygNsrHN;W_`hau~B'yAR^b39aGm^(?3z 5ovZiB(tB*{PdDYpt9x-Hcub`v8JZRpL#,02'`kW4 1310 East Shaw Avenue, MS 29-01 The Community Care Licensing (CCL) Program along with several programs from the former Department of Benefit Payments were combined to form the current Department of Social Services. (. In California, all persons aged 18 years and older that operate or work in a Community Care Facility must obtain a fingerprint clearance. Fax. State Board of Education (Teacher or Other Certification) ARS 15-534. Application for a Human Services License. Red flag issues which If there is not a matching disposition for every arrest, the DOJ must determine the disposition of each arrest that does not yet have one. 924 0 obj <>stream You will receive information and an application packet on how to become licensed. The transcript will show arrests and convictions. The Community Care Licensing Division's (CCLD) mission is to promote the health, safety, and quality of life of each person in community care through the administration of an effective collaborative regulatory enforcement system. For example, incorrect data entries can be prevented by making sure the LiveScan operator has entered all of the information on the BCIA 8016 form, and that the information has been entered correctly. d) Pass the State proctored exam of 100 questions. Please note, scheduling an appointment may lead to less or no wait times. A newly fingerprinted individual's clearance will be listed on theBackground Check Searchwebsite for 30 days. Community Care Licensing (CCL) office to verify the individual's status. list of Live Scan sites, please visit here, Community Care Licensing Division, Caregiver Background Check Bureau. Complete a criminal record statement for everyone associated with your family child care. To begin the process of obtaining a criminal record exemption, individuals must submit specific paperwork to the CPMB. The Department of Justice will provide the CPMB with notification of any subsequent child abuse reports after the initial check. xu3&j5X `$Y6nEo22ZI{S/BdNwn? &T~i'|XN_vw?2c>&sk 1EOwtx T )_oCsqkw Lf8YOnXvs endstream endobj startxref Compliance ensures community care facilities operate according to applicable laws and regulations (and of the California Code of Regulations). Applicants are not eligible to be in the Agency/care for children until the CACI clearance has been received. . GUIDELINES FOR COMMUNITY CARE LICENSING (CCLD) APPLICANTS WHO USE A LIVE SCAN SITE (CCLD or DOJ SITE) FOR FINGERPRINTING Instructions for the LIC 9163 LIC 9163 (3/21) Page 2 of 6 1. The Department of Social Services will mail you a receipt when they receive your form and fee. Working Title: Check the appropriate box 3. What We Do Background check results. Tel. Form LIC 9182, Criminal Background Clearance Transfer Request, is a document used to apply for a transfer of an active criminal record from one state-licensed facility to another. Regional Manager, Rebecca Varela c) Complete the 80 Hour Initial Certification class. of Ed-Attend Vocational Program; Age 22 or older, AZ Dept. For fingerprinting services, you will be required to call (800)315-4507 to schedule an . If there is not a matching disposition for every arrest, DOJ must try to obtain the missing disposition information. 2000 K Street, Suite 110 All GFDC/FDC/SDCC Staff and Household Members: Submit all required forms listed below, including SCR fee payment, to your Licensor/Registrar. The appeal must be received by the CDSS within 15 days from the date of the denial notification letter. (559) 243-4588 FAX (559) 243-8070. The letter explains how to request an exemption and lists the documents/information that must be submitted to request an exemption. Once you are registered, you may visit any location during operating hours. %PDF-1.7 % The crimes for which an exemption may not be obtained are outlined in the list of Non-Exemptible Crimes. . Also, the DOJs Integrated Voice Response (IVR) System can provide a simplistic snapshot of the background check processing status. Please enable scripts and reload this page. F.! Originating Response Indicator (ORI):Preprinted 2. The background check process begins when an applicant completes a Request for Live Scan Service form (BCIA 8016) found on the DOJ website. The California Health and Safety Code requires a background check of all community care license applicants, community care licensees, adult residents, volunteers under certain conditions and employees of community care facilities who have contact with clients. v!(I)X%0X>r`0_vP[rg2^? A check or money order must be made payable to: Department of Social Services or DSS and mailed to one of the following address: Community Care Licensing 2L 8tks9torg\';mqQK! See information below to determine the correct form for you: For new incoming transfer students, please follow the instructions below to complete Child Care. The Spring schedule is now available for the free training programs for Personal Care and Assisted Living Administrators provided by Northampton Community College. Criminal Record Exemptions. If an individual becomes inactive, he/she must be printed and cleared again before working, residing or volunteering in a licensed facility. Information on how a Fingerprint Clearance Card can be reactivated is provided in the DPS suspension notice that is sent when the card is suspended. Cash will not be accepted. Community care was originally envisioned as a normalizing and least restrictive environment for persons needing basic care and supervision that would assist them in performance of the activities of daily living. and IS3D students who take our lab classes) must successfully pass a background check Please enter that code and the date of your screening into the Electronic Provider Portal application. For detailed information about the DOJs role in fingerprinting, please refer to the DOJ website. The board also reviews inter-district transfer appeals. Copyright Arizona Department of Public Safety All rights reserved. ARS 32-1904. The background check must first be requested through the Child Care Licensing Account or by submitting a background check request form (see "How to Request an FBI Background Check"). DES - DAAS - Division of Aging & Adult Svcs. Complete the top 2 sections, making certain that you have filled in G|=A"c+ZBZFe?!D~QC%9@^sa+uBz_q1wQ2eEY^J*D You may have your fingerprints rolled at: Community Connection for Child Care This document gives step-by-step instructions for completing your fingerprints. Where there is a RAP sheet, the DOJ reviews the RAP sheet to determine if there is a corresponding disposition for each arrest. The next notice you will receive is the completed fingerprint check. The RAP sheet is updated and the background check response is sent. This process requires a six-digit Service Code instead of an Originating Agency Identification number when scheduling your appointment. Please note that there is a deadline for submitting this form to the DOJ so that DOJ can forward it to the FBI. If an Applicant moves out of state for any period of time, the Foster Family Agency or Childrens Residential Agency will need to resubmit the applicable forms to complete a new OSCA check. 2340 Hwy 58 (>',HHr*.#D42y|loX=__v`Q FrcX! k 9&!Bwa'>Z" p&" lWHW|*.I_-!cI5>hNq When completing the BCIA 8016 form, please ensure that you have provided complete and accurate information, especially the following: Fingerprint images can be rejected by the DOJ and/or the FBI as a result of poor print quality. You will be required to pay a $73.00 application fee. Copyright 2023 California Department of Social Services, Office of Statewide Health Planning and Development, General Statistics About Licensed Facilities, Promoting strategies to increase voluntary compliance, Providing technical assistance to and consulting with care providers, Working collaboratively with clients, their families, advocates, care providers, placement agencies, related programs and regulatory agencies, and others involved in community care, Training staff in all aspects of the licensing process, Educating the public about CCLD and community care options, Promoting continuous improvement and efficiency throughout the community care licensing system. Will aid in fostering a culture of diversity and inclusion within our Program that actively invites the of Ed - Child Nutrition Programs, AZ Schools for the Deaf & Blind-Superintendent, BPT - Physical Therapist & Assistants Licensure, DCS - Child Welfare/Adoption Agency Employee, DCS - Employee or IT Employee or IT Employees of Contractors or Subcontractors, Department of Juvenile Corrections-Licensee or Contract Provider, DES - Certified Child Care Provider & Non-Certified Relative Provider. Transitional Housing Placement Program. Residential and Adult Day Programs. You do not need an appointment to be fingerprinted, but you must pre-register. If an exemption is desired so that the individual can work or volunteer there, the licensee must assist the individual by mailing all exemption documents to the CPMB. J}Q:&EF4N+A Adult Care. PLEASE TRANSFER THE CRIMINAL RECORD CLEARANCE FOR THE FOLLOWING INDIVIDUAL: LAST NAME: FIRST NAME: MIDDLE INITIAL: CA DRIVER'S LICENSE #: DOB: CLEARNACE ID#: SSN: (OPTIONAL) FROM THE FOLLOWING FACILITY: NAME OF FACILITY: FACILITY NUMBER: STREET ADDRESS: CITY: STATE: % However the nature of community care has changed significantly and now includes care for persons whose needs require the management of severe behavior adjustment problems, serious mental disorders and significant medical needs. 5:p6wp:tX| 0 What to Do and Expect When Pulled Over by Law Enforcement, Fingerprint Clearance Card Applications, Requests, and Status Checks, Fingerprint Clearance Card/Application Status, Fingerprint Clearance Card Replacement Request form, Gang & Immigration Intelligence Team Enforcement Mission (GIITEM), Arizona Department of Transportation (ADOT), Arizona Disposition Reporting System (ADRS), Automated Fingerprint Identification System (AFIS), Noncriminal Justice (NCJ) Compliance Program, ADFI - Appraisal Management/Controlling person, AZ Board of Fingerprinting-Members & Staff, AZ Charter School Board - Member/Applicant, AZ Dept. The California Health and Safety Code requires a background check of all applicants, licensees, adult residents, volunteers under certain conditions and employees of community care facilities who have or may have contact with clients (i.e. In 1978, the Legislature established within the Health and Welfare Agency the Departments of Mental Health, Alcohol and Drug Programs, Health Care Services, Developmental Services,Social Services, and the Office of Statewide Health Planning and Development. The individual can not be present (work, reside or volunteer) in the facility until an exemption is granted by the CPMB. Community Care Licensing Regulations. Delano, CA 93215 All documents must be received by the CPMB within 45 days from the date of the exemption notification letter. In order to pre-register for an FBI background check and/or find a fingerprinting location, applicants should visit theIdentoGO website. The process is extensive and can require significant time. There is a $54.00 charge for LiveScan fingerprinting that will be submitted to Community Care Licensing. To attend a Family Child Care Home Orientation, you must complete a Family Child Care Orientation Payment Form and attend an online orientation. 3^~:A*bwX,7/Ke7T|@:13:Luh-$YU~QMGJ0DEe%Z 1000 E. California Avenue orientation. However, the licensee or provider is not authorized by law to receive the results of a background check containing criminal history (and which therefore requires an exemption). Also complete the Criminal Record Form. Lamont, CA 93215 If you are anindividual providerwho has been placed in the "high" categorical risk level, please visitIdentoGoand follow the instructions provided for obtaining a fingerprint-based criminal background check. u3fJr)Z -W]g3O55qE)l3J%]? [@Nqudw};JpW"gZ]G=0q8U#`G,2AR}&?e(m P*!t K-LL. [8(]:ww "~ &sfw>w7_1I ysBU#N=Lj>~Cs#\=7IJjR@B]:(N_@aD/\@Nvv{AEP%("&mcFnaong8TH uudS0!#YAHC8q`y:3gO+DFy >WcvB7-tx>6b(0ofaP:W,uq^c250D"v{7t0T')!Lon40 Upon submission, the fingerprints are forwarded to the Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI) to determine if the individual has any reportable arrests or convictions. One must call in advance to make an appointment. `5]D7{[t&6umF*^"{h"qtI:6cOa The CPMB staff review the transcript and if the convictions are for crimes that may be exempted, the CPMB sends an exemption notification letter to the applicant or licensee and to the individual. The only item which may be left out is your Social Security Number. If an exemption is denied, the individual may request an appeal in writing. 424.268.8828, Home Yes. Due to the confidential criminal history information contained in the letter, it cannot be faxed or sent via email. Public Hearing To Receive Public Comments Regarding Sample Draft Rebalanced Trustee Area Maps Licensing Division to check health and safety practices in the home. Use this form to take to a Live Scan facility to start the clearance process. When you receive your receipt, please contact CCCC to register for an orientation at (661) 861-5200 or toll-free at (877) 861-5200. [The corresponding forms briefly appear.] If an individual becomes inactive, he/she must be fingerprinted and cleared again before working, residing or volunteering in a licensed facility. Fingerprint Fees. COMMUNITY CARE LICENSING DIVISION CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST Active criminal record clearances may be transferred from one state licensed facility to another by a license applicant or licensee. The letter explains how to request an exemption and lists the documents/information that must be submitted to request an exemption. All convictions other than minor traffic violations require an exemption. Otherwise, a licensee can verify a clearance by calling their local CCLD Office. Santa Monica, CA 90404 The Board of Fingerprintings contact information will be included in the DPS denial notice. process is complete. We serve the most vulnerable people of California and our mission is to promote the health, safety, and quality of life of each person in community care through the administration of an effective and collaborative regulatory enforcement system. 424.268.8818 Applicants seeking Child Abuse Clearances for purposes of employment, due to working with children, for example, shouldNOTuse the below links. (b) The following individuals are exempt from the requirement to submit fingerprints: Facilities will have the ability to process clearance and exemption transfers and will be able to manage their rosters online. In 1973, the Legislature enacted the Community Care Facilities Act to be administered by the Department of Health. What Type of Fingerprint Application do I need? 916.789.9801, Community Towers %%EOF General Licensing Requirements. The CDSS also has the authority and responsibility to investigate arrests to determine if the underlying conduct is substantiated and therefore presents a risk to the health and safety of clients who are in care. Complete the top 2 sections, making certain that you have filled in every item. Firearms Application Fee; Purpose of Fingerprint Submission CORI Fee; . All reports of child abuse will be investigated by CPMB and/or the Regional Office. (559) 202-3318 FAX (559) 202-3809, PALMDALE REGIONAL OFFICE Bureau of Child Care Licensing regional office at: Phoenix - (602) 364 -2539 or Tucson - (520) 628 -6541 Place prevent placement may impede progression and successful completion of degree requirements. Once a home care aide has received a criminal record clearance or criminal record exemption, they remain active in the Community Care Licensing Division database for three years. Kern County Board of Education Agenda April 2022, Report on 2020 Census and Criteria for Rearrangement of Trustee Area Boundaries {5[Uit'P.hs:|O!F jtjT?a7FY4Xvc~3z70-!cq1an0 CBCB staff will review the transcript and if the convictions are for crimes that may be exempted, CBCB will send an exemption notification letter to the applicant or licensee and to the individual. Fax. FACILITIES FINGERPRINT CLEARANCE AND EXEMPTION TRANSFERS . Providing technical assistance to and consulting with care providers. Working Title:Check the appropriate box 3. To file a complaint regarding a state licensed community care facility or child care facility visit our Complaint Hotline Page for contact information and more. Fresno, CA 93710 Proudly founded in 1681 as a place of tolerance and freedom. Fax. (661) 789-6944 FAX (661) 789-6950. 408.357.8072 The Child Abuse Central Index check is required for individuals who will be associated to any facility providing care to children. your background clearance. |I7)+zn;Swra)vT]8)g4Sj/F`#iO2I*YEjx/ This is your receipt. <> 1 hour of childhood nutrition training, which may include: Instruction in sanitary food handling, emergency preparedness and evacuation, and caring for children with special needs. Keystone State. (k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of volunteers that require fingerprinting and non-client adults residing in the facility. f) Pay $100 to the State of California for the RCFE Administrator application. How the Background Check is Conducted. To access the online orientation, please follow the link here https://www.cdss.ca.gov/inforesources/child-care-licensing/how-to-become-licensed/register-for-an-orientation. in order to be placed in educational and community settings. application/fingerprinting) to the Childrens Residential Agency or the Foster Family Agency, an Out of State Child Abuse check cannot be conducted at that time. Regional Manager, Scott Herring Association of Regional Center Agencies . Pennsylvania State Police Criminal Record Check. 905 0 obj <>/Encrypt 880 0 R/Filter/FlateDecode/ID[<42866138C8AE6F4D817C97CA10DB89A4>]/Index[879 46]/Info 878 0 R/Length 122/Prev 269484/Root 881 0 R/Size 925/Type/XRef/W[1 3 1]>>stream
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