CRIMINAL RECORD EXEMPTION TRANSFER REQUEST Active criminal record exemptions may be transferred from one state licensed facility to another by a license applicant or licensee. Division 6 - Licensing of Community Care Facilities, Chapter 8 - Residential Care Facilities for the Elderly (RCFE), Section 87355 - Criminal Record Clearance, Section 87356 - Criminal Record Exemption. There are three variants; a typed, drawn or uploaded signature. A licensee may verify clearances older than 30 days by calling his/her local Community Care Licensing Division Regional Office. endstream endobj 202 0 obj <>>>/Filter/Standard/Length 128/O(! transfer request is for clearances only. During the tour, LPA found that there was no running water in the facility. 03/02/2023 . When an individual receives a criminal record clearance, he/she is able to work, reside or volunteer in a licensed facility. o*jUG"tlv;WRj]Y~5?B People with this type of clearance are allowed on site, but must be under the direct and continuous supervision of a Director or Employee with a satisfactory Comprehensive Records Check Determination; A new comprehensive background check must be run for anyone who has had a lapse of employment in the child care industry that lasts 6 months or . Out of State Child Abuse Check (OSCA). PLEASE TRANSFER THE CRIMINAL RECORD CLEARANCE FOR THE FOLLOWING INDIVIDUAL: LAST NAME: FIRST NAME: MIDDLE INITIAL: CA DRIVER'S LICENSE #: DOB: CLEARNACE ID#: . Check provider registration with TrustLine. 0 Cancel at any time. Reference: Section 11505, Government Code; and Sections 1569.17 and 1569.49, Health and Safety Code. - A Per ID (personnel identifier) is the 10 digit identifying number assigned to an individual when fingerprints are submitted or an application in Guardian is created. Perform real time associations and disassociations for your agency; View and manage the exemption process for an applicant; Receive electronic communications from CBCB. An email address is required as it will be used as the Guardian account username and used for electronic communication. Box #6: If you are not currently working for a facility enter this number in Box #6: 345599999. If an individual has an active clearance, he/she should not be re-fingerprinted as this may delay the processing of the transfer. Certified Family Homes are defined by the Department of Justice as the same facility type as licensed Foster Family Homes, therefore, transfers between Foster Family Agency certified homes and county licensed Foster Family Homes are allowed. Once completed you can sign your fillable form or send for signing. Licensee states that there are no firearms stored in the home. You had no jail time or the sentence was only a fine or probation; 5. The following section is applicable to all licensing applicants, Home Care Aide registrants and Home Care Aide Registry applicants. DEFICIENCIES: Based on interviews, observation, and record reviews, LPA identified staff #2, staff #3, and staff #5 with no evidence of Criminal Record Background Clearance for the staff to be associated with the facility. If this is your first time accessing Guardian, you will need to select "Register as a New User" to create a Guardian account for yourself. Please return the form via email to GuardianLoginSupport@dss.ca.gov, Community Care Licensing Division Contact your licensing office for information about exemption transfers. MV3Yxvw{P?8 You can check if someone has passed the criminal history background check and is registered with TrustLine by calling: 1-800-822-8490. Get started with our no-obligation trial. Transfers to more than one facility may be requested on one form. Fill is the easiest way to complete and sign PDF forms online. iVJLxH8./v2+\Do[3ee&]O(U#y~1kc~ |G)?h:k'+ Originating Response Indicator (ORI): Preprinted 2. When an individual submits fingerprints, the California Department of Justice (DOJ) conducts a criminal history check. The letter states that a criminal record exemption is needed and the letter lists the documents needed to process a criminal record exemption. The facility has a Mitigation Plan Report on file with CCLD. If an exemption is denied, the individual may request an appeal in writing. :Hj}0M&{BA.KlvL?q[d}/T/ :-l (t\Neg*R(U 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 purpose of the Background Check Search Website is to allow those who do not use Guardian, the new background check system used by the Care Provider Management Bureau (CPMB formally known as Caregiver Background Check Bureau), to independently check the background check status of potential employees. Child Abuse Central Index Check (CACI). Report and Identify Missing Persons. For more information, please refer to PIN 20-03-CCLD or contact the Care Provider Management Bureau at guardian@dss.ca.gov. There is no requirement to conduct a background check in other countries. If the licensee does not wish to pursue the exemption and subsequently terminates the employee or removes the non-client adult resident,the individualmay request an exemption on his/her own behalf. Section 87355 - Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code Section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. Step 2: Complete the LIC 508. Make your practice more effective and efficient with Casetexts legal research suite. and schedule an appointment or call this number and they will locate a site and schedule your clearance: 800-315-4507. You must disclose convictions, including reckless and drunk driving convictions even if: 1. Clearances cannot be transferred from a state licensed facility to a county licensed facility, or from county to state. If you continue to use your current browser then Fill may not function as expected. If the individual has a criminal history, DOJ sends a criminal record transcript to CPMB showing arrests and convictions. Perform real time associations and disassociations for their agency; View and manage the exemption process for an applicant; Receive electronic communications from CPMB. endstream endobj 209 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream To request a clearance transfer between state licensed facilities, a licensee or license applicant must submit an LIC 9182, Criminal Record Clearance Transfer Request form,to the local CCLD office. Please visit the appropriate blue boxes below for more information, training resources, and links to the system, Guardian Agency Portal Guardian Applicant Portal. TrustLine Subsidized Agency Initial Application User Guide, 12/20/2022 All Provider Webinar PowerPoint PDF, 11/15/2022 All Provider Webinar PowerPoint PDF, The term agencies is inclusive of all licensed facilities and providers, Foster Family Agencies, Home Care Organizations and TrustLine agencies. ASCs can use the waiver if the licensee experiencing a staff shortage and live scan services are limited because of COVID-19. Section 87356 was updated on October 1, 2020 to allow DUIs to be included as simplified criminal exemptions as multiple nonviolent misdemeanor convictions arising out of the same incident. regulations. Not the right email? A California exemption is a California Department of Social Services (CDSS) authorized written document that "exempts" any individual who wants to work at a community care license facility, and who has a criminal offense for anything other than a minor traffic violation, from the requirement of having a criminal record clearance through the Caregiver Background Check Bureau (CBCB). All clearance transfer requests must be submitted to the Department of Social Services (CDSS) before the individual who is subject to the transfer has client contact in order for the licensee to be in compliance with the law. 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. endstream endobj startxref How the Background Check is Conducted. hbbd``b`nWa3e"AE"/H$cCD rF0%"b@%H, r}K>e`& O 2023 CCLD. Steps for getting hard card ink fingerprints.As always, walk-in is fine, and appointments are not needed. You will need a unique PIN code from the agency to complete the application. You received a certificate of rehabilitation; 6. You will then be prompted to create a new application for the agency to which you are applying. %%EOF While all criminal background check requests must be authorized by statute, some are mandatory while others are permissive. Guardianprovides new self-service options to applicants, registrants, agencies (facilities) and Regional Offices without intervention by the Care Provider Management Bureau (CPMB). of the individuals photo I.D and LIC 508. If you need assistance with your username or password, need to submit a Licensee User Access Form or have been locked out of your account, please email GuardianLoginSupport@dss.ca.gov. Get Help & Information for Crime Victims. All clearance transfer requests must be submitted to the CDSS before the individual who is subject to the transfer has client contact in order for the licensee to be in compliance with the law. IOe~gP*9(.G'Zzd1vW:}Y(d_VXh>xCFolI/|E{vxj]/;P#pVXLSmBAv79d}` Licensees or license applicants may contact their local Community Care Licensing Division (CCLD) office to verify the individual's status. The following sections are applicable to all licensed agencies (facilities), Foster Family Agencies and Home Care Organizations. The Out of State Child Abuse Check is an additional requirement for Resource Parents, adults living in the Resource Family Home (Adam Walsh Act), and Employees of Childrens Residential Agencies (Family First Prevention Services Act) that have lived out of state in the past five years. Working Title: Check the appropriate box 3. Exemptions cannot be transferred from a state licensed facility to a county licensed facility, or from county to state. 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