Perform real time associations and disassociations for their agency; View and manage the exemption process for an applicant; Receive electronic communications from CPMB. PPPAs, who must have a criminal background clearance, can provide services such as companionship or . What is Guardian? For larger documents this process may take up to one minute to complete. endstream endobj 68 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Learn the steps for completing this requirement. As an applicant, you may access the Guardian Applicant Portal by visiting https://guardian.dss.ca.gov/applicant. File type: PDF. o*jUG"tlv;WRj]Y~5?B Also, all adults who work in licensed community care facilities or home care organizations must be fingerprinted and all Home Care Aide applicants, whether independent or affiliated to a home care organization, must be fingerprinted. The process is extensive and can require significant time. Guardian is an online tool to assist you and your applicants in the background check process. This position requires lifting and carrying up to 25 pounds, climbing stairs, sitting for extended periods and using a computer and keyboard. -tD\5Z z.2cqb Statistics. Register, Apply for Permits, or Request Records. More information, including detailed user guides and video tutorials can be found on CPMB's Guardian webpage. Other parties need to complete fields in the document. - 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. CCLD has added information regarding background check exemptions to their Evaluator Manual. You will need a unique PIN code from the agency to complete the application. The CDSS will not receive subsequent notifications from the out of state Agencys child abuse/neglect registry should an incident occur. 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. If you have any questions regarding Guardian,contact CDSS at Guardian@dss.ca.gov. Please be aware that this computer system is the property of the State of California, Department of Social Services (CDSS) and is only to be accessed and used for official government business by authorized individuals. Authorized by California statute, the DOJ has processed State of California and Federal Bureau of Investigation (FBI) fingerprint-based background checks for decades. Background Check Status. Current through Register 2023 Notice Reg. IOe~gP*9(.G'Zzd1vW:}Y(d_VXh>xCFolI/|E{vxj]/;P#pVXLSmBAv79d}` All forms are printable and downloadable. Criminal Clearance Tracking System (CCTS) The CCTS is a confidential, comprehensive web-based application that automates the manual tracking of Live Scan, California Law Enforcement Telecommunications System (CLETS) and Child Abuse Central Index (CACI) activity. 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. Use Fill to complete blank online CALIFORNIA pdf forms for free. The California Department of Social Services (CDSS) has issued a statewide waiver for certain background checks for Adult and Senior Care (ASC) licensees. Criminal Record Clearance. To begin the process of obtaining a criminal record exemption, individuals must submit specific paperwork to the CPMB. . The request to transfer shall Copyright 2023 California Department of Social Services, Home Care Aides and Home Care Organizations, Self Assessment Guides and Key Indicator Tools. The Licensee User Access form will ensure only authorized users will have the appropriate access to Guardian. `KPAmvbJOc2U\nDI]Y(/8 iJ#U F+"&IQbn6L0t.. This includes misdemeanors, felonies and convictions that occurred a long time ago. Enter the control number, date of request and . Transferring a Current CDSS Record Clearance or Exemption: Newly hired staff may start working or caregiving immediately upon submission of a request to transfer a current CDSS criminal record clearance or exemption and Child Abuse Central Index (CACI) clearance. Transfers to more than one facility may be requested on one form. Follow the step-by-step instructions below to design your LIC 9182 1115 criminal background clearance transfer cdss ca: Select the document you want to sign and click Upload. Transfers. 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. Once granted, a clearance can be transferred from one licensed community care facility to another, if certain conditions are met. The purpose of providing an expedited process is to assist CDSS licensed facilities (homes, day programs, etc.) Upload your own documents or access the thousands in our library. :Hj}0M&{BA.KlvL?q[d}/T/ :-l (t\Neg*R(U Locate a Prison, Inmate, or Sex Offender. 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). The licensee made a payment to Elsinore Valley Municipal Water District while LPA was at the facility to turn the water service back on. Frequently Asked Questions. More information, included detailed user guides and video tutorials can be found on CPMB's Guardian webpage. The letter states that a criminal record exemption is needed and the letter lists the documents needed to process a criminal record exemption. PIN 23-06-CCLD. Defined in Penal Code sections 11164 through 11174.31, these statutes are referred to as the "Child Abuse and Neglect Reporting Act" or "CANRA". Specifically, this bill: 1) Defines "department" as CDSS for purposes of this bill related to a working group. endstream endobj 208 0 obj <>/Subtype/Form/Type/XObject>>stream Licensees or license applicants may contact their local Community Care Licensing Division (CCLD) office to verify the individual's status. offices regarding status of applications, address changes, criminal background check issues, test results, and general questions related to the ACS functions. Submit a Complaint. Step 2: Complete the LIC 508. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable. CDSS has the right to monitor, log and recover all system and network activity with or without notice, including e-mail and all website communications. Note: All TrustLine agencies, registrants and applicants must refer to the Guardian for TrustLine expandable box for TrustLine specific information. Therefore, the Applicants background check will not be completed by the CDSS. Licensee User Access forms, as outlined in, To check the background check status of a potential employee without using Guardian, please visit the new publicly available, Guardian 101 for Licensing and Home Care Agencies Video, Person Search and Summary Page for Licensing and HCO Agency Video, Applicant and Agency Initiated Applications for Licensing and HCO Agency Video, In Network and Out of Network Connections for Licensing and HCO Agency Video, Roster Management and Uploading Documents for Licensing and HCO Agency Video, Guardian for TrustLine Introduction Video, Guardian 101 for Subsidized TrustLine Agencies Video, Person Search and Summary Page for TrustLine Subsidized Agency Video, Agency Initiated Applications for TrustLine Subsidized Agency Video, In Network and Out of Network Connections for TrustLine Subsidized Agency Video, Roster Management for TrustLine Subsidized Agency Video, Guardian 101 for Fee Paying TrustLine Agencies Video, Person Search and Summary Page for TrustLine Fee Paying Agency Video, Agency and Applicant Initiated Applications for TrustLine Fee Paying Agency Video, In Network and Out of Network Connections for TrustLine Fee Paying Agency Video, Roster Management for TrustLine Fee Paying Agency Video, Copyright 2023 California Department of Social Services, Guardian User Guide for Licensing and Home Care Agencies, Licensee User Account Access Letter - PDF, How to Add a New User to Your Guardian Account - PDF, How to Add a New User to Your Guardian Account. You received a certificate of rehabilitation; 6. COVID-19 Policy for Visitors. Simplified Criminal Records Exemptions for regulations affecting CCLD facilities, including . 288 0 obj <>stream Box 903417 Sacramento, CA 94203-4170 Applicant Notification and Record Challenge Your fingerprints will be used to check the criminal history records of the FBI. When an individual submits fingerprints, the California Department of Justice (DOJ) conducts a criminal history check. 2023 CCLD. The appeal must be received by the CDSS within 15 days from the date of the denial notification letter. and schedule an appointment or call this number and they will locate a site and schedule your clearance: 800-315-4507 Step 2: Complete the LIC 508 Step 3: Complete the Livescan Form LIC 9163 Box #6: If you are not currently working for a facility enter this number in Box #6: 345599999 Criminal Record Exemptions. Check provider registration with TrustLine. Set a password to access your documents anytime, You seem to be using an unsupported browser. If you have questions about the Pennsylvania State Police Request for Criminal History Record Check form for employment (SP4 164) or to volunteer (SP4-164A), please call: Toll-free 1-888-783-7972. You can check if someone has passed the criminal history background check and is registered with TrustLine by calling: 1-800-822-8490. A licensee may verify clearances older than 30 days by calling his/her local Community Care Licensing Division Regional Office. The Attorney General administers the Child Abuse Central Index (CACI), which was created by the Legislature in 1965 as a tool for state and local agencies to help protect the health and safety of California's children. Subject to fingerprinting and criminal record clearance by DOJ/FBI. The clearance remains active as long as the individual is associated to a licensed facility. Criminal Background Clearance Transfers - Updated Guidance. If monitoring reveals possible evidence of criminal activity, such evidence may be provided to law enforcement personnel. All documents must be received by the CPMB within 45 days from the date of the exemption notification letter. The crimes for which an exemption may not be obtained are outlined in the list of Non-Exemptible Crimes. The term "agencies" is inclusive of all licensed facilities, Foster Family Agencies, Home Care Organizations and TrustLine agencies. fc-falcon">Any PSP Station except PA Turnpike locations N/A www. To check the background check status of a potential employee without using Guardian, please visit the new publicly available Background Check Search website. 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. In order to initiate a background check, the person signs a criminal record statement, LIC 508, and agrees to be fingerprinted. 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. If you have any type of criminal history, a transcript of your criminal history will be sent to Caregiver Background Check Bureau (CBCB). Authorized Applicant Type:Indicate the facility type where you will be working. PLEASE TRANSFER THE CRIMINAL RECORD . Please note that out- of-state clearances apply to U.S. Commonwealths and Territories District of Columbia, U.S. Virgin Islands, Guam, Commonwealth of Northern Mariana Islands, American Samoa and Puerto Rico. The CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST (California) form is 1 page long and contains: Country of origin: US To check the registration status of a Home Care Aide, please visit the Home Care Aide Registry. To utilize the Background Check SearchWebsite, you will need the applicants first name, last name, date of birth, and either their Per ID or the Facility (license) Number. Guardian. 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. 8~'n5.BO. 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. You didn't have to go to court (your attorney went for you); 4. 0 GUIDELINES FOR COMMUNITY CARE LICENSING (CCLD) APPLICANTS WHO USE A LIVE SCAN SITE (CCLD or DOJ SITE) FOR FINGERPRINTING Instructions for the LIC 9163 1. The letter explains how to request an exemption and lists the documents/information that must be submitted to request an exemption. Community Care Licensing Division (CCLD), licenses RCFEs. ASCs can use the waiver if the licensee experiencing a staff shortage and live scan services are limited because of COVID-19. ,leOl'Gym9j1@j>Xz7A#3_z*%j38H(YXHw^PM% CH}% kC(>/Subtype/Form/Type/XObject>>stream To protect the privacy of personal information, associations to Foster Family Homes, Certified Family Homes, Resource Family Homes, Small Family Child Care Homes will not be displayed. 1. Federal law requires Applicants associated to a Childrens Residential Agency or Resource Family Home Applicants (living in the home) associated to a Foster Family Agency to have an Out of State Child Abuse check completed as part of their background check with the California Department of Social Services (CDSS). 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. TrustLine is administered by the California Child Care Resource & Referral Network and the California Department of Social Services, and is endorsed by the American Academy of Pediatrics. CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST (California) This document has been signed by all parties. 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. You had no jail time or the sentence was only a fine or probation; 5. endstream endobj 202 0 obj <>>>/Filter/Standard/Length 128/O(! Decide on what kind of signature to create. NOTE: The OSCA check is a one-time check of an Out of State Agencys Child Abuse/Neglect Registry. Originating Response Indicator (ORI): Preprinted 2. The following section is applicable to TrustLine agencies, registrants and applicants. Agencies that choose to not participate in Guardian are reminded that if a potential employee has completed a background check at another facility, you must submit a Criminal Background Clearance Transfer Request (LIC 9182) or Criminal Record Exemption Transfer Request (LIC 9188) form with required documentation to your local licensing office to have the individual associated to your agency. To check the background check status of a potential employee without utilizing Guardian, please visit the Background Check Search website. The facility was issued a deficiency for no running water during complaint 56-AS-20221115154227. CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST The Department may transfer an individual's criminal record clearance from one state-licensed facility to another. 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. If you continue to use your current browser then Fill may not function as expected. . Guardian is a new electronic data system, designed to streamline the background check process for all licensed care, including the TrustLine Registry, Home Care Aide Registry and Community Care Licensing staff. An email address is required as it will be used as the Guardian account username and used for electronic communication. When an applicant or licensee receives an exemption notification letter from the CPMB concerning an employee, volunteer or adult resident, he/she must decide whether to request the exemption for that individual. The following additional information and materials are available to help you. Not the right email? It was only a misdemeanor; 3. The form is to be completed under penalty of perjury that all information provided is true and correct. For transfer requests from state licensed facilities to the TrustLine Registry,pleasecall TrustLine at (800) 822-8490 for guidance on which forms to complete and submit. This video provides helpful answers to the following questions: 03/10/2023. 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. If the individual has no criminal history, DOJ forwards a clearance notice to the applicant or licensee and to the CPMB. 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. You have successfully completed this document. However, I have . CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270 SACRAMENTO, CA 95833: FACILITY NAME: KING OF HEARTS ELDERCARE: FACILITY NUMBER: . All reports of child abuse will be investigated by CPMB and/or the Regional Office. Transfers to more than one facility may be requested on one form. This government document is issued by Department of Social Services for use in California Download Form Add to Favorites File Details: PDF Downloads: 122 Source http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC9182.PDF Tags During the tour, LPA found that there was no running water in the facility. Program Director shall provide 30-hours of direct care services per week through individual counseling, groups and various other program activities. 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. 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