\par \tab \hich\af5\dbch\af31505\loch\f5 (13) "Nursing Assistant" means\hich\af5\dbch\af31505\loch\f5 an individual who performs duties under the supervision of a nurse, which may include a nurse aide, personal care aide or certified nurse aide. \par \tab \hich\af5\dbch\af31505\loch\f5 (i) whom a covered body engages; and
\lsdpriority51 \lsdlocked0 Grid Table 6 Colorful Accent 4;\lsdpriority52 \lsdlocked0 Grid Table 7 Colorful Accent 4;\lsdpriority46 \lsdlocked0 Grid Table 1 Light Accent 5;\lsdpriority47 \lsdlocked0 Grid Table 2 Accent 5;
Utah AMBER Alert and Endangered Missing Advisory. Out of State Clearance: Per 62A-2-120 applicants need to receive the Out of State Child Abuse Registry check for any state in which they have resided in the last 5 years. DACS Information Worksheet (for use by foster parents and other adults living in foster homes) Background Screening Application - DCFS Foster/Kinship Respite Providers only. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text Indent 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Body Text Indent 3;
\par \tab \hich\af5\dbch\af31505\loch\f5 (i) an aged individual, as defined by department rule; or
The following factors may be
The background screening unit will notify the provider and the child care staff member of the results determining if they are eligible or ineligible to work or be present in a licensed, regulated, or registered child care facility. 195 North 1950 West RULE ANALYSIS Purpose of the rule or reason for the change: The purpose of this new rule is to outline the process for the background screening of Department of Health (Department) employees. \lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 2;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 2;\lsdpriority52 \lsdlocked0 List Table 7 Colorful Accent 2;\lsdpriority46 \lsdlocked0 List Table 1 Light Accent 3;
If you believe your Identity History Summary contains inaccurate or incomplete information, you have two options for requesting a change or correction: Option 1: Contact the agency or agencies that submitted the information to the FBI. \lsdpriority48 \lsdlocked0 List Table 3 Accent 4;\lsdpriority49 \lsdlocked0 List Table 4 Accent 4;\lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 4;\lsdpriority51 \lsdlocked0 List Table 6 Colorful Accent 4;
Most states require that changes to Identity History Summary information be processed through their respective state centralized agency (State Identification Bureau) before any changes can be made to your information. The needs of our communities continue to change as more and more people choose to make Utah their home. \lsdpriority72 \lsdlocked0 Colorful List Accent 6;\lsdpriority73 \lsdlocked0 Colorful Grid Accent 6;\lsdqformat1 \lsdpriority19 \lsdlocked0 Subtle Emphasis;\lsdqformat1 \lsdpriority21 \lsdlocked0 Intense Emphasis;
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I hereby authorize (enter name of requesting agency) Division Public and Behavioral Health, to submit a set of my fingerprints to the Nevada Department Public Safety, Records Bureau for the purpose of accessing and reviewing State of Nevada and FBI criminal history records that may pertain to me. Request a Conditional Approval You may be eligible to request a conditional clearance per R501-14-7-2 if: You do not reside in a foster home; and \par \tab \hich\af5\dbch\af31505\loch\f5 (1) "Aged" means an individual who is 60 years of age or older. In the interest of professionalism, public trust and safety for families and individuals, Utah code requires that all persons associated with a licensed facility (owner, director, governing body, employee, agent, provider, contractor or volunteer) who has or will have direct access to children and/or vulnerable adults must pass a criminal background screening. \par \tab \hich\af5\dbch\af31505\loch\f5 (c) name. {\*\latentstyles\lsdstimax376\lsdlockeddef0\lsdsemihiddendef0\lsdunhideuseddef0\lsdqformatdef0\lsdprioritydef99{\lsdlockedexcept \lsdqformat1 \lsdpriority0 \lsdlocked0 Normal;\lsdqformat1 \lsdpriority9 \lsdlocked0 heading 1;
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As a new employee of a DHS licensed agency or DHS contracted agency your background screening process will be fully automated in the Direct Access Clearance System (DACS). We strongly believe that health is critical for enjoying a prosperous life. \lsdpriority65 \lsdlocked0 Medium List 1;\lsdpriority66 \lsdlocked0 Medium List 2;\lsdpriority67 \lsdlocked0 Medium Grid 1;\lsdpriority68 \lsdlocked0 Medium Grid 2;\lsdpriority69 \lsdlocked0 Medium Grid 3;\lsdpriority70 \lsdlocked0 Dark List;
No appeal is available if you are denied for failure to provide required information, If you close your foster care license, it is your or the screening agents responsibility to inform the Office of Licensing for removal from the ongoing Rap Back system, You are required to disclose all criminal charges, including pending charges, and all supported or substantiated findings of abuse, neglect or exploitation. Utah Domestic Violence \par \tab \hich\af5\dbch\af31505\loch\f5 (b) a covered provider for services within the scope of the health facility license. f942f92973f5d6bbda991fd3d3878c69450034d8db08283ddd555c0f2e4fad2e0bb52b78da2261849b4d425b46377822869fc17974aad1abd0b8aeafbba54b2d
67a97b37e576b7b96ea74f28aa0418bcb09fa3ea5ea12018d4cac92c6a8af17e1a56393b1fb56bc776811fa07695226164fdd656ed8edd8a1ae19c0e066f54f9
Crisis Line & Mobile Outreach Team \par \tab \hich\af5\dbch\af31505\loch\f5 (16) "Residential setting" means a place provided by a cov\hich\af5\dbch\af31505\loch\f5 ered provider:
Title: Microsoft Word - Policies and Procedures for Conducting Criminal Background Checks.docx Instructions and applications are located at the following web address: https://bci.utah.gov/wp-content/uploads/sites/15/2017/08/ROA-8-24-2017.pdf, https://www.fbi.gov/services/cjis/identity-history-summary-checksChallenge of an Identity History Summary. Mail the Authorization form, fingerprint card, and certified check or money order (personal checks are not accepted) for $65.00 made 1-800-273-TALK(8255) \lsdsemihidden1 \lsdunhideused1 \lsdqformat1 \lsdpriority39 \lsdlocked0 TOC Heading;\lsdpriority41 \lsdlocked0 Plain Table 1;\lsdpriority42 \lsdlocked0 Plain Table 2;\lsdpriority43 \lsdlocked0 Plain Table 3;\lsdpriority44 \lsdlocked0 Plain Table 4;
d. All employees who require screening must: i. sign a criminal background screening authorization form; ii. ss Clearance System to run a verification report and verify that each covered individual's information is correct, including:
\par \tab \hich\af5\dbch\af31505\loch\f5 (b) a long-term care hospital;
\par
provide personal demographics required; and iii. In giving this authorization, I This payment authorizes a subscription to the FBIs Rap Back System which continually monitors all fingerprint based criminal records in real time. \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) surrounding circumstances;
7468656d65312e786d6cec59cd8b1bc915bf07f23f347d97f5d5ad8fc1f2a24fcfda33b6b164873dd648a5eef2547789aad28cc56208de532e81c026e49085bd
\par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-9. 1395i-4(c)(2). I understand that I may request to review any results of this inquiry and understand that UCA 53-10-108 does not allow the. \snext11 \ssemihidden \sunhideused Normal Table;}{\s15\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af31507\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033
Help; be04197c6d1948eca6cc7b6d3343d49aa00c9819822ec3956e41c4727f29a28aab165b3be596f6a62ddd00dd91d5f42424fd6007b4d3fb84ffbbde073a8cb77f
1-888-421-1100 My personal information and fingerprints may be retained for ongoing monitoring and comparison against future submissions to the state, regional or federal database and latent fingerprint inquiries}. Human Services. \par \tab \hich\af5\dbch\af31505\loch\f5 (ix) transportation staff;
NICS Process. \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) who may have direct patient access;
. The Utah Bureau of Criminal Identification is responsible for all arrest and conviction data for the State of Utah. Executive Order 9397 also asks Federal agencies to use this number to help identify individuals in agency records. Fingerprints are required to be submitted to the Florida Department of Law Enforcement electronically. 1-800-897-LINK(5465). Headquarters Multi-Agency State Office Building 195 North 1950 West Salt Lake City, Ut 84116. 1-800-371-7897 \lsdpriority50 \lsdlocked0 Grid Table 5 Dark Accent 3;\lsdpriority51 \lsdlocked0 Grid Table 6 Colorful Accent 3;\lsdpriority52 \lsdlocked0 Grid Table 7 Colorful Accent 3;\lsdpriority46 \lsdlocked0 Grid Table 1 Light Accent 4;
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid14438297 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\par \tab \hich\af5\dbch\af31505\loch\f5 (b) address; and
\par \tab \hich\af5\dbch\af31505\loch\f5 (a) As required by Utah Code Subsection 26-21-204(3), the Department ma\hich\af5\dbch\af31505\loch\f5
\par \tab \hich\af5\dbch\af31505\loch\f5 (d) the Department of Human Services' Division of Child and Family Se\hich\af5\dbch\af31505\loch\f5 rvices Licensing Information System described in Section 62A-4a-1006;
endnote reference;}{\s18\ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 \rtlch\fcs1 \af31507\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext18 \slink19
(a) Signs a criminal background screening authorization form which must be available for review by the department; and (b) Submits fingerprints within 15 working days of engagement. This screening requires a separate application (see below). \lsdpriority61 \lsdlocked0 Light List Accent 4;\lsdpriority62 \lsdlocked0 Light Grid Accent 4;\lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 4;\lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 4;\lsdpriority65 \lsdlocked0 Medium List 1 Accent 4;
534. {\f877\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
\par \tab \hich\af5\dbch\af31505\loch\f5 (iii) the Department of Human Services' Division of Aging and Adult Services vulnerable adult abuse, neglect, or exploitation database described \hich\af5\dbch\af31505\loch\f5 in Section 62A-3-311.1;
\par \tab \hich\af5\dbch\af31505\loch\f5 (1) As required in Utah Code 26-21-204 the department may review relevant information obt\hich\af5\dbch\af31505\loch\f5 ained from the following sources:
Authority. Complete social security numbers are needed for all children ages 12 and over to track their screenings in DACS. I certify that all of the personal \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Classic 4;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Colorful 2;
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1c57826650ab74c27eb3d20fc3667d1cd66ba341e31514161927f530bbb19fc00506dde4f7f67a7cefee3ed9ded1dc99b3a4caf4dd7c5513d777f7f5c6e1bb7b
Additional Information: The requesting agency and/or the agency conducting the application investigation will provide you additional information pertinent to the specific circumstances of this application, which may include identification of other authorities, purposes, uses, and consequences of not providing requested information.
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