\hich\af5\dbch\af31505\loch\f5 ety and health of patients or residents. the Background Screening Form, or the criminal background screening procedure, call the Background Clearance Unit at 866-320-0513. }{\field{\*\fldinst {\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 PRIVATE }{ . \pndec\pnstart1\pnindent720\pnhang {\pntxta . 1-800-371-7897 \hich\af5\dbch\af31505\loch\f5 n\hich\af5\dbch\af31505\loch\f5 existing license or deny licensure as a health care facility. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 \par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a \lsdpriority62 \lsdlocked0 Light Grid Accent 1;\lsdpriority63 \lsdlocked0 Medium Shading 1 Accent 1;\lsdpriority64 \lsdlocked0 Medium Shading 2 Accent 1;\lsdpriority65 \lsdlocked0 Medium List 1 Accent 1;\lsdsemihidden1 \lsdlocked0 Revision; fffffffffffffffffdfffffffeffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff \par \tab \hich\af5\dbch\af31505\loch\f5 (8) A covered provider that provides services in a residential setting mu\hich\af5\dbch\af31505\loch\f5 e. 4. f942f92973f5d6bbda991fd3d3878c69450034d8db08283ddd555c0f2e4fad2e0bb52b78da2261849b4d425b46377822869fc17974aad1abd0b8aeafbba54b2d Learn more about the recall on Similac, Alimentum and Elecare powder formulas. How to get a pre-employment background check. \par \tab \hich\af5\dbch\af31505\loch\f5 (i) types and number; \lsdpriority46 \lsdlocked0 List Table 1 Light Accent 2;\lsdpriority47 \lsdlocked0 List Table 2 Accent 2;\lsdpriority48 \lsdlocked0 List Table 3 Accent 2;\lsdpriority49 \lsdlocked0 List Table 4 Accent 2; {\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;} \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 Authorizing, and Implemented or Interpreted Law: 26-21-9.5}{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 dhslicensing@utah.gov. \par \tab \hich\af5\dbch\af31505\loch\f5 (xi) volunteer as defined by \hich\af5\dbch\af31505\loch\f5 department rule. 1-855-323-DCFS(3237) With the required release and proper payment, all adult arrest records are released. Once the application, forms and fees have been submitted to UDAF, UDAF will send the applicant a "Live Scan Fingerprint Authorization Form" to continue the process. \par \tab \hich\af5\dbch\af31505\loch\f5 I agree the Company may rely on this authorization to order background reports, including investigative consumer reports, from companies other than the Background Check Company without asking me for my authorization again as allowed by law. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 Authority. The following forms are for those authorized entities seeking to obtain criminal history information on employees or volunteers. 0c895fcf6720192de6bf3b9e89ecdbd6596cbcdd8eb28e7c365ecc4ec1ff1460f53fe813d3cc7f5b7f020000ffff0300504b030414000600080000002100a5d6 \par \tab \hich\af5\dbch\af31505\loch\f5 \lsdpriority47 \lsdlocked0 List Table 2 Accent 3;\lsdpriority48 \lsdlocked0 List Table 3 Accent 3;\lsdpriority49 \lsdlocked0 List Table 4 Accent 3;\lsdpriority50 \lsdlocked0 List Table 5 Dark Accent 3; initial requirements information sheet. Background Screening FAQ. \par \tab \hich\af5\dbch\af31505\loch\f5 8376bf330efaaff23606569ea58fdc16605ecdebde7f010000ffff0300504b0304140006000800000021000dd1909fb60000001b010000270000007468656d65 Screening applications typically take three weeks to process. {\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);} \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 HTML Variable;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Normal Table;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 annotation subject;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 No List; 416e376a6168b9ed2bb5a5f5adb979b1cdce5e40f2184197bba6526857c2c92e47d0104d754f92a50dd8222f65be35e0c95b73d2f3bfac85fd60d80887955a27 This screening requires a separate application (see below). Background Screening Application - Youth Transport Company employeees only. \par \tab \hich\af5\dbch\af31505\loch\f5 (vii) dietary and food service staff; Child Abuse/Neglect \par \tab \hich\af5\dbch\af31505\loch\f5 (3) If the Department determines an individual is not eligible for direct patient access based upon the non-criminal background screening and the ind\hich\af5\dbch\af31505\loch\f5 Read section 6 and sign/date the bottom of the form, Submit the form to your licensor or your Foster/Adoptive Consultant with Utah Foster Care. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 5f3bb4f7393a33e1339260e13dc297de5396c0021dfcf119bf9ec42c46c494e8a791402952b338f48f656ca11f6d10450edc00db767cce21d5b880f7d72f2cc2 ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff Multi-Agency State Office Building Salt Lake City, Ut 84116, DLBC Contact Info \par \tab \hich\af5\dbch\af31505\loch\f5 (11) "Engage" means to obtain one's services: \hich\af5\dbch\af31505\loch\f5 \hich\af5\dbch\af31505\loch\f5 record, the individual may challenge the information as provided in Utah Code Annotated Sections 77-18a. \par \tab \hich\af5\dbch\af31505\loch\f5 (14) "Patient" means an individual who receives health care services from one of the following covered provid\hich\af5\dbch\af31505\loch\f5 ers: \s30\ql \fi-720\li720\ri0\sl240\slmult0\nowidctlpar\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin0\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f5\hich\af5\dbch\af31505\cgrid\langnp1033\langfenp1033 d. All employees who require screening must: i. sign a criminal background screening authorization form; ii. However, if your application has been submitted for longer than three weeks, you can request a status update by emailing cbsunit@utah.gov. You may contact the respective State Identification Bureau for assistance, and, if applicable, request that they provide the FBI with updates to your Identity History Summary. Department of Human Services, Office of Licensing to provide a copy of those results to me. This form is for use by non-DHS licensed providers or adoption attorneys only, Complete a DCFS Livescan fingerprint scan and have the operator sign your Livescan Authorization form, Livescan locations and schedules may be accessed, Fingerprint cards may be submitted for applicants in rural areas who dont have access to Live Scan, There is no application fee for DCFS foster providers or adults living in the foster home. 1-800-273-TALK(8255) who has limitations with two or more major life activities, such as caring for one's self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and employment. Box 570, Jefferson City, MO, 65102. \par \tab \hich\af5\dbch\af31505\loch\f5 (3) The covered contractor must ensure the \hich\af5\dbch\af31505\loch\f5 Direct Access Clearance System reflects the current status of the covered individual within 5 working days of placement or termination. 534. 0f88d94fbc52ae4264d1c910d24a45db3462247fa791715fd71f989e19e0364cd3f51652d73760ae8fa8c9ffb3c330cc9e4fc17faf2ce545046e37944c69e462 \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Outline List 1;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Outline List 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Outline List 3;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 Table Simple 1; Child Abuse/Neglect The last 4 digits of your social security number, and; The date the application was submitted to the Office. The screened professions listed below require background screening at initial licensure and/or renewal of licensure. \par \tab \hich\af5\dbch\af31505\loch\f5 (ii) passage of time; fa1e4542c2173dbfa6fffceabdbb5574940b517940d6909be8bf5c2e17589c37f49c3c3a2b260d823068f50bfd1a40e53e6edc1eb7c6ad429f06a0f91c569a71 {\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;} }}{\*\pnseclvl3 This rule was published in the July 1, 2018, issue (Vol. \lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 1;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 1;\lsdpriority70 \lsdlocked0 Dark List Accent 1;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 1;\lsdpriority72 \lsdlocked0 Colorful List Accent 1; submit live scan fingerprints. Utah Criminal History Records. Read More, Salt Lake CityThe Utah Department of Health and Human Services (DHHS) has identified two Utah children younger than age 10 who were treated for hepatitis with Read More, New report shows impact of pandemic on students daily lives Salt Lake CityStudents daily lives and learning were profoundly impacted during the pandemic, according to a Read More. }{\rtlch\fcs1 \af5 \ltrch\fcs0 \expnd0\expndtw-3\insrsid14438297 Screening Applications. Notice of Proposed Rule (New Rule) DAR File No. \par \tab \hich\af5\dbch\af31505\loch\f5 (1) Utah Code, Title 26, Chapter 21, Part 2 requires that a covered employer be allowed to enter required information into the Direct Access Clearance System to initiate and obtain a cl\hich\af5\dbch\af31505\loch\f5 The DSS will pay any fees required. \lsdqformat1 \lsdpriority34 \lsdlocked0 List Paragraph;\lsdqformat1 \lsdpriority29 \lsdlocked0 Quote;\lsdqformat1 \lsdpriority30 \lsdlocked0 Intense Quote;\lsdpriority66 \lsdlocked0 Medium List 2 Accent 1;\lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 1; The Department of Human Services, Office of Licensing will establish procedures to ensure removal of my fingerprints from applicable state and federal databases when I am no longer under their purview. One-time Adoption Screening. \par \tab \hich\af5\dbch\af31505\loch\f5 (a) means a hospital that is certified to provide long-term care services under the provisions of 42 U.S.C. Each employee will meet with an authorized agency screening agent to complete their online background clearance application. There is no charge for the fingerprinting services but the $33.25 Background fee will still apply. Apply for a license. {\*\cs10 \additive Default Paragraph Font;}{\*\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tblind0\tblindtype3\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv Utah Domestic Violence \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 Date of En\hich\af5\dbch\af31505\loch\f5 actment or Last Substantive Amendment: October 1, 2018}{\rtlch\fcs1 \af5 \ltrch\fcs0 The Utah Department of Health and Human Services is now one agency. \leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext\'00;}{\levelnumbers;}\rtlch\fcs1 \af0 \ltrch\fcs0 \hres0\chhres0 }{\listname WP List 0;}\listid100}}{\*\listoverridetable{\listoverride\listid100\listoverridecount0\ls1}} \par \tab \hich\af5\dbch\af31505\loch\f5 (2) if significant problems exist that result in actual harm to a resident, the department may impose a civil penalty of $1,050 to $10,000 per day. \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35. \lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Bullet;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List Number;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List 2;\lsdsemihidden1 \lsdunhideused1 \lsdlocked0 List 3; \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 0528a2c6cce0239baa4c04ca5bbabac4df000000ffff0300504b01022d0014000600080000002100e9de0fbfff0000001c020000130000000000000000000000 (a) As required by Utah Code Subsection 26-21-204, if an individual or covered individual has been convicted, has pleaded no contest, or is subject to a plea in abeyance or diversion agreement, for the following offenses, they may not have direct patient access: (i) any felony or class A conviction under Utah Code. provide personal demographics required; and iii. \hich\af5\dbch\af31505\loch\f5 c\hich\af5\dbch\af31505\loch\f5 overed providers. \hich\af5\dbch\af31505\loch\f5 individual notifying them of the right to appeal in accordance with R432-30. Division in the Department of Justice (DOJ) collects the information requested on this form as authorized by Business and Professions Code sections 4600-4621, 7574-7574.16, 26050-26059, 11340-11346, and 22440-22449; Penal Code sections 11100-11112, and 11077.1; Health and Safety Code sections 1522, \notabind\wraptrsp\nocolbal\sprslnsp\lytprtmet\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3\jcompress\viewkind1\viewscale222\viewzk2\rsidroot14438297 \fet0{\*\wgrffmtfilter 2450}\ilfomacatclnup0{\*\ftnsep \ltrpar \sbasedon0 \snext0 toc 4;}{\s25\ql \li720\ri720\sl240\slmult0\nowidctlpar\tqr\tldot\tx9360\wrapdefault\hyphpar0\faauto\rin720\lin720\itap0 \rtlch\fcs1 \af5\afs24\alang1025 \ltrch\fcs0 1-800-897-LINK(5465). 1-801-587-3000 Background Check Authorization Form with Instructions (DSHS 09-653) The Background Check Authorization Form is completed by the applicant and given to the requesting entity. Depending on the nature of your application, supplemental authorities . 1-800-371-7897 Where to apply: Department of Public Safety Bureau of Criminal Identification 4315 South 2700 West Suite 1300 Taylorsville, Utah 84129 Phone: (801) 965-4445 Fax: (801) 969-7065 I need to obtain a copy of my Utah criminal history. {\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0; \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-5. s, based on information obtained through the Direct Access Clearance System, the Department shall send a Notice of Agency Action to the covered provider and the individual explaining the action and the individual's right of appeal as defined in R432-30. {\f870\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}{\f872\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f873\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f876\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;} About. Please submit this form before having your fingerprinting and background check done at the Mississippi State Department of Health. \lsdpriority67 \lsdlocked0 Medium Grid 1 Accent 5;\lsdpriority68 \lsdlocked0 Medium Grid 2 Accent 5;\lsdpriority69 \lsdlocked0 Medium Grid 3 Accent 5;\lsdpriority70 \lsdlocked0 Dark List Accent 5;\lsdpriority71 \lsdlocked0 Colorful Shading Accent 5; \par }{\rtlch\fcs1 \ab\af5 \ltrch\fcs0 \b\expnd0\expndtw-3\insrsid14438297 \hich\af5\dbch\af31505\loch\f5 R432-35-8. Use Form I-9 to verify the identity and employment authorization of individuals hired for employment in the United States. {\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew);} be04197c6d1948eca6cc7b6d3343d49aa00c9819822ec3956e41c4727f29a28aab165b3be596f6a62ddd00dd91d5f42424fd6007b4d3fb84ffbbde073a8cb77f If the applicant already has a RapBack subscription in DACS, the system will allow the screening agent to link to that application without paying new fees. (2) Current employees who require screening must: (a) sign a criminal background screening authorization form; (b) provide personal demographics . 493c1b9426881fd2fc08bc6eda7c0ca52e7105c0633a3f37818f08f480102f4ea33c16a0c308ee835a9fc4c82a60ea5db8e375c32dff5d658fc1be7c61d1b8c2 (a) Results of background screening review, as listed above in R432-35-8(1), (2), and (3), may be reviewed to determine under what circumstance, if any, the covered individual may be granted or retain direct patient access. {\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;} \par \tab \hich\af5\dbch\af31505\loch\f5 (iii) any felony or class A, B or C conviction under the following Utah Codes: You may submit the background check forms one of three ways: Bring them into the Utah Department of Agriculture and Food in person, submit by U.S. Mail, or by Record updates are made at the state level only, so the FBI cannot change its records. 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). \par \tab \hich\af5\dbch\af31505\loch\f5 (5) If the Department determines an individual is not eligible for direct patient acces\hich\af5\dbch\af31505\loch\f5