Alternatively, the Care Provider Management Bureau (CPMB) will send a notice to the applicant and the agency that Federal Bureau of Investigations (FBI) fingerprints have been rejected. Date of Birth . Guardian protects. In addition, all Home Care Aide and TrustLine applicants, whether independent or affiliated to a Home Care Organization or TrustLine agency, must be fingerprinted. If you are Share your form with others Send application guardian via email, link, or fax. If you require further assistance or explanation on how to use this site, you may contact the HCSB Customer Service by phone at 1-877-424-5778 or by email at HCSB@dss.ca.gov . Note: All TrustLine agencies, registrants and applicants must refer to the Guardian for TrustLine expandable box for TrustLine specific information. The individuals exclusion to work, be present, or registered may have been the result of their criminal history information or an action that was taken by another Department. Chip SomodevillaGetty Images. Look at the exemption notification letter for the correct mailing address. Your assistance is needed for the protection of our computer systems and data. If you have a condition placed on your exemption and you wish to apply to the TrustLine Registry, please request a removal of your condition. Compability View may be indicated in your Internet Explorer address bar by an icon similar to this one (indicated by the red outline) . top www.cdss.ca.gov Community Care Licensing Division Home Care Services Bureau 744 P Street MS 9-14-90 Sacramento, CA 95814 Phone: (877) 424-5778 Fax: (916) 651-5600 See more result 42 Visit site Home Care Aide :: Washington State Department of Health trend www.doh.wa.gov Home Care Aides and COVID-19. If the agency agrees to request an exemption on your behalf, you must submit the required documents outlined in the exemption needed letter to CPMB. An exemption is a CDSS-authorized written document that "exempts" the individual from the requirement of having a criminal record clearance. You will receive notifications for various reasons regarding the background check process for individuals associated to your agency. To apply for the Home Care Aide Registry outside of Guardian, you may send in the manual Application for Home Care Aide Registration or Renewal Form (HCS 100), along with a check or money order made payable to the Department of Social Services, to Home Care Services Bureau, 744 P Street, M.S. 6. Guardianprovides new self-service options to applicants, registrants, agencies (facilities) and Regional Offices without intervention by the Care Provider Management Bureau (CPMB). To begin the exemption process, you must send the following materials to the CPMB (deadlines apply). Check provider registration with TrustLine. Register As New User. If you have opted in to electronic notifications, you will receive an email when your renewal period is approaching. If you have chosen to receive notifications from Guardian, these notifications will be provided to you at the email address entered during creation of your account. If you choose to use Guardian, you can directly upload the documents to your Applicant Portal and CPMB will receive them instantly. If you have printed and have an exemption or clearance for an agency that requires a Child Abuse Central Index (CACI) check, then you can transfer to any agency. Guardian will ensure background checks are completed faster and more efficiently, while making the process easier for applicants and facilities to request exemptions. Number of people living in the house hold . Contact Us | Dental, Vision, Accident, Critical Illness Insurance Help is here Our customer care support is available from Monday - Friday: 09:00 AM - 09:00 PM ET Call us (toll-free) at (866) 569-9900 Connect with us We are also available via email for your convenience. For County Agencies and Regional Offices Transferring an Exemption Contact Us Community Care Licensing Division Care Provider Management Bureau 1-888-422-5669 Live Operators Available: 8:00am - 12:00pm M-F Frequently Asked Questions Quick Links Non-exemptible Crimes Background Check Process Livescan Application & Fees TrustLine Access Guardian, locate the Rosters tab and search for the individual. These documents can be provided by the court upon request. Announcements New: The Care Provider Management Bureau (CPMB) is working on the development and implementation of a new background check data system. We are one of the nation's largest dental insurance providers, covering more than 8 million members, because we believe in helping you do what you do best: provide quality dental care to your communities. State of California. Once Live Scan fingerprints have been received and your Criminal Record Statement (LIC 508/LIC 508D) have been completed in Guardian, some background check results can be processed in real time. It is very helpful for the individual to also state how his/her life has changed to prevent him/her from committing another crime. To do so, please obtain the Applicant Instruction Form from your prospective agency and visit the Guardian Applicant Portal to Register as a New User. If a criminal record exemption is required, an Exemption Needed letter will generate. For further information, please refer to the User Guide for Licensing and Home Care Agencies. CPMB will examine your record and history to determine if you are eligible for an exemption to work, reside, or volunteer in a facility or provide services. You will then be prompted to answer your security question. If you need assistance tracking your background check status, have an exemption related question or need general information about Guardian, please email Guardian@dss.ca.gov for assistance or call (888) 422-5669. Please provide proof of training, classes, courses, treatment, counseling, etc. running Internet Explorer 9 or later make sure you are not running in Compatibility View. Only your username cannot be updated. To begin the transfer process, ask the agency to which you are transferring to submit a completed Criminal Record Exemption Transfer Request form (LIC 9188). 11. You may renew your Home Care Aide registration in one of the following ways: If you are the licensee/facility, you should request an exemption on behalf of the individual. Password: Guardian Security Policy Your assistance is needed for the protection of the State of California, Department of Social Services. 9-14-90, Sacramento, CA 95814. You may access Guardian by visiting: The Guardian Agency Portal. This DOJ notice does not allow you to begin working, you must wait to work and/or reside in licensed community care facilities or home care organizations until you receive the CPMB clearance letter. Check with your potential agency to see if they have received an exemption needed notification either in Guardian or by mail from the Care Provider Management Bureau (CPMB) stating that a criminal record exemption is needed. If you need assistance tracking your background check status, have an exemption related question or need general information about Guardian, please email Guardian@dss.ca.gov for assistance or call (888) 422-5669. If you have further questions, you may email Guardian@dss.ca.gov or call (888) 422-5669. If you have already created your Guardian account, select Forgot Password/Unlock. The DOJ will send a notice to the licensee that the applicant requesting association to their facility has a fingerprint reject. Please be aware that this system is the property of the CDSS. Guardian allows you to transfer (connect) an in-process, cleared or exempted individual to a your agency in real time. You may choose to mail the appeal request or you can upload your appeal request to Guardian. Your file cannot proceed until the records are received. If you need assistance tracking your exemption status, have an exemption related question or need general information about Guardian, please email Guardian@dss.ca.gov or call (888) 422-5669. The Social Services Board, comprised of 9 members representing both localities, governing the Department of Social Services. One option is for you to take no action. The California Department of Justice (DOJ) will reject fingerprints that may be smudged or unable to be read. You will be prompted to answer one of your pre-established security questions. If you require further assistance or explanation on how to use the new Guardian site, please email at Guardian@dss.ca.gov. The following section is applicable to TrustLine agencies, registrants and applicants. If your Licensee or Director created your Guardian account, they can unlock the account for you by following the user guide Unlocking (Enabling) a User Account. The letter states that a criminal record exemption is needed and the letter lists the documents needed to process a criminal record exemption. If you already have a Guardian account, you can enter your User Name and Password. Cincinnati. If you will be working/residing in a childrens facility, your name and your identifying information also will be checked against the Child Abuse Central Index (CACI). If the agency uses Guardian and you have no new criminal history, your transfer to the new agency can be processed in real time and there is no need for the local licensing office or CPMB to intervene. Failure to notify the Department within 10 days of a change in mailing address could result in a citation of a deficiency and an immediate assessment of civil penalties. All convictions other than minor traffic violations require an exemption, and this includes misdemeanors, felonies and convictions that occurred a long time ago. that have been completed. You may disassociate individuals from your agency in Guardian by following the User Guide for Licensing and Home Care Agencies. After receipt of the form and account creation by CPMB, the initial user can grant access to other individuals in an agency that may need access to view rosters, employment information, exemption statuses, etc. Providethree signed character reference statements. If you are using Guardian and are opted-into electronic notifications, you will receive this letter in your Guardian Applicant Portal. The CDSS is prohibited by law from granting exemptions to individuals convicted of certain crimes (non-exemptible crimes). This field is for validation purposes and should be left unchanged. Printable HCA Application Printable 508 Form Printable Live Scan Form CPMB may grant an exemption if the individuals criminal history meets all the criteria specified in the regulations and he/she submits substantial and convincing evidence of good character and rehabilitation. If the licensee decided not to hire youandyou are the applicant. Guardian will generate a pre-populated Live Scan form after an application has been completed, to assist with the accuracy of information received. Instructions for submitting an application or renewal manually are contained within the documents, and fees would need to be paid by check or money order. In your request please state why you think your condition should be removed, as well as provide evidence of rehabilitation that would support the removal of your condition. The form should be sent to Care Provider Management Bureau, 744 P Street, M.S. All rights reserved. You may clean up your roster, disassociate (separate) individuals who should no longer work be associated to your agency and remove individuals from your roster who have been denied exemptions. CPMB will update Guardian to show your association to the new agency. More information, including detailed user guides and video tutorials can be found on CPMB's Guardian webpage. This is very important so that the CPMB can follow up with you. If the individual does have criminal history or information which requires further research by the Care Provider Management Bureau, background checks can take up to 75 days. An exemption is a California Department of Social Services authorized written document that "exempts" the individual from the requirement of having a criminal record clearance. Post All physical mail to the Home Care Services Bureau should be addressed as follows: . Access to this portal should be restricted to individuals who have received a CDSS criminal record clearance or exemption. Exemptions with conditions cannot be transferred to the TrustLine registry. This DOJ notice does not allow you to begin working, you must wait until you receive the CPMB clearance letter. The term "agencies" is inclusive of all licensed facilities, Foster Family Agencies, Home Care Organizations and TrustLine agencies. Copyright 2022 California Department of Social Services, Home Care Aides and Home Care Organizations, Self Assessment Guides and Key Indicator Tools. 10. You can get it from the Agency or look at the Agency documents for it. After the application is completed, a pre-populated Live Scan form will generate to assist with the fingerprint submission. How to sign up to use Guardian How to start the background check process in Guardian Video demonstrations on Guardian Guardian roster tips Resources Question and answer session. You can check your browser version by selecting "About Internet Explorer" in the browser menu. 20800 Southfield Road Southfield, MI 48075. Agencies may utilize Guardian to check the eligibility of currently associated individuals and prospective applicants. The application will not be submitted until the self-disclosure information has been completed. The Chesterfield-Colonial Heights Department of Social Services is a combined agency serving both the County of Chesterfield and the City of Colonial Heights. Guardian Background Check Questions: These are statements ofthree people who know the individual and who can speak to his/her good character and they each must be written on a Reference Statement form. An exemption remains valid provided you have no new criminal history and you follow all licensing laws and regulations. RivCoDCSS Office Locations Where We Are Located Riverside Office 2041 Iowa Ave. Riverside, CA 92507 Telephone Hours: Monday - Friday 8:30am to 5:00pm Interview Hours: Monday - Friday 8:30am to 5:00pm Local Cash Payment Hours: Monday - Friday 7:30am to 5:00pm Indio Office 47-950 Arabia St. Indio, CA 92201 Telephone Hours: Monday - Friday T9-15-62, Sacramento CA, 95814. Phone: 1-877-424-5778 Email: HCSB@dss.ca.gov When submitting your initial application for the Home Care Aide Registry or renewal application as a Home Care Aide in Guardian, you will be prompted to enter payment information as applicable. Contact Guardian Guardian Protection Products, Inc. 2220 US Hwy 70 SE Hickory, NC 28602 USA Main: 800-527-8485 fax: 800-668-5754 To speak with a customer service representative please dial toll free 800-527-8485 between 8:00 AM and 5:00 PM Eastern Time, Monday through Friday. Guardian will replace the report that your Licensing Program Analyst provides to you yearly now that you will be able to view and manage your roster in real time. All Users 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. You will receive an exemption only if you can show that you are sufficiently rehabilitated and that you are no longer involved in criminal activity. For example, if you have no criminal history and all requirements have been met, a clearance can be processed within a day. Terms and Conditions This is a U.S. Government System. To begin the exemption process, you must submit the following materials to CPMB within the specified timeframe. The live webinar will take place on September 28, 2022 from 10:00 AM - 11:30 AM Pacific Time (US and Canada) via Zoom. After entering the Agency PIN, follow the instructions to complete the application process. The agency may also check with the local licensing office to determine if Guardian has a status of your background check. A written statement/explanation detailing approximate dates and events leading up to the arrest(s) that resulted in the conviction(s)/arrest(s) which are identified below. Join our dental network today Members - Find a dentist If you are an independent Home Care Aide and use Guardian, you will need to locate the Applicant Instruction Form on the Home Care Services Bureau webpage, that will be available starting in mid-January 2021. CPMB also has the authority and responsibility to investigate arrests for non-exemptible crimes to determine if the underlying conduct is substantiated and therefore presents a risk to the health and safety of clients who are in care. You will also receive a letter, either in your Guardian portal or via U.S. Mail, which states that your Home Care Aide Registration is expiring and you need to take action to renew your registration. Three (3) signed character reference statements. However, individuals convicted of serious crimes such as robbery, sexual battery, child abuse, elder or dependent adult abuse, rape, arson or kidnapping are not eligible for an exemption. All convictions other than minor traffic violations require an exemption, including misdemeanors, felonies and convictions that have been dismissed per 1203.4 PC or convictions that occurred a long time ago. After Live Scan Fingerprints and a Criminal Record Statement (LIC 508/LIC 508D) have been completed in Guardian, some background check results can be processed in real time. This helps to demonstrate that the individual has worked to improve or rehabilitate himself/herself. You can expedite your exemption request by providing as much information as possible when you submit your original package to CPMB. Your conditional exemption cannot be transferred without review from the Care Provider Management Bureau (CPMB). T9-15-62, Sacramento CA, 95814, fax to 916-754-4589 or email to Guardian@dss.ca.gov. If you choose not to use Guardian, please mail, fax or email the form back to CPMB. If CPMB decides to remove your condition, you will receive an Exemption Approval letter either via U.S. Mail to the address CPMB has on file, or through your Guardian applicant portal if you have an account. 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