19 CSR 30-80.030 - Child-Care and Elder-Care Worker Registration
PURPOSE: This rule establishes procedures for submitting completed applications for registration in the Family Care Safety Registry.
(1) Application for
Registration.
(A) The application for
registration in the Family Care Safety Registry shall include the following:
1. A completed Child-Care and Elder-Care
Worker Registration Form, provided by the department, shall be typewritten or
printed in ink. The application shall include the following:
A. Applicant's valid Social Security
number;
B. Information on
applicant's right to appeal the information contained in the registry pursuant
to section
210.912,
RSMo;
C. Signed consent of the
applicant for the background checks pursuant to section
210.906,
RSMo;
D. Signed consent of the
applicant for the release of information contained in the background check for
employment purposes only;
E. Worker
category;
F. Applicant's last name,
first name, middle name;
G. Prior
names used by applicant;
H.
Applicant's home address;
I.
Applicant's current mailing address, if different than home address;
J. Applicant's county of residence;
K. Applicant's date of birth;
L. Applicant's gender;
M. Name, address and county of applicant's
current employer (if applicable); and
N. Signature of the applicant and date of
signature, in ink, which certifies that all information in the registration
form is complete and true to the best of the applicant's knowledge;
2. A photocopy of applicant's
Social Security card; and
3. A
check, money order, or electronic payment for a nonrefundable fee made payable
to the Missouri Department of Health and Senior Services in an amount equal to
that charged by the Missouri Department of Public Safety pursuant to Chapter
43, Revised Statutes of Missouri, and Title 11 Code of
State Regulations, Chapter 30 for disseminating criminal history
information to non-criminal justice agencies which is currently set forth in
section
43.530,
RSMo, and
11
CSR 30-4.070.
(B) If the department receives an incomplete
application, it will request the required information from the applicant before
the application is processed. If the department does not receive the required
information within sixty (60) days from the date of the certified mailing of
the request, the application shall be void and another application shall be
filed. If a subsequent application is filed, it shall be filed pursuant to
19 CSR
30-80.030(1)(A)-(B).
(C) Applications for registration may be
submitted to the Family Care Safety Registry by the individual applicant or
their employer or prospective employer. An employer or prospective employer may
submit completed registration forms using a batch processing form, provided by
the department, that will also serve as a request for background screening
information.
(D) A batch processing
form, provided by the department, shall include the employer's or prospective
employer's name and address, a listing of applicants for whom applications for
registration are attached, and the employer's or prospective employer's
signature that certifies the requested information is for employment purposes
only and will not be used for any other purpose. Once the application process
has been completed and background checks conducted the Family Care Safety
Registry will notify the worker and the employer or prospective employer, whose
name and signature appears on the batch processing form, of the results of the
determination recorded on the registry.
Notes
*Original authority: 210.906, RSMo 1999, amended 2001, 2002; and 210.924, RSMo 1999.
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