19 CSR 30-80.030
Child-Care and ElderCare 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 ElderCare 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 noncriminal 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 3080.030(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.
AUTHORITY: sections 210.906, RSMo Supp.
2006, and 210.924, RSMo 2000.* Emergency
rule filed Sept. 19, 2000, effective Jan. 1,
2001, expired June 29, 2001. Original rule
filed March 30, 2001, effective Sept. 30,
2001. Amended: Filed Jan. 22, 2007, effective July 30, 2007.
*Original authority: 210.906, RSMo 1999, amended 2001,
2002; and 210.924, RSMo 1999.