Compliance
Caregiver Background Check Requirements: A Guide for Agencies
Most states require a criminal check before client contact, many fingerprint-based through the FBI. Five states' rules, FCRA steps, exclusion lists and rechecks.
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Yes. California requires a criminal background check before a caregiver works with clients, using fingerprints. Home care aides must submit fingerprints (Live Scan) to the Department of Justice, which searches state and FBI records, and must be cleared on the Home Care Aide Registry before direct client contact. Aide registration costs $35 and lasts 2 years.
| Check required | Yes |
|---|---|
| Fingerprint-based | Yes |
| Registries named | California Home Care Aide Registry |
| Rule | Cal. Health & Safety Code 1796.23; 1796.43 |
Starting January 1, 2027, SB 412 adds dementia care training before providing care and annually; confirm with the Home Care Services Branch whether this changes the required training hours. Aides must also show they are free of active tuberculosis.
Agencies that bill Medicaid or Medicare should also check the HHS Office of Inspector General exclusion list before hire and monthly, because payments for services by an excluded person can be recovered. If you use a background screening company, the Fair Credit Reporting Act requires written disclosure and the applicant's authorization first.
Compliance
Most states require a criminal check before client contact, many fingerprint-based through the FBI. Five states' rules, FCRA steps, exclusion lists and rechecks.
Recruiting
A seven-day caregiver hiring process: same-day reply, 24-hour phone screen, interview by day 3, conditional offer, background check and I-9 on time, shadow shift by day 7.
Recruiting
Three stages: paperwork, screening and training before the first shift, a supported first shift, and check-ins through day 90. Federal deadlines included.
Compliance
Track every caregiver credential with an expiry date, alert at 60 and 30 days, and block assignments when something lapses. Surveyors check the visit date.
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