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. Delaware requires a criminal background check before a caregiver works with clients, using fingerprints. Home-care agencies licensed under 16 Del. C. 122(3)(x) must obtain a criminal history (SBI fingerprint-based Delaware and FBI records) before employing someone to work in private residences, with up to 60 days of conditional employment allowed. Mandatory pre-employment drug screening applies under 16 Del. C. 1146, and DHCQ runs checks through its Background Check Center.
| Check required | Yes |
|---|---|
| Fingerprint-based | Yes |
| Registries named | Delaware Adult Abuse Registry; Delaware Child Protection Registry; Delaware Nurse Aide Registry; OIG exclusion list; National and Delaware sex offender registries |
| Rule | 16 Del. C. 1145; 16 Del. C. 1146 |
The license application requires proof of insurance and bonding, but no bond amount is stated in the rule. Confirm the bond amount and the current license fee with the Division of Health Care Quality.
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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