Caregiver background check rules in South Carolina

Yes. South Carolina requires a criminal background check before a caregiver works with clients. Caregivers need a criminal record check under S.C. Code § 44-7-2910 and a drug test before employment, plus random drug testing. A state check is required; if 12 months of South Carolina residency can't be verified, a federal check must start after hire. Convictions or no-contest pleas for theft, abuse, neglect or exploitation of a child or vulnerable adult disqualify, as do drug crimes within ten years.

What does the check include?

What should you confirm with the state?

Oversight moved from DHEC to the South Carolina Department of Public Health in 2024, and some forms may still name DHEC. Caregiver fingerprinting isn't explicitly required by statute; confirm background check procedures with the Department of Public Health.

What other checks should you run?

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.