Initiate a Fingerprint Background Check from the Profile Screen. Section Fingerprint-Based Criminal History Records Check

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Initiate a Fingerprint Background Check from the Profile Screen Section 955.165 Fingerprint-Based Criminal History Records Check a) Educational entities, other than secondary schools, and health care employers are required to check the Health Care Worker Registry before allowing a student to enter a training program or hiring an employee to determine: 1) Whether a fingerprint-based criminal history records check has previously been conducted, which is indicated by the identifier of "FEE_APP" or "CAAPP". A) As long as the student, applicant or employee has had such a background check and stays active on the Health Care Worker Registry, no further fingerprint-based criminal history record checks shall be deemed necessary. (Section 33(g) of the Act) B) If the individual has disqualifying convictions and a waiver has not been granted pursuant to this Part, the individual is not allowed to work as a direct care giver for a health care employer or as an individual with access to residents, the resident's living quarters, or the resident's financial, medical or personal records in a long-term care setting. (225 ILCS 46/33) Sec. 33. Fingerprint-based criminal history records check. (e) When initiating a background check requested by the Department of Public Health, an educational entity or health care employer shall electronically submit to the Department of Public Health the student's, applicant's, or employee's social security number, demographics, disclosure, and authorization information in a format prescribed by the Department of Public Health within 2 working days after the authorization is secured. The student, applicant, or employee must have his or her fingerprints collected electronically and transmitted to the Department of State Police within 10 working days. The educational entity or health care employer must transmit all necessary information and fees to the livescan vendor and Department of State Police within 10 working days after receipt of the authorization. This information and the results of the criminal history record checks shall be maintained by the Department of Public Health's Health Care Worker Registry.

Open Internet Explorer and enter www.idphnet.illinois.gov in the address bar (not the search box) to log into the IDPH HAN Web Portal and the Health Care Worker Registry. See the training for signing into the Health Care Worker Registry if assistance is needed. Click on the dropdown box and select your facility, then click on the green arrow to the right. If you have access to more than one facility, you will see Facility List in the header. You may click on these words to come back to this screen to select another facility to which you have access. The user should print the Authorization and Disclosure Form from the Welcome screen and have the applicant fill it out completely, prior to hiring the individual. This form may also be printed on the New Application page and the background check initiation page. The information on this form is to be used to update the applicant s demographics. All this information is required for the livescan vendor to collect fingerprints for a fee applicant (FEE_APP) inquiry.

Click on the Workers tab and search for the individual. Click on the Profile icon. This form allows the health care employer to eliminate the individual from the hiring process without and further searches, if the individual discloses disqualifying offenses, for which a waiver has not been granted, or offenses prohibited by the hiring facility s business policy.

The user must enter the individual s Social Security Number (SSN) to advance to the individual s profile screen and be able to see the individual s personal information. This screen is also recording to the database the user, the facility, and that the user is validating that the facility has an Authorization and Disclosure Form completed by the individual. That form is to be kept by the facility in the individual s employment (or non-employment) record. After the user enters the SSN, the facility will have 60 days in which to view the applicant s personal information before losing access. If a hire date is entered in the Training and Work History section, the facility will continue to have access to this individual s personal information until a last day of employment is entered. At that time, the facility will lose access to this individual s profile screen. After the user enters the SSN and clicks on Validate Authorization the individual s profile screen opens.

The user must first update the individual s demographics by clicking on Demographic Information. Click the Save icon when corrections are complete. Then click on the individual s name to go back to the Profile screen.

Click on the green plus sign to initiate the background check.

The user must indicate the Category and Type of position the applicant is seeking. This information is for record keeping and is NOT transferred to the Training and Work History section, since the applicant may or may not end up in that position. To initiate the background check the user must check each of the websites listed on this page. If there is nothing found to prevent the individual from holding the indicated position, the user enters a check mark in No Disqualification Found, by clicking the checkbox. For additional assistance checking the websites, please see the website link instructions. If something is found to disqualify the individual please print this page as proof of why the individual in not eligible for hire. If there are no disqualifications, please print this page to keep in the facility s records after entering the date the websites were checked and an indication is provided to show that the applicant has completed an Authorization and Disclosure Form. By administrative rule the user is NOT required to print out screen prints of each website. Click the check mark to enter the current date. Click to print this page. Click the save icon to complete initiating the fingerprint background check.

After clicking the save icon, the screen comes back up indicating that the record has been saved. The user must click on the word here to view and print the Livescan Request Form.

The user should keep a copy of this form in the employment record. The applicant takes this form to one of the contracted vendors. Only the contracted vendors may be used. These background checks are electronic from beginning to end. Any vendor other than the contracted vendors is not set up with the proper ID to send the electronic data that is required for the Illinois State Police response to process in the Registry. Application Number: 686641 OR!:ILNHPP09Z Date of Request 7/04/2011 Livescan Fingerpr nt Request Illinois Depa rtmen t of Public Health Health Ca re Worker Registry,525 W.Jefferson St.4th Fl,Springfield,IL 62761 Phone (217) 78 5 5133 Fax (217) 524 0137 You have received this form because you have applied for a position wi:h a health care employerenrolledin a health care training programwant to be considered equivalent to an llni ois CNAor applied for a waiver of disqualifying convictions. You must have a fingerprint criminalhistor y records check requested by the llni ois Department of Public Health and submitted to the llinois Department of State Police as a fee applicantinquir y,your fingerprints nust be collected from a livescan vendor contracted by the Department of Public Health.No other fingerprinting vendors are authorized to partidpatein this program. As a result of this background checkyou willbe listed on the Health Care Worker Registr y, You have onty ten working days from the t me you signed the authorization form to have your fingerpr nts collected by one of the Department's contracted vendors or be suspended.!vendor IPhone IArea of Service 1 il ------------------------ - l r il-86.,6.,..'3"6",.1.""9'"9'"4"'4,---l Accurate Biometrics nc. (www.accuratebiometrics.com) No appointment Statewide l necessar y IFIRM Systems (www.firmsystems.net) 11-866 721 1203!statewide Li-I-1- E'""nr"ol':lm-_e_n_ts'"e" rvice_s_(:w-ww".'l:l-e-nr"o'l:lm-_e_n t.c-om")'------------i- ll"-'s"o'o"3'"7'"7"' 2'"o"'so,----Statewide 1, l l-877 746.()643!Metropolitan Chicago Healthcare Coundl (MCHC} (www.mchc.com)!appointments only!statewide *The ll.no1s State Pollee fees are.nduded 1n the anount the vendor charges the applicant. You must present current, valid government-issued photo ident fk.ation or other valid photo ident fk.ation. Applican t: Marsha Brad y SSN:000-QO llll t-1ailni g Address: 191N Prairie Dog St Prairie ViewIl61000 Date of Birth: October 17, 1983 Place of Birth (State or Countr y if not US): Fingerprin ts to be submitted to: State Police Sex:F Height: 4' 9 Hair Color: BRO Telephone: (13) 456-8794 Race: White Eyes: Brown Weight: I verify that the aboveinformationis true and correct. Applican t Signatu re:--------------- Requesting Facility: 959 Harvest View Address: 100 Harvest View Lane Herscher,IL 60941 TCN: Return this portion to the facility that gave you this request form. FullName:Marsha Brady Application Number: 685641 On: _ In: _ Vendor _ Date Ci ty,state TCN: (Technidan's signature)

After printing the Livescan Request Form, the user closes the window that holds the form. The user may click on the applicant's name to go to the applicant's profile screen or click on any tab to go to another part of the registry. Saved Application saved successfully. Click here for Fingerprinting Form.