California Department of Justice Background Check Packet
This packet provides essential information and forms for individuals utilizing In-Home Supportive Services Care Providers. Follow the instructions carefully to ensure proper processing of background checks. It is crucial for compliance with state regulations.
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How do I fill this out?
To fill out the form accurately, gather the required personal information of each applicant. Ensure that each applicant understands the steps for submitting their fingerprints. Review the completed forms for accuracy before submission.

How to fill out the California Department of Justice Background Check Packet?
1
Gather necessary personal information required for each applicant.
2
Complete the Request for Live Scan Service Form (BCII 8016).
3
Make three copies of the completed form for each applicant.
4
Take the applicant to a live scan site to get fingerprinted.
5
Submit the completed forms along with the required fees.
Who needs the California Department of Justice Background Check Packet?
1
Elder Care Employers need this file to ensure proper background checks. .
2
Individuals applying for In-Home Supportive Services need this packet for compliance. .
3
County agencies require these forms for processing Medi-Cal personal care services. .
4
Applicants seeking employment in elder care must complete this documentation. .
5
Volunteers in caregiving roles need to provide this information for safety compliance.
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What are the instructions for submitting this form?
To submit this form, please ensure all fields are completed accurately. You can fax the completed form to the appropriate agency, or send it via email to the designated coordinator. Physical copies should also be mailed to the agency office, ensuring you include all relevant applicant documentation for processing.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure that all applicants are processed in accordance with the latest regulations starting January 1. Remember to keep track of any legislative changes that could affect deadlines. Effective dates for form updates should be noted as they become available.

What is the purpose of this form?
The purpose of this form is to facilitate background checks for individuals providing care services to elderly and disabled adults in California. Ensuring the safety and security of vulnerable populations is paramount, and this form is designed to meet legal requirements. The completed packet aids in processing applications and ensures compliance with state laws regarding caregiver employment.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Name: The full name of the individual applying for the background check.
- 2. Date of Birth: The birthdate of the applicant, required for identification.
- 3. Employer Information: Details of the employer or agency requesting the background check.
- 4. Physical Address: The full physical address where the employee will provide services.
- 5. Signature: The applicant’s signature to validate the accuracy of the information provided.
What happens if I fail to submit this form?
If you fail to submit this form, your application for background checks will remain incomplete, preventing employment in elder care services. This could result in delays and potential denial of service to clients requiring assistance. It is crucial to ensure that all necessary documentation is submitted promptly to avoid complications.
- Delayed Employment: Failure to submit in a timely manner may lead to prolonged hiring processes.
- Regulatory Non-compliance: Inadequate submission may result in violations of state laws.
- Impact on Clients: Delay in processing could affect the availability of care services for individuals in need.
How do I know when to use this form?

- 1. Hiring Caregivers: This form is needed to initiate background checks on potential caregivers.
- 2. Agency Compliance: Agencies must complete this form for all applicants to maintain compliance.
- 3. Medi-Cal Services: Required for processing applications within the Medi-Cal personal care services framework.
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Where can I find live scan locations?
Live scan locations can be found by consulting local resources or visiting associated websites.
What fees are associated with live scan fingerprinting?
The DOJ applicant processing fee for Elder Care license is typically $32.
How long does processing take?
Processing times may vary, but typically you should receive results within a week.
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