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R501. Human Services, Administration,
Administrative Services, Licensing.
[R501-18. Abuse Background Screening.
R501-18-1. Management Information System.
A.
Authority
1.
Pursuant to UCA 62A-2-121 and UCA 62A-4a-116, a review of the Management
Information System shall be conducted of all licensees and persons associated
with the licensee as part of the initial and annual licensing process.
2. Pursuant to UCA 62A-3-311.1 a screening of licensees and persons
associated with the licensee shall be conducted through the Adult Protective
Services Data Base.
B.
Purpose
The purpose of screening, as a part
of the licensing process for the Department of Human Services, is to protect
children and vulnerable adults from individuals who may have committed acts of
abuse, neglect, or exploitation of a child or vulnerable adult.
R501-18-2. Definitions.
A.
"Administrative Law Judge" means an employee of the DHS who
acts as an independent decision maker who considers the evidence introduced at
the hearing and renders a decision based solely on that evidence and all
relevant law and policy, herein referred to as ALJ.
B.
"Adult" means a person 18 years of age, or older.
C.
"Adult Protective Services Worker" means an employee of the
Department of Human Services who is designated to conduct abuse or neglect
investigations of adults.
D.
"Authorized Worker" means the director or designee of a
facility or an employee of Department of Human Services.
E.
"Authorized DHS Worker" means an employee of the Department of
Human Services authorized to have access to the management information system
as determined appropriate by the Director, Office of Licensing, Department of
Human Services.
F.
"Child Protective Service Worker" means an employee of the
Department of Human Services who is designated to conduct abuse or neglect
investigations of children.
G.
"Consumer" means an individual, i.e., client, resident,
customer, etc. who receives services from a licensee.
H.
"Direct supervision" means that the licensee or person
associated with the licensee is never with a client without their supervisor
present.
I.
"Director" means the person responsible, as delegated by the
governing body, for the technical and programmatic aspects of the program. This person should provide direct
supervision of the day-to-day aspects of the program operation.
J.
"The Division of Aging and Adult Services" means the DHS
Division responsible for administering and delivering services for aging and
disabled adult residents of Utah, herein referred to as DAAS.
K.
"Department of Human Services" means the State Department
authorized to provide human services, including licensing, herein referred to
as DHS.
L.
"The Division of Child and Family Services" means the office
of DHS, which operates regional human service offices, herein referred to as
DCFS.
M.
"The Division of Services for People With Disabilities" means
the DHS Division responsible for providing services for people with
disabilities, herein referred to as DSPD.
N.
"Employee" means a person who performs services for a licensee
in a paid or otherwise compensated capacity.
O.
"Frequent Visitor" means an adult who visits on a recurring
basis in a home where home based care is provided.
P.
"GRAMA" means the provisions of the Government Records Access
and Management Act that provides for and covers information access and privacy
of provider files, as found in UCA 63-2-101, et.seq.
Q. "Human services
licensee" or "licensee" means a youth program, resource family
home, or a facility or program that provides services, care, secure treatment,
inpatient treatment, residential treatment, residential support, adult day
care, day treatment, outpatient treatment, domestic violence treatment, child
placing services, or social detoxification licensed by the Office of Licensing.
R.
"Identifying information" means individual data including,
name, date of birth, social security number, and a copy of a driver license, or
state identification card, and all aliases.
S.
"Management Information system" means the part of the DCFS
management information system developed for licensing purposes in accordance
with UCA 62A-4a-116 and the Adult Protective Services Database identified in
UCA -3-311.1 herein referred to as "management information system"
T.
"Member of a Governing Body" means the individuals who
comprise the Board of Trustees, Directors or other body who has the ultimate
authority and responsibility for the conduct of the licensee.
U.
"Owner" means anyone listed in the Articles of Incorporation,
Limited Partnership, etc. who has a legal interest in or the legal right to the
possession and to direct the affairs of the program.
V.
"Office of Administrative Hearings" means the office in DHS
which conducts hearings according to the Utah Administrative Procedures Act,
herein referred to as OAH.
W.
"Office of Licensing" means the office in DHS, authorized by
law, to license facilities and programs, herein referred to as OL.
X.
"Person Associated with the Licensee" means any owner,
director, member of the governing body, employee, provider of care, or volunteer
of a human service licensee. Also, any
person 18 years or older who resides in a home or frequent visitor to a home
where home based care is provided.
Y.
"The Provider of Care" means a person who provides direct
services for licensee consumers.
Z.
Provider" means a public or private agency, owner, director, member
of governing body, employee, volunteer, or other individual having a license to
provide services to children.
AA.
"UAPA" means the Utah Administrative Procedures Act as found
in UCA 63-46b-1 through UCA 63-46b-21, herein referred to as UAPA.
BB.
"Volunteer" means a person other than a parent or guardian of
a child or vulnerable adult receiving care in the facility, who performs
services for a licensed facility in a non-paid capacity.
CC.
"Vulnerable Adult" means a disabled adult as defined in UCA
62A-3-301 (5); any person 18 years of age or older who is impaired because of
mental illness, mental deficiency, physical illness or disability, or other
cause, to the extent that the person lacks sufficient understanding or capacity
to make or communicate informed decisions concerning his person, or is unable
to care for his own personal safety or provide necessities such as food,
shelter, clothing or medical care, without which physical injury or illness may
occur.
R501-18-3. Procedure for Abuse Background Screening.
A. Prior to hiring an individual,
human service programs required to be licensed by DHS shall submit identifying
information, including the names, date of birth, social security number, and
driver's license or state identification card of all licensees and all persons
associated with the licensee. Requests
for clearance shall also be resubmitted annually thereafter. The screening will search for a history of
abuse, neglect or exploitation of children or vulnerable adults.
B.
Human service programs which are home based shall also submit
identifying information including, the names, date of birth, social security
number and a copy of the driver license or state identification card of all
licensees and persons associated with the licensee for an initial and annual
screening of the Management Information System to search for a history of
abuse, neglect or exploitation of children or vulnerable adults.
C.
If a licensee hires an individual without having the abuse background
screening approval, the licensee assumes all liability and is responsible for
directly supervising all individuals who have not received the required abuse background
screening approval.
R501-18-4. Results of Screening.
A.
Approval:
If the name of the licensee or
person associated with the licensee does not appear on the management
information system, the abuse background screening shall be cleared to provide
services in the licensed DHS facility, program, or home serving children or
vulnerable adults. Approval is only
applicable to this specific facility, program, or home.
B.
Comprehensive Review:
If the licensee or person associated
with the licensee is identified in the Management Information System as a
perpetrator of abuse, neglect or exploitation of children or vulnerable adults,
their abuse background screening shall require further review by the DHS in
accordance with R501-18-5.
R501-18-5. DHS Comprehensive Review.
A.
A comprehensive review shall be conducted by the DHS.
B.
The review shall seek to obtain the following information, including
input regarding mitigating circumstances:
1.
What is the nature of the abuse or neglect?
2.
How long ago did the incident occur?
3.
What was the severity of the abuse or neglect?
4.
Was legal action taken?
5.
What steps have been taken to remedy the situation?
6.
Based upon the information available, does this person pose a threat to
the safety and well-being of consumers of the licensee?
7.
The review may also seek additional information from the applicant and
other individuals, including all enforcement personnel who completed the
investigation and the investigative worker.
C.
The DHS shall maintain a record of the review to include the findings of
fact and the conclusions of each case.
R501-18-6. Results of the DHS Review.
A.
Approval:
1.
If the DHS review determines that the licensee or person associated with
the licensee does not pose a threat to consumers, the abuse background
screening shall be approved.
B.
Denial:
1.
If, based upon DHS review of the circumstances, there exists credible
evidence that the licensee, person associated with the licensee, or person
living in the home or frequent visitor to the home poses a threat to the safety
and health of the consumers being served by the human service licensee, an
abuse background screening shall not be approved.
2.
A Notice of Agency Action, herein referred to as NAA, will be sent to
the licensee and the person associated with the licensee stating that the
application for a abuse background screening approval has been denied.
a.
In the case of out of home care, if the provider or applicant is
terminated or dismissed within 24 hours, a license may continue.
b.
If the licensee or person associated with the licensee is an adult
residing in a home or a frequent visitor to a home where home based care is
offered, the Office of Licensing shall not issue a license.
R501-18-7. Administrative Hearing.
A licensee or person associated with
the licensee who is denied approval may request a hearing within 10 days in
accordance with UAPA. The licensee or person associated with the licensee have
no right to a UAPA hearing unless there is a disputed issue of fact with the
DHS policy.
A.
Status Pending the Hearing Results:
1.
A licensee or person associated with the licensee requesting a hearing
may continue to work under direct supervision until the hearing decision is
issued.
2.
If the licensee or person associated with the licensee is unable to work
under direct supervision, a NAA shall be sent to the licensee stating that
their current license has been placed on conditional status pending the results
of the hearing.
3.
If a person 18 or older residing in a home or a frequent visitor to a
home where home based care is provided requests a hearing, a NAA shall be sent
to the licensee stating that their current license has been placed on
conditional status pending the outcome of the hearing and the person 18 or
older living in the home or frequent visitor must never be present when
consumers being served by the licensee are in the home pending the hearing
decision.
4.
The NAA must be posted in a conspicuous place where parents, consumers,
or the public will obviously see and be able to read the notice. Programs with multiple service locations
will post applicable notices at each of those locations. The Office of Licensing may also notify
parents or the public directly, or require the facility or program to do so.
B.
Participants of the DHS review shall be available to testify at the
hearing.
1.
When action to deny, revoke, or suspend a license or deny an abuse
background screening is based upon the DHS review, and new evidence not
considered by the DHS review is introduced at the hearing, the DHS review
representative may request that the case be remanded to the DHS to consider the
new evidence. If the DHS determines
denial, revocation, or suspension is still warranted after further review, the
DHS will notify both the licensee, person associated with the licensee, and the
OAH. The OAH may then reconvene the
hearing if necessary to complete the record.
A final decision will be issued based on all of the evidence in the
record.
2.
If, after reviewing the new evidence, the DHS recommends that the abuse
background screening be approved, the DHS shall advise the licensee and person
associated with the licensee. The DHS
will then send an appropriate notice to the licensee and person associated with
the licensee and a copy to OAH.
R501-18-8. Referral After Licensure.
If a licensee or person associated
with a licensee providing services to the program serving children or
vulnerable adults who must obtain the abuse background screening approval is
substantiated for adult or child abuse, neglect, or exploitation after
receiving the abuse background approval, the licensee has five working days to
notify the OL. Failure to notify may
result in automatic, immediate suspension of the license. When notice of a substantiated abuse record
is received, the OL will respond as stated in R501-18-5 above.
R501-18-9. Confidentiality.
The information contained on the
Management Information System is confidential and shall only be released as
authorized by UCA 62A-4a-412 for children or UCA 62A-3-311.1 for adults.
A.
The information in the Management Information System may only be
released to individuals approved by the DHS in accordance with UCA 62A-4a-412
or UCA 62A-3-311.1.
B.
The information in the Management Information System will not be given
over the telephone. The information
must be requested in writing with the proper releases.
C.
All documents relating to an abuse background screening must be
maintained and stored in accordance with GRAMA.
KEY: licensing, human services
June
16, 1998
Notice
of Continuation January 27, 2005
62A-2-101
et seq.]
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