University
of Wisconsin Green Bay
Services Available
Caregiver Background Check Policy
The current Wisconsin Caregiver Law prohibits all entities regulated,
licensed, or certified by or registered with the Department of Health
and Family Services under chapters 48 and 50 of the Wisconsin Statutes
from employing or contracting with any individual who has been convicted
of certain crimes. To ensure compliance with this restriction, affected
entities must have on file the results of caregiver background check
(CBC) for all current and prospective employees and contractors
who provide direct care or who have access to clients or patients
in that facility. To facilitate placement and allow maximum opportunities
for student placement, UW-Green Bay will conduct a caregiver background
check on students and supervising faculty/staff when required for
placement in a facility. All students and faculty/staff requiring
a CBC as a UW-Green Bay program or course requirement must complete
the process through UW-Green Bay. CBC s completed at other facilities
may not be accepted as a substitute for this process. A CBC is valid
for 4 years. Students and faculty/staff must repeat the caregiver
background check process when required if studies or employment
extend beyond 4 years.
Units affected by this policy will:
Inform all current and prospective students that they may be
subject to a caregiver background check, the results of which
may affect their eligibility for placement in required internships,
clinical education or field placement program. Units will determine
at what point a caregiver background check will be done. Units
will notify current students in program about the caregiver background
check requirements by letter. If pre-program course work may require
placement into a regulated entity, students will be notified of
the caregiver background check requirement in a letter sent to
each registered student. If caregiver background check will not
be needed until acceptance into a program, students will be notified
of the requirement with program application material.
Include a provision in all application materials notifying students
that acceptance into the program does not guarantee placement
in a required internship, nor does it guarantee licensure.
Contact Public Safety to coordinate the implementation of the
CBC process.
Affected students, faculty and staff must complete the Background
Information Form (BIDS). Return it to the respective office or
program coordinator. Verify information by comparing information
on BID with the either your records on the person or an ID.
Review each BID for any AYES@ answers in Sections A, B, or C.
If there are any "YES" answers, units shall obtain any
additional information that is required because of the yes answer.
Examples:
section B.3. they need to provide a copy of their DD214
section B.4. they need each state and dates lived there
Each student, faculty or staff shall complete the WI Dept. of
Justice Criminal History Individual Name Record Request Form and
return it to the respective office or program coordinator. Forms
will be provided to units by Public Safety upon request
Each student, faculty or staff person must complete and sign
a waiver agreeing to the release of necessary information to those
agencies in possession of information to the students, facultys
or staffs criminal history. The waiver shall provide for
the persons consent to the subsequent release of this information
to the potential placement facility (s). The waiver should be
signed prior to completing BID form. Return the BID to the respective
office or program coordinator.
The student must complete a check made out to UW-Green Bay.
Contact Public Safety to find out the cost. Attach the check to
the above mentioned forms.
The unit shall forward the following to Public Safety.
Waiver / release of necessary information completed
and signed;
Background Information Form (BIDS);
Criminal History Individual Name Record Request Form;
Check made out to UW-Green Bay.
Maintain the files of completed caregiver background checks.
Allow six (6) weeks for the request and review process.
Coordinate with each facility what CBC information they require.
Upon Facility request, units shall arrange to provide the Facility
with a copy of a completed CBC for each student scheduled to provide
services at the Facility. In addition, upon Facility request,
the Department will provide Facility with access to the information
that results from a student's caregiver background check.
The licensed facility shall make the final determination as
to whether a person is acceptable for placement in their facility.
PUBLIC SAFETY
Upon receipt of the completed CBC packet of information Public
Safety will:
Request the Criminal History Background Check from the WI Department
of Justice, WI Department of Health and Family Services, and any
other state if applicable.
Process the results of the report and conduct any further investigation
of any individuals identified with Records.
Run a Drivers License Check on each individual, if applicable.
Provide a report on results of caregiver background checks to
requesting units. Report will include a list of applicants with
no records and a list of applicants with records.
The licensed facility shall make the final determination as
to whether a person is acceptable for placement in the facility
under the Wisconsin Caregiver Law.