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Employer: Preprinted. 8. Live Scan Transaction Completed By: This section will be completed by the Live Scan operator. Take this form with you the day you are ...
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The Live Scan Operator will complete section 8. One copy will be retained by the Operator and the other you may retain for your records. LIC 9163 (12 15).
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This form is completed by individuals who require background checks as part of their roles within the Long Term Care Ombudsman program. The form consists of ...
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The Ombudsman Program is an advocacy group of trained professionals who help protect and ensure the quality of care of individuals living in long-term care ...
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California Department of Public Health – Licensing and Certification. Licensing agency for Residential Care Facilities for the Elderly: California Department ...
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It is important that you bring this form with you the day you are fingerprinted to have the Live Scan. Operator complete section 8. Upon completion, this ...
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In order to process applications pertaining to Live Scan service to help determine the suitability of a person applying for a license, employment, or a ...
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Certification Prerequisites: Have you signed a Conflict of Interest Statement? Yes. No. Have you ever owned or been employed by a long-term care facility?
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