Washington Caregiver Report Cover Sheet

State:
Washington
Control #:
WA-SKU-2626
Format:
Word
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Description

Caregiver Report Cover Sheet

The Washington Caregiver Report Cover Sheet is a form required by the Department of Social and Health Services (DSS) in order to process and track background checks for caregivers in Washington State. This form is used to indicate who is responsible for the background check, the date of the background check, and the type of background check being conducted. There are two types of Washington Caregiver Report Cover Sheet: 1. The Washington Caregiver Report Cover Sheet for Adults: This form is used to request a background check for an adult caregiver. It must be completed for any adult caregiver who will be providing services in the home of a vulnerable adult. 2. The Washington Caregiver Report Cover Sheet for Minors: This form is used to request a background check for a minor caregiver. It must be completed for any minor caregiver who will be providing services in the home of a vulnerable adult or child. Both forms must be completed and submitted to DSS in order to initiate the background check process. The forms are available online and must be signed by the requesting agency.

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FAQ

DCYF is the lead agency for state-funded services that support children and families to build resilience and health, and to improve educational outcomes. We accomplish this by partnering with state and local agencies, tribes and other organizations in communities across the state of Washington.

For additional questions, please email the CAN Unit at CANhistorychecks@dcyf.wa.gov or call us at 1-800-998-3898, option 1. For public child welfare agencies seeking CAN information as part of an open CPS or child welfare investigation on the parent(s) or caregiver(s) who previously resided in Washington State.

After the 90 days, CPS must make one of the following choices: (1) end the investigation and close the file; (2) file a dependency petition; or (3) enter into a voluntary contract with the parents.

DCYF means the department of children, youth and families.

A dismissal can occur at any time during your CPS investigation. It can be dismissed by CPS if they feel like the child is not in any real danger. It can also be dismissed by a judge if CPS fails to provide enough evidence to prove that the alleged abuse or neglect actually occurred.

How to Request a Copy of Public Records Intake Phone: (360) 407-5520 or 1-844-506-8375. Fax: (360) 407-5571. Email: dcyf.publicdisclosure@dcyf.wa.gov.

D. 2. c.) You (and any other legal parent of your child) have the right to know that CPS has investigated an allegation of child abuse or neglect, but not who made the allegation.

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Washington Caregiver Report Cover Sheet