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dss-5280 Mandatory Criminal History Check

This notice informs residents of licensed foster homes in North Carolina that mandatory criminal history checks will be conducted on all individuals over 18 years of age living in the home. It outlines what criminal convictions will be checked, including violent crimes, drug offenses, child abuse, and more. Fingerprints will be used to check records from the State Bureau of Investigation and Federal Bureau of Investigation. Residents determined to be unfit due to their criminal history will have an opportunity to challenge inaccurate records. Refusal to consent to a criminal check or providing false information are grounds for denying or revoking a foster care license.

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194 views1 page

dss-5280 Mandatory Criminal History Check

This notice informs residents of licensed foster homes in North Carolina that mandatory criminal history checks will be conducted on all individuals over 18 years of age living in the home. It outlines what criminal convictions will be checked, including violent crimes, drug offenses, child abuse, and more. Fingerprints will be used to check records from the State Bureau of Investigation and Federal Bureau of Investigation. Residents determined to be unfit due to their criminal history will have an opportunity to challenge inaccurate records. Refusal to consent to a criminal check or providing false information are grounds for denying or revoking a foster care license.

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NOTICE

Foster Home
MANDATORY CRIMINAL HISTORY CHECK

NORTH CAROLINA LAW REQUIRES THAT A CRIMINAL HISTORY


CHECK BE CONDUCTED ON ALL PERSONS 18 YEARS OF AGE OR
OLDER WHO RESIDE IN A LICENSED FOSTER HOME.
"Criminal history" includes any county, State, and federal conviction of a felony by
a court of competent jurisdiction or pending felony indictment of a crime for child
abuse or neglect, spousal abuse, a crime against a child, including child
pornography, or for a crime involving violence, including rape, sexual assault, or
homicide, other than physical assault or battery; a county, State, or federal
conviction of a felony by a court of competent jurisdiction or a pending felony
indictment for physical assault, battery, or a drug-related offense, if the offense
was committed within the past five years; or similar crimes under federal law or
under the laws of other states. Your fingerprints will be used to check the criminal
history records of the State Bureau of Investigation (SBI) and the Federal Bureau
of Investigation (FBI).
If it is determined, based on your criminal history, that you are unfit to have
a foster child reside with you, you shall have the opportunity to complete or
challenge the accuracy of the information contained in the SBI or FBI
identification records.
If licensure is denied or the foster home license is revoked by the
Department of Health and Human Services as a result of the criminal history
check, if you are a foster parent, or are applying to become a foster parent, you
may request a hearing pursuant to Article 3 of Chapter 150B of the General
Statues, the Administrative Procedure Act.
Refusal to consent to a criminal history check is grounds for the Department
to deny or revoke license to provide foster care. Any person who intentionally
falsifies any information required to be furnished to conduct the criminal history is
guilty of a Class 2 misdemeanor.

Signature of Applicant: __________________________________________________________


Date: _____________________________________
Signature of Adult Member of Household:___________________________________________
Date: _____________________________________

DSS-5280 (Rev. 09-01-07)


North Carolina Division of Social Services
Family Support and Child Welfare Services

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