OOL/03.25.2021
STAFF RECORDS CHECKLIST
Staff shall not be left alone to supervise a child or group of children until orientation is complete and CARI and CHRI backg
round check results are received.
CENTER NAME: LICENSE ID:
STAFF NAME, POSITION
Signed Application
1
Criminal Disclosure
Statement
Signature for Receipt of:
CARI
2
Date Submitted
CARI
2
Date Cleared
CHRI
3
Appointment Date
CHRI
3
Date Clearance on File
Record of
Mantoux Results
Record of
Medical Exam
New Hire or Annual
Orientation Training
Date Completed
Understanding Licensing
Date (if applicable)
INITIAL
& DATE
4
Discipline Policy
Information to Parents
Release Policy
Use of Technology and
Social Media Policy
1
Signed application shall include staff name, address, phone, education & experience, and two references.
2
Child Abuse Record Information (CARI) checks are required for all regularly scheduled staff age 14 years and older and must be completed within two weeks after each staff member’s start date and every 3 years at renewal.
3
Criminal History Record Information (CHRI) checks are required for staff 18 years of age and older and must be completed within two weeks after each staff member’s start date.
4
Complete each box as documentation is received. Initial and date attesting that records are completed for each staff and maintain on file at the center.
