Procedure

Background Check Procedure

Refuge House, Inc.
Last updated: July 24, 2026 · Source: policies-procedures/Procedure/Background Check Procedure.md

REFUGE HOUSE, INC.

Procedure Information Details
PROCEDURE NAME Background Check Procedure
PROCEDURE NUMBER FC-BC-01.1
LEGACY CODE FC-17.04 / AS-3.04c
PRIMARY DOMAIN HR/Personnel
ADJACENT DOMAINS Foster Care; Adoption Services
GOVERNING POLICY FC-BC-01 Background Check and Eligibility Policy
ORIGINATED June 2026
APPROVED BY Executive Director
EFFECTIVE DATE 5/22/2026
LAST UPDATED 5/15/2026
LAST APPROVED 5/22/2026
DATE(S) OF REVISION 2026.06
## APPLICABLE T3C PACKAGES: ## APPLICABLE T3C ADD-ON SERVICES:
☒ T3C Basic Foster Family Home ☒ Transition Support Services for Youth & Young Adults
☒ Substance Use Support Services ☒ Kinship Caregiver Support Services
☒ Short-Term Assessment ☒ Pregnant & Parenting Youth or Young Adult
☒ Mental & Behavioral Health
☒ Sexual Aggression/Sex Offender
☒ Complex Medical Needs or Medically Fragile
☒ Human Trafficking Victim/Survivor
☒ Intellectual or Developmental Disability (IDD)/Autism Spectrum Disorder
☒ T3C Treatment Foster Family Care

PURPOSE

To operationalize the Background Check and Eligibility Policy (FC-BC-01) by providing the step-by-step process for requesting, completing, evaluating, recording, renewing, and continuously monitoring background checks for all persons within scope, using the HHSC Child Care Regulation (CCR) Provider Portal and the Centralized Background Check Unit (CBCU). Where this procedure and FC-BC-01 differ, the policy controls.

SCOPE

All persons required to have a background check under 26 TAC Chapter 745, Subchapter F: agency staff and applicants and controlling persons; foster/adoptive caregivers, applicants, and household members age 14+; substitute caregivers, respite providers, and babysitters; volunteers/interns with child contact; and contracted treatment-team members and service providers. Caregiver/household-member checks are performed within the home study process; the operational steps for those persons are detailed in the Foster Home Studies Procedure, §2 "Background Checks and Clearances," and are governed by this procedure and FC-BC-01.


DEFINITIONS

See FC-BC-01 for full definitions (CCR, CBCU, fingerprint-based check, Central Registry, eligibility determination, risk evaluation / Waiver-Variance, Rap Back, Employee List Validation). Key portal terms used below: Submit Background Check Request, Validate Employee List, Waiver/Variance, and statuses Pending / Active / Inactive with Conditions and Ineligible flags.


PROCEDURE

1. Determine Who Requires a Check and Which Checks

Who How When Where Regulatory Reference
Administrator / Background Check Coordinator
  1. Identify the person's role and supervision level (staff, controlling person, caregiver, household member 14+, substitute caregiver, volunteer, contractor).
  2. Confirm whether the person resided outside Texas in the prior 5 years (triggers out-of-state abuse/neglect checks).
  3. Confirm the check types required for the role — the portal auto-selects types on submission.
  4. Apply a §745.605 exclusion only where it clearly fits — an outside licensed professional (e.g., ECI, PT/ST, counselor, psychologist) whom Refuge House does not employ or contract with and who is present only in an official capacity. The exclusion does not apply to employees or contracted providers. Document the basis for any exclusion; when in doubt, submit a request.
Before any contact with children in care; at hire/application; before home verification; before engaging a contractor Refuge House records; CCR Provider Portal 26 TAC §745.611; §745.605; FC-BC-01 (Scope/Exclusions)

2. Submit the Background Check Request (Portal)

Who How When Where Regulatory Reference
Background Check Coordinator (or designated portal user)
  1. Log in to the Child Care Regulation Provider Portal for the correct Refuge House operation — Dallas (Operation #859955) or San Antonio (Operation #891410).
  2. Open Background ChecksSubmit Background Check Request.
  3. Enter the person's identifying information; for an existing eligible person taking a new role, submit the new role for the existing individual.
  4. Confirm the auto-selected check types and submit.
  5. Record the submission in the Background Check Tracking Log; the person now appears in Background Check History as Pending.
At hire/application; before contact; when a role changes CCR Provider Portal → Background Checks 26 TAC §745.611; FC-BC-01 §3

3. Complete Fingerprinting (IdentoGO / FAST)

Who How When Where Regulatory Reference
Subject of the check (with Coordinator support)
  1. Use the Service Code and UEID emailed after submission to schedule fingerprinting with IdentoGO under the FAST program.
  2. Complete fingerprinting.
  3. Notify the Coordinator when complete.
Promptly after submission; before eligibility can be issued; resubmitted at each 5-year renewal IdentoGO location 26 TAC §745 Subch. F; DPS/FBI; FC-BC-01 §3

4. Monitor Pending Requests and Receive the Determination

Who How When Where Regulatory Reference
Background Check Coordinator
  1. Monitor Background Check History for the change from Pending to a determination.
  2. Treat the person as not yet eligible while Pending — no unsupervised contact with children; present only as expressly allowed by rule for the role.
  3. Save/print the CBCU notification when issued.
From submission until determination issued CCR Provider Portal 26 TAC §745 Subch. F; FC-BC-01 §4

5. Act on the Determination ("Unified Response")

Who How When Where Regulatory Reference
Administrator / Background Check Coordinator Eligible (Conditions: No / Ineligible: No; status Active): person may be present and have contact with children in care; proceed with hire/verification/engagement. Eligible with conditions (Conditions: Yes): implement and document the CBCU-specified conditions before/while the person has contact; see Step 6. Ineligible (Ineligible: Yes): the person may not be present or have any contact with children in care — ensure no such contact immediately and take the corresponding personnel/credentialing action. Immediately upon determination CCR Provider Portal; personnel/licensing/provider files 26 TAC §745 Subch. F, §745.695; FC-BC-01 §4

6. Risk Evaluation / Waiver or Variance

Who How When Where Regulatory Reference
Administrator (with Executive Director approval)
  1. Where a person has criminal history or an abuse/neglect finding that may permit a risk evaluation, request/track it through the portal's Waiver/Variance function.
  2. Provide any information CBCU requests.
  3. If conditions are granted, document them and ensure ongoing compliance; if denied, treat as Ineligible.
When CBCU indicates a risk evaluation is available/required CCR Provider Portal → Waiver/Variance 26 TAC §745 Subch. F, Div. 5 (§745.695); FC-BC-01 §4

7. Record and Retain Results

Who How When Where Regulatory Reference
Background Check Coordinator
  1. Save the CBCU determination/notification.
  2. File it in the correct record: personnel file (staff), home licensing/credentialing file in Radius (caregivers/household members), provider file (contractors).
  3. Restrict access to staff with a need to know and protect results from unauthorized access or release.
Upon receipt of each determination Personnel files; Radius; provider files 26 TAC §745 Subch. F; TAC Ch. 749; Texas Human Resources Code §40.005(d)–(e); FC-BC-01 §8

8. Five-Year Renewal

Who How When Where Regulatory Reference
Background Check Coordinator
  1. Track each determination's date and calendar the renewal before the 5-year mark.
  2. Submit the renewal request and have the subject re-fingerprint through IdentoGO/FAST.
  3. Update records so eligibility remains continuous.
At least every 5 years; initiate before expiration CCR Provider Portal; Tracking Log 26 TAC §745 Subch. F; FC-BC-01 §5

9. Ongoing Monitoring (Rap Back) and Immediate Removal

Who How When Where Regulatory Reference
Administrator / Background Check Coordinator
  1. Monitor for CCR/CBCU notifications generated by Rap Back (new arrests/findings).
  2. If a person becomes Ineligible or new conditions are imposed, immediately remove the person from any contact with children in care and take required personnel/credentialing action.
  3. Document the action and notify affected parties (e.g., placement hold).
Continuously; act immediately on notice CCR Provider Portal; agency records 26 TAC §745 Subch. F; FC-BC-01 §6

10. Validate the Employee List

Who How When Where Regulatory Reference
Administrator / Background Check Coordinator
  1. When prompted (CCR notifies ~30 days before due), open Validate Employee List.
  2. Confirm affiliated persons are accurate and current.
  3. Inactivate any person no longer associated with the operation so Rap Back covers only active personnel.
  4. Record the validation date.
On the CCR-prompted schedule (most recent on file: 04/02/2026) CCR Provider Portal → Validate Employee List 26 TAC §745 Subch. F; FC-BC-01 §7

11. Self-Disclosure of New Information

Who How When Where Regulatory Reference
All persons in scope; Administrator
  1. Any person must promptly report a new arrest, charge, conviction, deferred adjudication, or abuse/neglect finding.
  2. The Administrator submits any required update through the portal and re-evaluates eligibility/contact.
  3. Failure to disclose is grounds for disciplinary action up to termination or removal.
Promptly upon any new event Refuge House records; CCR Provider Portal TAC Ch. 749; FC-BC-01 §6

IMPLEMENTATION — Pulse Background Check Monitoring

The Pulse compliance platform provides a Background Checks monitoring view (Compliance Dashboard) supporting the ongoing-monitoring steps above (Steps 4, 7, 8, 9, and 10). The DFPS Child Care Regulation Provider Portal is the authoritative system of record for eligibility; the implementation supports monitoring and reconciliation and does not submit checks, make eligibility decisions, or replace any portal action — staff perform all portal submissions, validations, and inactivations per Steps 2–11.

The Background Checks view:

The portal eligibility list is ingested into the view by import of the exported portal list.


QUALITY ASSURANCE

Who How When Where
Administrator (or designee) Audit that: every person with child contact has a current eligible determination; pending determinations are not in unsupervised contact; renewals and Employee List Validations are current; Rap Back notices were acted on; and results are retained in the correct files. Quarterly, and before each SSCC/CCR monitoring or inspection Personnel/licensing/provider files; CCR Provider Portal

REFERENCES AND REGULATORY ALIGNMENT

RELATED POLICIES AND PROCEDURES


This procedure operationalizes FC-BC-01. The Executive Director may update it to reflect changes in the CCR Provider Portal, CBCU process, or regulations without Board approval, provided it remains aligned with the policy's intent. Process details reflect the HHSC CCR background-check system as of June 2026; follow current CCR guidance and the agency's assigned CBCU representative.