Agency Name: CCS STAFF LISTING Chapter DHS 36 – Credentials/ Caregiver Misconduct Name Position Description Functions and Qualifications FTE % License Number Background Checks Dates Conducted (Last, MI) – Functions Minimum Qualifications Review 1 MH Per DHS E = Employed – DHS within BID DOJ Professional 36.10 (c) (full or part IBIS 2 Administrator 1-8 time) last 4 (Mon/Yr) (Mon/Yr) – (Mon/Yr) 3 Serv Director 1-14 – yrs/ 4 Serv Facilitator 1-21 C = Contracted – 5 Services Array Any – E Y C N E Y C N E Y C N Y E C N E Y C N E Y C N Y E C N E Y C N E Y C N E Y C N Y E C N E Y C N Credentials/ Caregiver Misconduct Name Position Description Functions and Qualifications FTE % License Number Background Checks Dates Conducted (Last, First, MI) – DHS Functions Minimum Review BID DOJ Qualifications IBIS within (Mon/Yr) (Mon/Yr) E = Employed (Mon/Yr)
Agency Name: CCS STAFF LISTING – Chapter DHS 36 Name (Last, MI) Position Description Credentials/ License Number Functions and Qualifications FTE % Caregiver Misconduct Background Checks – Dates Conducted Functions 1 – MH Professional 2 – Administrator 3 – Serv Director 4 – Serv Facilitator 5 – Services Array Minimum Qualifications Per DHS 36.10 (c) 1-8 1-14 1-21 Any E = Employed (full or part time) C = Contracted BID (Mon/Yr) DOJ (Mon/Yr) DHS IBIS (Mon/Yr) Review within last 4 yrs/ E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N E C Y N Name (Last, First, MI) Position Description Credentials/ License Number Functions and Qualifications FTE % Caregiver Misconduct Background Checks – Dates Conducted Functions Minimum Qualifications E = Employed BID (Mon/Yr) DOJ (Mon/Yr) DHS IBIS (Mon/Yr) Review within
ccs_staff_listing.docx