WHAT IS THE FAMILY CARE SAFETY REGISTRY?
The Family Care Safety Registry (FCSR), administered by the Missouri Department of Health and Senior Services (DHSS), provides families and
employers with a method to obtain background screening information. The Registry, through various state agencies, offers several resources to screen
child care, long term care and mental health workers:
• State criminal history and sex offender registry records maintained by the Missouri State Highway Patrol
• Child abuse/neglect records maintained by the Missouri Department of Social Services
• Child care facility licensing records maintained by the Missouri Department of Health and Senior Services
• Foster parent records maintained by the Missouri Department of Social Services
WHO HAS TO REGISTER?
Any person hired on or after January 1, 2001, as a child care worker or elder care worker, hired on or after January 1, 2002, as a personal care worker,
or hired on or after January 1, 2009, as a mental health worker, as provided in §210.906, RSMo, is required to make application for registration in the
the DHSS without good cause, as determined by the department, is guilty of a class B misdemeanor. Employees and volunteers from non-state and/or
federally regulated entities are NOT REQUIRED to register with the FCSR.
HOW DO I COMPLETE THE REGISTRATION FORM?
Registration Type – Check at least one box from the left column for type of registration that best describes your worker category. If no other type applies,
select “Voluntary.” (A “voluntary registrant” is a person who is not mandated to register with the Family Care Safety Registry pursuant to §210.900 et
seq., RSMo.) If you checked Long Term Care / Personal Care, please also make one or more selections from the column on the right for subcategory.
Social Security Number – You must provide your Social Security number pursuant to 19CSR 30-80.030(1). This identifying information, including Social
purposes, list your gender and date of birth.
Contact Information – List your address, city, state, ZIP code, and county. Include your telephone number and email address. We will use this information
postage costs, the Registry may contact you to request a personal email address if one is not provided.
Employer Associated with this Registration - If you are currently employed by or are seeking employment with a child care or long term care provider,
please list the facility name, address, telephone number, and contact person. If registration is not for employment purposes, make a selection from
columnonright.Theemployerenteredinthissectionwillnotreceiveacopyoftheregistrationnotication.Employers eligible to use the Registry for
caregiver screenings must make a separate request for your background information.
Registration Agreement – Sign and date the registration form. Your signature will authorize the Family Care Safety Registry to conduct the background
screening outlined in §210.903.2, RSMo and to provide the information to requesters for employment purposes, as provided in §210.921.1, RSMo.
WHERE DO I SEND MY REGISTRATION FORM?
Send your completed registration form and photocopy of Social Security card and required fee to the Missouri Department of Health and Senior
Services, ATTN: Fee Receipts, P.O. Box 570, Jefferson City, MO 65102. If you have questions, please call the Registry using the toll-free telephone
WHEN WILL I KNOW THE RESULTS OF MY BACKGROUND SCREENING?
person who made the request and the background information disclosed. The person making the request will be informed that information will be
released for employment purposes only, pursuant to §210.921.1, RSMo. Any person using Registry information for any other purpose is guilty of a class
B misdemeanor. In addition, state agencies can request information for licensure or regulatory purposes. Prior to disclosing information, the Registry
obtains the name and address of the requester, and determines that the request is for employment or regulatory purposes. To ensure you receive these
Care Safety Registry of changes in personal or contact information using the toll-free telephone number, 866-422-6872, by email to firstname.lastname@example.org,
or by mail to FCSR, PO Box 570, Jefferson City, MO 65102.
WHAT IF I DON’T AGREE WITH THE RESULTS OF MY BACKGROUND SCREENING?
As provided in §210.912, RSMo, you have the right to appeal the information transferred to the Family Care Safety Registry. Your right to appeal is limited
to the accuracy of the transfer of information from the state agency that maintains the background information and does not include a right to appeal the
and Senior Services, P.O. Box 570, Jefferson City, MO, 65102, within 30 days of receiving the results of the background screening determination. An
to any other appeal rights granted by state law.
WHAT INFORMATION WILL BE DISCLOSED BY THE FAMILY CARE SAFETY REGISTRY?
Disclosure of background information on a person registered in the Family Care Safety Registry will be limited. If the person is registered, the Registry
MO 580-2421 (FP) REV. 12/18