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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 22. Social Services |
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Agency 40. Department of Social Services |
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Chapter 90. Regulation for Background Checks for Assisted Living Facilities and Adult Daycare Centers |
Section 30. Sworn statement or affirmation
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Part II. The Sworn Statement or Affirmation
A. The applicant for licensure shall complete a sworn statement or affirmation upon application for licensure as an assisted living facility.
B. The sworn statement or affirmation shall be completed for all applicants for employment. (NOTE: A model form is available from the department upon request and on the department's website.)
C. Any person making a materially false statement on the sworn statement or affirmation shall be guilty of a Class 1 misdemeanor.
D. The sworn statement or affirmation shall be attached and filed with the criminal history record report.
E. The commissioner shall provide a copy of the sworn statement or affirmation to any applicant denied licensure as an assisted living facility because of information on the sworn statement or affirmation.
F. Further dissemination of the sworn statement or affirmation information is prohibited other than to the commissioner's representative or a federal or state authority or court as may be required to comply with an express requirement of law for such further dissemination.
Historical Notes
Derived from VR615-37-01 § 2.1, eff. July 1, 1989; amended, Volume 08, Issue 17, eff. July 1, 1993; Volume 21, Issue 18, eff. July 1, 2005; Volume 22, Issue 22, eff. September 1, 2006.