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Adult Day Services

Adult day service centers providing care to 5 or more people are required to obtain a license by the Tennessee Department of Human Services (TDHS) and adhere to licensing requirements; find information about the licensing process at How to Become a Licensed Adult Day Services Center.

Contact information:

Licensing Violations or Illegal Operations To report suspected adult day services licensing violations or possible illegal operations call the Child and Adult Care Complaint Hotline at 1-800-462-8261 or email AdultDayServices.DHS@tn.gov

Report Abuse, Neglect and / or Exploitation of an Adult 

Adult day services centers are designed to maintain or restore each participant’s optimal capacity for self-care through medical or social services. Adult day services centers provide a place that will help participants to avoid feeling isolated or lonely and helps family caregivers take some time to rest and care for themselves. This program is funded through the Social Services Block Grant.

Adult Day Services

Find licensed adult day services centers:  TDHS-Licensed Adult Day Services Centers

Click here for the Adult Day Services Rules Guidance Document

Criminal Background Check Process for Adult Day Service Employees 

Fingerprint and Background Check Process

Background Checks for Adult Day Services Center Employees

All individuals working in licensed adult care in Tennessee must submit to a criminal history background check through the Tennessee Bureau of Investigation (TBI).

1. Each applicant must complete a Disclosure Form which is retained by the adult day services agency.  Adult Day Care Services Criminal/Juvenile History & State Registry Review Disclosure Form
2. Each applicant must be fingerprinted: Instructions for Fingerprinting
3. Each applicant must retain proof of being fingerprinted by returning the signed receipt to the adult day services agency to be attached to the Disclosure Form.
4. The agency must enter the TCN number on the Disclosure Form. This number is located on the fingerprinting receipt.

Information about obtaining the Originating Agency Identifier, which is required to register for fingerprinting, can be found at: Background Check Terms & Procedures

Find a live scan fingerprinting location and schedule an appointment: Fingerprinting Enrollment Screen

Adult Day Services Centers may receive the results of employee fingerprint background checks which do not result in an exclusion by fax or email. Agencies wishing to receive results in this manner must complete a Transmittal Authorization Form.

A criminal background check may be transferred if the employee has been fingerprinted within the last five years and the employee has worked for a Tennessee licensed adult day services agency without a break in employment of more than one hundred and eighty (180) days. If both these conditions apply, please complete the Criminal Background Check Transfer Form to transfer their background check clearance to your agency.


Adult Day Services Criminal Background Check FAQ's


Adult Fingerprint Process PowerPoint
 

1. How long does it take to get the results of a background check?

Normally, the process only takes a few days. If you have not received your results within five days, please contact your Licensing Consultant. Do not send applicants to be reprinted at this point.

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2. When is a reprint necessary?

A reprint is required only when the original prints have been rejected. The Department will notify the agency and the applicant in writing if the prints have been rejected. If you receive a letter from the Department notifying you that your original prints have been rejected, you may get a free reprint by following the: Instructions for Scheduling a Reprint.

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3. How do I get a duplicate “clear to work” letter?

If you need a duplicate “clear to work” letter for a current employee, please email your request to the following address: CC-Criminal-Background-Inquiries.DHS@tn.gov

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4. What offenses exclude a person from an Adult Day Services agency?

Criminal offenses for which a person must be excluded from an adult day services center include physical, sexual or emotional abuse or neglect of an adult or child, crimes of violence, any offenses that present a threat to the health, safety or welfare of adults or children, and drug related offenses.  Specific examples of excludable criminal offenses include aggravated assault, arson, child abuse, cruelty to animals, domestic assault, indecent exposure, reckless endangerment, robbery, stalking, vehicular assault, voluntary manslaughter, and weapons offenses.  An expanded list of excludable offenses can be found in the Adult Day Services Standards 1240-07-10-.09.

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5. Reporting Issues or Concerns with the Background Check Process

If you encounter an issue with the background check process, please report the problem by calling the Child and Adult Care Background Check helpline: (615) 253-4170 

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6. Do I need to submit any paperwork for an applicant who has not lived out of Tennessee in the last five years?

No.  ADS applicants do not need to send paperwork to our office for applicants who have not lived outside Tennessee in the last five years. You are required to keep a copy of the fingerprint disclosure form on file.

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7. If an applicant has recently had fingerprints completed through TDHS for a different adult day services center, can those fingerprints be transferred, or do they need to be fingerprinted again?

A criminal background check may be transferred if the employee has been fingerprinted within the last five years and the employee has worked for a Tennessee licensed Adult Day Services agency without a break in employment of more than one hundred and eighty (180) days. If both these conditions apply, please complete the Criminal Background Check Transfer Form to transfer their background check clearance to your agency.

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8. Where do I send a transfer form?

Email the completed form to this address: cc-criminal-background-inquiries.dhs@tn.gov

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9. Who do I contact about the status of a transfer form?

Please email: cc-criminal-background-inquiries.dhs@tn.gov or call 615-313-5147.

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10. How do I change the method that I receive my conditional and final approval letters and communication from Child and Adult Care Licensing?

Complete a transmittal authorization form: https://www.tn.gov/content/dam/tn/human-services/hs/hs-2978.pdf and return the completed form as instructed at the bottom of page one. Please Note: exclusion letters may still come by mail.

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11. If I have a DUI charge, can I still work at an Adult Day Services agency?

Yes, but you cannot drive.

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12. Which Provider number should be used for my fingerprints, if the owner has more than one?

The Provider you will be working for the majority of the time is the one you need to fingerprint under. Then, if there are other locations with the same Provider number, but with a different three-digit suffix, you may work at the other locations when needed.

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13. What if I am a student and work at the Adult Day Services Center during the summer only, but not the rest of the year? Am I required to re-fingerprint before working each summer at the same center?

Yes, because the time away from the center is more than 180 days each time.

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14. Does a permanent maintenance worker need to be fingerprinted?

Yes, they do need to be fingerprinted if they are working as a full-time maintenance worker and have access to the participants.

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15. Does a one-time repair person need to be fingerprinted?

No. If you utilize an outside repair person, who does not work permanently with the adult day services center, they do not have to be fingerprinted; however, they must always be supervised around the participants.

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16. If I go on maternity leave for three – six months, do I need to fingerprint again when I return?

If your maternity leave has been documented in your file, no, you do not need to fingerprint again. If your maternity leave has not been documented in your file, then you do need to be fingerprinted when you return.

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17. Who can complete and sign the fingerprint disclosure form?

Only the applicant can complete and sign the form for their information.

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18. Does a copy of the fingerprint disclosure form need to be kept in the applicants file?

Yes. All applicants, even those that have only lived in Tennessee, must have a copy of their completed fingerprint disclosure form in their file at the Adult Day Services Center where they work.

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19. Who pays for Adult Day Services applicants to be fingerprinted?

The adult day services center may require that the costs of the background check be a part of the application process by a prospective employee or volunteer, or it may pay the costs and recover the costs of the fingerprint-based background checks from the prospective employee following employment.

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20. If I receive a waiver for an Adult Day Services Center, is it good for other Adult Day Services Centers?

No, a waiver is only good for the Adult Day Services Center it was given under. However, you can call and the Department will review the file to determine if we can extend the waiver or not.

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21. Is the waiver I received good for my whole life?

No, if there is a law or policy change your waiver can be revoked. Or, if you receive a new charge, the waiver may be revoked.

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22. Can applicants receive a copy of their fingerprint results?

No, fingerprint results are only to be used for the State of Tennessee Department of Human Services.

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23. Can I print the disclosure form to use later? Do these forms get updates?

Forms are regularly updated; the current form can be found here: Adult Day Care Criminal/Juvenile History & State Registry Review Disclosure (HS-2680)

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24. What do I need to do if I have a charge and it has been dismissed or expunged?

Please send the court documents that show the charge information, including the date of the charge and the charge status being dismissed or expunged to our office email: ccbackground.dhs@tn.gov or fax: 615-532-9956.

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25. If I get arrested, do I need to notify TDHS?

Yes.  All Adult Day Services providers and household members who have incurred any pending charges, indictments or convictions (other than minor traffic offenses), since the last qualification letter was issued by the TDHS Criminal Background Check Unit must notify the Owner/ Director of such charges within two business days or before returning to work, whichever comes first. The operator must notify the Criminal Background Check Unit within one business day of being notified.

Any new charges or convictions could result in a disqualification. In addition, if the individual has been placed on the Vulnerable Persons Registry, Child Abuse Registry (DCS), or the Sex Offender Registry (SOR), this will result in a disqualification.

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26. If you recently received approval and were arrested after your fingerprints were completed, do you need to notify TDHS of this arrest?

Yes. All Adult Day Service providers and household members who have incurred any pending charges, indictments or convictions (other than minor traffic offenses), since the last fingerprinting was completed, must notify the Owner/ Director of such charges within two business days or before returning to work, whichever comes first. The operator must notify the Criminal Background Check Unit within one business day of being notified.

Any new charges or convictions could result in a disqualification. In addition, if the individual has been placed on the Vulnerable Persons Registry, Child Abuse Registry (DCS), or the Sex Offender Registry (SOR), this will result in a disqualification.

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27. What should I do if I sell my Adult Day Services business?

Please allow two weeks to transfer employees that were fingerprinted within the last 180 days, and reprint employees to the new Provider ID (FEIN #).

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28. Do volunteers need to be fingerprinted and complete applicable paperwork?

Any person who will volunteer in an adult day services center for more than thirty-six (36) hours in a calendar year and who is counted in the staff: participant ratio must be fingerprinted and complete applicable paperwork.

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29. Do substitutes need to be fingerprinted and complete applicable paperwork?

Any person who will serve as a substitute in an adult day services center for more than thirty-six (36) hours in a calendar year and who is counted in the staff: participant ratio must be fingerprinted and complete applicable paperwork.

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30. If I own multiple adult day services centers at different locations, do I need to be fingerprinted for each location?

No, you will just need to be fingerprinted one time if the only difference in the Provider ID (FEIN #) for the locations is the three-digit suffix.

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31. Does the Pastor of a church that contains an Adult Day Services agency need to be fingerprinted?

Yes, if the building for the ADS agency is connected to the church or the Pastor has access to participants.

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32. If I go to the Clerk of Court and they give me a document that shows “No Record” of my charge, will I be able to work?

No, “No Record” does not mean a charge was expunged or dismissed. It only indicates the charge is not found, which could be due to the age and time-period of the charge.

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33. If I am a CEO or Owner of a Tennessee Adult Day Services agency, but I live in another State, do I need to be fingerprinted?

Yes, if you are going to have access to the participants.

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34. How often do I have to be fingerprinted to work for an Adult Day Services Center?

One time.  Re-prints are not required for Adult Day Service Centers at this time.

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35. Do Adult Day Services applicants need to complete out of State paperwork for background checks in other States that they lived, worked or went to school in the last five years?

No. Out of State checks are not required for Adult Day Services applicants at this time.

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36. What do I do if my fingerprints are rejected?

The vendors, Idemia (via IdentoGO Centers) and TBI, will advise applicants when their fingerprints are rejected and provide them with instructions on how to be re-fingerprinted.

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37. What does an applicant need to submit to request a waiver hearing?

A letter stating why you would like a hearing, the fingerprint disclosure form, and any recommendation letter(s) that you may have.


Learn more about: 

The primary purpose of adult day services is the protection of adults who are participants in adult day services centers.  Minimum requirements are designed to maintain adequate health, safety, and supervision of adults while in adult day services programs.  Licensure rules for adult day services centers may be accessed at the Secretary of State's website. https://publications.tnsosfiles.com/rules/1240/1240-07/1240-07-10.20180524.pdf

Tennessee's adult day services centers are inspected throughout the year to ensure that providers continue to meet licensing requirements.

Adult day services centers are required to post their license. Agencies are also investigated in response to complaints.

Procedures for Becoming a Licensed Adult Day Services Center

1. Attend and complete an informational intake meeting provided by the Department.  Contact ChildCarePrelicensure.DHS@tn.gov for details and dates

2. Attend and complete pre-orientation for new Directors Contact ChildCarePrelicensure.DHS@tn.gov for details

3. Obtain and read Adult Day Services Standards

4. Obtain a Federal Employer Identification Number (FEIN) – by calling 1-800-829-4933 or by visiting IRS web site

5. Obtain a Use and Occupancy Permit, Business Permit and any other required permits

6. (DHS) Assign a  Licensing Consultant (LC).

7. (DHS assigned Licensing Consultant) Schedule a site visit to the proposed adult day services facility.  The LC will visually inspect and assess the suitability of the facility for adult day services.

8. Submit a floor plan and photos of the entire facility to include any outdoor space that will be utilized by participants.

9. Submit a completed application and appropriate fee (Non-refundable).  To obtain an application click the links below.  The fee must be in the form of a certified check, business check, government agency check or money order made out to the Treasurer, State of Tennessee.

The Director and / or owner must submit the following items with the application:

  • Proof of Education (copy of diploma or degree)
  • Proof of Experience (a list of previous work history with employer contact information that can be verified)
  • Three non-related references with contact information
  • Documentation of the agency’s business organization

10.  (DHS Licensing Consultant ) Make requests for the following inspections: State Fire Marshal, local fire department, local health department (Environmentalist). 
Note: The potential licensee is responsible for ensuring the facility is compliant with state fire, local fire, and environmental health requirements.  A written approval must be received prior to the Department issuing a temporary license.

11. Schedule and complete criminal background check (CBC) process.

12. Submit CBC clearance letters for all employees to the Licensing Consultant.

13. Upon demonstration of compliance of all laws and regulations governing the adult day service center and if the applicant has satisfactorily met the requirements, the Department shall issue a temporary license for a period of six (6) months.

Procedures for Requesting an Exemption from Licensure
Exception for Limited Respite Care Services

Adult Day Services provides an organized program in a community group setting to promote social, physical and emotional well-being.  These programs offer a variety of activities designed to meet the needs and interests of each older adult who receives care.  Listed below are some tips to help you choose an adult day service center that meets the needs of your family.

TIPS FOR CHOOSING ADULT DAY SERVICES CENTERS

1. Become familiar with rules and laws regarding adult day services in the State of Tennessee.  Adult Day Services Standards

2. Locate a list of adult day care service providers in your area and contact each one to schedule a tour of the facility.  

3. Ask questions of the staff to determine if the facility is a good fit for your loved one and will meet the needs of both of you and your loved one. (Examples of some questions to ask include but are not limited to):

  • What program services and activities are provided?
  • Are nutritious meals and snacks provided?
  • Is assistance provided with feeding, toileting, etc.?
  • Are there accommodations for special needs such as wheelchair or hearing / visual impairment?
  • What is the staff to participant ratio?
  • What are the credentials of the staff?
  • Is this facility licensed and if so by what Department?
  • Does this agency have a history of non-compliance with state regulations or valid complaints of improper care?
  • Is the financial assistance available?
  • What insurance do you accept?
  • What are the fees?
  • Are there additional resources available?

4. Maintain open communication with the adult day services provider to ensure your loved one is receiving care that meets the expectations of the family as well as the needs of the adult participant.

Additional Resources:  National Adult Day Services AssociationNational Family Caregiver Support Program  

Abuse Registry: The Department of Health Abuse Registry includes the names of persons who have abused, neglected, exploited or misappropriated property of vulnerable persons. Link to Tennessee Department of Health Abuse Registry

Training and resources are powerful tools that enable adult day services providers and family caregivers to increase their knowledge and awareness as they help care for those who need adult day services or other in-home care.

 Resources for Adult Day Services Providers and Family Caregivers: 

  1. Administration for Community Living (ACL)
  2. Alzheimer’s Tennessee | Telephone: 1-888-326-9888
  3. American Psychological Association
  4. Council On Aging of Middle Tennessee | Telephone: (615) 353-4235
  5. Fifty Forward | Telephone: 615-743-3400
  6. Greater Nashville Regional Council
  7. Mental Health America of the Mid-South
  8. National Adult Protective Services Organization
  9. Tennessee Association of Adult Day Services
  10. Tennessee Commission on Aging and Disability | Telephone: 1-866-836-6678
  11. Tennessee Disability Coalition | Brain Links | Telephone: (615) 383-9442
  12. Tennessee Division of TennCare
  13. Tennessee Justice Center | Telephone: (615) 255-0331
  14. Tennessee Respite Coalition (TRC)
  15. U.S. Department of Health & Human Services
  16. American Association of Retired Persons Website


Brain Links: Provides training on traumatic brain injury and cognitive disorders.

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