Care check: Background Checks – Care.com Company Overview

Background Checks – Care.com Company Overview

What You Should Know

CareCheck is a background check that is part of our caregiver eligibility screening process. All caregivers are required to complete CareCheck in order to interact with families.

CareCheck is a good start. But our membership eligibility standards for caregivers may differ from your hiring standards, and we don’t share CareCheck reports for privacy reasons. We strongly recommend following our 3 steps to hiring safely, which includes running your own background check. By purchasing and running a background check at time of hire you may have access to additional information such as driving history, traffic violations, and civil records.

Also, you will receive your own copy of these reports so that you can review the results yourself.

Here’s additional information on the various background checks offered through Care.com to help you choose the background check option that’s best for you.

Criminal Records Check

Motor Vehicle Records Check

Criminal+ MVR Records Check

Investigative Criminal Plus Check

It’s important to understand that background checks are not always 100% accurate and may not reveal a person’s complete criminal history. To learn more, see The Limitations of Background Checks.

Criminal Records Check

This is a search of various electronic databases, plus searches of certain federal and county courthouse public records, typically covering the counties the candidate is believed to have lived in the last 7 years based on the information the individual provides, plus a Social Security number trace. These records are searched via electronic access to specific courthouses and, in some cases, by a network of court-runners located in individual state counties. Criminal records for the previous 7 years are searched. The search will not return information for offenses committed before the individual turned 18 years of age.

The Criminal Records Check includes the following:

• Social Security Number (SSN) Trace—This is an address locator search that compares the provided Social Security number to certain credit and public records data to help identify an individual’s address history, alternative names and aliases. This check is used to help our vendor Sterling Talent Solutions (“Sterling”) determine the names and jurisdictions under which criminal records should be searched. All alias names derived from SSN Trace results are included in the criminal record searches listed below. The SSN Trace is not conducted through the Social Security Administration and may not be used as the basis for any employment decision, and it is not confirmation of an individual’s identity.
• Multi-Jurisdictional Database Search—Sometimes referred to as a “National Criminal Database Search” or a “National Criminal File,” this is a multi-jurisdictional database search of certain publicly available and non-public purchased records from state, county, and other sources. The information available in the database varies by jurisdiction and may not cover all counties in a particular state or all criminal record history for a particular individual. The source records are subject to availability, and the results are subject to applicable federal and state reporting restrictions. For some jurisdictions, no information is available at all. For jurisdictions in which some criminal data is included, it may be limited to a subset of criminal convictions (e.g., the database may not include arrest information or all types of convictions). In addition, the frequency with which the records in this database are updated varies from jurisdiction to jurisdiction. Sterling verifies any possible hits in this database against primary source records in the courts of original jurisdiction.
• Sex Offender Search—This is a search of the Federal Department of Justice National Sex Offender Public Website (NSOPW). Reports from this check include sex offender registry data covering 49 states excluding Nevada and including the District of Columbia and US territories. This search is subject to state limitations, availability and applicable reporting limitations, and may not reflect an individual’s entire sex offender history.
• Federal Courthouse Records Search—This is a search of Federal US District Courts via the Federal Public Access to Court Electronic Records (PACER) system based on the last 7 years of the subject’s address history as derived from SSN Trace results. This check may report records relating to federal crimes (for example, money laundering, drug trafficking, kidnapping, counterfeiting, racketeering, and crimes committed across state lines). Sterling will report all available criminal history information that can be reported pursuant to the Fair Credit Reporting Act and applicable state laws, which, depending on the jurisdiction, may not include history such as arrests, pending cases, or non-conviction records more than 7 years old.
• County Criminal Records Search—This is a search of criminal records for each county where the subject is believed to have lived in the past 7 years based on information provided by the individual and returned in the SSN Trace. This search is conducted electronically (where available) and manually, if necessary, in these counties. Sterling will report available criminal history information that can be reported pursuant to the Fair Credit Reporting Act and applicable state laws, which, depending on the jurisdiction, may not include non-conviction records more than 7 years old. Due to legal restrictions in certain states (such as California, Kentucky, New Mexico, and New York), Sterling is prohibited from reporting most arrest or other non-conviction information, so only criminal convictions are typically reported. The search typically does not include records from magisterial courts in Pennsylvania or municipal courts in New Jersey.

SPECIAL NOTICE FOR MASSACHUSETTS AND NEW HAMPSHIRE: The Criminal County Search conducted in Massachusetts and New Hampshire reports felonies and misdemeanors only for the Superior Court and a single District Court in the county seat or its equivalent in the named county and no other court in such county. Because the vast majority of criminal records are maintained in District Courts, the Criminal County Search may not reveal a caregiver’s entire criminal history in these states.

If you are considering a caregiver who has lived in Massachusetts, we recommend you run a statewide search of the Criminal Offender Record Information (CORI) system. The cost to run a caregiver Required 2 CORI search is $25. View a list of criminal offenses that are commonly addressed by the District Courts.

If you are considering a caregiver who has lived in New Hampshire, we recommend you request a search of the New Hampshire State Police Criminal Records. This is an illustrative, non-comprehensive list of certain limitations of this check; additional limitations may apply in certain jurisdictions, including on the federal level.

State Criminal Records Search (New York Only)—Due to New York State’s criminal reporting system, a Criminal Records Check performed on New York residents may consist of a state-wide criminal records search of records at the county level instead of an individual county criminal records search. This search is designed to return felony and misdemeanor convictions at the county level in New York State during the prior 7 years.

Motor Vehicle Records (MVR) Check

This is a check of the driving record of a candidate for the state where the license being checked was issued. While this check typically does not include criminal records, it can provide additional information about a candidate’s history of behavior and judgment. The Motor Vehicle Records Check is not available in Washington, Pennsylvania, and Utah. The check will typically report the following information for the state where the license being checked was issued: status of the operator’s driving privileges, restrictions, expiration date, license type and class, endorsements, suspensions, revocations, violations, accidents, and DUIs. Typically, violations remain on the MVR report for three years, although convictions for serious offenses may be reported for 5 years or more, depending on the state. If a candidate has had an incident while being licensed by another state, it will not appear in the report unless the state where the license was issued has a reciprocity agreement with the other state for that type of motor vehicle citation.

Criminal+ MVR Records Check

The Criminal+ MVR Records Check combines all searches from the Criminal Records Check and the Motor Vehicle Records Check.

Investigative Criminal Plus Check

The Investigative Criminal Plus Check is the most comprehensive background check offering available through Care.com. This check is performed by PFC Information Services, an Imperative Company, (PFC). This investigation is conducted by PFC’s highly trained researchers, including licensed private investigators. This investigation includes PFC’s benchmark criminal record investigation along with a search of driving record history from the state where your caregiver is licensed and additional searches to identify indicators of “red flag” behaviors. There is no single source for all criminal records in the United States. In performing these searches, the researchers utilize information from county courts, state law enforcement agencies, state bureaus of prisons, statewide administrative offices of the courts, federal courts and other sources. In all cases, criminal research is conducted manually, often in-person, by hands-on searches of actual records in courthouses.

The components of the Investigative Criminal Plus check are:

• Advanced Identity Research—PFC reviews information available in various consumer records databases to corroborate the identity information provided by your caregiver and to determine any known former names, aliases and the individual’s residential address history for the past 10 years. This research does not verify the individual’s identity, but it does guide PFC’s researchers on where to look for possible criminal history information and what name or names to research. If PFC is unable to corroborate the information provided by your caregiver, then PFC places the investigation on hold and contacts the caregiver to confirm the information. If the information still cannot be corroborated, PFC will ask the caregiver to complete a Form SSA-89, which gives signed consent for PFC to verify the name, date of birth and Social Security number provided against the Social Security Administration’s records.
• Multi-Jurisdictional Database Search—The Investigative Criminal Plus check includes a similar Multi-Jurisdictional Database Search as the Criminal and Criminal + MVR Records Checks. As noted above, these checks are national in scope but the depth of coverage in any particular state or county can vary significantly. Some jurisdictions provide limited or no information for inclusion in the database.
• Sex Offender Search—This is a national search of the Federal Department of Justice National Sex Offender Public Website (NSOPW). All 50 states are included along with most U.S. territories. The search is subject to various state limitations, availability and applicable reporting limitations and may not capture an individual’s entire sex offender history.
• Federal Courthouse Records Search—This is the same Federal Courthouse Search as the Criminal and Criminal + MVR Records Checks. If PFC is unable to determine whether a criminal record belongs to a particular Individual due to the information available in the federal PACER system, PFC will conduct additional research to determine if the federal criminal record information does, in fact, belong. Where this is needed, it may delay the timeline for return of the report.
• County Criminal Records Search—This is a search for felony and misdemeanor court records in each county where the caregiver is believed to have lived over the past 10 years, using the information learned through the Advanced Identity Search. Where court records are decentralized, these searches are conducted by-hand and may not include lower-level court records. When a state maintains a single computer network that permits PFC to search all country-level courts at once, this investigation will look for criminal record history in all counties and not only those in which the individual is believed to have lived.
• State-Level Criminal Records Search—This is a search of available state databases that may contain criminal records repositories, warrant information, prison records, and sex offender registries for all 50 states plus the District of Columbia. All information is not available in all states and in some states the available state databases contain very limited additional data. PFC uses the sources it believes to be most thorough. The states in which PFC conducts statewide criminal records checks include Alabama, Alaska, Arkansas, Colorado, Connecticut, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Jersey, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Washington and Wisconsin.
• Motor Vehicle Records Check—This is the same Motor Vehicle Records Check as the Criminal + MVR Records Check. Pennsylvania and Washington require additional paperwork. In these states, PFC will coordinate to obtain the necessary paperwork to complete, which may delay the completion of the report.
• National Bankruptcy Records Search—This is a search to uncover if the candidate has filed for bankruptcy and, if so, whether the bankruptcy was classified as a Chapter 7 or 13. PFC searches the US federal courts bankruptcy filings for the past 10 years.
• National Wants & Warrants Search—PFC searches the federal database of extraditable arrest warrants that have been reported by local, state, and federal authorities. Many warrants are not reported. This is a nationwide search based upon name, date of birth, and Social Security number. This search may reveal the existence of open warrants in locations where the subject has never lived.
• Civil Restraining Orders Search—This is a search for civil restraining orders (also called “protective orders” or “stay-away” orders) filed by or against the caregiver in each county where the individual has lived in the past 2 years. Restraining orders are frequently filed in the context of domestic disputes. Civil restraining orders will be searched in the current address and the permanent address of the candidate identified through the Advanced Identity Research. However, restraining orders may be filed against the subject by other parties, such as former employers. This search may not reveal the entirety of an individual’s restraining order history due to various limitations, including inability to accurately determine the individual on the restraining order is the caregiver, limitations on what restraining order information is made publicly available, or the lack of centralized reporting by lower-level courts of restraining orders to county-level indices.

Choosing the right person to care for your loved ones is one of the most important decisions you will make. Tools like background checks that can provide more information, common sense social media and online searches, comprehensive interviews, and reference checks are the best way make a hiring decision for something as important as care. Used together, they provide a more complete picture of a person and will help you make a more informed decision.

Important Limitations of Background Checks

Care.com uses third-party vendors to offer a variety of background checks that range in comprehensiveness. It’s important to know that the criminal record information searched and reported for each type of check varies by state, and sometimes county, due to variations in state laws and state and county criminal record reporting systems. For example, many federal and state laws prohibit our vendors from reporting records that are more than 7 years old. In some states, such as California, Kentucky, New Mexico, and New York, our vendors are prohibited from reporting most arrest or other non-conviction information, regardless of its age, so only criminal convictions are typically reported. And in some states, such as Massachusetts, New Hampshire, and New Jersey (and in certain counties in Illinois and Michigan), due to the structure of state and county criminal record reporting systems, our Criminal Background Check vendor does not search the records pertaining to every courthouse in a particular county. In states where all courthouses are not searched, typically only certain felonies (plus certain gross misdemeanors in the case of New Jersey), are revealed. Please note that this is an illustrative, non-comprehensive list of certain state and county limitations of the background checks offered through Care.com; additional limitations may apply in certain jurisdictions, including on the federal level. In addition to legal and reporting system limitations of background checks, each check is performed with the consent of the person being checked, using information he or she provides, such as home address, social security number, date of birth, and name. If a candidate provides incorrect information, the check might be run with inaccurate identifying data, which can impact the validity of the criminal check. Finally, criminal records are not always reported accurately or promptly, human and electronic error can result in inaccurate or incomplete reporting, and periodic court closures or electronic access point failures may limit our vendors ability to search for records. Consequently, even the most comprehensive background check offered may not disclose the existence of all criminal records in all jurisdictions.

Therefore, while background checks can be helpful and uncover potential red flags, they are not always 100% accurate and no background check should be relied upon to determine a member’s complete criminal history or suitability as a caregiver. We strongly recommend that a background check only be used as one part of a candidate selection and hiring process. A background check is not a substitute for conducting thorough in-person interviews, reference checks, online and social media searches, obtaining copies of the candidate’s identification documents, and conducting ongoing monitoring of any individual you hire.

Resources & Articles

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DBS Checks Online | Criminal Record Check

Free registration and organisation set up in as little as 5 minutes! Prices from £24 per application for employees and £6 per application for volunteers. 
Trusted by over 20,000 UK Businesses and Charities.

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Online DBS Checks &

CRB Checks

Getting a DBS Check online with Care Check is fast, simple and straightforward. Whether you’re after a CRB check, basic disclosure check, standard DBS check or an enhanced DBS check, we offer different levels of checks and you can apply using our online system with ease. Care Check currently provide over 100,000 DBS checks annually. These include Enhanced DBS checks for people working and volunteering within regulated industries as well as Standard and Basic levels.

DBS Checks & Criminal Record Checks

Care Check is a leading umbrella body for the Disclosure and Barring Service and has been named one of the top 8 providers for criminal record checks in the UK.

We work with a plethora of industry sectors from independent care homes, schools and NHS trusts to construction companies and taxi firms. No industry sector is excluded and we will gladly process DBS checks, CRB checks and disclosures for all areas of commerce.

Our organisation is Cyber Essentials and Cyber Essentials Plus accredited and all data is held within an ISO27001 secure centre. 

We pride ourselves on the following:

Efficiency

Knowledge

Speed

Loyalty

Cost-effectiveness

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Why Choose Us ?

We’re frequently described as being the best DBS checking service, but don’t just take our word for it. We also offer…

Fast Processing

We are completely paperless and process applications immediately which not only reduces the risk of delays for the client, but promotes Care Check as an environmentally friendly business. We are much faster than our competitors and, in many cases, our applications complete and return to clients on a same day basis.

Excellent Customer Service

The team at Care Check are always available to help with your DBS application process and can assist with all application enquiries and legislation advice. We are also available via email and chat and will always endeavour to respond promptly. Ask us anything – we are always happy to help!

Unbeatable Price

Unlike our competitors, we do not charge any registration or set up fees. Registration is completely free and we aim to create all new client accounts within 15 minutes. Depending on numbers, we can offer admin fees from as little as £4. 00 per application!

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• Turnaround in as little as 24hrs

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• Highest Level of DBS Checks

• Turnaround in as little as 24hrs

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£38 DBS Fee and £6 Admin Fee

Standard DBS Checks

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• Standard Disclosure & Barring Service Checks

• Comprehensive Criminal Record Checks

• Turnaround in as little as 24hrs

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24

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• Basic Disclosure & Barring Service Checks

• Criminal Record Checks

• Turnaround in as little as 24hrs

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£18 DBS Fee and £6 Admin Fee

Scottish DBS Checks

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31

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• Disclosure & Barring Service Checks for Scotland

• Criminal Record Checks for Scotland

• Turnaround in as little as 24hrs

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£25 DBS Fee and £6 Admin Fee

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• Criminal Record Checks for Volunteer Roles

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Complete Guide to the Care.

com Background Check

Care.com connects families who are in need of help around the home with trusted caregivers.

While Care.com is known for being a go-to resource for child care, it also provides senior care, pet care, and housekeeping.

Finding an employer who you can trust with your family and home is a scary prospect.

You wouldn’t want to just let anybody off the street enter your home and start caring for your family without properly screening them.

Luckily you have plenty of background check options you can choose from if you decide to go with Care.com. Which one do you go with?

Let’s take a look at all of the different types of background checks Care.com offers and why we think you should invest in one.

Contents

• Are Background Checks Needed?
• How Much Do Background Checks Cost?
• Criminal Records Check
• Motor Vehicle Records Check
• Investigative Criminal Plus Check
• Beyond Background Checks
• You Can Never Be Too Safe

Are Background Checks Needed?

Absolutely.

Background checks are an integral component in facilitating a safe and secure transaction between your family and your future care provider.

Background checks uncover any blemishes that may steer you away from hiring certain caregivers.

By diving deep into caregivers’ records, you can find any red flags that would make you or your family feel uncomfortable.

It also gives you peace of mind and gives you a sense of reassurance knowing that the applicant you are leaning towards is the perfect fit for your family.

You can really never be too safe.

To make you feel a stronger sense of security, Care.com facilitates background checks with third-parties and also offers an entire “Safety Guide” on their website.

What families sometimes struggle with is which background check you need to feel safe and how much will it end up costing?

How Much Do Background Checks Cost?

There are three different types of background checks you can perform on candidates, all of which have different levels of coverage and pricing.

Depending on which background check you decide to go with, the higher the coverage, the more expensive it will be.

Care.com offers three types of background check services.

• Criminal Records Check: $59
• Criminal Records Check + Motor Vehicle Record: $79
• Investigative Criminal Plus Check: $300

Since the Investigative Criminal Plus Check costs $300, you can expect it to be the most comprehensive of the bunch.

But let’s dig a little deeper and go over what each of these checks looks for.

Criminal Records Check

The criminal records check is the most basic of background checks that you can enlist in.

This check looks through certain federal and county-based databases for any criminal activity.

The check covers the previous seven years of the candidate’s criminal history, but only looks at county-based databases in which the person has lived in.

Included in this background check are the following searches:

• Social Security Number Trace: This check identifies the address and address history of the candidate and provides alternate names and aliases of the person.
• Multi-Jurisdictional Database Search: Also known as the National Criminal Database Search, this is a national criminal search that looks over public and non-public records with records being subject to availability.
• Sex Offender Search: The sex offender check looks at the Federal Department of Justice National Sex Offender Public Website and checks for sex offender status in every state besides Nevada.
• Federal Courthouse Records Search: This assures that the candidate doesn’t have any federal crimes on their record.
• County Criminal Records Search: Checks the criminal history in each county where the candidate has lived.

While this background check is a great start, there are quite a few holes in coverage that you may not feel comfortable with.

There have been reports across the web that question the background checks that Care.com endorses, however, if you were to go with the most premium option, you can likely avoid any of those missing records that some of the basic background checks might not uncover.

Motor Vehicle Records Check

Beyond just a criminal background check, you can also do a Motor Vehicle Records Check.

This will cover any driving incidents within the state the candidate’s license was issued.

The check doesn’t cover criminal activity, however, it does provide families with an additional way to gauge a candidate’s judgment and their level of responsibility.

The information and violations that might show up in a Motor Vehicle Records Check include the following:

• License restrictions
• Expiration date, license type, and license class
• Endorsements
• Traffic violations
• Accidents
• DUIs
• Revocations or suspensions

Typically a standard violation will stay on someone’s driving record for three years.

If the violation is more serious, the offense can stay on their record for five years or more.

Investigative Criminal Plus Check

The Investigative Criminal Plus background check is the most comprehensive background check option you can do through Care.com.

Coming in at $300, this check is the best option if you want to feel 100 percent safe with your choice of caregiver.

The Investigative Criminal Plus Check encompasses all of the previously mentioned background searches, plus a few more.

The following searches that we already went over are also included in this option:

• Multi-Jurisdictional Database Search
• Sex Offender Search
• Federal Courthouse Records Search
• County Criminal Records Search
• Motor Vehicle Records Check

Beyond these checks, there are five additional searches that you get by paying for the premium option. Let’s go into detail on each one.

• Advanced Identity Research: Using consumer records, this search digs up names and aliases that may be associated with the candidate over the past 10 years. If new names or records are brought to the attention of the third-party checker, then they’ll use those names to cross-reference with all other databases.
• State-Level Criminal Records Search: This is a thorough check of all 50 states for criminal records, criminal convictions, warrants, prison sentences, and the sex offender registry.
• National Bankruptcy Records Search: This search looks to see if the candidate has filed for bankruptcy at any time over the past 10 years.
• National Wants & Warrants Search: This is a federal search that covers the entire United States — even in areas where the candidate hasn’t lived — for warrants reported by local, state, and federal authorities.
• Civil Restraining Orders Search: The Civil Restraining Orders Search looks for any current or past restraining orders, covering only the counties in which the candidate has lived and goes back two years.

While the Investigative Criminal Plus Check is the most expensive, it’s also the most comprehensive.

We recommend going with this option if you want to feel safe with such an important choice.

If you decide to go with this option, the candidate screening shouldn’t stop there.

There are also a few more checks you can do yourself before and after you decide on a candidate.

Beyond Background Checks

While background checks act as a much-needed gatekeeper when going through the hiring process, there are also other things you can do to ensure that your candidate is the perfect pick.

Before making your final decision, you should thoroughly scan through the candidate’s profile.

You should browse through all of their certifications, read over their work experience, and make sure that their contact information is all verified.

Also, reviews are an excellent way to get a feel of how great an employee actually is.

There’s nothing better than reading through first-hand reviews from previous parents or homeowners who highly recommend caregivers.

Before running the background check, you should also consider meeting with the caregiver, either by video chat or in person.

This will really give you a feel for how the person is and what their personality is like.

Lastly, after you have completely vetted your caregiver with a background check and everything else mentioned above, you should carefully monitor your caregiver’s performance.

You can do things like drop in to the home unexpectedly, ask your neighbors for feedback, and continue to monitor their online activity.

Sometimes you also might have a gut feeling that something is off.

It’s always up to you if you want to continue with your current caregiver or find a new one.

You Can Never Be Too Safe

How much are you willing to pay to have peace of mind?

That’s really all that it comes down to.

If you’re comfortable not performing the most expensive background check, then that’s your choice.

In today’s day and age, our preferred choice is to just fork over the extra $300 and pay for the premium background check service.

By going with the top option, you can then make an informed hiring decision when it comes to finding potential caregivers for your loved ones.

You also have the option of going above and beyond and using an additional third-party to run your own background check — whatever makes you feel most safe.

Whether you’re looking for a child care provider, pet sitter, or general home care, we highly recommend background checking your candidates before allowing them into your home.

After all, you can never be too safe! 

What Happens at a Prenatal Care Check-Up Appointment?

In This Section

• Prenatal Care

• What happens at an appointment?

• What is prenatal testing?

• What’s an ultrasound?

• What’s chorionic villus sampling?

• What’s amniocentesis?

• Where can I get prenatal care?

• What pregnancy complications can happen?

Prenatal services include tests and physical exams to make sure you and your pregnancy are healthy. It’s a good time to ask questions about your pregnancy and the birth of your future baby.

What happens during my first prenatal care appointment?

Your first prenatal care visit is usually the longest one. You’ll talk with your doctor about your medical history, the other parent’s medical history, and your family’s’ medical history.

Your doctor will give you a complete check-up, usually with a physical exam and blood and urine tests to make sure you’re healthy. This can include:

• measuring your height, weight, blood pressure, breathing, and pulse

• a breast exam

• a pelvic exam

• a Pap test

• testing for sexually transmitted infections (like chlamydia, gonorrhea, syphilis, and HIV)

• screening for diabetes, anemia, hepatitis B, and rubella

Your doctor might also talk with you about your diet and lifestyle, and prenatal vitamins. The most important vitamin you can take is folic acid, which ideally you would start taking before you’re even pregnant. Your doctor can give you advice about any changes you can make to have the healthiest pregnancy possible.

Some types of medicine are dangerous to use during your pregnancy. Tell your doctor about every medicine, supplement, or drug you’re using, and always check with your doctor before starting any new ones.

What will happen during my follow-up prenatal care appointments?

During your follow-up prenatal care visits, your doctor, nurse, or midwife will examine you to make sure your pregnancy is developing well, and that you and the fetus are healthy.

During prenatal care visits, your doctor, nurse, or midwife may:

• update your medical history

• check your urine

• check your weight and blood pressure

• check for swelling

• feel your belly to check the position of your fetus

• measure the growth of your belly

• listen to the fetal heartbeat

• give you any genetic testing you decide to do

These prenatal checkups are a great time to talk about any questions or concerns that have come up since your last visit.

What changes to my body can I expect during my pregnancy?

There’s no getting around it — your body will change a lot during your pregnancy. You’ll go through lots of hormonal changes, and you’ll get bigger as the fetus develops. Your uterus will grows up to 18 times its normal size, and your breasts and nipples will probably get larger, too.

It’s normal to gain up to 35 pounds during your pregnancy, and some people may gain more. Your sex drive can increase or decrease throughout your pregnancy. And some people notice changes in the texture and amount of their body hair.

Unfortunately, almost everyone feels uncomfortable at some point in their pregnancy. Some common issues include:

• nausea or vomiting, especially in the morning

• swollen and tender breasts

• heartburn

• constipation

• aches and pains in your lower back and hips

• tiredness and fatigue

• trouble sleeping

There are things you can do to feel more comfortable, like changing your diet, and doing certain exercises. Your doctor, nurse, or midwife will have tips for feeling better during your pregnancy.

How do I relieve common pregnancy discomforts?

For nausea and vomiting:

• Eat a few bites of food before getting out of bed.

• Drink ginger or peppermint tea.

• Eat small meals throughout the day, instead of a few big ones.

• Drink fluids between meals instead of with your meals.

• Avoid strong spices, strong odors, and greasy foods.

For heartburn:

• Eat small meals throughout the day, instead of a few big ones.

• Chew your food slowly.

• Don’t lie down for at least 1 hour after you eat.

• Wear clothes that are loose around your waist.

• Raise your head with pillows when you sleep.

For constipation

Talk with your doctor, nurse, or midwife about getting help for pain or discomfort that doesn’t go away.

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What is Preventive Care and What Services are Covered?

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HomeKnowledge CenterWhat is Preventive Care and What Services are Covered?

Preventive care helps detect or prevent serious diseases and medical problems before they can become major. Annual check-ups, immunizations, and flu shots, as well as certain tests and screenings, are a few examples of preventive care. This may also be called routine care.

What’s the difference between preventive care and diagnostic care?

Diagnostic care is related to services in which your provider is looking for something specific, often based on the results of a preventive test or screening. For example, a radiologist may ask for a follow-up mammogram for a patient. This follow-up is to check for something that may have been detected during the preventive or routine mammogram. The follow-up mammogram is diagnostic, and not covered as preventive care.

What are preventive care services?

Examples of preventive health services and their frequency:

• Annual check-up (1 per calendar year): This is when your Primary Care Provider (PCP) checks all areas of your health—physical, as well as emotional. This can help detect any health concerns early, before they become major medical problems.
• Flu shot (1 per year): This is typically covered 100% under most health plans and helps protect you from certain strains of the flu virus.
• Mammogram (1 per calendar year, usually after the age of 40): Routine X-rays of breast tissue to check for any signs of cancer or other abnormalities. Some health plans may also cover costs for 3D imaging.
• Colonoscopy (typically 1 per every 10 years, usually after the age of 50): Screening for colon cancer.
• Vaccinations (usually administered during childhood, includes boosters as needed): Vaccinations like measles, mumps, rubella, polio, etc. are covered 100%.

Examples of non-preventive care include:

• Diagnostic tests and screenings: These are not routine tests and screenings. For example, if your radiologist finds something on your mammogram and wants another, it’s considered a diagnostic mammogram and will typically not be covered as preventive care.
• Additional primary care visits: Most health plans will cover you for 1 annual check-up with your doctor. Other visits during the same calendar year will likely not be covered as preventive. For example, let’s say you have flu symptoms and need to see your doctor—that’s not a covered preventive care visit.
• Specialist visits: Visits to a specialist (gastroenterologist, orthopedist, neurologist, podiatrist, etc.) for a particular problem are not covered as preventive care.
• Alternative therapies: Services such as chiropractic, massage, acupuncture, and other alternative health services are not considered preventive care.
• PSA blood test: This is a test to check for prostate cancer. Some health plans may cover this as preventive care, but many do not.

Is preventive care free?

Most health plans are required by law to cover eligible preventive care services at 100%. This includes health insurance plans you get through your employer as well as those you may buy on your own through the Health Insurance Marketplace. Your doctor must also be in-network in order to be fully covered.

What are the benefits of preventive care?

Preventive care is intended to help you stay as healthy as possible. Regularly scheduled visits and tests allow your doctor to identify any medical problems before they can become major.

Benefits of preventive care include:

• Most preventive care at no cost to you as part of your health coverage
• Early detection of medical problems, illnesses, and diseases helps your doctor provide proactive care and treatment
• Routine care can help you stay focused on your own health goals

How do you know what preventive care you need and when?

Your PCP can help you coordinate what tests and shots are right for you. They may consider things like family history, age, sex, current health status, and more.

See a complete list of preventive care services

Preventive care is often covered 100% by your health plan and offers many benefits, both in cost and health. If you have questions about what’s covered and not covered, or when you should have certain tests done, make sure to ask your doctor.

In-NetworkPreventive Care

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This information is for educational purposes only. It is not medical advice. Always consult your doctor for appropriate examinations, treatment, testing, and care recommendations. Any third party content is the responsibility of such third party. Cigna does not endorse or guarantee the accuracy of any third party content and is not responsible for such content. Your access to and use of this content is at your sole risk.

Residential Treatment and Shelter Provider Background Checks

The Office of Child & Family Services (OCFS) has implemented a criminal background check process to ensure criminal record checks and checks of child abuse and neglect registries for adults working in Children’s Residential Treatment Facilities; Children’s Residential Facilities with Secure Capacity; Shelters for Homeless Youth; and Emergency Shelters for Children in accordance with the Family First Prevention Services Act (FFPSA) requirements and pending Code of Maine Rules. These licensed provider types are regulated by Children’s Licensing and Investigation Services within OCFS. Per state and federal law, providers are required to request fingerprint-based background checks for themselves and their staff per the guidelines below.

Individuals subject to comprehensive background checks. Staff members, which includes a prospective staff member, of the above listed programs, are subject to all components of the comprehensive background check. Pursuant 22 MRS § 8110(2) a staff member means an individual who is employed by or has applied for and may be offered employment at one of these programs, including a contract employee or self-employed individual, whether or not the individual has direct contact with children.

Individuals NOT subject to comprehensive background checks. Individuals who only have infrequent and irregular supervised access to children, including but not limited to, parents/guardians, delivery persons, contractors performing maintenance and repairs and waste removal persons. Those not subject to comprehensive background checks may only have supervised access to children at a children’s residential care facility or shelter.

Components of a comprehensive background check. The following registries, repositories, and databases must be checked for each staff member for whom a comprehensive background check is required.

1. National Crime Information Center (NCIC) National Sex Offender Registry and Federal Bureau of Investigation (FBI) fingerprint check using Next Generation Identification.
2. In the State where the individual resides: State Child Abuse and Neglect registry/ database, State Bureau of Identification (SBI) or comparable State agency’s crime repository with fingerprints, and State Sex Offender Registry.
3. State Child Abuse and Neglect registry/ database check for each state where the individual has resided within the preceding five years.

Process required for fingerprint based criminal background check.

1. Staff members and prospective staff members must consent to having their fingerprints taken.
2. Facilities must email [email protected] and provide the name and date of birth of the staff member or prospective staff member after fingerprinting has occurred.
   • The Background Check Unit (BCU) within the Office of Child and Family Services will upon receipt of the criminal history report, make a determination regarding eligibility status and will email the status of “eligible” or “ineligible” to the facility representative.
   • The BCU will mail via United States Postal Service (USPS) an official letter of eligibility to the facility representative and directly to the staff member.

Process required for Child Abuse and Neglect Check and Sex Offender Registry Checks.

1. Facilities must submit their request and payment directly through the online portal www.maine.gov/online/cpsbackgroundcheck. The results will be emailed back to the requestor. When there is an open/pending Child Protective Investigation or Out of Home Investigation regarding the staff member for whom a request has been made, the request shall be held until final determination has been made.
2. As applicable, the facility will request a search of all child abuse and neglect registries, repositories, and databases for each State where the individual has resided within the previous five (5) years.
3. Facilities must request National and State sex offender registry checks.

Agency Responsibility. A prospective staff member shall NOT be hired or begin working until the agency receives notice that the prospective staff member is eligible for hire based on returned criminal history, in-state child abuse and neglect checks, and sex offender registry checks. The prospective staff member is ineligible for employment as outlined below.

Ineligible for Employment. Any of the following are considered grounds for being disqualified for employment:

1. Registration on a State or National Sex Offender Registry, or information that the individual is required to be listed on such a registry;
2. A substantiated finding of Child Abuse or Neglect by the Department or any comparable Department of another state;
3. Felony conviction for any of the following crimes
   • Child abuse or neglect,
   • Spousal abuse,
   • A crime against children, including child pornography,
   • A crime involving violence (including rape, sexual assault, or homicide),
   • Physical assault or battery within the preceding five years,
   • A drug-related offense committed during the preceding five (5) years.
4. An individual will be determined ineligible if they refuse to consent to a background check or knowingly make materially false statements in connection with such a background check.

Additional requirements to be proposed in 10-148 C.M.R Ch. 36 Children’s Residential Care Facilities Licensing Rule beyond FFPSA mandate and subject change during the rulemaking process in accordance with the Maine Administrative Procedure Act are found below.

Maine Bureau of Motor Vehicles. Facilities must check the driving record of staff members who are expected, or reasonably anticipated to, operate a motor vehicle. Staff members must have the proper license to drive the class of motor vehicles being used.

1. The following offenses disqualify a staff member from driving residents for a period of five years from date of conviction:
   • Motor vehicle-related conviction, accident or moving violation related to operating under the influence of intoxicants;
   • Operating while license is suspended or revoked;
   • Driving to endanger;
   • Refusing to stop for a law enforcement officer;
   • Criminal speeding.
2. The following offenses disqualify a staff member from driving residents, whenever committed:
   • Motor vehicle violation resulting in death;
   • Aggravated refusing to stop for a law enforcement officer;
   • Criminal homicide in operation of a motor vehicle.

Professional Registries. Facilities must check for any disciplinary action by applicable licensing boards and listing or annotation on applicable registries for each staff member.

Adult Protective Check. Facilities must request to the Department’s Office of Aging and Disability Services search its records to determine whether any staff member or prospective staff member has been substantiated for abuse, neglect or exploitation of an incapacitated or dependent adult. If the facility employs a staff member with a substantiated finding of abuse, neglect, exploitation of an incapacitated or dependent adult, the facility must determine that residents in the care of the facility would not be endangered by the staff members employment.

All requests must be made via email to [email protected]

Frequency. All components of the background check must be completed at least once every five (5) years for each staff member. The agency must keep a current record of all employee background check results on site and available for immediate inspection by Children’s Residential Licensing. Background checks are non-transferable from one agency to another.

Confidentiality. The results of background checks shall not be publicly released or shared by the agency. The Department of Health and Human Services (the Department) may release data regarding background checks when data is unidentifiable and/or aggregated. The Department in accordance with MRS Title 22, Chapter 1661 §7703 may under specific circumstances release limited information.

Other Resource Information:

• Criminal Background Check Appeal Rights (PDF)
• Substantiation of Child Abuse and Neglect Appeal Rights (PDF)

Appeal and re-examination of performance test results – Care insurance

​In case of disagreement with the established level of eligibility for care allowance or in case of rejection of the application, there is the possibility
file an appeal .

Also available
Re-test if your health condition worsens, or if your care allowance has been granted temporarily and is about to expire.

Appeal

If you do not agree with your eligibility level, or if your application for benefits is denied, you can appeal the decision.

An appeal can be filed with the advisory committee ( vaada meyaetset) or with the Labor Court.

Please note that your eligibility level may or may not be raised as a result of an appeal, but under no circumstances may it be lowered.

Appeal to the advisory committee

The advisory committee consists of a doctor and a nurse who are not employees of the National Insurance Institute.

An appeal to the advisory committee is filed at the branch of the National Insurance Institute in which the application was considered, within 60 days from the date of delivery of the decision. The text of the appeal should detail its reasons and indicate whether you want the commission meeting to take place in your presence (or in the presence of your representative). Otherwise, the meeting will be held in your absence, and the members of the commission will make a decision based on the documents attached to the appeal.

The committee meets in three districts – North, Central and South, depending on where the appellant lives.

residence:

Appeal to the Labor Court

Insured persons have the right to appeal to the National Insurance Institute’s decision to the Labor Court. For more information about filing an appeal, see
here.

Re-evaluation

If your health has worsened since your last re-evaluation, or if you have received temporary assistance and it is about to expire, you can apply for a re-evaluation.

Please note that in
As a result of your appeal, your level of eligibility may be
be upgraded or remain unchanged, but under no circumstances
it cannot be downgraded.

If a higher level of eligibility is established, benefits will begin on the eighth day after the application is submitted.

Recheck due to worsening condition

time of the last inspection, you can apply for
re-check. An application for re-examination should be submitted and any medical certificates indicating changes in health status should be attached to it.

The completed application form can be submitted via the website or submitted at the branch of the National Insurance Institute where you live.

Please note that beneficiaries of the highest tier (tier 6) are not eligible for a retest.

Recheck for those who have been granted temporary care allowance

Those who have been granted temporary care allowance and are nearing the end of their period can apply for a recheck before the end of the period:

• Beneficiaries under age 79
  – Approximately two months before the end of the eligibility period
  The National Insurance Institute sends a notice about the termination of the right to benefits. If you are sure
  that your condition has not improved, you should contact the Office
  national insurance with a written application for an extension of the right to benefits. Employees of the National Insurance Institute
  check the application and send a message about the decision.
  
  It is recommended that a letter of application be sent to the National Insurance Institute approximately one month before eligibility ends.
• Beneficiaries aged 80 and over –
  just before the end of the eligibility period for
  care The National Insurance Institute sends its
  employee (nurse or physiotherapist) in order to check the possibility
  extension of eligibility. There is no need to apply for an extension of eligibility.

How to apply for a deferment from mobilization for health reasons and care for relatives

On September 21, Vladimir Putin announced partial mobilization. Forbes Life tells what health indicators allow you to get exemption from mobilization and who can get a deferment for the permanent care of close relatives

According to the law “On military duty and military service”, a conscript can receive a deferment or complete exemption from military service. The presidential decree on partial mobilization says that citizens of the reserve are called up, the composition of which is determined by Article 52 of the Federal Law on “Military Duty”. It follows from the text of the document that “reserves” are subject to conscription – people with health categories A, B, C. According to the Ministry of Defense, those who have completed military service are primarily subject to mobilization, but this is not specified in the text of the decree. That is, there is no legally fixed requirement for a conscript to have military experience.

Anna Devyatkova, a member of the Military Reserve Mobilization Medical Commission for the Perm Territory, confirms the words of the Ministry of Defense. She said that at present, mobilization applies to reservists who served in the ranks of the Armed Forces and at the same time passed a medical examination for the last time, where they determined the category of fitness for military service. These checks could have taken place 10-20 years ago, so now all conscripts are checked by a new medical commission to identify the presence of health problems. The new medical board may change the decisions of the previous one. For example, if earlier a conscript with flat feet or scoliosis could avoid the army, now the conditions have changed: flat feet of the 3rd degree or more, as well as scoliosis of more than 17 degrees, are defined as category B (that is, they are not drafted into the first wave, but are included in the reserve of military forces ).

Categories of fitness for military service:

A – fit for military service, subject to mobilization;

B – fit for service with minor restrictions, subject to mobilization;

B – limited fit, officially this category has a delay and is not called up for military service in peacetime, but can be called up during the second wave of mobilization;

G – temporarily unfit, but the likelihood of recovery is expected, currently has a delay. This, as Devyatkova explains, is the most “floating” category. If a person’s condition has deteriorated greatly since the last medical examination, he can be transferred to category D, if improved – to category B;

Y – unfit and not called up.

Who can receive a deferral for health reasons

According to the “Regulations on military medical expertise”, reservists with health categories G and D are not called up. ;

stroke survivors, degenerative and inflammatory diseases of the central nervous system – ALS, Parkinson’s disease.

The entire list of diseases can be viewed here. The degree of illness and the category of fitness for military service (to obtain full or partial exemption from mobilization) is determined by the medical board at the military registration and enlistment office based on the development of the disease and examination of the reservist. For example, with active tuberculosis, category D is assigned for all ranks, while small residual changes after cured tuberculosis can be assessed by doctors as category B for military personnel who do not have a military officer rank, and category A for military personnel undergoing military service under the contract. The same system works with other diseases. In practice, this means that a person with any category of health can receive a summons, and then he will have to confirm the category previously set for him.

Related material

If the reservist has any health problems, when going to the recruiting office, you must take with you all the medical documentation confirming the disease. It is important to take an outpatient card, extracts from the hospital, conclusions of specialized specialists – this is the maximum of documents that can be collected in a short time. Further, the military medical commission may prescribe additional examinations.

At the same time, it must be taken into account that in order to send a reservist belonging to category A, B, C, to military training (training), it is not necessary to conduct a medical examination (Article 54 of the Federal Law on “Military Duty and Military Service”). Consequently, those who do not pass the check during mobilization can be sent to the training camp. After the exercises, a medical commission should be held, which will determine the degree of loss of health and the possibility of participating in hostilities.

Engaged in permanent care for close relatives

By law, reservists “caring for relatives recognized as in need of such care, or who are disabled of group I, in the absence of other persons obliged by law to support these citizens”, are also entitled to a deferment from military service.

Disabled people of group I are those who have persistent and irreversible health disorders with impaired body functions. The disorder can be caused by both diseases and the consequences of injuries. That is, these are people whose livelihoods are severely limited and require outside support:

• totally blind or deaf;
• having malignant tumors;
• suffering from mental illness;
• persons with kidney disease or lack of one of them;
• with diseases of the central nervous system – meningitis, encephalitis, brain abscess, poliomyelitis, as well as age-related diseases – Parkinson’s disease and Alzheimer’s disease;
• with serious respiratory disease, in particular if you have asthma, sarcoidosis, tuberculosis, or have had a lung transplant.

The minimum list of documents that you need to bring to the military registration and enlistment office to confirm that the conscript is the only one with the opportunity to exercise guardianship – the conclusion of the medical and social examination (ITU Bureau) and a certificate of family composition, that is, an extract from the house book on the number and composition of residents with a disabled person of group I . When applying to the military registration and enlistment office, the list of documents can be specified and expanded.

It is not possible to obtain a certificate from the ITU Bureau faster than a month before. If you don’t have it in your hands, and the summons has already arrived, you should go to the military registration and enlistment office only with the entire medical history, proof of blood relationship with the ward and certificates of cash expenses, advises Elena Martynova, co-founder of the Everland project, who is now helping recruits with disabilities health or with guardianship over people of the I group of disability.

Related material

A deferment is given only if there is no one else to look after a relative, for example, if a person liable for military service has a sister, then care can be transferred to her, but he will not receive a deferral. The same applies to guardians and trustees of minor brothers and sisters: if there are other relatives who can take on these duties, then no delay is allowed. If close relatives refuse guardianship with documents, the situation will be considered on an individual basis, but there may be suspicions of forgery. According to Anna Devyatkova, if the documents have not been drawn up to date, then it is hardly possible to obtain such a conclusion in a short time.

Elena Martynova emphasizes that each case can be individual and it is worth consulting with a lawyer before going to the military registration and enlistment office. Evidence of group I disability and guardianship may be considered appropriate under different conditions. The term of the documents and the development of the disease in recent times are important, which has not yet been possible to fix. With the help of a specialist, it is necessary to determine a system for obtaining additional documents and submitting them to the military registration and enlistment office.

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Smolenskaya Gazeta – The Prosecutor’s Office is conducting an investigation into the unnoticed departure of a child from the Smolensk kindergarten

Incidents

Incidents

January 18, 2022 at 09:32

The prosecutor’s office of the Smolensk region organized an audit based on media publications about the uncontrolled departure of a minor child from the territory of kindergarten N 84 “Alenka” in the city of Smolensk.

According to Yulia Kazakova, Senior Assistant to the Prosecutor of the Smolensk Region for Interaction with the Media and the Public, based on the results of the audit and if there are sufficient grounds, they will take comprehensive measures of the prosecutor’s response.

It is noted that the course and results of the check are under the personal control of the regional prosecutor.

Earlier, a number of Smolensk media reported the fact of the unnoticed departure of a two-year-old child from the territory of a kindergarten in the microdistrict Korolenko of the city of Smolensk.

Photo: pixabay.com

Yuri Semchenkov

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Windows 7 won’t go to sleep

Windows 7 Enterprise Windows 7 Home Basic Windows 7 Home Premium Windows 7 Professional Windows 7 Starter Windows 7 Ultimate More. ..Less

Symptoms

You may experience the following problems when you try to put a Windows 7 desktop or laptop to sleep:

• The computer enters sleep mode and wakes up immediately.

• The computer wakes up randomly or unexpectedly.

• The computer does not enter sleep mode. It stays on all the time.

Available options

To resolve this issue, try the following methods in the order presented.

• Update drivers to the latest version

• Prevent other devices from waking up your computer

Additional information

Updating drivers to the latest version

To solve the problem, first of all, make sure that all hardware devices (especially the video card) have the latest drivers installed. To get new drivers for Windows 7, you can use Windows Update or go to your hardware manufacturer’s website. For more information, see the following Microsoft website:

Automatically receive recommended drivers and hardware updates

Checking power settings

Then check the power settings. To do this, follow the steps below.

1. Click the Start button , enter power and sleep in the Start search field and select Sleep setup .

2. In the field Put the computer to sleep , select a new value, for example 15 minutes, but do not select the value Never . Press the button Change advanced power settings .

3. Expand Sleep and Enable wake timers in sequence, and then select Disable .

   Note. This setting prevents devices from waking up the computer. If you need a scheduled task to wake up the computer, you need to set this setting back to Enable .

4. Expand Media settings , When sharing media and select Let the computer go to sleep .

   Note. This setting allows the computer to enter sleep mode even if you share media libraries with other computers on your home network.

Disable devices to prevent computer from waking up

As a last resort, try disabling any devices that can wake up the computer. Follow these steps to disable these devices.

1. Open an elevated command prompt. To do this, press the button Start , enter the command cmd in the field Start search , right click cmd , and then click Run as administrator .

2. To view a list of devices that can wake up the computer, run the following command:

   Powercfg -devicequery wake_armed

3. To disable waking the computer for a specific device, run the following command or use Device Manager:

   Powercfg -devicedisablewake “ devicename ”
   Note. Be sure to replace the placeholder device_name with with the name of the device you want to disable.

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