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DELAWARE · CARE PROGRAM

Assisted Living, Rest (Residential) Homes and Family Care Homes

Staff of facilities licensed under 16 Del.C. ch. 11: assisted living (3225), rest residential homes (3230) and family care homes, Delaware's adult foster care setting (3315); the same rules apply to all three.

ASSISTED LIVING · ON FILE
Registries named
8
Required
2
Expected
6
Screened by ezOIG
5 of 8
Rules checked
October 15, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. Adult Abuse Registry

    Delaware Health and Social Services, Division of Health Care Quality

    SCREENED BY EZOIG Abuse registry search
    WHEN
    AT HIRE Before hire, and before retaining a contractor; keep a copy of the result
    BASIS
    16 DE Admin Code 3101 §§1.0, 2.1 (nursing and similar facilities include assisted living, family care and rest residential homes); 11 Del.C. §8564(c)

    No health care service provider, to include nursing and similar facilities, or child care facility shall hire any person seeking employment or retain any contractors without conducting a check of the person through the on-line Adult Abuse Registry available at the Division's website.

    Read the source regulations.delaware.gov

  2. Child Protection Registry

    Department of Services for Children, Youth and Their Families, Division of Family Services

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before hire; conditional hire allowed in exigent circumstances once the check is requested
    BASIS
    11 Del.C. §8563(a)(2), (b) (any residential facility where personal care is provided)

    “Health-care facility” means any custodial or residential facility where health, nutritional or personal care is provided for persons, including nursing homes, hospitals, home health-care facilities and adult day-care facilities. ... (b) No employer who operates a health-care facility may hire any person seeking employment without requesting and receiving a Child Protection Registry check

    Read the source delcode.delaware.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    MONTHLY At hire (pulled by the Background Check Center) and monthly
    BASIS
    BCC pulls the OIG list at hire (DHCQ); monthly rescreening is CMS guidance (SMDL #09-001), not a Delaware rule

    Read the source dhss.delaware.gov

  2. Delaware Sanctioned Provider Report (Delaware Listing of Sanctioned Providers)

    Division of Medicaid & Medical Assistance, Program Integrity Unit

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Delaware Medicaid providers; DMMA publishes the list under Terminated Providers

    Read the source medicaid.dhss.delaware.gov

  3. Delaware CNA Registry (State Nurse Aide Registry)

    Delaware Health and Social Services, Division of Health Care Quality (hosted by Prometric)

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire for CNAs
    BASIS
    A small assisted living facility's house manager must be a CNA (3225 §16.9.2); the BCC pulls the registry

    Read the source regulations.delaware.gov

  4. DELPROS License Look-Up

    Delaware Division of Professional Regulation

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE At hire for licensed staff
    BASIS
    3225 §16.2 requires staff certified or licensed as residents' needs require; the BCC checks licences

    Read the source regulations.delaware.gov

  5. Delaware Sex Offender Central Registry

    Delaware State Police, State Bureau of Identification

    NOT SCREENED YET The registry's terms forbid automated searches
    WHEN
    AT HIRE At hire (pulled by the Background Check Center)
    BASIS
    Pulled by the mandatory Background Check Center (DHCQ); no rule names it for this program

    Read the source dhss.delaware.gov

  6. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Delaware Medicaid providers

Also required

Not registry lookups; ezOIG doesn't run these
  • Fingerprint-based SBI and FBI criminal history through the DHSS Background Check Center before hire, or conditional hire for up to 60 days once fingerprinted (16 Del.C. §1141; 29 Del.C. §7972; 16 DE Admin Code 3105)
  • Pre-employment drug screen (16 Del.C. §1142)
  • Service letters from prior employers (19 Del.C. §708; 16 DE Admin Code 3105 §7)
  • Baseline two-step TST or IGRA for all employees (16 DE Admin Code 3225 §9.5.2; 3230 §9.2.4)

Why some registries are not screened yet

The registry's terms forbid automated searches
The registry's terms, or the law behind it, rule out automated or third-party searches, so ezOIG doesn't run them.
Requires an employer account
Searches go through the employer's own account with the agency, so ezOIG doesn't run them for you.

Guidance, not legal advice

This page summarizes ezOIG's research into Delaware's rules for this program, checked against the regulations as of October 15, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Division of Medicaid & Medical Assistance (DMMA), Delaware Health and Social Services or your own counsel before relying on it.

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