Facility Submission: Entry

To promote the safety of residents, visitors, and staff; all long-term care facilities must screen potential residents for information relevant to determining each person's potential for placing others at risk of harm.

For each resident, within 24 hours of admission, facilities not exempted by 210 ILCS 45/201.5b must request a Uniform Criminal Information Act (UCIA) name-based criminal history record from the Illinois State Police using the Criminal History Information Response Process (CHIRP).

If the results of the UCIA name-based criminal history record indicate that the request hit upon multiple records (a one page background stating MULTIPLE HITS - FEE FINGERPRINTS REQUESTED, with no SID indicated), the facility shall initiate a UCIA fingerprint-based request using the UCIA fingerprint consent form, unless the fingerprint check is waived by the Director of Public Health based on verification by the facility that the resident is completely immobile or that the resident meets other criteria related to the resident's health or lack of potential risk.

If the results of a resident's UCIA name-based criminal history background reveal that the resident is an identified offender, as defined in Section 1-114.01 of the Nursing Home Care Act, the facility shall, within 72 hours, arrange for a Fee Applicant (FEAPP) fingerprint-based criminal history record inquiry from a licensed livescan vendor, using the FEAPP fingerprint consent form.

The livescan must take place on the premises of the facility and shall be conducted in a manner that is respectful of the resident's dignity and that minimizes any emotional or physical hardship to the resident.

Within 24 hours of the Livescan appointment, the facility must notify the Identified Offenders Programs using this online application.

Please direct all questions to DPH.IOP@ILLINOIS.GOV.

Facility Type
Submission Type   

Please note: The facility shall be responsible for taking all steps necessary to ensure the safety of residents while the results of a name-based background check or a fingerprint-based background check are pending; while the results of a request for waiver of a fingerprint-based check are pending; and/or while the Identified Offender Report and Recommendation is pending.

Before clicking the NEXT button below, you must be ready to upload a pdf copy of the UCIA criminal history record, as well as either a FEAPP Fingerprint Consent form, or an approved fingerprint waiver, and the Fingerprint Vendor Receipt.
For more information:

Links to instructions for requesting and reviewing UCIA and FEAPP criminal history records, as well as a number of other resources, can be found by visiting the Identified Offenders Program website.
Contact Information:Illinois Department of Public Health
Division of Patient Safety & Quality
Identified Offenders Program
122 S. Michigan Ave. Suite 700
Chicago, IL 60603

Phone: (312) 814-2149 or (312) 793-3914
Fax: (312) 814-2757