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Onboarding Checklist
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Name:
Position:
DOH:
Prior to Orientation
Prior to Orientation
Application completed including names and addresses of present and former employers
HS Diploma or college degree/transcripts received
Reference checks attempted and documented
Date:
Complete 7 database checks/ARCS (complete prior to hire date)
Complete 7 database checks/ARCS (complete prior to hire date)
Complete 7 database checks/ARCS (complete prior to hire date)
Inspector General’s Exclusion List
Sex Offender and Child Victim Offenders Database
U.S. General Services Administration System for Award Management Database
Database of Incarcerated and Supervised Offenders
Abuser Registry
Nurse Aide Registry
Ohio Dept of Medicaid Exclusion and Suspension List
Date:
Checkboxes
Signed release for background check
DODD Disqualifying Offense Attestation completed (complete prior to hire date)
date:
Checkboxes
Driver license/Photo ID copied
Social Security card copied
BCII fingerprints –
Web Check List
- (check must be started prior to hire date)
FBI fingerprints (If not an Ohio Resident for prior 5 years)
Enter new hire in iRap within 14 days
Date background check was received:
iRap enrollment date:
Initial Trainings provided by the agency
Checkboxes
Mission, vision, values, and organizational structure of the agency provider
Policies, procedures, and work rules of the agency provider and Overview of specific services provided by the agency provider
Service documentation that supports billing for services provided
Overview of fire safety and emergency response (licensed facilities only)
Onboarding Paperwork – completed at offer or orientation
Checkboxes
I-9 form complete with supporting documents → Must be complete within 3 days of hire
Direct deposit information (if applicable)
New hire reporting
(within 20 days)
Tax forms -
Federal W4
Ohio IT-4
if not an Ohio resident, give reciprocity form IT-4 RN
Job description sign off
Abuser Registry sign-off
Attestation statement offenses
Hepatitis B sign-off? -
must be in separate HR Medical file
File I-9 form with supporting documents
Date:
Checkboxes
Pay and benefits (Direct Deposit)
Transportation Requirements – (if applicable)
Checkboxes
Driving record BMV
+ redo every 3 years
Initial Training Requirements
Checkboxes
Create an annual training plan for all DSPs and Supervisors
CPR/First Aid (must be completed before staff can provide services alone)
8-hour initial training
Supervisor? Yes / No
Checkboxes
Within 90 days, training on service documentation, billing for services, management of funds
Date completed:
Individual-specific1
Individual-specific training before providing services:
(client name)
Date:
Individual-specific2
Individual-specific training before providing services:
(client name)
Date:
Individual-specific5 enrollment
Individual-specific3
Individual-specific training before providing services:
(client name)
Date:
Individual-specific4
Individual-specific training before providing services:
(client name)
Date:
Individual-specific5
Individual-specific training before providing services:
(client name)
Date:
Medication Administration Requirements
Checkboxes
Medication Administration 1 to pass meds (must have background check back to go to class)
Checkboxes
After class, search
MAIS
before passing medications to ensure staff is listed as certified
Checkboxes
Medication Administration 2
Medication Administration 3
30 Day Training Requirements
Checkboxes
Person-centered planning and provision of services
Facilitating community participation and integration for individuals served
Provisions of rule 5123-17-02 of the Administrative Code relevant to the direct support professional's duties including a review of health and welfare alerts issued by the department
Empathy-based care
Specific to the residential facility, training in fire safety, operation of fire safety equipment, and the facilities fire safety and emergency response plans (licensed facilities only)
Staff Signature:
Clear Signature
Supervisor Signature:
Clear Signature
Submit
