{"ref":"CA-HSP-HR-05","title":"Personnel Records, Hours Worked, Confidentiality Agreements and Conflict of Interest Forms","category":"Human resources","summary":"Lists what California requires in every personnel record, including a confidentiality agreement signed by the Administrator, proof of exclusion clearance before employment, conflict of interest forms, performance evaluations and training records; how long records are kept (four years after separation), the 12-month record of hours worked, confidential storage, and producing records to CDPH within 24 hours.","inShort":["Every worker has a personnel record that is complete on the first day.","You sign a confidentiality agreement, which the Administrator also signs.","You fill in a conflict of interest form when hired, every year, and when something changes.","Personnel records are kept locked and confidential, and for four years after you leave.","You may ask to see your personnel records. The Agency answers within 30 calendar days of a written request."],"primaryCitation":"22 CCR §74884","citations":["22 CCR §74884","22 CCR §74880(i)","22 CCR §74908(b)(9)","22 CCR §74808(e)(4)-(6)","22 CCR §74900(a)(4)(B)","Cal. Lab. Code §1198.5","Cal. Lab. Code §1174(d)","Cal. Welf. & Inst. Code §15659(a)","Cal. Penal Code §11166.5(a)"],"federalCitations":["42 CFR §418.100(g)(3)"],"surveyorAsks":["Show me the personnel record of a nurse hired this year and one who left last year.","Where is the confidentiality agreement signed by the employee and the Administrator?"],"forms":[{"ref":"CA-HSP-HR-05-A","title":"Personnel Record Checklist"},{"ref":"CA-HSP-HR-05-B","title":"Confidentiality Agreement"},{"ref":"CA-HSP-HR-05-C","title":"Conflict of Interest Disclosure"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74884)","5. What Each Personnel Record Contains","6. Confidentiality Agreement","7. Conflict of Interest Forms","8. Hours and Dates Worked","9. Storage, Retention and Access","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"ca-hospice","state":"California","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}