Personnel Records, Hours Worked, Confidentiality Agreements and Conflict of Interest Forms
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.
About this policy
- Policy number
- CA-HSP-HR-05
- Version
- 1.0
- Main rule
- 22 CCR §74884
- Library
- California hospice · 60 policies
- Category
- Human resources
- Sections
- 17
In short
- 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.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
See Cura Core with your agency's name on it.
Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.