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If you are providing care for compensation (any form of payment including free room and board) in exchange for caregiving, you must obtain a permit.
No permit is required for those licensed through the State, such as RNs, LVNs, Licensed Therapists (LPT, OTR), Certified Nursing Assistants (CNAs), Registered Home Care Aides, and other similar designations that require fingerprinting. Caregivers providing services through In-Home Support Services (IHSS) do not need a permit unless the caregiver is also providing care to an individual(s) who is not receiving IHSS.
Employees of licensed Home Care Organizations will be registered with the California Department of Social Services (CDSS), and are not required to have a Napa County Permit. Independent contractors affiliated with caregiver placement agencies will be required to obtain a Napa County Caregiver Permit.
Family members need to obtain a permit only if they are receiving some sort of compensation in exchange for providing care (including free room and board).
The background fees are as follows: if you live and work in Napa County the fee is $55.00, if you live outside of Napa County but are providing care in Napa County the fee is between $71.95 and $76.95 depending upon where you live. Note: the background check fees are determined by an external agency and are subject to change. There is also an annual permitting fee of $20 paid to the Napa County Clerk / Recorder.
Comprehensive Services for Older Adults is the starting point for applying. You may visit them in person at 650 Imperial Way, Suite 101, or call them at 707-259-8789. In addition to the application form, you will need to sign the Authorization for Background Check and provide proof that you are free of tuberculosis.
Check with your regular healthcare provider or Tuberculin Skin Testing (TST) is done at the Napa County Public Health Clinic, 2751 Napa Valley Corporate Dr., Bldg.B in Napa. You must call for an appointment (707) 253-4270, and return for clearance 48-72 hours after the skin test. The fee is $25.
You should know who is going to be in your loved ones home giving them care. They will have access to personal and financial information and can exert a great deal of influence.
If a caregiver cannot pass the background, a limited caregiver permit may be obtained. The limited caregiver permit is only good for one person / household and requires the person paying for care to sign a notarized statement accepting liability.
You do not need to apply in person but you do need to submit via mail or e-mail the following documents: initial or renewal application, authorization to conduct a background check and written verification you are free of active tuberculosis. Once you’ve been approved for a permit, you will need to appear in person within 30 days, at the Napa County Clerk / Recorder’s Office at 900 Coombs St., Room 116, with two identification card type photos (1 1/2" tall, 1" wide), $20, and a photo identification.
After you have submitted the application documents and payment, you should allow 1-4 week for the background check. Also allow 4-10 days to schedule the Tuberculin Skin Test (TST).
Ask to see a caregiver’s permit and check to see if it is valid by calling the Caregiver Hotline at 253-8789 or emailing: firstname.lastname@example.org.
It is up to the caregiver to ensure that he/she is properly permitted. Violation of the caregiver permit ordinance is a misdemeanor or infraction, punishable by a fine, imprisonment in the county jail up to one year, or a combination of both.