vay pennsylvania PENNSYLVANIA CHILD ABUSE
SepaarwewtorHunawsenvces — HISTORY CERTIFICATION
TIFFANY M. GLASS CERTIFICATION ID: DR5OMMOSTK
1B RIAN DE CERTIFICATION PURPOSE: EMPLOYMENT
JOHNSTOWN, PA 15904
VERIFICATION DATE; 73072019
SOCIAL SECURITY #: XXX-XX-1118
DATE OF BIRTH: 1221/1996
The above named person has applied for a Pennsylvania Child Abuse History Certification
Pursuant to 23 Pa. C.S., Chapter 63 related to the Child Protective Services Law. NO
RECORDS EXIST in the Pennsylvania Department of Human Services’ Statewide database
listing TIFFANY M, GLASS as a perpetrator of an Indicated or Founded report of child
abuse.
Applicants are required to show the Administrator the results of their
Child Abuse History Certification, Administrators are requited to keep @
copy of this Child Abuse History Certification on file, Any person altering
the contents of this document may be subject to civil, criminal or
administrative action,
ISSUED BY Commonwealth of Pennsylvania
Department of Human Services
(CHILDLINE AND ABUSE REGISTRY
ChildLine Verification Unit
PO, Box 8170
Harrisburg, PA 17105-8170
1-877-371-8422
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TIFFANY GLASS
314 HOLLOW RD
SOUTH FORK PA 15956
Status Date: 11/06/2019 59H: 20064K- 1188
The Pennsyivania Clearance Verification Unit processed your National Sex Offenders Registry application
and based on 45 CFR 98.43:
1B Yes, according to 45 CFR 98.43 you can work for or reside in a regulated Child Care Provider or
facility
No, according to 45 CFR 98.43 you cannot work for or reside in a regulated Child Care Provider
cr facility.
‘You may request a duplicate copy of this letter from the Department of Human Services, Clearance
Verification Unit in writing using the address listed below. The verification is vali for Five years from the
date of printing, If you are questioning the accuracy ofthis response, contact the Child Verification unit at
877-371-5422.
Sincerely,
‘Amanda Dorris, Bureau Director
Bureau of Policy, Programs and Operations.
(ice of Chicren, Youth and Families
CChildLine ang Abuse Regist | Clearance Ventficaion Unt
.0. Box 8053 | Harisburg, PA 17105-8053 | 877 371.5422 F 717.772 053eS pennsylvania
DEPARTMENT OF HUMAN SERVICES
TIFFANY M GLASS
16 VIVIAN DRIVE
JOHNSTOWN, PA 18904
SSN:
TCN: 2373519858
‘Your Federal Bureau of investigation (F) fingerprint based record check has been provessed in accordance with
Prblc Law $2-544 and the Chid Protective Sarices Law (Tile 23, Pa C:S. Chapter 63). The following is the
result of your federal criminal history background check as of 08/10/2019.
NO RECORD EXISTS.
RECORD EXISTS, but conviction(s) does not prohibit hire in a childcare position
according to the Child Protective Services Law.
RECORD EXISTS, but no conviction(s) is shown. This does not prohibit hire in a
childcare position according to the Child Protective Services Law.
DISQUALIFICATION ~ Record exists and contains a conviction(s) that is grounds for
denying employment in a childcare position according to the Child Protective Services
Law.
Ifyou aro questioning he accuracy of this response, please subi
‘may request a copy f your record from 5 years folowing roceit of
‘adcross listed above. Applicants are encouraged 1 provide ths Ve
upon receipt.
‘Court documents to support your poston. You
caton by making a witten request to the
on othe prospective employer immeciatly
Sincerely,
isk Pabo—
Christine Reber, Division Director
Bureau of Policy, Programs and Operations
Office of Chien, Youth and Famiies
(CildLino and Abuse Registry | FBUADAM WALSH UNIT
PO Box 8053 | Harisburg, PA 17105-8063 | P 1.877.371 8422|F 717 77255
| ww ahs pa govPennsylvania State Police
1600 Emerton avenue
Response for Criminal Record Check
TIFFANY MARIE GLASS TELEPHONE(814) 288-9669
446 VIVIAN DRIVE
JOHNSTOWN PA 15904
TO WHOM IT MAY CONCER!
‘THE PENNSYLVANIA STATE POLICE DOES HEREBY CERTIFY THAT:
Name: Glass Tiffany Marie,
Date of Birth: 12/23/1996
Social Security.
Date of Request:
Purpose of Reque:
Maiden Name and/or Alias (1) @
@ @
*** HAS NO CRIMINAL RECORD IN PENNSYLVANIA BASED ON A CHECK BASED ON THE
‘ABOVE IDENTIFIERS- REFER TO CONTROL #R22028615 ***
‘THE RESPONSE 1S BASED ON A COMPARISON OF DATA PROVIDED BY THE REQUESTER AGAINST
INFORMATION CONTAINED IN THE FILES OF THE PENNSYLVANIA STATE POLICE CENTRAL
REPOSITORY ONLY. PLEASE CONFIRM {DENTIFIERS PROVIDED. POSITIVE IDENTIFICATION
CANNOT BE MADE WITHOUT FINGERPRINTS THE PENNSYLVANIA STATE POLICE RESPONSE DOES
NOT PRECLUDE THE EXISTENCE OF CRIMINAL RECORDS, WHICH MIGHT BE CONTAINED IN THE
REPOSITORIES OF OTHER LOCAL, STATE, OR FEDERAL CRIMINAL JUSTICE AGEN
‘THE INFORMATION ON THIS CERTIFICATION FORM CAN BE VALIDATED BY ACCESSING THE
PENNSYLVANIA ACCESS TO CRIMINAL HISTORY (PATCH) RECORD CHECK STATUS SCREEN.
(nttps://epatch.state.pa.us/RCStatusSearch jsp) AND SUBMITTING A STATUS CHECK REQUEST
‘THAT CONTAINS THE FOLLOWING - SUBJECT'S NAME (EXACTLY AS INITIALLY ENTERED), CONTROL
NUMBER AND DATE OF REQUEST. PATCH WILL FIND AND DISPLAY THE CORRESPONDING RECORD
CHECK REQUEST. DETAILS ON THE REQUEST CAN BE VIEWED BY CLICKING ON THE CONTROL.
NUMBER. YOU WILL BE ABLE TO VERIFY IF THIS REQUEST WAS SENT OUT AS A.NO RECORD OR
RECORD RESPONSE BY THE PENNSYLVANIA STATE POLICE,
QUESTIONS CONCERNING THIS CRIMINAL RECORD CHECK SHOULD BE DIRECTED TO THE PATCH
HELP LINE TOLL FREE AT 1-B85-QUERY-PA (1-888-763-7972)
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Director of Criminal Records & Identification
Pennsylvania State Police‘erwa0e
sate
American
Red Cross
Certificate of Completion
Tiffany Glass
hae sucosetuly completed ecuiterents for
duit and Pecintic First la/CPRUAED - vad 2 Years
conducted by
American Red Cross
(ate Comploted: 08/04/2019
Insivctos: Kot leaboth Emerick