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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 EONS NANNIES SS Corporate Care Services Tuberculin Skin Testing Employeename “Tiffany Glass Company Lecenag \duapy =D Reason for Testing: (please v) Two-step (entrance exam) Q STEP1 Q STEP2 D Annual O Beposurest O Exposure #2 (iauscts ater sxpocuest) . teams 9 “Employes# __NA Date ofBith | 2 -a1-9h Dee aan Reading due: Solin wed OT RL PPD TibaeaS TD Certificate of Completion z x < Recognizing and Reporting Child Abuse: ¥y 3 Mandated and Permissive Reporting in Pennsylvania (% a Ms Arata ig te 5 : : s continuing education hours 4 s Presenter: g & University of Pittsburgh Schoo! of Social Work, & § PA Child Welfare Resource Center i sosetvrang ot dete PA ES 5 Presented to: A, ¢ Glass, Tiffany 8 on the dato: S 4125/2016 # imate Ogata o 5 Se, car anos Neary Hl coring Ean Diaceretowatecam DEPARTMENT OF HUMAN SERVICES ey pennsylvania 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 717.772 053 eS 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 gov Pennsylvania 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) cat, mont cross oP 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

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