Vetting & compliance
A 14-step screen. A file you can hand to a surveyor.
Every step is logged and dated in the aide's file, before the aide ever reaches your client.
The screening process
What we check, and why
Built around Texas HCSSA rules for arranged services (26 TAC §558.289), so your agency can produce proof within 8 working hours.
- 1
Application & phone screen
Availability, transportation, experience, languages, role fit.
Rule / source: Internal
- 2
Identity & work eligibility
Form I-9 (E-Verify optional; decided with counsel).
Rule / source: Federal
- 3
Criminal history check
Texas DPS check before first face-to-face client contact. Screen out convictions that bar employment under HSC §250.006.
Rule / source: 26 TAC §558.289(d)
- 4
Registry checks: NAR & EMR via TULIP / SEMARC
Employability search covering the Nurse Aide Registry and Employee Misconduct Registry, now through SEMARC. Results saved with date and time; repeated every 12 months.
Rule / source: 26 TAC §561.3; HHSC PL 2026-10
- 5
EMR written notice
The aide receives written information about the Employee Misconduct Registry.
Rule / source: 26 TAC §558.289(c)(2)
- 6
Federal & state exclusion lists
HHS-OIG LEIE and the Texas HHS-OIG exclusion list.
Rule / source: 42 CFR §484.105(e)
- 7
Credentials
CNA: active NAR listing. HHA for Medicare HHAs: proof of training and competency per 42 CFR §484.80. PCA: training per your job description.
Rule / source: 26 TAC §558.245(b)(4)
- 8
TB screening
Baseline TB screening (test or symptom screen, per your policy).
Rule / source: CDC 2019 HCP recommendations; your policy
- 9
CPR / First Aid
Current card (AHA or Red Cross).
Rule / source: Your policy
- 10
References
At least 2 work references, at least 1 from caregiving.
Rule / source: Internal
- 11
Drug screen
5- or 10-panel, per your policy.
Rule / source: Your policy; HSC §142.007
- 12
Driving check
License, auto insurance, and MVR if the aide will drive or transport clients.
Rule / source: Insurance requirement
- 13
Orientation
Kinging Care orientation (abuse/neglect/exploitation reporting, client rights, infection control, EVV) plus your agency's orientation and policy acknowledgment.
Rule / source: 26 TAC §558.245(b)(1), (10)
- 14
Competency check & EVV setup
Skills check for assigned tasks (transfers, bathing), with your RN where required. Aide set up and trained on your EVV system.
Rule / source: 26 TAC §558.245(b)(2)(B)
The file packet you receive
- Signed attestation that the criminal history check was done before first contact
- NAR / EMR / SEMARC results, dated
- Credentials, TB, and CPR
- Orientation sign-offs
- EVV setup confirmation
Registry checks are changing
Ready for SEMARC
HHSC moved the EMR/NAR employability check into TULIP and added SEMARC. Revised PL 2026-10 sets a hold-harmless period through January 6, 2027; HHSC surveys SEMARC compliance starting January 7, 2027.
Sources: HHSC PL 2026-10 · TMHP notice. Rules change; we re-check sources regularly.
Retention, not just recruiting
Weekly pay. A 30/60/90-day check-in call. Recognition. A clear path to temp-to-hire. Respectful scheduling.
We don't claim retention statistics. We measure our own and report them to you.
Want to see a sample file packet?
Ask on your 20-minute staffing call and we'll walk you through every item.