About the Family Care Safety Registry

How to Register | Requesting a Background Check


The passage of House Bill 490 established the Family Care Safety Registry (FCSR) and gave the Department of Health and Senior Services, in coordination with the Department of Social Services and the Department of Public Safety, the task of creating the Registry and toll-free call center, effective January 1, 2001. The passage of SB 48 in 2001 provided further enhancements to the FCSR.

The implementation of the FCSR helps ensure that persons caring for children, seniors, or physically or mentally disabled individuals can be screened for employment purposes. The law requires that every child care and elder care worker hired on or after January 1, 2001, and every personal care worker hired on or after January 1, 2002 to register. NOTE: For compliance with section 192.2495, RSMo., employees of licensed home health agencies or in-home services providers contracting with the Missouri Department of Health and Senior Services must register regardless of hire date. Families and other employers may contact the Registry to obtain a background screening, at no cost, by calling the toll-free call center or by mailing or faxing the form. Eligible providers may request background screenings via a secure internet account.

How the Registry Works

The Department of Health and Senior Services (DHSS) created an electronic interface with the data systems maintained by the State Highway Patrol, Department of Social Services, Department of Mental Health, and various units within the Department of Health and Senior Services. Those wishing to hire a child care, elder care or personal care worker may contact the Registry via a toll-free call center, by FAX, by mail, or by approved Internet access, to obtain background screening information about a caregiver, which includes:

Workers Required to Register

A caregiver who fails to submit a completed registration form to the FCSR within 15 days of beginning employment may be guilty of a class B misdemeanor. Those required to register include employees of:

Workers Not Required to Register

How to Register

A person may register two ways:

Requesting Background Information

FCSR screenings contain Missouri data only. Eligible employers may request background information in three ways:

Registrant Notification

The registrant will be notified in writing each time an employer requests information about them from the Registry. It is the responsibility of the registrant to contact the FCSR with any change in name or contact information. The notification will contain the name and address of the business or person making the request and the background information released.