8VAC20-770-110. Describing the contents of a waiver application.
A. The waiver application is a personally prepared application.
B. The waiver application must be submitted in typewritten form or neatly printed and must include:
1. A statement that the request was solely and personally prepared by the requester, or other adult living in a family day home, as applicable, and has not been edited or changed by anyone else. Exception: the document may be typed by another person;
2. A statement that the requester understands that the waiver will be available for inspection by the public and that the facility will provide a copy of the waiver to every parent and guardian if the waiver is granted;
3. A statement that the requester understands that information in the waiver application package will be made available by the Superintendent to any person upon request if the waiver is granted;
4. Personal and employment information;
5. If the request is for a family day home, all members of the household and their relationship to the requester;
6. A factual account of the crime of the person with the disqualifying conviction;
7. The current status and history with justice systems of the person with the disqualifying conviction;
8. Other information the person with the disqualifying background wants the superintendent to consider in evaluating the waiver request;
9. An explanation of why the waiver should be granted; and
10. Seven attachments:
a. A nonrefundable check, made payable to the "Treasurer of Virginia," for waiver application processing;
b. For the person with the disqualifying conviction:
(1) A "Current Employment and Employment History Form";
(2) A copy of the current sworn statement or affirmation;
(3) A copy of the current criminal history record report;
(4) A copy of all necessary documents verifying the person's statements regarding past and current involvement with adult or juvenile justice systems within or outside the Commonwealth;
(5) At least four references by disinterested individuals who will vouch for the "good moral character and reputation" of the person with the disqualifying conviction;
(6) The Sponsoring Agency Statement; and
(7) A notarized signature page.
C. If the waiver application is for another adult living in a family day home, the department conducts a home study to:
1. Assess the safety of children placed in the home; and
2. Determine that the offender is now a person of good moral character and reputation.
Statutory Authority
§§ 22.1-16 and 22.1-289.046 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 37, Issue 24, eff. July 1, 2021.