Handbook Revision, August 2, 2021

This revision of the Adult Protective Services Handbook was published on August 2, 2021. Summaries of new or revised items are provided below.

Certain Types of Caretakers and Alleged Perpetrators (PATS 13357)

This policy revision does the following:

  • Adds that abuse by certain types of alleged perpetrators may not be abuse if certain criteria are met.
  • Clarifies investigative authority of alleged perpetrators who are family members or have an ongoing relationship but are also paid by Medicaid.
  • Clarifies the finding of Valid/No Fault cannot be used when the alleged perpetrator is an employee of a HCSSA providing non-Medicaid services.


3220 Abuse Allegations


4221 Home and Community Support Services Agencies (HCSSAs)


8610 Allegation Disposition (Finding)

Decision-Making Trees – Client Death (PATS 13382)

Appendix IV, which consists of the decision-making trees for when a client dies during an investigation or during service delivery, has been revised to improve clarity and accessibility.

Appendix II has been retitled, but it has no other changes.


Appendix II: APS Decision-Making Trees – If the Client Is Conditionally Safe or Unsafe


Appendix IV: Client Death Decision-Making Trees – If the Client Dies

Expedited Desk Review for DFPS Employees (PATS 13452)

This handbook revision adds policy for expedited desk reviews involving DFPS employees, including the following:

  • Notification process for DFPS employees.
  • Time frame to request and conduct an expedited desk review.
  • Consequences for dispositions of an expedited desk review.


15100 Desk Review


15200 Expedited Desk Review for DFPS Employees

15210 Notification of Findings to a DFPS Employee

15220 Timely Request for an Expedited Desk Review

15230 Consequences of Expedited Desk Review Dispositions

15300 15200 Due Process for Non-EMR (Employee Misconduct Registry) Cases

15310 15210 Emergency Release of Findings in Non-EMR Cases

15320 15220 Notification of Intent to Release Findings in Non-EMR Cases

15330 15230 Administrative Review in Non-EMR Cases

15331 15231 Requesting an Administrative Review in Non-EMR Cases

15332 15232 Conducting an Administrative Review in Non-EMR Cases

15340 15240 Release Hearings for Non-EMR Cases

15341 15241 Notification of Judge’s Decision

15350 15250 Release of Findings in Non-EMR Cases

15351 15251 Release of Findings to HCSSAs and Adult Foster Care Homes

15352 15252 Release of Findings to Professional Licensing Boards, Commissions, and Other Agencies

15400 15300 Employee Misconduct Registry (EMR)

15410 15310 EMR Eligibility

15411 15311 EMR-Eligible Employee

15412 15312 Reportable Conduct

15420 15320 Required Information for EMR-Eligible Investigations

15421 15321 Entering the EMR Information in IMPACT

15430 15330 Management Review of EMR-Eligible Investigations

15440 15340 Role of the EMR Coordinator

15450 15350 Notifications of Findings in EMR-Eligible Cases

15451 15351 Notice of Findings to Employer

15452 15352 Notice of Findings to Employee (Designated Perpetrator)

15460 15360 Request for EMR Hearing

15470 15370 EMR Hearing Process

15471 15371 Schedule Changes for a Hearing

15472 15372 Withdrawal of Request for a Hearing

15473 15373 Failure to Appear for a Hearing

15474 15374 Decision of Administrative Law Judge (ALJ)

15475 15375 Rehearing

15476 15376 Judicial Review

15477 15377 Placement of Sustained Perpetrators on the EMR

15500 15400 Cases Involving School Personnel

15510 15410 Request for Administrative Review by School Personnel (Designated Perpetrator)

15520 15420 Administrative Review in School Cases

15530 15430 Notification of Final Findings for School Personnel