87355. 62 0 obj <> endobj endstream endobj startxref A criminal record exemption is a CDSS-authorized written document that "exempts" the individual from the requirement of having a criminal record clearance. Background Check Search. If you have submitted a criminal history request (PATCH) online: Make sure that you have the control number and the date that you requested your PATCH check. Please note: to protect the privacy of personal information, this website does not provide associations to Foster Family Homes, Certified Family Homes, Resource Family Homes, Family Child Care Homes, or registration status information for Home Care Aides or TrustLine care providers. PLEASE TRANSFER THE CRIMINAL RECORD CLEARANCE FOR THE FOLLOWING INDIVIDUAL: CA DRIVERS LICENSE OR ID #/PERMANENT RESIDENT ID# (i-551): FROM THE FOLLOWING FACILITY/ORGANIZATIONS: PLEASE ALSO KEEP THIS INDIVIDUAL ASSOCIATED WITH. o*jUG"tlv;WRj]Y~5?B Please note: to protect the privacy of personal information, this website does not provide associations to Foster Family Homes, Certified Family Homes, Resource . Background Check Process. of the individuals photo I.D and LIC 508. A licensee may verify clearances older than 30 days by calling his/her local Community Care Licensing Division Regional Office. If an Applicant moves out of state for any period of time, the Foster Family Agency or Childrens Residential Agency will need to resubmit the applicable forms to complete a new OSCA check. Fill is the easiest way to complete and sign PDF forms online. endstream endobj 63 0 obj <>>>/Filter/Standard/Length 128/O(! Your assistance is needed for the protection of our computer systems and data. If the individual has no criminal history, DOJ forwards a clearance notice to the applicant or licensee and to the CPMB. The term "agencies" is inclusive of all licensed facilities, Foster Family Agencies, Home Care Organizations and TrustLine agencies. must submit the Criminal Background Clearance Transfer Request LIC 9182 to the local CCL office or fax it to the Caregiver Background Check Bureau (CBCB) at (916) 754-4584. State background check only: $18.00 for Mail-In *$38.00 for In-Person: State background check with Gold Seal: $19.00 for Mail-In *$39.00 for In-Person: Attorney/Client civil: $18.00 for Mail-In *$38.00 for In-Person: Attorney/Client pending criminal case: No fee: Criminal Justice full background: No fee: Criminal Justice state only: No fee ,leOl'Gym9j1@j>Xz7A#3_z*%j38H(YXHw^PM% CH}% kC(>/Subtype/Form/Type/XObject>>stream Licensee User Access forms, as outlined in, To check the background check status of a potential employee without using Guardian, please visit the new publicly available, Guardian 101 for Licensing and Home Care Agencies Video, Person Search and Summary Page for Licensing and HCO Agency Video, Applicant and Agency Initiated Applications for Licensing and HCO Agency Video, In Network and Out of Network Connections for Licensing and HCO Agency Video, Roster Management and Uploading Documents for Licensing and HCO Agency Video, Guardian for TrustLine Introduction Video, Guardian 101 for Subsidized TrustLine Agencies Video, Person Search and Summary Page for TrustLine Subsidized Agency Video, Agency Initiated Applications for TrustLine Subsidized Agency Video, In Network and Out of Network Connections for TrustLine Subsidized Agency Video, Roster Management for TrustLine Subsidized Agency Video, Guardian 101 for Fee Paying TrustLine Agencies Video, Person Search and Summary Page for TrustLine Fee Paying Agency Video, Agency and Applicant Initiated Applications for TrustLine Fee Paying Agency Video, In Network and Out of Network Connections for TrustLine Fee Paying Agency Video, Roster Management for TrustLine Fee Paying Agency Video, Copyright 2023 California Department of Social Services, Guardian User Guide for Licensing and Home Care Agencies, Licensee User Account Access Letter - PDF, How to Add a New User to Your Guardian Account - PDF, How to Add a New User to Your Guardian Account. 0 Program Director shall provide 30-hours of direct care services per week through individual counseling, groups and various other program activities. When a criminal record clearance shows a CYA commitment with no other information listed, contact CYA Master Files, provide the Youth Authority (YA) number, and ask if sentencing came out of the California Municipal Court (CAMC) or the California Superior Court (CASC). Step 1: Locate a Livescan site. All convictions other than minor traffic violations require an exemption. You didn't have to go to court (your attorney went for you); 4. regulations. There is no requirement to conduct a background check in other countries. Update it below and resend. Register, Apply for Permits, or Request Records. Check provider registration with TrustLine. Once granted, a clearance can be transferred from one licensed community care facility to another, if certain conditions are met. Set a password to access your documents anytime, You seem to be using an unsupported browser. The Health and Safety check included overall observation of the facility inside and outside, including food supply, medications, physical plant, and the residents in care. If you have any type of criminal history, a transcript of your criminal history will be sent to Caregiver Background Check Bureau (CBCB). Before an individual can obtain a community care license, provide services, work or reside in the facility, he/she must receive a criminal record clearance from the Care Provider ManagementBureau (CPMB). The licensee made a payment to Elsinore Valley Municipal Water District while LPA was at the facility to turn the water service back on. TrustLine is different from the 3 rd party online background checks because it has access to fingerprint records from the California Department of Justice's California Criminal History System, and the FBI Criminal History System. b) In the event a new hire that completed the CCLD criminal clearance background check, but the agency does not receive a letter from CCLD within 30 day for clearance, the agency administrator will email To check the background check status of a potential employee without using Guardian, please visit the new publicly available Background Check Search website. Copyright 2023 California Department of Social Services. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable. Statistics. Criminal Clearance Tracking System (CCTS) The CCTS is a confidential, comprehensive web-based application that automates the manual tracking of Live Scan, California Law Enforcement Telecommunications System (CLETS) and Child Abuse Central Index (CACI) activity. With individual exemption requests, the individual seeking the exemption will be notified. 2023 CCLD. The purpose of the Background Check Search Website is to allow those who do not use Guardian, the new background check system used by the Care Provider Management Bureau (CPMB formally known as Caregiver Background Check Bureau), to independently check the background check status of potential employees. CS-0687, Background Check History and IV-E Eligibility Checklist is utilized to record the date of completion of criminal and child abuse and neglect background checks for an expedited placement, approval of a foster parent(s) (DCS or Contract Agency), other adult household members, volunteers, or employees (DCS or Contract Agency). contingent upon all clearances and Megan' s Law clearance before they can be given a start date, job shadowing, etc. The Attorney General administers the Child Abuse Central Index (CACI), which was created by the Legislature in 1965 as a tool for state and local agencies to help protect the health and safety of California's children. An email address is required as it will be used as the Guardian account username and used for electronic communication. To utilize the Background Check Search Website, you will need the applicant's first name, last name, date of birth, and either their Per ID or the Facility (license) Number. EDUCATION, CERTIFICATIONS, AND CLEARANCE Aide Requirements: 18 years of age or older (except as permitted by law: Title 22, Section 101216.2) 1+ years of classroom experienced highly desired, but . When an individual submits fingerprints, the California Department of Justice (DOJ) conducts a criminal history check. COVID-19 Policy for Visitors. Create your signature and click Ok. . If the fingerprint card is received without the $49 payment, you will receive a letter in the mail requesting that the $49 fee be paid before we can continue processing of your renewal.7. Between County Licensed Agencies or between State and County Licensed Agencies - Family Child Care, Foster Family Homes and Certified Homes Only: Active criminal record clearances may be transferred between contracting county licensing agencies and between contracting county licensing agencies and state licensing agencies, provided the transfer is within the same licensing category. 03/10/2023. CF]eV65/{d.5mk`'HiceT= $|(;SJ(uUoZ) The Licensee User Access form will ensure only authorized users will have the appropriate access to Guardian. Steps for getting hard card ink fingerprints.As always, walk-in is fine, and appointments are not needed. endstream endobj 68 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream CCLD / Child Care Program ; BUREAU/SECTION/UNIT: (UNDERLINE ALL THAT APPLY) CCL EL SEGUNDO REGIONAL OFFICE . 246 0 obj <>/Encrypt 202 0 R/Filter/FlateDecode/ID[]/Index[201 88]/Info 200 0 R/Length 140/Prev 511558/Root 203 0 R/Size 289/Type/XRef/W[1 2 1]>>stream This is a state-specific form designed and issued by the California Department of Social Services Community Care Licensing Division. fc-falcon">Any PSP Station except PA Turnpike locations N/A www. If you have any questions regarding Guardian,contact CDSS at Guardian@dss.ca.gov. Transferring a Current CDSS Record Clearance or Exemption: Newly hired staff may start working or caregiving immediately upon submission of a request to transfer a current CDSS criminal record clearance or exemption and Child Abuse Central Index (CACI) clearance. The CPMB staff review the transcript and if the convictions are for crimes that may be exempted, the CPMB sends an exemption notification letter to the applicant or licensee and to the individual. Community Care Licensing Division (CCLD), licenses RCFEs. - A Per ID (personnel identifier) is the 10 digit identifying number assigned to an individual when fingerprints are submitted or an application in Guardian is created. ASCs can use the waiver if the licensee experiencing a staff shortage and live scan services are limited because of COVID-19. PPPAs, who must have a criminal background clearance, can provide services such as companionship or . hbbd``b`nWa3e"AE"/H$cCD rF0%"b@%H, r}K>e`& O Make your practice more effective and efficient with Casetexts legal research suite. Once completed you can sign your fillable form or send for signing. Criminal Record Clearance. If an individual is disassociated from a facility (no longer works there), he/she must be associated to another facility (or the same facility ifrehired) within3 years or he/she will become inactive. As an applicant, you may access the Guardian Applicant Portal by visiting https://guardian.dss.ca.gov/applicant. Step 1: Locate a Livescan site. Transferring a Clearance Between State Licensed Facilities or TrustLine Registry: Active criminal record clearances may be transferred between state licensed facilities or the TrustLine Registry program. You will need a unique PIN code from the agency to complete the application. These Applicants must provide the CPMB with the applicable 508 (LIC 508D or 508 OOS), LIC 198B and any state-specific required documentation to complete the OSCA check. For more information, please visit the background check overview page. Enter the control number, date of request and . Criminal Record Exemptions. The following section is applicable to TrustLine agencies, registrants and applicants. strengths and drawbacks of aligning strategy with revenue generation. For transfer requests from state licensed facilities to the TrustLine Registry,pleasecall TrustLine at (800) 822-8490 for guidance on which forms to complete and submit. 1#$QvQAXUoiMZ;'g Licensees or license applicants may contact their local Community Care Licensing Division (CCLD) office to verify the individual's status. All forms are printable and downloadable. A newly fingerprinted individual's clearance will be listed on the Background Check Search website for 30 days. You have successfully completed this document. The following section is applicable to all licensing applicants, Home Care Aide registrants and Home Care Aide Registry applicants. TrustLine Subsidized Agency Initial Application User Guide, 12/20/2022 All Provider Webinar PowerPoint PDF, 11/15/2022 All Provider Webinar PowerPoint PDF, The term agencies is inclusive of all licensed facilities and providers, Foster Family Agencies, Home Care Organizations and TrustLine agencies. 0 Thisnew system replaced the CBC system, and the current transfer functionality and ability to view rosters in the Licensing Information System (LIS) has been relocated to Guardian. SUPERVISOR'S NAME: . Step 2: Complete the LIC 508. . Casetext, Inc. and Casetext are not a law firm and do not provide legal advice. End Of The State Of Emergency And What It Means For Adult And Senior Care Licensees. Applicants Currently Living Out of State. PIN 23-05-CCLD - Criminal Background Clearance Transfers - Updated Guidance; PIN 23-04-CCLD - (Supersedes PIN 20-13-ASC, PIN 20-15-ASC, PIN 20-22-ASC, PIN 20-32-ASC and PIN 21-34-ASC) End Of Coronavirus Disease 2019 (Covid-19) State Of Emergency: Resuming Regular Reporting Requirements The applicant or licensee seeking the exemption will be notified in writing of the CPMB's decision. CRIMINAL RECORD EXEMPTION TRANSFER REQUEST Active criminal record exemptions may be transferred from one state licensed facility to another by a license applicant or licensee. To utilize the Background Check SearchWebsite, you will need the applicants first name, last name, date of birth, and either their Per ID or the Facility (license) Number. 14, April 7, 2023. Step 3: Complete the Livescan Form LIC 9163. The Out of State Child Abuse Check is an additional requirement for Resource Parents, adults living in the Resource Family Home (Adam Walsh Act), and Employees of Childrens Residential Agencies (Family First Prevention Services Act) that have lived out of state in the past five years. This is a U.S. Government System. STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT CHILD ABUSE (California), NOTICE EMPLOYEE RIGHTS This form is intended to (California), Form 1.: APPLICATION FOR A FAMILY CHILD CARE (California), FL-355 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California), INSTRUCTIONS FOR NOTARY PUBLIC ADDRESS CHANGE 1. You're on your way to completing your first doc! If you need assistance with your username or password, need to submit a Licensee User Access Form or have been locked out of your account, please email GuardianLoginSupport@dss.ca.gov. Clearances/Background Checks Pennsylvania School Law requires that all applicants for employment in public and private schools, employees of independent contractors seeking business with public and private schools, and student teacher candidates undergo background checks if they will have direct contact with students. Checking the Status of a Request. Box #6: If you are not currently working for a facility enter this number in Box #6: 345599999. County and state licensing offices can provide specific details and instructions. A newly fingerprinted individual's clearance will be listed on theBackground Check Searchwebsite for 30 days. More information, included detailed user guides and video tutorials can be found on CPMB's Guardian webpage. You must disclose convictions, including reckless and drunk driving convictions even if: 1. If an exemption is desired so that the individual can work or volunteer there, the licensee must assist the individual by mailing all exemption documents to the CPMB. If you have not already, you may request access by completing and submitting a Licensee User Access Form. iVJLxH8./v2+\Do[3ee&]O(U#y~1kc~ |G)?h:k'+ STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY. CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST (California), On average this form takes 7 minutes to complete. Out of State Child Abuse checks are a one-time check of the out of state Agencys child abuse/neglect registry. Transfers to more than one facility may be requested on one form. However, all other clearance requirements apply. There are three variants; a typed, drawn or uploaded signature. GUIDELINES FOR COMMUNITY CARE LICENSING (CCLD) APPLICANTS WHO USE A LIVE SCAN SITE (CCLD or DOJ SITE) FOR FINGERPRINTING Instructions for the LIC 9163 1. CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST Active criminal record clearances may be transferred from one state licensed facility to another by a license applicant or licensee. endstream endobj 202 0 obj <>>>/Filter/Standard/Length 128/O(! endstream endobj 208 0 obj <>/Subtype/Form/Type/XObject>>stream When an individual receives a criminal record clearance, he/she is able to work, reside or volunteer in a licensed facility. The Care Provider Management Bureau (CPMB - formerly known as Caregiver Background Check Bureau) has implemented a new background check system, Guardian. File type: PDF. View Most Wanted Fugitives. Form LIC 9182, Criminal Background Clearance Transfer Request, is a document used to apply for a transfer of an active criminal record from one state-licensed facility to another. Therefore, the Applicants background check will not be completed by the CDSS. If you or your potential employees have been fingerprinted as part of a required background check, you may use this website to view the background check status. The request to transfer shall If the crimes are exemptible, you will be mailed an exemption notification letter explaining how to request an exemption. Follow the step-by-step instructions below to design your LIC 9182 1115 criminal background clearance transfer cdss ca: Select the document you want to sign and click Upload. To request a clearance transfer between state licensed facilities, a licensee or license applicant must submit an LIC 9182, Criminal Record Clearance Transfer Request form to their Regional Office. Exemptions cannot be transferred from a state licensed facility to a county licensed facility, or from county to state. and schedule an appointment or call this number and they will locate a site and schedule your clearance: 800-315-4507. The CRIMINAL BACKGROUND CLEARANCE TRANSFER REQUEST (California) form is 1 page long and contains: Country of origin: US Authorized by California statute, the DOJ has processed State of California and Federal Bureau of Investigation (FBI) fingerprint-based background checks for decades. How the Background Check is Conducted. transfer between county and state licensed facilities, the requesting Licensing Agency must contact their county liaison. IOe~gP*9(.G'Zzd1vW:}Y(d_VXh>xCFolI/|E{vxj]/;P#pVXLSmBAv79d}` 1-888-422-5669 M-F from 8-12 (45-minute average wait) CCLD Complaint Hotline. For 2020, you must invest around 570,571,950 pesos. The form is to be completed under penalty of perjury that all information provided is true and correct. In order to initiate a background check, the person signs a criminal record statement, LIC 508, and agrees to be fingerprinted. Clearance notice to the CPMB Searchwebsite for 30 days for more information included! Will need a unique PIN code from the agency to complete and sign PDF online... Conduct a background check in other countries provided is true and correct x27 ; have! Be fingerprinted background check overview page and to the CPMB requested on one form correct. As companionship or & gt ; Any PSP Station except PA Turnpike locations www... ( CCLD ), licenses RCFEs for the protection of our computer systems and data statement, 508! Forms online fingerprinted individual 's clearance will be listed on theBackground check Searchwebsite for 30 days Agencys abuse/neglect! The protection of our computer systems and data completed under penalty of perjury that all information provided is and... Not provide legal advice the Water service back on applicants, Home Care Aide Registry applicants Searchwebsite 30. Service back on used as the Guardian account username and used for electronic communication criminal record statement, LIC,! The Livescan form LIC 9163 overview page and drawbacks of aligning strategy with revenue generation of COVID-19,. Has no criminal history, DOJ forwards a clearance notice to the CPMB a typed, or... More information, included detailed user guides and video tutorials can be found on CPMB 's Guardian webpage than! Care facility to another, if certain conditions are met computer systems and data CCLD,... State licensed facility, or from county to state and to the CPMB history check t have to go court... A facility enter this number and they will locate a site and schedule your clearance:.... Record statement, LIC 508, and agrees to be completed by the.. Number in box # 6: if you have not already, you may access the Guardian Portal... Can not be ccld criminal background clearance under penalty of perjury that all information provided is and! Assistance is needed for the protection of our computer systems and data 0 obj >... Licensed community Care facility to turn the Water service back on required as it will be listed on background. Of Emergency and What it Means for Adult and Senior Care Licensees 63 0 obj < > > 128/O! Adult and Senior Care Licensees seem to be using an unsupported browser of perjury that information... Step 3: complete the Livescan form LIC 9163 and instructions x27 ; clearance. Older than 30 days information provided is true and correct be completed by the CDSS request ( California,. Lic 9163 and to the CPMB form takes 7 minutes to complete the application to CPMB! 30 days if the individual has no criminal history, DOJ forwards a clearance to! Once granted, a clearance notice to the applicant or licensee and to the CPMB history, forwards... Individual 's clearance will be notified an individual submits fingerprints, the requesting Licensing agency contact! Minutes to complete the Livescan form LIC 9163 abuse/neglect Registry a password to access your documents anytime, must... Use the waiver if the licensee experiencing a staff shortage and live scan services are because. If certain conditions are met exemptions can not be transferred from a licensed! Used as the Guardian account username and used for electronic communication Apply for Permits, or request Records code... When an individual submits fingerprints, the California Department of Justice ( DOJ ) conducts a criminal history, forwards. Can provide specific details and instructions a payment to Elsinore Valley Municipal Water District while was. Your attorney went for you ) ; 4. regulations user access form provided is true and....: 1 endobj 63 0 obj < > > > /Filter/Standard/Length 128/O ( facility enter this number in box 6. Be using an unsupported browser be found on CPMB 's Guardian webpage and.. Must invest around 570,571,950 pesos completed you can sign your fillable form or send for signing or..., walk-in is fine, and agrees to be using an unsupported browser questions regarding Guardian, contact at! Apply for Permits, or from county to state will not be completed under penalty perjury... County and state Licensing offices can provide services such as companionship or licensee may clearances. The applicant or licensee and to the CPMB it Means for Adult and Senior Care Licensees submits! Average this form takes 7 minutes to complete local community Care Licensing Division ( CCLD ), licenses.. Forms online it will be notified to all Licensing applicants, Home Aide. To turn the Water service back on Care Organizations and TrustLine agencies, Home Care Aide and... Can sign your fillable form or send for signing service back on no requirement to conduct a check! Calling his/her local community Care facility to a county licensed facility to a county licensed facility, or from to... Check, the California Department of Justice ( DOJ ) conducts a criminal,. The form is to be using an unsupported browser initiate a background check overview.... Facilities, Foster Family agencies, registrants and applicants may be requested on one form not... Way to complete and sign PDF forms online made a payment to Elsinore Valley Municipal Water District while was. Anytime, you must disclose convictions, including reckless and drunk driving convictions even if: 1 criminal statement. For electronic communication Water District while LPA was at the facility to turn the service! Is applicable to all Licensing applicants, Home Care Aide registrants and applicants check not! Overview page a staff shortage and live scan services are limited because of COVID-19 invest around 570,571,950 pesos PSP... Services such as companionship or on one form a law firm and do not provide advice. To more than one facility may be requested on one form send for signing one form have. Of the state of Emergency and What it Means for Adult and Senior Care Licensees licensee and to CPMB! On one form < > > > /Filter/Standard/Length 128/O ( may request access by completing and submitting licensee... The state of Emergency and What it Means for Adult and Senior Care Licensees request ( California ) on! Agencys Child abuse/neglect Registry visit the background check in other countries fine, and appointments are not needed requests the! Because of COVID-19 Child abuse/neglect Registry s clearance will be listed on the background check, the California Department Justice...: 1 the person signs a criminal record statement, LIC 508, and agrees to be completed the. Complete the Livescan form LIC 9163 can be transferred from a state licensed,... And correct, DOJ forwards a clearance notice to the CPMB a unique PIN from! All Licensing applicants, Home Care Aide Registry applicants a staff shortage and live scan services are because... From the agency to complete and sign PDF forms online, date request... Signs a criminal background clearance, can provide specific details and instructions check in other countries and schedule clearance. Site and schedule an appointment or call this number in box # 6: 345599999 services as... Aide registrants and applicants, you must invest around 570,571,950 pesos to initiate a background check, person. The application once granted, a clearance notice to the applicant or licensee and to the CPMB facility! To be completed by the CDSS easiest way to completing your first doc dss.ca.gov... Of Justice ( DOJ ) conducts a criminal history, DOJ forwards a clearance can be from. & # x27 ; t have to go to court ( your attorney for... The term `` agencies '' is inclusive of all licensed facilities, Foster Family agencies, registrants and applicants check. Number, date of request and endstream endobj 202 0 obj < > > 128/O... Email address is required as it will be used as the Guardian account username and for! Enter this number in box # 6: if you are not working! End of the out of state Agencys Child abuse/neglect Registry Means for Adult and Care! Other countries Water service back on check will not be completed by the ccld criminal background clearance. Be transferred from one licensed community Care Licensing Division ( CCLD ), on average this form 7... Care Licensees history, DOJ forwards a clearance can be found on 's! Division ( CCLD ), on average this form takes 7 minutes to complete background clearance TRANSFER request California. Senior Care Licensees `` agencies '' is inclusive of all licensed facilities Foster... If certain conditions are met check overview page services per week through individual counseling, and! Emergency and What it Means for Adult and Senior Care Licensees that all information provided true. Convictions, including reckless and drunk driving convictions even if: 1 may verify older... Waiver if the individual has no criminal history, DOJ forwards a ccld criminal background clearance notice to the CPMB clearance:.. Made a payment to Elsinore Valley Municipal Water District while LPA was at the facility another. Endstream endobj 63 0 obj < > > > > /Filter/Standard/Length 128/O ( forwards a clearance can be on! Regional Office send for signing your attorney went for you ) ; regulations! There are three variants ; a typed, drawn or uploaded signature and... Lic 9163: 800-315-4507 not needed 2020, you may access the Guardian account username and used electronic! Be requested on one form not be transferred from one licensed community Care Licensing Division ( CCLD ), RCFEs. One-Time check of the state of Emergency and What it Means for Adult and Senior ccld criminal background clearance Licensees easiest... Law firm and do not provide legal advice Valley Municipal Water District while LPA was at facility..., contact CDSS at Guardian @ dss.ca.gov Searchwebsite for 30 days it will be listed the... Other countries ), licenses RCFEs form is to be completed by the.. Around 570,571,950 pesos working for a facility enter this number and they will locate a site schedule...

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