I work for a non-profit organization and we have clients that are elderly and also clients that are brain injured. All new hires in any of our programs are checked through the Colorado Bureau of Investigation website, then fingerprinted. Once we submit the fingerprints to the CBI for a more thorough check, they notify us if any arrests are on record (whether or not the arrests have shown on the website) and they will also notify us of any future arrests.
Our elder care program is federally and state regulated and stipulates that NO ONE with ANY criminal history may be employed in the program, direct care or not. Although we trust the fingerprints, we have also implemented re-checking the CBI website annually (in January, just to make it easy.) The regulations make it pretty easy to decide what to do with someone who ends up with a criminal record. In our other programs, we would take their work history (quality and length of employment) and nature of the offense into consideration if we were notified of any future arrest.