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476 4290-5 DOH Background Committee Chair for submission to the DOH Commissioner or Designee for the final determination and signature. When the timeframe for the barrier is less than permanent and the CCPO’s recommendation is to approve or approve with conditions, the DOH Background Variance Review Committee Chair submits their recommendation directly to the DOH Commissioner or Designee for signature without review by the Background Variance Review Committee. The DOH Commissioner or Designee makes the final determination which may be different than the DOH Background Variance Review Committee’s or Public Assistant Analyst II’s or Program Coordinator II’s recommendation and conditions. A variance becomes approved once the DOH Commissioner or their Designee signs the variance determination. The DOH Background Variance Review Committee Chair sends the provider the Variance Decision signed by the DOH Commissioner or Designee and copies the CCPO’s DOH Background Variance Committee’s representative. The CCPO’s DOH Background Variance Review Committee representative will enter a case note in the provider’s case in the Integrated Child Care Information System (ICCIS) of the decision once received, forward a copy to the assigned Child Care Assistance Program (CCAP) Designee, retain an electronic copy in the CCPO shared drive, and update the information in the Variance Tracking Spreadsheet. When the variance is granted, within one (1) business day of receiving the determination from the CCPO’s DOH Background Variance Committee’s representative, the Designee will update the individual’s background result information in the Staff/HH screen of the ICCIS to reflect PASS W/VARIANCE. VARIANCE DECISION NOTIFICATION AND POSTING The Department of Health (DOH) Background Variance Review Committee Chair sends the provider the official notification for all variances pertaining to background barriers. No later than the business day following receipt of the DOH official