Well, this isn't the first time I've changed my mind about something after further research and logical points.
That said, I'm not sure a complete background check would be required. We're getting further and further with technology, and something like a fingerprint check against all 50 states' sex offenders databases would suffice. Using fingerprints (or even DNA) would prevent people from slipping through by changing their names.
Annually would probably be too often, but I can see requiring it initially and every 3 years (an arbitrary figure) thereafter.
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