Cited finding

Documentation from the department confirming the record checks required under subrule 110.11(3) have been completed and authorizing or conditionally limiting the person’s involvement with child care

Correction status not published

Cited finding

A completed Form 470-5152, Child Care Provider Physical Examination Report. The examination shall include any necessary testing for communicable diseases; a discussion of recommended vaccinations; completed no more than six months prior to approval to assist or be a household member; completed by a licensed medical doctor, doctor of osteopathy, physician assistant or advanced registered nurse practitioner; and repeated at least every three years.

Correction status not published

Cited finding

Certification of two hours of approved training related to identification and reporting of child abuse as required by Iowa Code section 232.69 within 3 months of employment. Findings: Per our 4/25/2023 spot check visit, the following correction needs to be made as described in the policy section above:

Correction status not published

Cited finding

You need to obtain current certification in completion of the Mandatory Reporter training for your assistant Myranda to have on file. Suggestions/Recommendations: I encourage you to work with Anna Schmitz from Child Care Resource and Referral with any ongoing compliance or training needs. Anna can be reached at: (319) 267-2644 470-5431 (Rev. 8/17) 1305 E. Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Adam Gregg Kelly K. Garcia Governor Lt. Governor Director Corrective Action Required: The above correction needs to be in place by 7/21/2023. No re-check is planned at your home. I will review the correction during your next visit. Non-compliance with any of the mandated requirements listed above may lead to the cancellation or revocation of your Child Development Home Registration. Please take whatever steps are necessary to completely address each of the violations noted above. It is essential you correct all above-mentioned violations. Please do not hesitate to contact me at DHS at (515) 291-0008 if you have any questions regarding this letter. Sincerely, Earl Crow Social Worker II Sheila Aunspach Social Work Supervisor Always Remember: Child Care Resource and Referral is an excellent resource for providers to access training options and support in your area. You can reach Child Care Resource and Referral at 877-216-8481 As you plan your future trainings to meet your 24 hours of training requirement, please remember that you can access the approved training by going to http://www.dhs.state.ia.us/Consumers/Child_Care/Professional_Development.html You may also access training at: https://ccmis.dhs.state.ia.us/trainingregistry/ All providers need to maintain compliance with rules set out in Iowa Administrative Code, Chapter 110, which includes: 441 IAC 110.5(1): Check with the appropriate authorities to determine how the following local, state, or federal laws apply to you: • Zoning code • Building code • Fire code •

Cited finding

Each dog or cat in the household shall undergo an annual health examination by a licensed veterinarian. Acceptable veterinary examinations shall be documented on Form 470-5153, Veterinary Health Certificate. This examination shall verify that the animal’s routine immunizations, particularly rabies, are current and that the animal shows no evidence of endoparasites (roundworms, hookworms, whipworms) and ectoparasites (fleas, mites, ticks, lice).

Correction status not published

Cited finding

Each pet bird in the household shall be purchased from a dealer licensed by the Iowa department of agriculture and land stewardship and shall be examined by a veterinarian to verify that it is free of infectious diseases. Acceptable veterinary examinations shall be documented on Form 470-5153, Veterinary Health Certificate. Children shall not handle pet birds.

Correction status not published

Cited finding

Aquariums shall be well maintained and installed in a manner that prevents children from accessing the water or pulling over a tank.

Correction status not published

Cited finding

All animal waste shall be immediately removed from the children’s areas and properly disposed of. Children shall not perform any feeding or care of pets or cleanup of pet waste.

Correction status not published

Cited finding

No animals shall be allowed in the food preparation, food storage, or serving areas during food preparation and serving times 441 IAC 110.8(3) Medications and Hazardous Materials 470-5431 (Rev. 8/17) 1305 E. Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Adam Gregg Kelly K. Garcia Governor Lt. Governor Director 441 IAC 110.8(3)“b” A first-aid kit shall be available and easily accessible whenever children are in the child development home, in the outdoor play area, in vehicles used to transport children, and on field trips. The kit shall be sufficient to address first aid related to minor injury or trauma and shall be stored in an area inaccessible to children. The kit shall, at a minimum, include adhesive bandages, bottled water, disposable tweezers, and disposable plastic gloves. 441 IAC 110.9 Files 441 IAC 110.9(1) A provider file is maintained and shall contain the following: 441 IAC 110.9(2) An individual file is maintained for each staff assistant and contains: