Christina Johnson

a. Gives careful supervision at all times. c. Give consistent, dependable care and be capable of handling emergencies **Upon arrival to the home, the provider was alone with 11 children. Discussion occurred regarding the number of children and asked about her assistant. The provider reported that the assistant should be at the home soon. When the assistant arrived, there were 4 other children with the assistant. Compliance staff had to clarify with the provider if the children who were with her assistant were to be in her care. It was determined that the provider is the identified caregiver and not the assistant. Compliance staff gained all of the ages of the children in care at that time....

“c” In addition to the eight children not in school, no more than four children who attend school may be present **The provider had 15 children in the home at the time of inspection. Discussion held regarding the ages of the children and the limitations of the Category B registered home. The provider reported that three children were a drop-in for care on this date. The provider was over numbers at the time of the 2023 compliance check. On that date, compliance staff witnessed a teenage child walk four children out of the back door of the childcare home. The provider had reported that her granddaughter had stopped by for a few minutes to visit with children the granddaughter was visiting....

Check with the appropriate authorities to determine how the following local, state, or federal laws apply to you: • Zoning code • Building code • Fire code • Business license • State and federal income tax • Unemployment insurance • Worker’s Compensation • Minimum wage and hour requirements • OSHA • Americans with Disabilities Act (ADA).Walnut Street, Des Moines, IA 50319-0114

Limit. Except as provided in subrule 110.6(3), no greater number of children shall be received for care at any one time than the number authorized on the registration certificate.

Limit. Except as provided in subrule 110.6(3), no greater number of children shall be received for care at any one time than the number authorized on the registration certificate.

The provider shall meets the following requirements: a. Gives careful supervision at all times. b. Exchange information with the parent of each child frequently to enhance the quality of care. c. Give consistent, dependable care and be capable of handling emergencies d. Be present at all times except when emergencies occur or an absence is planned, at which time care shall be provided by a department-approved substitute. When an absence is planned, the provider shall give parents at least 24 hours’ prior notice. e. Shall be free of the use of illegal drugs and shall not be under the influence of alcohl or any of the prescription or non-prescription drug that could impair their ability to...

“ a” The home shall have a nonpay, working land-line or mobile telephone with emergency numbers posted for police, fire, ambulance, and the poison information center. The number for each child’s parent, for a responsible person who can be reached when the parent cannot, and for the child’s physician shall be written on paper and readily accessible by the telephone. The home must prominently display all emergency information, and all travel vehicles must have a paper copy of emergency parent contact information

“a” The number for each child’s parent, for a responsible person who can be reached when the parent cannot, and for the child’s physician shall be written on paper and readily accessible by the telephone. The home must prominently display all emergency information **The provider does not have a listing of the emergency numbers posted in her home, she reported they are all in her phone.

A provider file is maintained and shall contain the following:Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director

An individual file is maintained for each staff assistant and contains: 1. 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 2. 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...

An individual file is maintained for each staff assistant 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. **The provider reported that the assistant has taken this training. When asked, the assistant could not remember the date she took it. The provider will need to get a copy for the file.

Children’s Files. An individual file for each child shall be maintained and updated annually or when the provider becomes aware of changes. The file shall contain: a. Identifying information including, at a minimum, the child’s name, birth date, parent’s name, address, telephone number, special needs of the child, and the parent’s work address and telephone number. b. Emergency information including, at a minimum, where the parent can be reached, the name, street address, city and telephone number of the child’s regular source of health care, and the name, telephone number, and relationship to the child of another adult available in case of emergency. c. A signed medical consent from the...

Children’s Files. A signed medical consent from the parent authorizing emergency treatment. **Compliance staff observed three files of children in care. None of the files has an emergency consent to treat form.Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director The provider reported that she was not aware of this form. Compliance staff looked at previous compliance reports and did not see notation that this provider did not have this information at a previous visit. Suggestions/Recommendations: If you have any questions regarding this letter, please contact...

“ e” If more than eight children are present at any one time for a period of more than two hours, the provider shall be assisted by a department-approved assistant who is at least 14 years old, unless extra children are present as a result of an emergency school closingWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director Findings:

“e” If more than eight children are present at any one time for a period of more than two hours, the provider shall be assisted by a department-approved assistant who is at least 14 years old, unless extra children are present as a result of an emergency school closing **Provider had nine children in the home during the compliance visit. **Compliance staff received a phone call upon entering the driveway of the childcare home. While on the phone, compliance staff saw a teenage girl and four children, preschool and possible young school age, leave the home by going out the back door. Also, while compliance staff was still speaking to another provider, a school aged child entered the front...

Check with the appropriate authorities to determine how the following local, state, or federal laws apply to you: • Zoning code • Building code • Fire code • Business license • State and federal income tax • Unemployment insurance • Worker’s Compensation • Minimum wage and hour requirements • OSHA • Americans with Disabilities Act (ADA).Walnut Street, Des Moines, IA 50319-0114

Limit. Except as provided in subrule 110.6(3), no greater number of children shall be received for care at any one time than the number authorized on the registration certificate.

“ b” (1) I-PoWeR records or certificates verifying required training completion: Prior to registration: • minimum health and safety training, approved by the Department, in required content areas • Iowa’s Mandatory Child Abuse Reporter Training Prior to registration: First Aid and Cardiopulmonary resuscitation. Provider shall maintain a valid certificate indicating date of training and expiration date. During each two year registration period, the provider shall receive a minimum of 24 hours of training from approved content areas. A provider shall not use a specific training or class to meet minimum continuing education requirements more than one time every five years A provider who...