Jackelyn Hansen

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

“ n” Providers shall inform parents of the presence of any pet in the home. 1. 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). 2. 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...

“n” Providers shall inform parents of the presence of any pet in the home. 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. **The last documentation of when the two pets were last in for veterinary checks was January 2023.

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. TheWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director examination shall include any necessary testing for communicable diseases; a discussion of recommended vaccinations; completed no more than six months prior...

An individual file is maintained for each staff assistant **The provider currently has five assistants listed on her registration. One assistant is reported to have not started. Two of the assistants are no longer in the area.

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. An admission physical examination report signed by a licensed physician or designee in a clinic supervised by a licensed physician The date of the physical examination shall not be more than 12 months before the child’s first day of attendance For children under the age of 6, a statement of health condition signed by a physician or designee submitted annually A signed and dated immunization certificate provided by the state department of public health. Suggestions/Recommendations: If you have any questions regarding this letter, please contact compliance staff. Your CCR&R representative is Kelly Phelps. Her contact number is 515-802-7292. Corrective Action Required: In...

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

Substitutes. The provider shall assume responsibility for providing adequate and appropriate supervision at all times when children are in attendance. Any designated substitute shall have the same responsibility for providing adequate and appropriate supervision. Ultimate responsibility for supervision shall be with the provider a. All standards regarding supervision and care of children apply to substitutes. b. Except in emergency situations, the provider must inform parents in advance of the planned use of a substitute. c. The substitute must be 18 years of age or older. d. Use of a substitute is limited to: No more than 25 hours per month. An additional period of up to two weeks in a...

Substitutes. e.The provider maintains a written record of the number of hours substitute care is provided, including the date and the name of the substitute. ** The provider has not documented any time that the substitute is in primary care of children. The provider reported that the substitute covers about 30 minutes on school days due to transportation.

“ h” The home shall have at least one single-station, battery-operated, UL-approved smoke detector in each child-occupied room and at the top of every stairway. Each smoke detector shall be installed according to manufacturer’s recommendations. The provider shall test each smoke detector monthly and keep a record of testing for inspection purposes

“b” When there is a swimming or wading pool on the premises: 1. A wading pool shall be drained daily and shall be inaccessible to children when it is not in use. 2. An aboveground or in-ground swimming pool that is not fenced shall be covered whenever the pool is not in use. The cover shall meet or exceed the ASTM InternationalWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director (formerly known as the American Society for Testing and Materials) specification intended to reduce the risk of drowning by inhibiting access to the water by children under five years...

“b” When there is a swimming pool **The provider does not have a swimming pool, but a hot tub that does have a locking cover. At the time of the compliance check, the locking cover was not locked. the provider reported that one of her children used the hot tub earlier this date and did not lock it.

“a” All medicines shall be secured from access by a child **Upon entry to the kitchen, there were prescription medications on a shelf next to a locking box for medications. The provider reported that some of her family members have medications and left them out.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 Suggestions/Recommendations: In regards to document substitute hours, compliance staff recommends that you start immediately documenting the day, start and end times that the substitute is covering for the provider. In regards to documentation of...

“a” Fire and tornado drills shall be practiced monthly and the provider shall keep documentation evidencing compliance with monthly practice on file for the current year and the previous year. Findings:

“a” Fire and tornado drills shall be practiced monthly and the provider shall keep documentation evidencing compliance with monthly practice on file for the current year and the previous year. **The provider did not have any documentation of drills or smoke detector checks for 2023.