Lori Stamp and Abigail Arndt

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

“ a” A physician’s examination report for the provider and all members of the provider’s household aged 18 years or older. Acceptable physical examinations shall be documented on Form 470- 5152, Child Care Provider Physical Examination Report. All children residing in the household must have medical documentation outlined in 110.9(4) “d”, 110.9(4) “f”, and 110.9(4) “g” Findings:

a. Household physicals: Jerry Suggestions/Recommendations: I encourage you to work with Child Care Resource and Referral for ongoing child care needs. Alicia Wagner Child Care Consultant Child Care Resource & Referral of Southeast Iowa Community Action of Eastern Iowa awagner@caeiowa.org T: 319-538-8464 500 E 59th St.| Davenport, IA 52807| www.iowaccrr.orgWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director Corrective Action Required: Lori needs updated physical for household member Jerry documented on required HHS form 470-5152, Child Care Provider Physical...

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

“ 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

h Smoke Detectors Lori needs to test smoke detectors monthly and document the date and time of the test. Two years of testing records should be kept.

“a” A safe outdoor play area shall be maintained in good condition throughout the year. The play area shall be fenced off when located on a busy thoroughfare or near a hazard which may be injurious to a child, and shall have both sunshine and shade areas. The play area shall be kept free from litter, rubbish, and flammable materials and shall be free from contamination by drainage or ponding of sewage, household waste, or storm water.

a Outdoor Space - Is kept free from litter, rubbish, and flammable materials. Lori needs to remove the lawn mower, red gas tank, gas metal can on picnic table, LP tank, and gas generator from outside the back basement door

“d” The provider shall establish procedures related to infectious disease control and handling of any bodily excrement or discharge, or blood. Soiled diapers shall be stored in containers separate from other waste.

“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.

a Fire Drills and Tornado Drills Lori needs to practice and record monthly fire drills and tornado drills. Two years worth of records need to be retained in the file.

FilesWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director

“ a” A physician’s examination report for the provider and all members of the provider’s household aged 18 years or older. Acceptable physical examinations shall be documented on Form 470- 5152, Child Care Provider Physical Examination Report. All children residing in the household must have medical documentation outlined in 110.9(4) “d”, 110.9(4) “f”, and 110.9(4) “g”

“ 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...

“a” 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 at least every three years. 3. Certification of two hours of approved training related to identification and reporting of child abuse as required by Iowa Code...

a Provider Files -- Physicals Lori, Gerald, and Abigail need to have physicals completed by an approved medical provider (MD, DO, PA, or ARNP). This will need to be recorded on form 470-5152 Child Care Provider Physical Examination Report.

An individual file is maintained for each substitute and contains: 1. Documentation from the department confirming the record checks required under

b Provider Files for a Substitute -- Physical Doria needs to have physical completed by an approved medical provider (MD, DO, PA, or ARNP). This will need to be recorded on form 470-5152 Child Care Provider Physical Examination Report.

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...

e, g Child Files Annual Physicals - KM(5), CO (3) Annual School Aged Health Form AC(12) Immunizations CO(3) Suggestions/Recommendations: Lori's files were very organized! Keep up the great work on this!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 Corrective Action Required: An in-person follow up appointment will not be necessary; however, Lori will need to send photo documentation of completed items via email or text message to Tammi Herbst at therbst@dhs.state.ia.us or 563-590-1536 no later then March 3, 2023. If Lori would prefer an in-person...

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

“ 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” (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...

“b” (1) Lori needs to find her two hours of approved child abuse and neglect mandatory reporter training certificate and place in her file. Suggestions/Recommendations: Please contact your Child Care Resource and Referral (CCR&R) worker, Alicia Wagner at 319-538-8464 if you need any assistance. Corrective Action Required: Please ensure your findings are corrected by this date August 30, 2022 to avoid cancellation of your Child Care Development Home Registration. Please correct all findings by the deadline by sending clear pictures to this worker via email or text messages on my phone. Please contact this worker if you have any questions or need more time. Non-compliance with any of the...