Megan Suckow

"a" The provider shall follow safe sleep practices as recommended by the American Academy of Pediatrics for infants under the age of one. a. Infants shall always be placed on their back for sleep. b. Infants shall be placed on a firm mattress with a tight fitted sheet that meets Consumer Product Safety Commission federal standards. c. Infants shall not be allowed to sleep on a bed, sofa, air mattress or other soft surface. No child shall be allowed to sleep in an infant seat, car seat, swing, bouncy seat, or items not designed for sleeping. d. No toys, soft objects, stuffed animals, pillows, bumper pads, blankets, or loose bedding shall be allowed in the sleeping area with the infant. e. No...

"a" The provider shall follow safe sleep practices as recommended by the American Academy of Pediatrics for infants under the age of one. f. Sleeping infants shall be actively observed by sight and sound. **During the conversation at your home, you discussed with compliance staff that you return to the main floor of your home during nap time. In part of this conversation, compliance staff discussed safe sleep protocols with you and the need to check on infants no longer than 30 minutes at a time during naptime. You reported to compliance staff that you utilize cameras and you can see each sleeping child in the room. Compliance further discussed the need to check on infants by personally...

“ a” The home shall have a minimum of 35 square feet of child-use floor space for each child in care indoors, and a minimum of 50 square feet per child in care outdoorsWalnut 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:

“a” The home shall have a minimum of 35 square feet of child-use floor space for each child in care indoors, and a minimum of 50 square feet per child in care outdoors **While compliance staff was present in the childcare area, compliance staff recommended the removal of some of the items you have in the area for play. There is only a narrow path around the table/eating area. Compliance staff observed children trying to play with a cozy coupe, but they were unable to get all the way around the table. You had an exo-saucer presumable for the infant in your care for playtime. But this blocked the ability of the children to go all the way around the table. You stated that extra toys are needed...

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

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...

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 Findings:

“h” The home shall have at least one single-station, battery-operated, UL-approved smoke detector in each child-occupied room ** Provider needs to have a smoke detector placed in the basement room where the younger children nap. Suggestions/Recommendations: This should be placed in the room by June 10, 2023. Once this is in place, please text a picture of the room and the smoke detector to 712-435-0576. Corrective Action Required: Please reach out to compliance staff with any questions.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 Non-compliance with...