Melanie Buckner

“a” No more than eight children not attending kindergarten or a higher grade level shall be present at any one timeWalnut 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. Cat B number of children. Melanie had 1 over her allowed capacity today as she agreed to take a child due to an emergency. Melanie stated that this will not occur again and she has already discussed this with child's caregivers.

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.

“ 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. Pet records. Melanie has a new kitten in the home. Shots are up to date, but due to young age of kitten vet was unable to complete required for 470-5153 Pet Health Examination Veterinary Health Certificate. Appointment is scheduled for July to get this completed. Suggestions/Recommendations: Contact Alicia Wagner at CCRR for needed assistance with child care items. Alicia Wagner Child Care Consultant Child Care Resource & Referral of Southeast Iowa Community Action of Eastern Iowa awagner@caeiowa.org T: 319-538-8464 Corrective Action Required: A follow up visit will not be required however Melanie needs to follow allowed capacity at all times and needs to submit kitten's pet form by...

h A fire extinguisher needs to be installed at the top of the basement steps. 441 IAB 110.8(2)a There was some items in the play yard to be disposed of due to being cracked or broken. This includes: 2 plastic chairs, dump truck with crack on side, green tractor. The detached shed in back need to remained locked during daycare hours.

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

“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.

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...

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...

a, b ,c, d, g Registration / Emergency paperwork is needed for EL, VL, EO and ET Physical (date) is needed for ET Immunization signature and date is needed for BL Suggestions/Recommendations: Please feel free to contact me with any questions or concerns at 563-590-1536 Please continue to utilize CCRR as a support for your child care. Alicia Wagner can be reached at 319-538-8464. Child Care Nurse Consultant is Chris McClimon. She can be reached at 563-349-7024 Food Program can be reached at 319-338-7684 ext 109 Corrective Action Required: A follow up visit will not be needed. Documentation of this information can be emailed to this worker at therbst@dhs.state.ia.us. Please provide this...