Milestones LLC
Data last updated · May 2026
Quality Indicators
See Methodology →- Overall QualityCombines daily care quality (interactions, learning, environment) with structural features like staff-to-child ratios and teacher qualifications.2 / 5
- Process QualityThe quality of daily care — caregiver-child interactions, learning activities, and the emotional climate. Drawn from the state QRIS rating, accreditations, and Head Start CLASS observations.2 / 5
- Structural QualityMeasurable features like staff-to-child ratios, group sizes, license status, and teacher qualifications. Provider-level data when available; otherwise the state regulatory baseline.2 / 5
Why this rating
This daycare earned 2 out of 5 stars overall. Process quality reflects an Iowa Quality for Kids rating of IQ4K Level 1. Structural quality reflects Iowa's licensing baseline. Iowa caps infant ratios at 1:4, toddler ratios at 1:4, and preschool ratios at 1:12. Lead-teacher education isn't regulated. Teachers must complete 6 hours of annual training.
Quality Recognitions & Accreditations
- State Quality Rating
- Iowa Quality for Kids IQ4K Level 1 (Max 5) Learn more →
- Accreditations
- National Association for the Education of Young Children (NAEYC)Not Accredited
- National Accreditation Commission (NAC)Not Accredited
- National Early Childhood Program Accreditation (NECPA)Not Accredited
- National Association for Family Child Care (NAFCC)Not Accredited
Facility Info
- Facility type
- Family Child Care Home
- Age groups served
- Infants, Toddlers, Preschool, School-Age
- Licensed capacity
- Not Available
- Teacher-child ratios & group sizesState Minimum Displayed
Age Max ratio Max group Infants 1:4 Not Available Toddlers 1:4 Not Available Preschool 1:12 Not Available
Teacher Credentials
- Lead teacher credentialState Minimum Displayed
- Not Regulated
Inspection History
Across 3 inspections since 2022, the issues cited most often were Children's Records & Files (8), Licensing & Administrative Compliance (3), and Building & Premises Safety (3). None of the 14 findings were critical.
See All 3 Inspection Visits
Jan 29, 20256 Findings6 Important
- Check with the Appropriate Authorities to Determine How the Following Local441 IAC 110.5(1)
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
- Files441 IAC 110.9
- A Provider File Is Maintained and Shall Contain the Following:441 IAC 110.9(1)
- “A” Have Been Completed and Authorizing or Conditionally Limiting the Person’s Involvement with Child Care441 IAC 110.9(1)
“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...
- An Individual File Is Maintained for Each Substitute and Contains: 1441 IAC 110.9(3)
An individual file is maintained for each substitute and contains: 1. Documentation from the department confirming the record checks required under
- An Individual File Is Maintained for Each Substitute and Contains: A Completed Form 470-5152441 IAC 110.9(3)
An individual file is maintained for each substitute and contains: 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.Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia...
Jan 26, 20244 Findings4 Important
- Check with the Appropriate Authorities to Determine How the Following Local441 IAC 110.5(1)
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
- Facility Requirements441 IAC 110.8(1)
- “ N” Providers Shall Inform Parents of the Presence of Any Pet in the Home441 IAC 110.8(1)
“ 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 Home441 IAC 110.8(1)
“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. 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).Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K....
Oct 3, 20224 Findings4 Important
- Check with the Appropriate Authorities to Determine How the Following Local441 IAC 110.5(1)
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
- Files441 IAC 110.9
- A Provider File Is Maintained and Shall Contain the Following:441 IAC 110.9(1)
- “ A” A Physician’s Examination Report for the Provider and All Members of the Provider’s Household Aged 18 Years Or…441 IAC 110.9(1)
“ 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: Per the compliance visit conducted by this worker on 10/3/2022 the following correction described in the above policy section need to be completed: 1. Current DHS Provider Physical Forms need to be completed by a medical professional described in the above policy section. Suggestions/Recommendations: I encourage you...