Sandra Clay
1010 CLEVELAND AVE, KEOKUK, IA 52632Childery Rating: 1/5
Data last updated ·
Quality Indicators
See Methodology →- Overall QualityCombines daily care quality (interactions, learning, environment) with structural features like staff-to-child ratios and teacher qualifications.1 / 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.Not Available
- 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.1 / 5
Why this rating
This daycare earned 1 out of 5 star overall. Structural quality reflects a 100% violation rate. The structural rating also includes Iowa's licensing baseline — what every licensed daycare in the state must meet. 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. No objective process measures (e.g., state quality rating or national accreditation) are available for this daycare. The overall rating reflects structural features only.
Quality Recognitions & Accreditations
- 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 2023, the issues cited most often were Children's Records & Files (15), Building & Premises Safety (5), and Licensing & Administrative Compliance (3). None of the 24 findings were critical.
See All 3 Inspection Visits
May 9, 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
- 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...
- Files441 IAC 110.9
- A Provider File Is Maintained and Shall Contain the Following:441 IAC 110.9(1)
- Children’s Files441 IAC 110.9(4)
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.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 b. Emergency information including, at a minimum, where the parent can be reached, the name, street address, city and telephone number of the...
May 2, 20245 Findings5 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”
- Children’s Files441 IAC 110.9(4)
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...
Feb 14, 202313 Findings13 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
- Provider Requirements441 IAC 110.7
- Standards. Conditions in the Home Are Safe, Sanitary, and Free of Hazards.441 IAC 110.8
- 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...
- Files441 IAC 110.9
- A Provider File Is Maintained and Shall Contain the Following:441 IAC 110.9(1)
- “ B” (1) I-PoWeR Records or Certificates Verifying Required Training completion:Walnut Street441 IAC 110.9(1)
“ b” (1) I-PoWeR records or certificates verifying required training completion: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 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...
- “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 Staff Assistant and Contains: 1441 IAC 110.9(2)
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...
- 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
- Children’s Files441 IAC 110.9(4)
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 Files441 IAC 110.9(4)
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: 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 at the child development home. The written report shall include past health history, status of present health, allergies and restrictive conditions, and recommendations for continued care when necessary. Need physical for K.B., R.M., K.M.(2), K.W., K.M.(18 mos), Need doctor's signature on...
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