Sheila Lehmkuhl

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

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...

Child Files: Physicals and immunization certificates. 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.org Corrective Action Required: In a review of child files, two of the files need physicals and one file needs immunization certificate. Sheila needs to update this documentation. Child files will be reviewed again at next year's compliance visit. Nothing further is needed at this time. Non-compliance with any of the...

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

“ 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.Walnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor...

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

c. Substitutes. Certification of two hours of approved training relating to identification and reporting of child abuse within three months of employment. Suggestions/Recommendations: Sheila needs to update her child abuse reporter training as it expired in November 2022. Sheila's assistant Alice needs to update her child abuse reporter training as it also expired in November of 2022. Corrective Action Required: A follow up visit will not be required. Sheila needs to send copies of updated MART certificates for herself and Alice to Kathy by September 29, 2023. I encourage you to work with Alicia Wagner with any ongoing compliance or training needs. Alicia Wagner Child Care Consultant Child...

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” Sheila needs two of her own children's physical and shot records need to be signed by their physician. Suggestions/Recommendations: Please contact your Child Care Resource and Referral (CCR&R) worker, Alicia Wagner at 319-538-8464 if you need any assistance.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: Please ensure your findings are corrected by this date 10/25/2022, to avoid cancellation of your Child Care Development Home Registration. Please correct all findings by the deadline by sending clear pictures to this...