Shenitha Leatherwood

"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...

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 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.

"b" No child shall be allowed to sleep in any item not designed for sleeping including, but not limited to, an infant seat, car seat, swing, or bouncy seat.

“ 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”

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...

Child files. Suggestions/Recommendations: I encourage you to work with Child Care Resource and Referral for ongoing child care needs. Child Care Resource & Referral of Northeast Iowa 2728 Asbury Road, #215 Dubuque, IA 52001 563-557-1628Walnut 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: Shenitha had numerous broken toys in the child care setting that need to be removed. Shenitha could not locate her health related emergency policy. Shenitha did not have her certificate of registration. Shenitha can call 866-448-4605 to request...

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” Electrical wiring shall be maintained, and all accessible electrical outlets shall be tamper- resistant outlets or shall be safely capped. Electrical cords shall be properly used. Improper use includes running cords under rugs, over hooks, through door openings, or other use that has been known to be hazardous

“b” A first-aid kit shall be available and easily accessible whenever children are in the child development home, in the outdoor play area, in vehicles used to transport children, and on field trips. The kit shall be sufficient to address first aid related to minor injury or trauma and shall be stored in an area inaccessible to children. The kit shall, at a minimum, include adhesive bandages, bottled water, disposable tweezers, and disposable plastic gloves.

“ 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”

“ 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 TrainingWalnut 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: 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...

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,e,g,i,j. Child files. Suggestions/Recommendations: Shenitha needs to install a faceplate on one electrical outlet. Shenitha needs to locate and post her certificate of registration. Shenitha needs disposable gloves for her first aid kit. Shenitha needs to locate her physical documented on HHS form 470-5152, Child Care Provider Physical Examination Report. Shenitha needs to locate her current mandatory child abuse reporter training or retake. Shenitha needs completed background check letter. Shenitha needs to ensure all enrolled children have current enrollment paperwork (signed and dated within the last year), current physical and immunization certificate. Corrective Action Required:...

b The home shall have a separate quiet area for sick children. (Completed during visit on 11-14-2022) Shenitha needs to show documentation of her policy/procedure on isolating a child that becomes sick while in her care and where that isolation area would be while in her home. (Completed during visit on 11-14-2022)

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

n Pet Health Shenitha needs to show documentation of a current physical for her dog, Princess on the Pet Health Examination Form. Form # 470-5153 (Shenitha reported she will not be bringing her dog to the childcare home as of 10-27-2022)

(2) Outdoor play space (Front porch) Shenitha needs to remove garbage on front porch; remove grill from front porch and install a child safety gate at top of steps leading up to porch. (Completed; garbage removed; grill was removed. Safety Gate -- Shenitha reported that she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare home on 10-27-2022)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

(2) Outdoor play space (Front porch) Shenitha needs to install spindle on south side of railing on front porch; install a child safety gate at top of steps leading up to porch. (Shenitha reported that she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare) (Completed 11-14-2022)

b Outlet Covers – Shenitha needs to put 2 outlet covers on her bathroom electrical outlet and one on the electrical outlet in the back playroom on the south side of the room, under the window. (Completed during the 10-27-2022 visit)

d Safety barriers at stairways. Shenitha needs to install a child safety gate on the front porch just north of her main steps. (Shenitha reported she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare home) (This was again observed on 11-14-2022)

h Smoke Detectors Shenitha needs to install a new battery in the smoke detector on the outside wall of the bathroom. (Completed by 10-27 -2022)

i No Smoking Signs Shenitha needs to put up an Iowa Smoke Free Air Act Compliant No Smoking Sign on the Front door. (Completed by 10-27-2022)

a Emergency Contact Sheet Shenitha needs to show documentation of her updated emergency contact sheet for her childcare children. These needs to be posted at both exits to include parents’ names, contact number, physician, emergency contact person with phone number. (Completed 11-14-2022)

Outdoor play space (back yard) Shenitha needs to remove all weeds along her fence line in her play area; remove broken toys (pink stroller, red toy, pop up tents/baskets); pick up garbage on the ground in play area; remove spring from basketball net on blue/ white basketball hoop; remove folding chair in play area that has torn vinyl on seat; need to reinstall plank board on the southside of fence. (Completed; however, during the spot check, the back gate was observed to be opened, SW Herbst closed the gate. SWII Herbst and SW Reckling also noted there were two fishing poles in the back yard. Shenitha was informed these needed to be put away on 10-27-2022)

Outdoor play space (back yard) During the spot check, the back gate was observed to be opened, SW Herbst closed the gate. SWII Herbst and SW Reckling also noted there were two fishing poles in the back yard. Shenitha was informed these needed to be put away (Completed 11-14-2022—Shenitha installed a padlock on the back gate)

a Medications are secured from a child. Shenitha needs to ensure that all medications are properly stored and inaccessible to children. This worker located a bottle of liquid Tylenol in cabinet under changing table in the bathroom. In August, this worker provided it to Shenitha and she put the medication in the kitchen. (Completed on 10-27-2022)

e Procedure related to infectious disease Shenitha needs to obtain a covered garbage container for all soiled diapers. In August, this worker referred Shenitha to contact CCRR to obtain a garbage can. (Completed on 10-27-2022)

c Medication Consent form Shenitha needs to show documentation of a medication consent form, if needed. This worker provided Shenitha a copy of this form on 8-31-2022. (Completed 11-14-2022)

a Emergency and Disaster Plans for Fire, Tornado, and Flood Shenitha needs to show documentation of a clear floor plan on her existing emergency plans for Fire, Flood, and Tornado that are already posted. (Completed on 11-14-2022 but some adjustments were made during the visits that included arrows to get out of building and specifically where the meeting location was outside for fire. Also changed the Tornado location to kitchen as this has less windows for safety)

a Household physical Shenitha needs to documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Shenitha’s was completed on 10-27-2022)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of a current physical and immunization form for her children, Jeffrey Jr. and Jayvion. (Physical for Jeffrey and Jayvion are completed; immunization for Jeffrey is completed on 10-27-2022)

a Household physical Shenitha needs to show documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Need Jeffrey’s) (Completed 11-28-2022)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of an immunization form for her child, Jayvion. Immunizations for Jayvion are still needed. (Completed 11-14-2022)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of an immunization form for her child, Jayvion. Immunizations for Jayvion are still needed. (Completed 11-14-2022)

Assistant Physical Shenitha needs to show documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Completed 11-28-2022)

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 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: 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. KH, SH (completed on 10-27 -2022) 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. KH, SH...

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: For a child who is five years of age or older and enrolled in school, a statement of health status signed by the parent or legal guardian may be substituted for the physical examination report. Need School aged health status form for: KW(11), and KW(11) (Completed 11-14-2022) A signed and dated immunization certificate provided by the state department of public health. For the school-age child, a copy of the most recent immunization record shall be acceptable. Need immunizations records for: MJ(9), NN(2), BR, MR (8), RR...

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: 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. *Needs to have enrollment form filled out for: RC, WH, SN (7), SN (7), BR, MR (8), RR, KW(11, KW (11). (Completed 11-28-2022) 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...

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: 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. *Needs to have enrollment form filled out for: SA, JK, MR(8) 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...

b The home shall have a separate quiet area for sick children. (Completed during visit on 11-14-2022) Shenitha needs to show documentation of her policy/procedure on isolating a child that becomes sick while in her care and where that isolation area would be while in her home. (Completed during visit on 11-14-2022)

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

n Pet Health Shenitha needs to show documentation of a current physical for her dog, Princess on the Pet Health Examination Form. Form # 470-5153 (Shenitha reported she will not be bringing her dog to the childcare home as of 10-27-2022)

(2) Outdoor play space (Front porch)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 Shenitha needs to remove garbage on front porch; remove grill from front porch and install a child safety gate at top of steps leading up to porch. (Completed; garbage removed; grill was removed. Safety Gate -- Shenitha reported that she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare home on 10-27-2022)

(2) Outdoor play space (Front porch) Shenitha needs to install spindle on south side of railing on front porch; install a child safety gate at top of steps leading up to porch. (Shenitha reported that she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare) (Completed 11-14-2022)

b Outlet Covers – Shenitha needs to put 2 outlet covers on her bathroom electrical outlet and one on the electrical outlet in the back playroom on the south side of the room, under the window. (Completed during the 10-27-2022 visit)

d Safety barriers at stairways. Shenitha needs to install a child safety gate on the front porch just north of her main steps. (Shenitha reported she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare home) (This was again observed on 11-14-2022)

h Smoke Detectors Shenitha needs to install a new battery in the smoke detector on the outside wall of the bathroom. (Completed by 10-27 -2022)

i No Smoking Signs Shenitha needs to put up an Iowa Smoke Free Air Act Compliant No Smoking Sign on the Front door. (Completed by 10-27-2022)

a Emergency Contact Sheet Shenitha needs to show documentation of her updated emergency contact sheet for her childcare children. These needs to be posted at both exits to include parents’ names, contact number, physician, emergency contact person with phone number. (Completed 11-14-2022)

Outdoor play space (back yard) Shenitha needs to remove all weeds along her fence line in her play area; remove broken toys (pink stroller, red toy, pop up tents/baskets); pick up garbage on the ground in play area; remove spring from basketball net on blue/ white basketball hoop; remove folding chair in play area that has torn vinyl on seat; need to reinstall plank board on the southside of fence. (Completed; however, during the spot check, the back gate was observed to be opened, SW Herbst closed the gate. SWII Herbst and SW Reckling also noted there were two fishing poles in the back yard. Shenitha was informed these needed to be put away on 10-27-2022)

Outdoor play space (back yard) During the spot check, the back gate was observed to be opened, SW Herbst closed the gate. SWII Herbst and SW Reckling also noted there were two fishing poles in the back yard. Shenitha was informed these needed to be put away (Completed 11-14-2022—Shenitha installed a padlock on the back gate)

a Medications are secured from a child. Shenitha needs to ensure that all medications are properly stored and inaccessible to children. This worker located a bottle of liquid Tylenol in cabinet under changing table in the bathroom. In August, this worker provided it to Shenitha and she put the medication in the kitchen. (Completed on 10-27-2022)

e Procedure related to infectious disease Shenitha needs to obtain a covered garbage container for all soiled diapers. In August, this worker referred Shenitha to contact CCRR to obtain a garbage can. (Completed on 10-27-2022)

c Medication Consent form Shenitha needs to show documentation of a medication consent form, if needed. This worker provided Shenitha a copy of this form on 8-31-2022. (Completed 11-14-2022)

a Emergency and Disaster Plans for Fire, Tornado, and Flood Shenitha needs to show documentation of a clear floor plan on her existing emergency plans for Fire, Flood, and Tornado that are already posted. (Completed on 11-14-2022 but some adjustments were made during the visits that included arrows to get out of building and specifically where the meeting location was outside for fire. Also changed the Tornado location to kitchen as this has less windows for safety)

“ 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”

a Household physical Shenitha needs to documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Shenitha’s was completed on 10-27-2022)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of a current physical and immunization form for her children, Jeffrey Jr. and Jayvion. (Physical for Jeffrey and Jayvion are completed; immunization for Jeffrey is completed on 10-27-2022)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of an immunization form for her child, Jayvion. Immunizations for Jayvion are still needed. (Completed 11-14-2022)

a Household physical Shenitha needs to show documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Need Jeffrey’s)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of an immunization form for her child, Jayvion. Immunizations for Jayvion are still needed. (Completed 11-14-2022)

Assistant Physical Shenitha needs to show documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152)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

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 Files. An individual file for each child shall be maintained and updated annually or whenWalnut Street, Des Moines, IA 50319-0114 the provider becomes aware of changes. The file shall contain: 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. KH, SH (completed on 10-27 -2022) 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...

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: For a child who is five years of age or older and enrolled in school, a statement of health status signed by the parent or legal guardian may be substituted for the physical examination report. Need School aged health status form for: KW(11), and KW(11) (Completed 11-14-2022) A signed and dated immunization certificate provided by the state department of public health. For the school-age child, a copy of the most recent immunization record shall be acceptable. Need immunizations records for: MJ(9), NN(2), BR, MR (8), RR...

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: 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. *Needs to have enrollment form filled out for: SA, RC, WH, JK, NN(17 months), MJ (5), MJ(9) NN(17 months), NN(2), SN (7), SN (7), TR(2), TR(5), TC, KB, BR, MR (8), MR(8), RR, KW(11, KW (11). Emergency information including, at a minimum, where the parent can be reached, the name, street address, city and telephone number of the...

“ b” The home shall have a separate quiet area for sick children. Findings: On 10-27-2022, Chad Reckling, SWII, and Tammi Herbst, SWII, completed a follow up compliance visit. The following was observed:

b The home shall have a separate quiet area for sick children. Shenitha needs to show documentation of her policy/procedure on isolating a child that becomes sick while in her care and where that isolation area would be while in her home.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

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

n Pet Health Shenitha needs to show documentation of a current physical for her dog, Princess on the Pet Health Examination Form. Form # 470-5153 (Shenitha reported she will not be bringing her dog to the childcare home)

(2) Outdoor play space (Front porch) Shenitha needs to remove garbage on front porch; remove grill from front porch and install a child safety gate at top of steps leading up to porch. (Completed; garbage removed, grill was removed. Safety Gate -- Shenitha reported that she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare home)

(2) Outdoor play space (Front porch) Shenitha needs to install spindle on south side of railing on front porch; install a child safety gate at top of steps leading up to porch. (Shenitha reported that she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare)

“ a” The home shall have a nonpay, working land-line or mobile telephone with emergency numbers posted for police, fire, ambulance, and the poison information center. The number for each child’s parent, for a responsible person who can be reached when the parent cannot, and for the child’s physician shall be written on paper and readily accessible by the telephone. The home must prominently display all emergency information, and all travel vehicles must have a paper copy of emergency parent contact information

“ p” The provider shall have written policies regarding the care of mildly ill children and exclusion of children due to illness and shall inform parents of these policies.

b Outlet Covers – Shenitha needs to put 2 outlet covers on her bathroom electrical outlet and one on the electrical outlet in the back playroom on the south side of the room, under the window. (This was completed during the visit)

d Safety barriers at stairways. Shenitha needs to install a child safety gate on the front porch just north of her main steps. (Shenitha reported she had purchased a safety gate and will take it out to the front porch when she and the children are out there. This safety gate was observed inside the childcare home)

a Emergency Contact Sheet Shenitha needs to show documentation of her updated emergency contact sheet for her childcare children. This needs to be posted at both exits to include parents’ names, contact number, physician, emergency contact person with phone number.

Outdoor play space (back yard) Shenitha needs to remove all weeds along her fence line in her play area; remove broken toys (pink stroller, red toy, pop up tents/baskets); pick up garbage on the ground in play area; remove spring from basketball net on blue/ white basketball hoop; remove folding chair in play area that has torn vinyl on seat; need to reinstall plank board on the south side of fence. (Completed; however, during the spot check, the back gate was observed to be opened, SW Herbst closed the gate. SWII Herbst and SW Reckling also noted there were two fishing poles in the back yard. Shenitha was informed these needed to be put away)

Outdoor play space (back yard) During the spot check, the back gate was observed to be opened, SW Herbst closed the gate. SWII Herbst and SW Reckling also noted there were two fishing poles in the back yard. Shenitha was informed these needed to be put away

“c” Medications shall be given only with the parent’s or doctor’s written authorization. Each prescribed medication shall be accompanied by a physician’s or pharmacist’s direction. Both nonprescription and prescription medications shall be in the original container with directions intact and labeled with the child’s name. All medications shall be stored properly and, when refrigeration is required, shall be stored in a separate, covered container so as to prevent contamination of food or other medications. All medications shall be stored so they are inaccessible to children. Any medication administered to a child shall be recorded, and the record shall indicate the name of the medication,...

a Medications are secured from a child. Shenitha needs to ensure that all medications are properly stored and inaccessible to children. This worker located a bottle of liquid Tylenol in cabinet under changing table in the bathroom. In August, this worker provided it to Shenitha and she put the medication in the kitchen. (Completed)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

e Procedure related to infectious disease Shenitha needs to obtain a covered garbage container for all soiled diapers. In August, this worker referred Shenitha to contact CCRR to obtain a garbage can. (Completed)

c Medication Consent form Shenitha needs to show documentation of a medication consent form, if needed. This worker provided Shenitha a copy of this form on 8-31-2022.

Emergency Plans: plans in case of man-made or natural disaster shall be written and posted by the primary and secondary exits. The plans shall clearly map building evacuation routes and tornado and flood shelter areas.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

a Emergency and Disaster Plans for Fire, Tornado, and Flood Shenitha needs to show documentation of a clear floor plan on her existing emergency plans for Fire, Flood, and Tornado that are already posted.

“ 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”

a Household physical Shenitha needs to documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Shenitha’s was completed)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of a current physical and immunization form for her children, Jeffrey Jr. and Jayvion. (Physical for Jeffrey and Jayvion are completed; immunization for Jeffrey is completed)

a Household physical Shenitha needs to show documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152) (Need Jeffrey’s)

a Household Physicals and Immunizations for minor Shenitha needs to show documentation of a current physical and immunization form for her children, Jeffrey Jr. and Jayvion. Immunizations for Jayvion are still needed.

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...

Assistant Physical Shenitha needs to show documentation of a current physical for Jeffrey Sr. and herself on the Childcare Provider Physical Examination form (470-5152)

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 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: 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. KH, SH (completed) 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. KH, SH (completed) A...

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: 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. *Needs to have enrollment form filled out for: SA, RC, WH, JK, NN(17 months), MJ (5), MJ(9) NN(17 months), NN(2), SN (7), SN (7), TR(2), TR(5), TC, KB, BR, MR (8), MR(8), RR, KW(11, KW (11). Emergency information including, at a minimum, where the parent can be reached, the name, street address, city and telephone number of the...

“ b” The home shall have a separate quiet area for sick children. Findings: Shenitha needs to show documentation of her updated emergency contact sheet for her child care children. Shenitha needs to put 2 outlet covers on her bathroom electrical outlet and one on the electrical outlet in the back playroom on the south side of the room, under the window. Shenitha needs to install a child safety gate on the front porch just north of her main steps. Shenitha needs to install a new battery in the smoke detector on the outside wall of the bathroom. Shenitha needs to put up an Iowa Smoke Free Air Act Compliant No Smoking Sign on the Front door. Shenitha needs to show documentation of a current...

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” The home shall have a nonpay, working land-line or mobile telephone with emergency numbers posted for police, fire, ambulance, and the poison information center. The number for each child’s parent, for a responsible person who can be reached when the parent cannot, and for the child’s physician shall be written on paper and readily accessible by the telephone. The home must prominently display all emergency information, and all travel vehicles must have a paper copy of emergency parent contact information

“ b” Electrical wiring shall be maintained, and all accessible electrical outlets shall be tamper- resistant outlets or shall be safely capped. Electrical cords shall be properly used. Improper use includes running cords under rugs, over hooks, through door openings, or other use that has been known to be hazardous

“ 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

“ i” Smoking and the use of tobacco products shall be prohibited at all times in the home and in every vehicle in which children receiving care in the home are transported. Smoking and the use of tobacco products shall be prohibited in the outdoor play area during the home’s hours of operation. Nonsmoking signs shall be posted at every entrance of the child care home and in every vehicle used to transport children. All signs shall include: 1. The telephone number for reporting complaints, andWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director 2. The Internet...

“ 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...

“ p” The provider shall have written policies regarding the care of mildly ill children and exclusion of children due to illness and shall inform parents of these policies.

“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.

“c” A first-aid kit shall be available and easily accessible whenever children are in the child development home, in the outdoor play area, in vehicles used to transport children, and on field trips. The kit shall be sufficient to address first aid related to minor injury or trauma and shall be stored in an area inaccessible to children. The kit shall, at a minimum, include adhesive bandages, bottled water, disposable tweezers, and disposable plastic gloves. Medications shall be given only with the parent’s or doctor’s written authorization. Each prescribed medication shall be accompanied by a physician’s or pharmacist’s direction. Both nonprescription and prescription medications shall be...

Emergency Plans: plans in case of man-made or natural disaster shall be written and posted by the primary and secondary exits. The plans shall clearly map building evacuation routes and tornado and flood shelter areas.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

“ 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”

“ 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...

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...

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: 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. *Needs to have enrollment form filled out for: KH, SH, SA, RC, WH, JK, NN(17 months), MJ (5), MJ(9) NN(17 months), NN(2), SN (7), SN (7), TR(2), TR(5), TC, KB, BR, MR (8), MR(8), RR, KW(11, KW (11). Emergency information including, at a minimum, where the parent can be reached, the name, street address, city and telephone number of...