Sheri Schwery

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

“c” Combustible materials shall be kept a minimum of three feet away from furnaces, stoves, water heaters, and gas dryers ** The room with the furnace and the water heater had items, paper made, straw near both the furnace and the water heater. Any item that could cause fire will need to be moved at least three feet from these appliances.

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. **Compliance staff checked three files during the visit. One child file had the first page of the visit print off form, but no other pages. The form showed it was page 1 of 11. Compliance staff talked with the provider that it is necessary to receive all 11 pages as this initial page does not have the electronic signature of the doctor. Also while looking at the files, one file did not have an immunization record. One other file, the child is seen in Nebraska for services, did have a print off of the immunizations, but not on the State of Iowa form. Suggestions/Recommendations: If you have any questions regarding this letter, please contact compliance staff. Your CCR&R...

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

“d” The provider shall establish procedures related to infectious disease control and handling of any bodily excrement or discharge, or blood. Soiled diapers shall be stored in containers separate from other waste.

“d” The provider shall establish procedures related to infectious disease control and handling of any bodily excrement or discharge, or blood. Soiled diapers shall be stored in containers separate from other waste. **Provider reported that she has ordered her second trash can and is waiting for it to arrive.

“a” Fire and tornado drills shall be practiced monthly and the provider shall keep documentation evidencing compliance with monthly practice on file for the current year and the previous year.

“a” Fire and tornado drills shall be practiced monthly and the provider shall keep documentation evidencing compliance with monthly practice on file for the current year and the previous year. **The provider did not have 2023 documentation of smoke detector checks and drill documentation. We discussed holding on to the previous year information until the next inspection.

“ 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”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 Findings:

“a” A physician’s examination report for the provider and all members of the provider’s household aged 18 years or older . **Providers adult son does not have a physical on file. Suggestions/Recommendations: If you have any questions about this letter, please contact compliance staff. Your CCR&R contact is Deb Martens. Her contact number is 712-755-7381. Corrective Action Required: In regards to your monthly documentation, please keep your 2024 documentation until your 2025 compliance check. In regards to your household member's physical, please have a copy of this in your household file prior to your next compliance check. Non-compliance with any of the mandated requirements listed above...

“ g” The home shall have at least one 2A 10BC rated fire extinguisher located in a visible and readily accessible place on each child-occupied floor.

“g” The home shall have at least one 2A 10BC rated fire extinguisher located in a visible and readily accessible place on each child-occupied floor. **During the compliance visit, the provider was not sure where the 2A 10BC fire extinguisher was located, there was a 1A 10BC by her laundry room.. Later on April 11, Sheri sent a text message with picture of the correct fire extinguisher now in her laundry room.

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”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 Findings:

“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. **Sheri explained that her son lives in the basement and utilizes a separate entrance to the home. However, there is no permanent barrier in the home separating the basement living unit and the rest of the home. The children go to the basement for tornado drill practices and the basement is wide open and this is one home. This child is on her registration on Kindertrack and does need a physical on file in the family file. Also in discussion of Sheri's...