Small Wonders Childcare, LLC

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. Provider physicals: Lauri. Suggestions/Recommendations: I encourage you to work with Child Care Resource and Referral for ongoing child care needs. Audrie Aden Child Care Consultant Child Care Resource & Referral of Southeast Iowa Community Action of Eastern Iowa aaden@caeiowa.org T: 563-940-9927 500 E 59th St.| Davenport, IA 52807| www.iowaccrr.orgWalnut 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: Lauri could not locate her provider physical during the visit. Lauri sent completed physical to this worker later the same day....

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...

c. Child files: Emergency Medical Treatment Authorization Forms Suggestions/Recommendations: I encourage you to work with Child Care Resource and Referral for ongoing child care needs. Heather Bloome IQ4K Specialist Child Care Resource & Referral of Southeast Iowa Community Action of Eastern Iowa hbloome@caeiowa.org T: 563-940-7971 500 E 59th St.| Davenport, IA 52807| www.iowaccrr.org Corrective Action Required: During the file review, Lauri was unable to find a few children's emergency medical treatment authorization forms in the child care app she uses. The needed forms were sent to this worker immediately after the visit. Nothing further is needed at this time. Non-compliance with any of...

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

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...

b. Physical exam report documented on form 470-5152, Child Care Provider Physical Examination Report, which is repeated at least every three years. Suggestions/Recommendations: Lauri needs physical for assistant Mireille documented on form 470-5152, Child Care Provider Physical Examination Report. Lauri needs to send confirmation of this physical to Kathy by 10/30/2023. This can be emailed to khuinke@dhs.state.ia.us or texted to 563-949-6971.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: I encourage you to continue working...