Stacie Zenor

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

“ 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, and 2. The Internet address of the department of public health (www.iowasmokefreeair.gov)

“i” Nonsmoking signs shall be posted at every entrance of the child care home and in every vehicle used to transport children. **The provider is in need of No Smoking signs at her two main entrances of the home. Suggestions/Recommendations: If you have any questions regarding this letter, please contact compliance staff. Your CCR&R representative is Kelly Phelps. Her contact number is 515-802-7292. Her email is kphelps@orchardplace.org Your CCNC is Heather Marsh. Her contact number is 712-523-3405. Her email is heather.marsh@taylorcountyhealth.com Corrective Action Required: The provider returned to providing childcare in her home on March 31, 2025. Her home had become unusable in April...

“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.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” 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. **Provider did not have documentation of completed drills and smoke detector checks.

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

“c” Combustible materials shall be kept a minimum of three feet away from furnaces, stoves, water heaters, and gas dryers **Compliance staff did not see the furnace in the building where the provider is approved to watch children.

“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.

“b” The provider must have procedures in place for the following: 1. evacuation to safely leave the facility 2. relocation to a common, safe location after the evacuation 3. shelter-in-place to take immediate shelter where you are when it is unsafe to leave that location due to the emergent issue 4. lock down protocol to protect children and providers from an external situation 5. communication plan and plans for reunification with families 6. continuity of operations plans 7. Procedures to address the needs of individual children, including those with functional or access needs

“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 resumed care for children the last week of June 2024. She reported that she has not completed documentation of drills since May 2024.

“b” Emergency Preparedness Plan **The provider reported that she has not updated her plan to this location. We discussed any barriers to completion of the plan.

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 careWalnut 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. 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...

An individual file is maintained for each staff assistant b. A completed Form 470-5152, Child Care Provider Physical Examination Report. **The provider has three listed assistants. One of the assistants has not returned the physical form. Suggestions/Recommendations: If you have any questions regarding this letter, please contact compliance staff. Your CCR&R representative is Kelly Phelps. Her contact number is 515-802-7292. Corrective Action Required: In regards to the documentation of completed drills, please start with September 2024 and complete and document these practices for your next compliance check. In regards to the emergency preparedness plan for this temporary location, please...