Teresa Harris

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

“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. 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. **The provider reported that the childcare did not complete drills in March 2025. Previous documentation was available to compliance staff up to March 2025.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 Suggestions/Recommendations: If you have any questions regarding this letter, please contact compliance staff. Your CCR&R representative is Amy Brandsen. Her...

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

Substitutes. The provider shall assume responsibility for providing adequate and appropriate supervision at all times when children are in attendance. Any designated substitute shall have the same responsibility for providing adequate and appropriate supervision. Ultimate responsibility for supervision shall be with the provider a. All standards regarding supervision and care of children apply to substitutes. b. Except in emergency situations, the provider must inform parents in advance of the planned use of a substitute. c. The substitute must be 18 years of age or older. d. Use of a substitute is limited to: No more than 25 hours per month. An additional period of up to two weeks in a...

Substitutes The provider maintains a written record of the number of hours substitute care is provided, including the date and the name of the substitute. **The provider reported that she had not been keeping track of hours that the substitute has taken over for either provider. We discussed ways to document, to keep it simple, for compliance staff to observe at checks.

“ 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 ofWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director training from...

“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. 3. Certification of two hours of approved training related to identification and reporting of child abuse as required by Iowa Code...

“b” (1) I-PoWeR records or certificates verifying required training completion: Iowa’s Mandatory Child Abuse Reporter Training **The co-provider is in need of an updated MCART training certificate. The last one expired in October 2023.

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...

An individual file is maintained for each staff assistant A completed Form 470-5152, Child Care Provider Physical Examination Report. **The provider has two assistants. Both are in need of a current physical on file.

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

An individual file is maintained for each substitute A completed Form 470-5152, Child Care Provider Physical Examination Report. **The substitute is in need of an updated physical. Suggestions/Recommendations: If you have any questions regarding this letter, please contact compliance staff. Your CCR&R representative is Amy Brandsen. Her contact number is 712-579-4304. Corrective Action Required: In regards to the documentation of time that your substitute is in your childcare in place of either provider, please remember to document the date and amount of time that the substitute is there as a sub. This can be done in your phone, on a calendar, any way that can be shown to compliance staff...

“ a” No more than 14 children not attending kindergarten or a higher grade level shall be present at any one timeWalnut 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” No more than 14 children not attending kindergarten or a higher grade level shall be present at any one time **Provider had 19 preschool aged children during the visit to the home. 15 of these children were in the 2-before school age range. Upon arrival to the home, the co-providers were out in the back with all the children. Teresa came to meet complinace staff at the front and walk through the home. During this time a substitute arrived at the home and remained out back with the children and the co-provider. The provider self-reported being over numbers on this visit date. During this discussion it was reported that the preschool is out of school as of yesterday and they are running...

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

The provider shall meets the following requirements: a. Gives careful supervision at all times. b. Exchange information with the parent of each child frequently to enhance the quality of care. c. Give consistent, dependable care and be capable of handling emergencies d. Be present at all times except when emergencies occur or an absence is planned, at which time care shall be provided by a department-approved substitute. When an absence is planned, the provider shall give parents at least 24 hours’ prior notice. e. Shall be free of the use of illegal drugs and shall not be under the influence of alcohl or any of the prescription or non-prescription drug that could impair their ability to...

“ 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

“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. **Provider did not have documentation for April 2023. Provider is aware of this and was upfront about the lack of practice in April.

Children’s Files. An individual file for each child shall be maintained and updated annually orWalnut Street, Des Moines, IA 50319-0114 Iowa Department of Health And Human Services Kim Reynolds Governor Adam Gregg Lt. Governor Kelly K. Garcia Director 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...

Children’s Files. **Provider is in need of files on all children. The provider had several files for children, but there was not full file information for two infants in her care. Missing physicals in these files.

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”

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.Walnut...