Ula Miller

“a” No more than eight 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. Cat B. Not more than eight preschool children present at any one time including infants. 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.org Corrective Action Required: Ula had 11 children in care today, which is over her allowed number of preschool children (8). A safety plan was completed on this date and Ula had 3 children picked up while this worker was still present to put her back into compliance with her allowed...

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

Limit. Except as provided in subrule 110.6(3), no greater number of children shall be received for care at any one time than the number authorized on the registration certificate.

“ 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...

A provider file is maintained and shall contain the following: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...

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”

“ 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...

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

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

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 continue working with Child Care Resource and Referral for ongoing child care needs. Heather Bloome Child Care Consultant 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: Ula needs physicals for new household members - 1 adult, 3 children. Ula needs to update her MART training. Ula's substitutes Kameron and Leondra need to take Essentials modules. Leondra needs to update her CPR/1st Aid as it has expired. Ula needs to update all children's files to ensure that they all have updated...

“ 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. Fire extinguisher. Ula's fire extinguisher was in the red. Ula texted a picture of an additional fire extinguisher after our visit that was in working order. This has been completed now.

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...

e. Substitute hours. Ula needs to maintain a written record of the number of hours substitute care is provided, including the date and the name of the substitute. Ula has used her substitute one time so far and did not document hours.

“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.

a. Outdoor space. Ula had a large sack of pop cans that had spilled over in her back yard. Ula texted a picture of the pop cans removed from the back yard/play area following our visit. This has been completed now.

FilesWalnut 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...

a,b,c,e,g,i,j. Child Files. This worker viewed 7 of 14 enrolled child files. Ula needs to ensure that all enrolled children have enrollment forms completely filled out, updated physicals and immunization records, and parent statements for school age children. Suggestions/Recommendations: Contact Heather Bloome, CCRR, for needed assistance with child care items. Heather Bloome Child Care Consultant Child Care Resource & Referral of Southeast Iowa Community Action of Eastern Iowa hbloome@caeiowa.org T: 563-940-7971 Corrective Action Required: A follow up visit will not be required. Ula has already sent verification of the fire extinguisher and outdoor play area. The child files will be...