The Nannies Unlimited

109.7(1)

“All staff (within first three months of employment): • Iowa’s training for the mandatory reporting of child abuse. • At least one hour of training regarding universal precautions. • Certification in First Aid infant, child, and adult cardiopulmonary resuscitation (CPR) or equivalent certification approved by the Department. A valid certificate indicating the date of training and expiration date shall be maintained. • Certification in infant, child, and adult first aid that uses a nationally recognized curriculum or is received from a nationally recognized training organization including the American Red Cross, American Heart Association, American Safety and Health Institute, or MEDIC First Aid or an equivalent certification approved by the Department. A valid certificate indicating the date of training and expiration date shall be maintained. • Minimum health and safety trainings, (Essentials) approved by the Department. If significant changes occur to content, the Department may require the training be renewed.”

109.9(1)b

“All files contain a pre-employment physical exam report completed within six months prior to hire and at least every three years. Physical exams shall be documented on form 470- 5152, Child Care Provider Physical Examination Report.”

109.9(2)d

“All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.”

109.9(2)i

“Preschool (for children five years and younger not enrolled in school): Physical exam report submitted within 30 days of admission, was obtained no more than 12 months prior to admission, is signed by a licensed MD, DO, Chiropractor, PA, or ARNP, and contains health history; present health status including allergies, medications, and acute/chronic conditions; and recommendations for continued care if necessary.”

109.12(1)

“• Program structure that uses developmentally appropriate practices and written program of activities planned to the developmental needs of children served. • Program complements but does not duplicate school curriculum. • Schedule of program is posted in a place visible to parents.”

109.11(4)a

“Center must have safe outdoor program area adjacent to the center, with sufficient square footage to accommodate at least 30 percent of the enrollment capacity at any one time at 75 spear feet per child. Outdoor space must: • Be free from litter and unsafe materials and free from contamination by the drainage or ponding of sewage or storm water. • Include safe play equipment and an area of shade. • Include fencing to protect from bodies of water or vehicular traffic.”

109.11(2)b

“Program space must meet the following conditions: • Room must be arranged so as not to obstruct the direct observation of children by staff. • Individual covered mats, bed, or cots and appropriate bedding will be provided for all children who nap. • Equipment and materials are maintained in a sanitary manner. • Sufficient spacing must be maintained. • The center will have sufficient toilet articles for each child for hand washing.”

109.13(3)c

“• Children under six months held or fed in sitting-up position. • Bottles not propped for any child, given to a child in a crib or left sleeping with a bottle. • Spoon feeding is adapted to developmental capabilities of child.”

109.15(2)

“• Center shall follow minimum CACFP menu patterns for meals and snacks. • Menus planned one week in advance, made available to parents, and kept on file with substitutions noted. • Avoid foods with high incident rate of causing choking.”