West Des Moines KinderCare

109.11(4)b

“Record of monthly inspections of outdoor recreation area and equipment shall be kept.”

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.”

109.13(1and2)

“• Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. • Staff shall provide supervision at table during snacks and meals. • Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep. • Menus shall be made available to parents and kept on file with substitutions noted. • Avoid foods with high incident rate of causing choking.”

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.”

109.7(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.”

109.11(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.”

109.10(7)

“First aid kit: The center shall ensure that a clearly labeled first aid kit that is sufficient to address minor injury or trauma is available and accessible to staff at all times when children are: • In the center. • In the outdoor play area. • On field trips (away from the center).”

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.”

109.9(1)e

“All files contain documentation to indicate that ongoing staff training requirements are met, including current certifications in first aid/CPR and mandatory child abuse training.”

109.9(2)

“All files are updated at least annually and when a change occurs.”

109.9(2)b

“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)c

“All files contain information regarding the specific health and medical needs of a child including information regarding any prescribed treatment. For school-age programs in the child’s school, all files include a statement signed by the parent that the immunization information is available in the school file.”

109.15(1)

“• Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. • Staff shall provide supervision at table during snacks and meals. • Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep.”

109.10(3)a

“All medications shall be stored in original containers with physician or pharmacist directions. Labels should be intact and stored so they are inaccessible to children and public. Nonprescription medications shall be labeled with the child’s name.”

109.10(15)a

109.10(15)b

“Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.”

109.11(3)a

“Center shall ensure that: 1. Facility and premises are sanitary, safe, and hazard free. 2. Adequate indoor and outdoor space is provided. The outdoor area shall include safe play equipment and area of shade. 3. Sufficient space provided for dining. 4. Sufficient lighting shall be provided. 5. Sufficient ventilation. 6. Sufficient heating. 7. sufficient cooling. 8. Sufficient bathroom and diapering facilities. 9. Equipment, including kitchen appliances, are maintained so as not to result in burns, shock, or injury to children. 10. Sanitation and safety procedures for the center are developed and implemented to reduce risk or injury or harm to children and reduce transmission of disease.”

109.11(3)d

“Record of monthly inspections of outdoor recreation area and equipment shall be kept.”

109.8(2)c

“Every child-occupied program room has adult supervision in the room.”