Hearth Record

Stepping Stones Early Learning Center Inc

A licensed child care center in Knoxville, Iowa

Iowa’s own record, on secureapp.dhs.state.ia.us

Watch and the shortlist are kept with a free account, on every device. Your watch list. Iowa’s own record is on secureapp.dhs.state.ia.us.

The short answer

Each figure’s source sits beside it, in its section below.

What these words mean3
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.

What did inspectors find?

Iowa lists 13 reports: 6 compliance reports, 2 complaint reports and 5 regulation checklists, the latest dated Sep 23, 2026.

On its 4 regulation checklists from the last three years, Iowa marked 8 rules not met, 1 of them on the latest, on Feb 19, 2026.

What its other reports found is in each one, linked with it; this page doesn’t count it.

Source:

Iowa Department of Health and Human Services, Childcare Compliance and Complaint Reports and Regulation checklists (PDF), Childcare Compliance and Complaint Reports. Checked Oct 24, 2026. Updated daily.

Each deficiency, in its source’s words

Grouped by visit, newest first, with the level its source gave it.

Source:

Iowa Department of Health and Human Services, Regulation checklists (PDF), Childcare Compliance and Complaint Reports. Checked Oct 24, 2026. Updated daily.

Feb 19, 2026: regulation checklist1 deficiency
  • The center shall have written emergency plans and diagrams for responding to fire, tornado, flood, and plans responding to intoxicated parents and lost or abducted children. Emergency plans shall include written procedures including plans for: •Evacuation to safely leave the facility. •Relocation to a common, safe location after evacuation. •Shelter in place to take immediate shelter when the current location is unsafe to leave due to the emergency issue. •Lock down to protect children and providers from an external situation. •Communication and reunification with parents or other adults responsible for the children, which includes emergency telephone numbers. •Continuity of operations. •To address the individual children, including those with functional or access needs.

    Rule 109.10(13)a.

Mar 14, 2025: regulation checklist1 deficiency
  • Center shall develop procedures for annual staff and volunteer training on emergency plans.

    Rule 109.10(15)c.

Sep 29, 2024: regulation checklist1 deficiency
  • The provider shall follow safe sleep practices recommended by AAP for infants under one year of age: •Infants shall always be placed on their back for sleep. •Infants shall be placed on a firm mattress with a tight fitted sheet that meets Consumer Product Safety Commission federal standards. •Infants shall not be allowed to sleep on a bed, sofa, air mattress or other soft surface. No child will be allowed to sleep in any items not designed for sleeping but not limited to, an infant seat, car seat, swing, bouncy seat. •No toys, soft objects, stuffed animals, pillows, bumper pads, blankets, or loose bedding shall be allowed in the sleeping area with the infant. •No co-sleeping shall be allowed. •Sleeping infants shall be actively observed by sight and sound. •If an alternate sleeping position is needed, a signed physician or physician assistant authorization with statement of medical reason is required.

    Rule 109.12(5)e.

Dec 14, 2023: regulation checklist5 deficiencies
  • 109.10(1)a

    Rule 109.10(1)a.

  • All staff(within first 3 months of employment) •Two hours of approved training FOR the mandatory reporting of child abuse. •At least one hour of training regarding universal precautions and infectious disease control. •Certification in American Red Cross, American Heart Association, American Safety and Health institute or MEDIC 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, approved by the Department. If significant changes occur to content, the Department may require the training be renewed.

    Rule 109.7(1).

  • Ratio maintained in center as required by age.

    Rule 109.8(2).

  • All files contain statement signed by staff indicating whether they have a criminal conviction or founded child/dependent adult abuse.

    Rule 109.9(1)a.

  • All files contain: 1.A signed copy of DHS criminal history record check or any other permission form approved by the Department of public Safety for conducting an Iowa or national criminal history check. 2.A copy of Request for Child Abuse Information. 3.Copies of the results of Iowa records checks conducted. 4.Copies of national criminal history check results. 5.Any Department-issued documents sent to the center related to records check.

    Rule 109.9(1)b.

All 13 visits on record
Visits on record
DateVisitWhat the record says
Sep 23, 2026Child Care Center ComplaintFindings are in Iowa’s report
Feb 19, 2026Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Feb 19, 2026Regulation checklist1 rule marked not met
Oct 1, 2025Child Care Center ComplaintFindings are in Iowa’s report
Jun 5, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Mar 14, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Mar 14, 2025Regulation checklist1 rule marked not met
Sep 29, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Sep 29, 2024Regulation checklist1 rule marked not met
Dec 14, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Dec 14, 2023Regulation checklist5 rules marked not met
Dec 16, 2022Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Dec 16, 2022Regulation checklistFindings are in Iowa’s report

Is it licensed?

  • Licensed Center, Iowa provider number 23962.
Source:

Iowa Department of Health and Human Services, Childcare Compliance and Complaint Reports. Checked Oct 24, 2026. Updated daily.

Has Iowa acted against it?

  • Iowa’s report list doesn’t show enforcement actions; any are written in the reports themselves.

Who does the caring?

  • Iowa’s report list doesn’t show staffing. State rules set staff-to-child ratios by age.

Who owns it?

  • Iowa’s report list doesn’t name owners.

How is it rated?

  • Iowa’s quality rating (IQ4K) isn’t in its report list, so it isn’t shown here.

How does it compare nearby?

  • Providers aren’t compared: Iowa’s checklists don’t cover every visit, and complaint findings aren’t on them.
1 compared
Place
Stepping Stones Early Learning Center Inc This child care providerNot given

What the record doesn’t say

  • Findings here are the rules Iowa’s regulation checklists from the last three years mark as not met, in the checklists’ own words. What evaluations, letters and complaint investigations found is in those reports, linked with each one, and isn’t counted here.
  • Iowa lists a report once it is written up: most within two weeks of the visit, some six weeks or more after it, so a recent visit may not be listed yet.
  • Each report is dated the day Iowa created it, which can be weeks after the visit; a checklist is dated the day of the inspection it records.
  • Iowa’s report list gives only a provider’s city and county, not its street address, ZIP code or phone number.
  • Iowa’s report list doesn’t show quality ratings (IQ4K), capacity, ages served, hours, owners or enforcement actions.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Iowa Department of Health and Human Services. Iowa’s own record is on secureapp.dhs.state.ia.us. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 24, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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