Hearth Record

Appanoose County Head Start

A licensed child care center in Centerville, 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 9 reports: 4 compliance reports and 5 regulation checklists, the latest dated Dec 16, 2025.

On its 4 regulation checklists from the last three years, Iowa marked 7 rules not met, 2 of them on the latest, on Dec 16, 2025.

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 19, 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 19, 2026. Updated daily.

Dec 16, 2025: regulation checklist2 deficiencies
  • Center shall develop procedures for annual staff and volunteer training on emergency plans.

    Rule 109.10(13)c.

  • 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.

    Rule 109.11(4)a.

Nov 5, 2025: regulation checklist2 deficiencies
  • Center shall develop procedures for annual staff and volunteer training on emergency plans.

    Rule 109.10(13)c.

  • 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.

    Rule 109.11(4)a.

Dec 11, 2024: regulation checklist1 deficiency
  • Any child with allergies, a written emergency plan. Copy shall accompany child if they leave the premises.

    Rule 109.9(2)g.

Nov 20, 2023: regulation checklist2 deficiencies
  • Center shall develop procedures for annual staff and volunteer training on emergency plans.

    Rule 109.10(15)c.

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

    Rule 109.11(3)d.

All 9 visits on record
Visits on record
DateVisitWhat the record says
Dec 16, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Dec 16, 2025Regulation checklist2 rules marked not met
Nov 5, 2025Regulation checklist2 rules marked not met
Dec 11, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Dec 11, 2024Regulation checklist1 rule marked not met
Nov 20, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Nov 20, 2023Regulation checklist2 rules marked not met
Dec 20, 2022Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Dec 20, 2022Regulation checklistFindings are in Iowa’s report

Is it licensed?

  • Licensed Center, Iowa provider number 25165.
Source:

Iowa Department of Health and Human Services, Childcare Compliance and Complaint Reports. Checked Oct 19, 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
Appanoose County Head Start 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 19, 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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