Hearth Record

YMCA School Age Care at Orange Elem

A licensed child care center in Waterloo, 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 7 reports: 4 compliance reports and 3 regulation checklists, the latest dated Oct 21, 2025.

On its 2 regulation checklists from the last three years, Iowa marked 18 rules not met, 11 of them on the latest, on Oct 21, 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.

Oct 21, 2025: regulation checklist11 deficiencies
  • 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.

    Rule 109.10(13)b.

  • 109.11(3)a

    Rule 109.11(3)a.

  • Centers at ground level that use basement area as program space, or have a basement beneath program space: Testing and plan for remedy of radon is conducted.

    Rule 109.11(8)b.

  • All centers: Annual inspection prior to heating season of all fuel-burning appliances to reduce risk of carbon monoxide poisoning and shall install one carbon monoxide detector on each floor that conforms to UL Standard 2034.

    Rule 109.11(8)c.

  • •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.

    Rule 109.12(1).

  • All files contain: 1.Copy of a department criminal history record check form or any other permission form approved by Department of Public Safety for conducting an Iowa or national criminal history record check 2.Copy of a request for child abuse information form, when applicable. 3.Copies of results of Iowa record checks conducted through the SING for review by the department upon request. 4.Copies of national criminal history check results. 5.Any department issued documents sent to the center related to a record check, regardless of findings.

    Rule 109.9(1)a.

  • All files contain sufficient information to allow the center to contact the parent or emergency contact at any time child is in center’s care as well as who can pick up the child as authorized by the parent.

    Rule 109.9(2)a-c.

  • 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.

    Rule 109.9(2)d.

  • Signed and dated valid Certificate of Immunization, Certificate of Immunization Exemption, or Provisional Certificate of Immunization, provided by the department must be on file for each child enrolled as required by Iowa Administrative Code 641—7.

    Rule 109.9(2)h.

  • 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.

    Rule 109.9(2)i.

  • School-age (for children five years and older and enrolled in school): Annual statement of health status signed by parent is submitted prior to admission, certifies that the child is free of communicable disease, and lists allergies, medications and acute/chronic conditions.

    Rule 109.9(2)j.

Dec 30, 2024: regulation checklist7 deficiencies
  • 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.

    Rule 109.10(15)b.

  • 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.

    Rule 109.11(3)a.

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

    Rule 109.11(3)d.

  • Centers at ground level that use basement area as program space, or have a basement beneath program space: Testing and plan for remedy of radon is conducted.

    Rule 109.11(7)b.

  • All centers: Annual inspection prior to heating season of all fuel-burning appliances to reduce risk of carbon monoxide poisoning and shall install one carbon monoxide detector on each floor that conforms to UL Standard 2034.

    Rule 109.11(7)c.

  • •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.

    Rule 109.12(1).

  • •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.

    Rule 109.15(2).

All 7 visits on record
Visits on record
DateVisitWhat the record says
Oct 21, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Oct 21, 2025Regulation checklist11 rules marked not met
Dec 30, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Dec 30, 2024Regulation checklist7 rules marked not met
Dec 27, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
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 46522.
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
YMCA School Age Care at Orange Elem 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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