Hearth Record

Acorns & Oaks Christian Academy

A licensed child care center in Perry, 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: 5 compliance reports and 4 regulation checklists, the latest dated Jul 23, 2026.

On its 3 regulation checklists from the last three years, Iowa marked 11 rules not met, 5 of them on the latest, on Jul 23, 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 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.

Jul 23, 2026: regulation checklist5 deficiencies
  • 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).

    Rule 109.10(7).

  • 109.11(3)a

    Rule 109.11(3)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.

    Rule 109.11(4)a.

  • 109.12(4)e

    Rule 109.12(4)e.

  • 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.

Aug 1, 2025: regulation checklist2 deficiencies
  • 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.

    Rule 109.11(2)b.

  • 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.

Aug 6, 2024: regulation checklist4 deficiencies
  • •Sufficient toilet articles are provided for handwashing. •Sufficient and safe indoor play equipment, materials, and furniture that conforms with CPSC or ASTM. •Play equipment, materials, and furniture meet the developmental, activity, and special needs of the children. •Room’s arrangement does not obstruct the direct observation of children. •Individual covered mats, beds, or cots, and appropriate bedding is provided for all children who nap. •Procedures are developed and implemented to maintain equipment and materials in a sanitary manner. •Sufficient spacing is maintained between equipment to reduce transmission of disease and allow ease of movement by children and staff to respond to activities and care needs. •Sanitary procedures are followed for use and storage of personal hygiene articles.

    Rule 109.12(4).

  • •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.

    Rule 109.15(1).

  • 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.

    Rule 109.9(1)d.

  • 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.

    Rule 109.9(1)e.

All 9 visits on record
Visits on record
DateVisitWhat the record says
Jul 23, 2026Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Jul 23, 2026Regulation checklist5 rules marked not met
Aug 1, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Aug 1, 2025Regulation checklist2 rules marked not met
Aug 6, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Aug 6, 2024Regulation checklist4 rules marked not met
Aug 23, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Jul 18, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Jul 18, 2023Regulation checklistFindings are in Iowa’s report

Is it licensed?

  • Licensed Center, Iowa provider number 48797.
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
Acorns & Oaks Christian Academy 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.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.