Pierrette Kaluhala
A registered child development home A in Marion, Iowa
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 4 reports: 3 compliance reports and 1 regulation checklist, the latest dated Sep 16, 2026.
On its regulation checklist of Sep 15, 2026, Iowa marked 22 rules not met.
What its other reports found is in each one, linked with it; this page doesn’t count it.
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.
Iowa Department of Health and Human Services, Regulation checklists (PDF), Childcare Compliance and Complaint Reports. Checked Oct 24, 2026. Updated daily.
Sep 15, 2026: regulation checklist22 deficiencies
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Number for each child’s parent, a person who can be reached when the parent cannot and child’s physician is written on paper and readily accessible by the working telephone.
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All accessible electrical outlets are safely capped or are tamper-resistant electrical outlets.
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Each smoke detector is tested monthly, and a record is kept for inspection purposes.
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Has a minimum of one single-station, battery-operated, UL-approved smoke detector in each child-occupied room and at the top of every stairway.
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Fire and tornado drills are practiced monthly and documentation kept on file for the current year and previous year.
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Within six months of becoming registered, children 18 years of age or younger residing in the household must have: •Admission physical exam report. •Immunization certificate. For school age: Documentation of physical exam completed at time of school enrollment or since that time.
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Documentation from the Department confirming record checks have been completed and authorizing or limiting the person’s involvement with child care.
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Identifying information including, at a minimum, the child’s name, birth date, parent’s name, address, telephone number, special needs of the child, and the parent’s work address and telephone number.
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Emergency information including where the parent can be reached, the name, street address, city, and telephone of the child’s regular doctor, and the name, telephone number, and relationship to the child of another adult available in case of emergency.
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A signed medical consent from the parent authorizing emergency treatment.
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For infants and preschoolers: An admission physical examination, on the first day of attendance, including past health history, status of present health, allergies and restrictive conditions, and recommendations for continued care when necessary. The date of the exam is not more than 12 months before the child’s first day of attendance.
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For school-aged children: On the first day of attendance, a statement of health status signed by the parent or legal guardian or admission physical examination that is not more than 12 months from the child’s first day.
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For infants and preschoolers: A statement of health signed by a physician submitted annually.
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For school aged children: An annual statement of health condition signed by the parent or legal guardian, annually from date of statement of health or admission physical.
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For each school-age child, record of a physical exam completed at the time of school enrollment or since.
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A signed and dated immunization certificate provided by the state Department of Public Health.
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Written emergency plans for children with allergies. Must accompany child if away from facility.
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Documentation signed by the parent which names persons authorized to pick up the child, their telephone number, and relationship to the child.
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Written permission from the parent(s) for their child to attend activities away from the child development home.
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Injury report forms to document injuries requiring first aid or medical care.
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If a child meets definition of homelessness, required medical documentation is obtained within 60 days of enrollment.
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An individual file is maintained for each child and updated annually or when there are changes. Each file contains:
All 4 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Sep 16, 2026 | Homes Evaluation and Recommendation | Findings are in Iowa’s report |
| Sep 15, 2026 | Regulation checklist | 22 rules marked not met |
| May 22, 2025 | CDH Preinspection and Compliance Letter | Findings are in Iowa’s report |
| Mar 26, 2024 | CDH Preinspection and Compliance Letter | Findings are in Iowa’s report |
Is it licensed?
- Registered Child Development Home A, Iowa provider number 50983.
- Category A.
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.
| Place | |
|---|---|
| Pierrette Kaluhala This child care provider | Not 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.
- Iowa’s lists show checklists for child development homes only from July 2025; earlier visits to homes have letters, linked but not counted.
Sources
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Iowa Department of Health and Human Services, Childcare Compliance and Complaint Reports.
Checked Oct 24, 2026. Updated daily. No licence stated.
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Iowa Department of Health and Human Services, Regulation checklists (PDF), Childcare Compliance and Complaint Reports.
Checked Oct 24, 2026. Updated daily. No licence stated.
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.
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.