Hearth Record

Bridge to Beginnings: A Child’s Place Preschool

A licensed child care center in Muscatine, Iowa

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

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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 15 reports: 5 compliance reports, 4 complaint reports and 6 regulation checklists, the latest dated Aug 21, 2026.

On its 5 regulation checklists from the last three years, Iowa marked 32 rules not met, 1 of them on the latest, on Aug 21, 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.

Aug 21, 2026: regulation checklist1 deficiency
  • •Sanitary and safe methods in food preparation, serving, and storage sufficient to prevent transmission of disease, infestation, and spoilage are followed. •Staff preparing food that have injuries on hands wear protective gloves. •Staff serving food use clean serving utensils and have clean hands/wear protective gloves.

    Rule 109.13(5)b.

Mar 25, 2025: regulation checklist1 deficiency
  • 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.

Jul 8, 2024: regulation checklist8 deficiencies
  • 109.10(1)a

    Rule 109.10(1)a.

  • Daily checks to ensure all exits are unobstructed.

    Rule 109.10(15)d.

  • The center and supervisor shall ensure that staff knows names and number of children assigned. Staff shall provide careful supervision.

    Rule 109.10(16)a.

  • Any person who does not have a record check completed shall not have unrestricted access to children for whom that person is not a parent, guardian, or custodian.

    Rule 109.10(16)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.

  • Written policy notifying parents of unlimited access provisions.

    Rule 109.5(1).

  • 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 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.

Jul 3, 2024: regulation checklist2 deficiencies
  • 109.10(15)a

    Rule 109.10(15)a.

  • 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.

Feb 1, 2024: regulation checklist20 deficiencies
  • Center shall establish health policies, including criteria for excluding a sick child. Policies shall be consistent with the recommendations of the National Health and Safety Performance Standards.

    Rule 109.10.

  • 109.10(1)a

    Rule 109.10(1)a.

  • Recording incidents: Parents shall be notified on the day of the incident involving a child that includes: •Minor injuries. •Minor changes in health status. •Minor behavioral concerns. •Incidents resulting in injury to a child. Shall be verbally notified immediately when there is: •A serious injury to a child. •An incident resulting in significant change in health status. •An incident includes child being involved in inappropriate, sexually acting out behavior. A WRITTEN report, fully documenting every incident, shall be provided to the parent or authorized person. This should be completed by staff that witnessed the incident and retained in child file. Serious injuries and deaths must be reported to the Department within 24 hours.

    Rule 109.10(10).

  • Daily checks to ensure all exits are unobstructed.

    Rule 109.10(15)d.

  • The center and supervisor shall ensure that staff knows names and number of children assigned. Staff shall provide careful supervision.

    Rule 109.10(16)a.

  • Infectious disease control: Centers shall establish policies and procedures related to infection disease control and use of universal precautions with handling of bodily fluid. Soiled diapers shall be stored in containers separate from other waste.

    Rule 109.10(5).

  • Staff hand washing: The center shall ensure staff demonstrate clean personal hygiene. Staff shall wash hands: 1.Upon arrival at the center. 2.Immediately before eating or participating in food service activity. 3.After diapering a child. 4.Before leaving the rest room either with a child or by themselves. 5.Before and after administering nonemergency first aid if gloves are not worn. 6.After handling animals or cleaning cages.

    Rule 109.10(7).

  • Children’s hand washing: Center shall ensure staff assist children in personal hygiene. For each infant or child with a disability, a separate cloth for washing and one for rinsing may be used in place of running water. Children’s hands shall be washed: 1.Immediately before eating or participating in food service activity. 2.After using the restroom or being diapered. 3.After handling animals.

    Rule 109.10(8).

  • 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.

    Rule 109.10(9).

  • •35 square feet of usable floor space per child. •Rooms with cribs have 40 square feet of space per child.

    Rule 109.11(1).

  • 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.

  • •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).

  • •Infants diapered in a sanitary manner as needed in central diapering area. •One changing table for every 15 infants/toddlers needing diaper changes. •Diapering, sanitation, and handwashing procedures posted and implemented in central diapering area.

    Rule 109.12(5)b.

  • •Sanitary and safe methods in food preparation, serving, and storage sufficient to prevent transmission of disease, infestation, and spoilage are followed. •Staff preparing food that have injuries on hands wear protective gloves. •Staff serving food use clean serving utensils and have clean hands/wear protective gloves.

    Rule 109.15(5)b.

  • Center repeats Iowa record checks at a minimum of every two years or when aware of additional child abuse or criminal history that occurs.

    Rule 109.6(6)c.

  • Center repeats national criminal history checks at a minimum of every four years or when aware of additional history that occurs.

    Rule 109.6(6)d.

  • 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 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.

  • Signed and dated Iowa immunization certificates are on file for each child enrolled.

    Rule 109.9(3).

All 15 visits on record
Visits on record
DateVisitWhat the record says
Aug 21, 2026Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Aug 21, 2026Regulation checklist1 rule marked not met
Mar 25, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Mar 25, 2025Regulation checklist1 rule marked not met
Jan 14, 2025Child Care Center ComplaintFindings are in Iowa’s report
Jul 10, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Jul 10, 2024Child Care Center ComplaintFindings are in Iowa’s report
Jul 8, 2024Regulation checklist8 rules marked not met
Jul 3, 2024Regulation checklist2 rules marked not met
Feb 14, 2024Child Care Center ComplaintFindings are in Iowa’s report
Feb 1, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Feb 1, 2024Regulation checklist20 rules marked not met
Oct 17, 2023Child Care Center ComplaintFindings are in Iowa’s report
Jun 19, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Jun 19, 2023Regulation checklistFindings are in Iowa’s report

Is it licensed?

  • Licensed Center, Iowa provider number 51015.
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
Bridge to Beginnings: A Child’s Place Preschool 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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