Hearth Record

Dereka Williams

A registered child development home B in Dubuque, 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 6 reports: 4 compliance reports and 2 regulation checklists, the latest dated Oct 8, 2026.

On its 2 regulation checklists from the last three years, Iowa marked 18 rules not met, 8 of them on the latest, on Oct 7, 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 24, 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 24, 2026. Updated daily.

Oct 7, 2026: regulation checklist8 deficiencies
  • All travel vehicles must have a paper copy of emergency parent contact information.

    Rule 110.8 (1) a.

  • 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.

    Rule 110.8 (1) h.

  • Nonsmoking signs are posted at every entrance of the home and in every vehicle used to transport children. Signs include telephone number for reporting complaints, and www.iowasmokefreeair.gov.

    Rule 110.8 (1) i.

  • Infants are placed on firm mattress with tight fitted sheet that meets CPSC standards.

    Rule 110.8 (5) a.

  • 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.

    Rule 110.9 (1) a.

  • Documentation from the Department confirming record checks have been completed and authorizing or limiting the person’s involvement with child care.

    Rule 110.9 (1) b.

  • For infants and preschoolers: A statement of health signed by a physician submitted annually.

    Rule 110.9 (4) e.

  • An individual file is maintained for each child and updated annually or when there are changes. Each file contains:

    Rule 110.9(4).

Sep 29, 2025: regulation checklist10 deficiencies
  • 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.

    Rule 110.8 (1) a.

  • All accessible electrical outlets are safely capped or are tamper-resistant electrical outlets.

    Rule 110.8 (1) b.

  • All electrical cords are properly used. This means not found under rugs, over hooks, through door openings, etc.

    Rule 110.8 (1) b.

  • Each smoke detector has been installed according to manufacturer’s recommendations.

    Rule 110.8 (1) h.

  • Nonsmoking signs are posted at every entrance of the home and in every vehicle used to transport children. Signs include telephone number for reporting complaints, and www.iowasmokefreeair.gov.

    Rule 110.8 (1) i.

  • The provider has written policies about caring for mildly ill children and the exclusion of children due to illness, and informs parents of policies.

    Rule 110.8 (1) p.

  • The provider has written policies about responding to health-related emergencies.

    Rule 110.8 (1) q.

  • Provider has procedures related to infectious disease and handling of bodily fluids including blood Soiled diapers are stored in containers separate from other waste.

    Rule 110.8 (3) e.

  • Infants are placed on firm mattress with tight fitted sheet that meets CPSC standards.

    Rule 110.8 (5) a.

  • Within six months of becoming registered, a physical exam report documented on form 470-5152, Child Care Provider Physical Examination Report, for all household members over the age of 18. Physical exams should be repeated every three years.

    Rule 110.9 (1) a.

All 6 visits on record
Visits on record
DateVisitWhat the record says
Oct 8, 2026Homes Evaluation and RecommendationFindings are in Iowa’s report
Oct 7, 2026Regulation checklist8 rules marked not met
Sep 29, 2025Homes Evaluation and RecommendationFindings are in Iowa’s report
Sep 29, 2025Regulation checklist10 rules marked not met
Nov 15, 2024CDH Preinspection and Compliance LetterFindings are in Iowa’s report
Jul 27, 2023CDH Preinspection and Compliance LetterFindings are in Iowa’s report

Is it licensed?

  • Registered Child Development Home B, Iowa provider number 51709.
  • Category B.
Source:

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.
1 compared
Place
Dereka Williams 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.
  • Iowa’s lists show checklists for child development homes only from July 2025; earlier visits to homes have letters, linked but not counted.

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 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.

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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