Cambridge Little Achievers Center
A licensed child care center in Fairfield, 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 10 reports: 4 compliance reports, 1 complaint report and 5 regulation checklists, the latest dated Jan 13, 2026.
On its 3 regulation checklists from the last three years, Iowa marked 16 rules not met, 5 of them on the latest, on Jan 13, 2026.
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 19, 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 19, 2026. Updated daily.
Jan 13, 2026: regulation checklist5 deficiencies
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Center repeats Iowa record checks at a minimum of every two years or when aware of additional child abuse or criminal history that occurs.
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Center repeats national criminal history checks at a minimum of every four years or when aware of additional history that occurs.
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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.
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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.
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Any child with special health needs, a written emergency plan. Copy shall accompany child if they leave the premises.
Jan 31, 2025: regulation checklist7 deficiencies
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109.10(1)a
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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.
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Record of monthly inspections of outdoor recreation area and equipment shall be kept.
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Center repeats Iowa record checks at a minimum of every two years or when aware of additional child abuse or criminal history that occurs.
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Ratio maintained during mealtimes and outdoor activities at the center.
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If ratio reduced to one staff at the beginning or end of center’s operation, timeframe does not exceed two hours and occurs only when six or fewer children are present with not more than two of the children under two years of age and there are no more than six children in the center.
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Any child with allergies, a written emergency plan. Copy shall accompany child if they leave the premises.
Jun 13, 2024: regulation checklist4 deficiencies
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109.10(1)a
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Center shall develop procedures for annual staff and volunteer training on emergency plans.
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The provider shall follow safe sleep practices recommended by AAP for infants under one year of age: •Infants shall always be placed on their back for sleep. •Infants shall be placed on a firm mattress with a tight fitted sheet that meets Consumer Product Safety Commission federal standards. •Infants shall not be allowed to sleep on a bed, sofa, air mattress or other soft surface. No child will be allowed to sleep in any items not designed for sleeping but not limited to, an infant seat, car seat, swing, bouncy seat. •No toys, soft objects, stuffed animals, pillows, bumper pads, blankets, or loose bedding shall be allowed in the sleeping area with the infant. •No co-sleeping shall be allowed. •Sleeping infants shall be actively observed by sight and sound. •If an alternate sleeping position is needed, a signed physician or physician assistant authorization with statement of medical reason is required.
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Any child with allergies, a written emergency plan. Copy shall accompany child if they leave the premises.
All 10 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Jan 13, 2026 | Child Care Center Evaluation and Recommendation for License | Findings are in Iowa’s report |
| Jan 13, 2026 | Regulation checklist | 5 rules marked not met |
| Jan 31, 2025 | Child Care Center Evaluation and Recommendation for License | Findings are in Iowa’s report |
| Jan 31, 2025 | Regulation checklist | 7 rules marked not met |
| Jun 18, 2024 | Child Care Center Evaluation and Recommendation for License | Findings are in Iowa’s report |
| Jun 13, 2024 | Regulation checklist | 4 rules marked not met |
| Oct 10, 2023 | Child Care Center Complaint | Findings are in Iowa’s report |
| Feb 20, 2023 | Regulation checklist | Findings are in Iowa’s report |
| Feb 8, 2023 | Child Care Center Evaluation and Recommendation for License | Findings are in Iowa’s report |
| Feb 8, 2023 | Regulation checklist | Findings are in Iowa’s report |
Is it licensed?
- Licensed Center, Iowa provider number 52065.
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.
| Place | |
|---|---|
| Cambridge Little Achievers Center 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.
Sources
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Iowa Department of Health and Human Services, Childcare Compliance and Complaint Reports.
Checked Oct 19, 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 19, 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 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.