Hearth Record

Little Friends FM Childcare LLC

A licensed child care center in Fort Madison, 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 10 reports: 4 compliance reports, 1 complaint report and 5 regulation checklists, the latest dated Jun 26, 2026.

On its 3 regulation checklists from the last three years, Iowa marked 9 rules not met, 3 of them on the latest, on Mar 30, 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.

Mar 30, 2026: regulation checklist3 deficiencies
  • Bathroom facilities: •One toilet and sink for each 15 children over two years of age in room with ventilation. •Built after 11/1/95 – at least one sink in same area as toilet. •Adequate training seats or chairs for children under two years if used in lieu of plumbed toilet. •New construction after April 1, 1998, shall have at least one sink provided in the program rooms for infants and toddlers.

    Rule 109.11(5).

  • Center directors and all staff have the required contact hours of training.

    Rule 109.7(2).

  • 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.

    Rule 109.9(2)i.

May 2, 2025: regulation checklist3 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).

  • Every child-occupied program room has adult supervision in the room.

    Rule 109.8(2)c.

  • Any child with allergies, a written emergency plan. Copy shall accompany child if they leave the premises.

    Rule 109.9(2)g.

Jun 24, 2024: regulation checklist3 deficiencies
  • Center shall develop procedures for annual staff and volunteer training on emergency plans.

    Rule 109.10(15)c.

  • All centers: Annual inspection prior to heating season of all fuel-burning appliances to reduce risk of carbon monoxide poisoning and shall install one carbon monoxide detector on each floor that conforms to UL Standard 2034.

    Rule 109.11(7)c.

  • Ratio maintained during mealtimes and outdoor activities at the center.

    Rule 109.8(2)e.

All 10 visits on record
Visits on record
DateVisitWhat the record says
Jun 26, 2026Child Care Center ComplaintFindings are in Iowa’s report
Mar 30, 2026Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Mar 30, 2026Regulation checklist3 rules marked not met
May 2, 2025Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
May 2, 2025Regulation checklist3 rules marked not met
Jun 24, 2024Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report
Jun 24, 2024Regulation checklist3 rules marked not met
Jun 8, 2023Regulation checklistFindings are in Iowa’s report
May 19, 2023Regulation checklistFindings are in Iowa’s report
Apr 25, 2023Child Care Center Evaluation and Recommendation for LicenseFindings are in Iowa’s report

Is it licensed?

  • Licensed Center, Iowa provider number 52134.
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
Little Friends FM Childcare LLC 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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