Tausi Nakutosa
A registered child development home A in Cedar Rapids, 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 6 reports: 3 compliance reports and 3 regulation checklists, the latest dated Oct 15, 2026.
On its 3 regulation checklists from the last three years, Iowa marked 48 rules not met, 2 of them on the latest, on Oct 14, 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 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.
Oct 14, 2026: regulation checklist2 deficiencies
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First-aid supplies are available and easily accessible in the home, outdoor play area, in any vehicle used to transport children, and on field trips.
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Procedures are in place for: •Evacuation to safely leave the facility, •Relocation to a common, safe location after evacuation, •Shelter-in-place to take immediate shelter where the child is when it is unsafe to leave that location due to the emergent issue, •Lock down to protect children and providers from an external situation, •Communication and reunification with families, •Continuity of operations, and Procedures to address the needs of individual children, including those with functional or access needs.
Aug 28, 2026: regulation checklist21 deficiencies
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All travel vehicles must have a paper copy of emergency parent contact information.
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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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Each smoke detector is tested monthly, and a record is kept for inspection purposes.
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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
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Injury report forms are maintained for any injury requiring first aid or medical care. The forms are completed on the date of occurrence, shared with parents, and copies are in the child’s file.
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First-aid supplies are available and easily accessible in the home, outdoor play area, in any vehicle used to transport children, and on field trips.
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The first-aid kit shall, at a minimum, include adhesive bandages, bottled water, disposable tweezers, and disposable plastic gloves.
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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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Procedures are in place for: •Evacuation to safely leave the facility, •Relocation to a common, safe location after evacuation, •Shelter-in-place to take immediate shelter where the child is when it is unsafe to leave that location due to the emergent issue, •Lock down to protect children and providers from an external situation, •Communication and reunification with families, •Continuity of operations, and Procedures to address the needs of individual children, including those with functional or access needs.
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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 medical and dental treatment.
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An admission physical examination report signed by physician or clinic designee.
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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 admission physical.
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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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A signed and dated immunization certificate provided by the state Department of Public Health.
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Written emergency plan for children with allergies. Must accompany child if away from facility.
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Written permission from the parent(s) for their child to attend activities away from the child care home.
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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:
Sep 10, 2025: regulation checklist25 deficiencies
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Emergency numbers posted for police, fire, ambulance, and poison information center.
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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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Has not less than one 2A 10BC rated fire extinguisher in a visible and readily accessible place on each child-occupied floor.
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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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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
-
Injury report forms are maintained for any injury requiring first aid or medical care. The forms are completed on the date of occurrence, shared with parents, and copies are in the child’s file.
-
First-aid supplies are available and easily accessible in the home, outdoor play area, in any vehicle used to transport children, and on field trips.
-
The first-aid kit shall, at a minimum, include adhesive bandages, bottled water, disposable tweezers, and disposable plastic gloves.
-
Emergency and disaster plans for fire and tornado are written and posted by primary and secondary exits.
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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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The plans shall clearly map building evacuation routes in case of fire, a safe place indoors in case of tornado, and flood shelter areas.
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Procedures are in place for: •Evacuation to safely leave the facility, •Relocation to a common, safe location after evacuation, •Shelter-in-place to take immediate shelter where the child is when it is unsafe to leave that location due to the emergent issue, •Lock down to protect children and providers from an external situation, •Communication and reunification with families, •Continuity of operations, and Procedures to address the needs of individual children, including those with functional or access needs.
-
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.
-
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.
-
A signed medical consent from the parent authorizing emergency medical and dental treatment.
-
An admission physical examination report signed by physician or clinic designee.
-
A statement of health signed by a physician submitted annually.
-
For school aged children: An annual statement of health condition signed by the parent or legal guardian, annually from date of admission physical.
-
Documentation signed by the parent which names persons authorized to pick up the child, their telephone number, and relationship to the child.
-
A signed and dated immunization certificate provided by the state Department of Public Health.
-
Written emergency plan for children with allergies. Must accompany child if away from facility.
-
Written permission from the parent(s) for their child to attend activities away from the child care home.
-
An individual file is maintained for each child and updated annually or when there are changes. Each file contains:
All 6 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Oct 15, 2026 | Homes Evaluation and Recommendation | Findings are in Iowa’s report |
| Oct 14, 2026 | Regulation checklist | 2 rules marked not met |
| Aug 31, 2026 | Homes Evaluation and Recommendation | Findings are in Iowa’s report |
| Aug 28, 2026 | Regulation checklist | 21 rules marked not met |
| Sep 11, 2025 | Homes Evaluation and Recommendation | Findings are in Iowa’s report |
| Sep 10, 2025 | Regulation checklist | 25 rules marked not met |
Is it licensed?
- Registered Child Development Home A, Iowa provider number 52558.
- 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 | |
|---|---|
| Tausi Nakutosa 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.