Precious Lamb Childcare/Preschool
A licensed child care center 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 7 reports: 2 compliance reports, 2 complaint reports and 3 regulation checklists, the latest dated Dec 2, 2025.
On its 3 regulation checklists from the last three years, Iowa marked 12 rules not met, 1 of them on the latest, on Dec 2, 2025.
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.
Dec 2, 2025: regulation checklist4 deficiencies
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109.11(3)a
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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.
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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.
Dec 16, 2024: regulation checklist8 deficiencies
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Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.
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Daily checks to ensure all exits are unobstructed.
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•Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. •Staff shall provide supervision at table during snacks and meals. •Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep.
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•Center shall follow minimum CACFP menu patterns for meals and snacks. •Menus planned one week in advance, made available to parents, and kept on file with substitutions noted. •Avoid foods with high incident rate of causing choking.
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Ratio maintained in center as required by age.
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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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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.
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All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.
All 7 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Dec 2, 2025 | Child Care Center Evaluation and Recommendation for License | Findings are in Iowa’s report |
| Dec 2, 2025 | Regulation checklist | 1 rule marked not met |
| Dec 2, 2025 | Regulation checklist | 3 rules marked not met |
| Oct 22, 2025 | Child Care Center Complaint | Findings are in Iowa’s report |
| Aug 19, 2025 | Child Care Center Complaint | Findings are in Iowa’s report |
| Dec 16, 2024 | Child Care Center Evaluation and Recommendation for License | Findings are in Iowa’s report |
| Dec 16, 2024 | Regulation checklist | 8 rules marked not met |
Is it licensed?
- Licensed Center, Iowa provider number 52600.
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 | |
|---|---|
| Precious Lamb Childcare/Preschool 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.