Iowa
Iowa Department of Health and Human Services (Iowa HHS) - Child Care Licensing
Iowa Admin. Code r. 441 - Chapter 109 (Child Care Centers)
Researched 2026-09 · Summary, not legal advice — confirm with the agency before acting on a figure.
Regulates: Iowa HHS licenses child care centers under 441 IAC Chapter 109 (implementing Iowa Code ch. 237A and 45 CFR Part 98), including school-based programs, extended evening care and get-well centers; family-based care operates as registered child development homes under separate chapters, and small unregistered home care also exists outside licensing.
Staff-child ratios (centers)
Requirements
- Annual training
- First year: 10 contact hours from approved subject areas plus pre-service health/safety training, CPR, first aid, and mandatory reporter training. After the first year: staff need 6 contact hours of professional development annually; center directors and on-site supervisors need 8 (441-109.7).
- Lead teacher
- Iowa does not require a credential for classroom caregivers: staff counted in ratio must be at least 16 (with restrictions under 18), complete pre-service health and safety training, and obtain CPR, first aid, and mandatory reporter certification within 3 months (441-109.7-109.8).
- Director
- Directors must be at least 21 with a high school diploma/GED, a business/administration course (or 12 contact hours of administrative training or 1 year of administrative experience), pediatric CPR/first aid and mandatory reporter certification, and 100 points from a combined education/experience/training chart (441-109.6(1)).
- Worth knowing
- Full table (441-109.8(2)): 4-year-olds 1:12; 10 years and over 1:20. Iowa sets no numeric maximum group sizes; group size/capacity is set on the license with the state fire marshal (441-109.8(3)). Combined groups of 3-5 year olds may run at 1:12; if a child under 2 is in a combined group the 1:4 (or 1:7 for 18mo-3yr combinations) rules apply.
Compliance
- Background checks
- Every person subject to record checks must clear Iowa criminal and child abuse record checks (via the SING system, plus possible dependent-adult-abuse, sex-offender and other checks) before involvement with child care, and fingerprint-based national FBI criminal history checks are required for all such persons, with fingerprints submitted to the Department of Public Safety before starting (441 IAC 109.6(4), 109.2). Transgressions require a formal record-check evaluation before any employment.
- Mandated reporting
- All staff must complete Iowa's training for the mandatory reporting of child abuse within 3 months and maintain current certification, centers must have written policies on identifying and reporting suspected abuse, and current mandatory-reporter certification is a required personnel-file document (441 IAC 109.4(3), 109.7, 109.9(1)).
- First aid & CPR
- All staff must obtain certification in infant, child AND adult CPR and in infant, child and adult first aid within the first 3 months of employment and keep the certifications current, with valid certificates showing training and expiration dates on file (441 IAC 109.7(1)-(2)).
- Health & safety training
- Within the first 3 months, all staff must complete Iowa's mandatory reporter training, at least 1 hour on universal precautions, and "Essential child care pre-service" (or equivalent approved) health-and-safety training covering the ten CCDBG topics from infectious disease and safe sleep to medication, allergies, premises safety, shaken-baby prevention, emergency preparedness, hazardous materials, transportation and child development (441 IAC 109.7(1)). First-year staff add 10 contact hours of approved training; thereafter staff complete 6 contact hours annually (directors/on-site supervisors 8).
Operations
- Supervision rule
- Every child-occupied room must have supervision present (staff absences of up to 5 minutes only when another staff person is present); during nap time at least one staff member must be in every room where children rest, with full ratios always maintained for children under 2 (441 IAC 109.8(2)). Off-site activities with 6+ children require one extra staff member above ratio with at least one adult 18+, and two staff when more than eight children are on site or transported in one vehicle.
- Record-keeping
- Personnel files must contain all record-check documents, a physical exam within 6 months of hire (repeated every 3 years), and proof of required training/certifications; child files must contain enrollment and contact info, emergency/medical authorizations, health needs and care plans, incident reports, field-trip authorizations, a valid immunization certificate, and (pre-kindergarten) an annual physical (441 IAC 109.9). Centers keep a daily written record for each child under 2 covering sleep, food, elimination, disposition and activities.
- Inspections
- The department conducts an unannounced on-site visit for every initial and renewal licensing decision, at least one unannounced on-site visit each calendar year, and visits on every valid complaint; compliance conclusions for all licensing visits and valid complaints are documented and available to the public, with complainant identity withheld (441 IAC 109.3).
Worth knowing: Chapter 109 was recodified effective 7/1/25 (ARC 9021C) with further amendments effective 9/1/26; the renewal interval for the national fingerprint check and general record-retention periods are not stated in the fetched chapter text.
Family & home child care
441 Iowa Admin. Code Chapter 110 (Child Development Homes); Iowa Code Chapter 237A
- Child Development Home, Category A (registration)
- No more than 6 children not yet attending kindergarten present at any one time, plus up to 2 school-attending children (up to 8 total during an emergency school closing). The limits apply to children present in the home at any one time.Of the 6 non-school children, no more than 4 may be 24 months of age or younger, and of those 4, no more than 3 may be 12 months of age or younger.
- Child Development Home, Categories B and C (registration)
- Category B: no more than 8 non-school children plus 4 school-age children (12 during emergency school closing); an approved assistant (14+) is required whenever more than 8 children are present for over 2 hours. Category C (two qualified co-providers on one registration): no more than 14 non-school children plus 2 school-age children (16 during emergency school closing); both providers must be present when more than 8 children are present.Category B: no more than 4 children 24 months or younger, of whom no more than 3 may be 12 months or younger. Category C: no more than 6 children 24 months or younger, and both providers must be present whenever 4 children under 12 months are in care.
- Provider training
- Before registration: approved health and safety training, 2 hours of mandatory child abuse reporter training, and first aid/CPR (including infant-child CPR). During each 2-year registration period: a minimum of 24 hours of training from approved content areas.
- Worth knowing
- Iowa registers (does not license) child development homes; renewal is every 24 months. An unregistered 'child care home' may legally care for 5 or fewer children (or 6 or fewer if at least one is school-aged). The category limits count children present at any one time; Iowa HHS applies them to all children present, including the provider's own young children.
A ratio is easy to read and hard to hold at 3pm on the playground.
Rehearse supervision