20,160 sections across 1,928 Iowa regulatory chapters.
R.441—115.10 Restraint and control room use debriefing
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115.10(1) Initial discussion. Within a short time after the use of the restraint or control room, staff involved in an intervention and the resident must have a face-to-face discussion except when the presence of a particular staff person may jeopardize the well-being of the resi…
R.441—115.11 Chemical restraint. Chemical restraint shall not be utilized in a comprehensive
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residential facility and each comprehensive residential facility shall have written policies that clearly prohibit the use of chemical restraint. This rule is intended to implement Iowa Code section 273C.3. [ARC 4793C, IAB 12/4/19, effective 1/8/20] [Filed 8/27/81, Notice 7/8/81—…
R.441—115.2 Definitions
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“Comprehensive residential facility” means a facility which provides care and treatment for children who are unable to live in a family situation due to social, emotional, or physical disabilities and who require varying degrees of supervision as indicated in the individual servi…
R.441—115.3 Information upon admission. In addition to the requirements in 114.9(4)“b,” parents or
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guardians shall be provided with information on conditions for the use of restraints. This rule is intended to implement Iowa Code section 237.3.
R.441—115.4 Staff
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115.4(1) Number of staff. a. The number and qualifications of the staff will vary depending on the needs of the children. There shall be at least a one to eight staff-to-child ratio at all times children are awake and present in the facility and during supervised outings. b. A st…
R.441—115.5 Casework services. The facility shall have the internal capacity to provide individual,
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family and group counseling and shall provide, but not be limited to, casework dealing with crisis intervention, daily living skills, peer relationships, future planning and preparation for discharge. This rule is intended to implement Iowa Code section 237.3. [ARC 4793C, IAB 12/…
R.441—115.6 Restraints
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115.6(1) Protective locked environment facilities. Physical restraints and a control room are permitted in protective locked environment facilities. 115.6(2) Secure facilities. Secure facilities may use physical restraints, a control room, locked cottages, and mechanical restrain…
R.441—115.7 Control room
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115.7(1) Purpose. The control room shall be used for treatment purposes only. A facility shall be approved by the licensing authority as meeting the requirements of this chapter regarding control rooms before control rooms can be utilized. 115.7(2) Written policies. When a compre…
R.441—115.8 Locked cottages
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115.8(1) Approval. A facility shall be approved by the licensing authority as meeting the requirements of this chapter regarding locked cottages before locked cottages can be operated. 115.8(2) Nighttime staff. Awake nighttime staff is required in each locked cottage. 115.8(3) Po…
R.441—115.9 Mechanical restraint. When a facility uses mechanical restraints as a part of its
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treatment program, the facility shall have and follow written policies regarding their use. These policies shall be approved by the licensor prior to their use. The policies shall be available to clients, parents or guardians, and referral sources at the time of admission. Polici…
R.441—114.2 and all other references to child care workers shall be replaced by this definition and the
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term “direct-service providers” when reading the other applicable rule chapters. “Indirect-service provider” means an employee of an agency who supervises, coordinates and administers employees and program components. The definitions of “caseworker” and “casework supervisor” in r…
R.441—116.1 Applicability. This chapter relates specifically to the licensing and regulation of
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residential facilities serving children with an intellectual disability or brain injury. Refer to 441—Chapter 112 for basic licensing and regulation of all foster care facilities, 441—Chapter 114 for definitions and minimum standards for all group living foster care facilities an…
R.441—116.2 Definitions
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“Community residential facility for children with an intellectual disability or brain injury” means a community residential facility as defined in rule 441—114.2(237) which serves children with an intellectual disability as defined in Iowa Code chapter 222 or brain injury as defi…
R.441—116.3 Qualifications of staff
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116.3(1) Direct-service providers. Direct-service providers shall be paraprofessionals or professionals meeting all of the following criteria: a. Paraprofessionals shall: (1) Be at least 18 years of age. (2) Have graduated from high school or earned a high school equivalency degr…
R.441—116.4 Staff to client ratio. The number and qualifications of the staff will vary depending on
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the needs of the children. There shall be at least a one to four staff to client ratio during prime programming time. This rule is intended to implement Iowa Code section 237.3.
R.441—116.5 Program components. In addition to the requirements of 441—subrule 114.8(3), the
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facility shall have and follow a written procedure that defines who is responsible for overseeing personal hygiene of children and maintaining general orderliness of the facility. This rule is intended to implement Iowa Code section 237.3. [ARC 4793C, IAB 12/4/19, effective 1/8/2…
R.441—116.6 Restraint. In addition to the provisions of 441—Chapters 114 and 115, a restraint may be
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used as stated in the child’s individual service plan as approved by the parent or guardian, caseworker, and facility as long as that facility meets the standards for utilizing that particular type of restraint. This rule is intended to implement Iowa Code section 237.4. [ARC 479…
R.441—117.1 Required preservice training. Foster parent preservice training shall be offered by the
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department or by a licensed child-placing agency through a training program that has been approved by the department pursuant to rule 441—117.5(237). 117.1(1) Preservice training requirement. Each individual foster parent applicant shall complete the entire 30-hour preservice tra…
R.441—117.2 Required orientation. All foster parent applicants shall attend orientation before
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attending the 30-hour preservice training and before a foster child is placed in their home. Orientation shall not count toward the required 30 hours of preservice training. 117.2(1) Method of provision. The recruitment and retention contractor may provide orientation: a. In an i…
R.441—117.3 Application materials for in-service training. Applications for approval of an in-
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service training program shall be submitted on Form 470-2541 and must be approved before the delivery of the training. Applications submitted after a training is completed shall not be approved. 117.3(1) Except for cardiopulmonary resuscitation and first-aid training, foster pare…
R.441—117.4 Application process for in-service training
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117.4(1) Group training. Applications to provide group foster parent training shall be submitted to the department office for the service area in which the training will be conducted. 117.4(2) Individual training. Applications for approval for individual training, college credit,…
R.441—117.5 Application decisions. The department shall notify the applicant of its decision regarding
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the application for approval of in-service training within 30 days of receipt of the training materials described in rule 441—117.3(237). This notification shall include the reason for not giving approval if approval is denied. 117.5(1) Approval. Foster parent training programs w…
R.441—117.6 Application conference available. If an applicant or provider of training objects in
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writing within seven days after the notification of the department’s decision to deny approval, the area social work administrator shall review the decision to determine if the original decision shall stand. The decision of the area social work administrator is final and is not s…
R.441—117.7 Required in-service training. At least six hours of in-service training are required to
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assist foster parents in confidently and effectively addressing the needs of children placed in foster care. Form 470-3341 shall be used to address in-service training needs. The training plan shall be developed with the department or retention and recruitment contractor and the …
R.441—117.8 Specific in-service training required
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117.8(1) Cardiopulmonary resuscitation (CPR). All foster parents shall maintain their CPR certification and a certificate or card indicating the date of training and expiration. The training shall be provided by: a. A nationally recognized training organization, such as the Ameri…
R.441—117.9 Foster parent training expenses. No expense stipend is provided for orientation or
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preservice training. 117.9(1) Training stipend. Each family that is issued an initial or renewal foster family home license shall receive a $100 stipend to be used for the family’s annual in-service training. The department’s recruitment and retention contractor shall issue one s…
R.441—118.1 Definitions
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“Aim4Excellence credential” means the national director credential for early childhood administrators that is administered by the McCormick Center for Early Childhood Leadership. “Apprenticeship certificate” means a nationally recognized Child Care Development Specialist Register…
R.441—118.10 Application for Iowa quality for kids (IQ4K) rating. Eligible applicants shall apply
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for an IQ4K rating by completing the appropriate application and submitting all required supporting documentation. 118.10(1) Standards to be used. The quality rating will be based on the standards in rules
R.441—118.11 Application effective date. The effective date of an approved IQ4K application shall
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be determined as listed in these subrules. 118.11(1) New or nonrated applicant, Levels 1-4. The application effective date will be the day the department certifies the application is complete and makes the appropriate award determination. 118.11(2) New or nonrated applicant, Leve…
R.441—118.12 Approved program’s expiration date. An approved program’s IQ4K expiration date
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shall be the last day of the month, two years from the application’s effective date. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.13 Renewal application submission, Levels 1-4. Eligible applicants may submit an
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application for IQ4K renewal up to 45 calendar days in advance of the current IQ4K expiration date. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.14 Renewal application submission, Level 5. Eligible applicants may submit an
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application for IQ4K renewal up to 60 calendar days in advance of the current IQ4K expiration date. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.15 Increased rating. Currently rated IQ4K programs may submit an application for a
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higher quality rating no sooner than 12 months after the effective date of the current IQ4K certificate. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.16 Change in location of facility. If the location of a rated program changes, the program
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must notify the department. The program’s current IQ4K rating will be invalid, and the program must submit a new application. The department shall make a new determination of the appropriate rating. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.17 Ongoing eligibility. All applicants awarded an IQ4K certification level must continue
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to meet all eligibility requirements of the awarded level throughout the entire certification period. 118.17(1) Programs unable to maintain full compliance with all eligibility requirements at their awarded level may apply for a waiver of eligibility within 30 calendar days of th…
R.441—118.18 Monitoring. Programs awarded an IQ4K rating shall agree to scheduled on-site and
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virtual program monitoring by the department or the department’s designee to confirm and review compliance with criteria of awarded IQ4K rating. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.19 Professional development training. Only training taken from a department-approved
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training organization shall be accepted toward professional training requirements. Secondary education credits shall count as one secondary education credit equaling 15 training hours based on ages of the children served in the program. [ARC 6277C, IAB 4/6/22, effective 6/1/22]
R.441—118.2 Application for quality rating. Eligible applicants shall apply for a quality rating by
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submitting the specified application form and any required supporting documentation to the department. Applications for a Level 1 rating will not be accepted from programs that have previously been rated at Level 1. 118.2(1) Transition period. For the period February 1, 2011, thr…
R.441—118.20 Rating standards for a child care center, a preschool, or a program operating
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under the authority of an accredited school district or nonpublic school. To participate in IQ4K QRIS, a child care center, preschool, or program operating under the authority of an accredited school district or nonpublic school shall certify that its facility meets the applicabl…
R.441—118.21 through 441—118.25(237A) for a child care center, preschool, or program operating
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under the authority of an accredited school district or nonpublic school; rules 441—118.27(237A) through
R.441—118.22 Criteria for IQ4K—Level 2 child care center, preschool, or program operating
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under the authority of an accredited school district or nonpublic school. To be rated at a Level 2, an eligible facility must satisfy all of the criteria in each of the seven designated categories listed in Levels 1 and 2 or complete all of the criteria designated in its respecti…
R.441—118.23 Criteria for IQ4K—Level 3 child care center, preschool, or program operating
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under the authority of an accredited school district or nonpublic school. To be rated at a Level 3, an eligible facility must satisfy all of the criteria in each of the seven designated categories listed in Levels 1, 2 and 3 or complete all of the criteria designated in its respe…
R.441—118.24 Criteria for IQ4K—Level 4 child care center, preschool, or program operating
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under the authority of an accredited school district or nonpublic school. To be rated at a Level 4, an eligible facility must satisfy all of the criteria in each of the seven designated categories listed in Levels 1, 2, 3 and 4 or complete all of the criteria designated in its re…
R.441—118.25 Criteria for IQ4K—Level 5 child care center, preschool, or program operating
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under the authority of an accredited school district or nonpublic school. 118.25(1) Criteria for each category. To be rated at Level 5, an eligible facility must satisfy all of the criteria in each of the seven designated categories listed in Levels 1, 2, 3, 4 and 5 or complete a…
R.441—118.26 Rating standards for school-aged only programs
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118.26(1) To participate in IQ4K QRIS, a school-aged only program shall certify that its facility meets the applicable criteria as defined in rules 441—118.27(237A) through 441—118.31(237A). 118.26(2) The following program requirements apply: a. Eligible applicants providing adeq…
R.441—118.27 Criteria for IQ4K—Level 1 school-aged only programs. To be rated at a Level 1,
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an eligible facility must satisfy all of the criteria in each of the six designated categories listed in Level 1 or complete all of the criteria designated in its respective specialized tracks. 118.27(1) Nutrition and physical activity. a. The program administrator and any staff …
R.441—118.28 Criteria for IQ4K—Level 2 school-aged only programs. To be rated at a Level 2,
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an eligible facility must satisfy all of the criteria in each of the six designated categories listed in Levels 1 and 2 or complete all of the criteria designated in its respective specialized tracks for Levels 1 and 2. 118.28(1) Nutrition and physical activity. a. The program sh…
R.441—118.29 Criteria for IQ4K—Level 3 school-aged only programs. To be rated at a Level 3,
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an eligible facility must satisfy all of the criteria in each of the six designated categories listed in Levels 1, 2 and 3 or complete all of the criteria designated in its respective specialized tracks for Levels 1, 2 and 3. 118.29(1) Nutrition and physical activity. a. The prog…
R.441—118.3 Rating standards for child care centers and preschools (sunsetting on July 31,
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2011). For applications submitted under subrule 118.2(1), to participate in the quality rating system, a child care center or preschool shall certify that its facility meets the applicable criteria as defined in subrule 118.3(1). 118.3(1) Criteria. Criteria for each rating level …
R.441—118.30 Criteria for IQ4K—Level 4 school-aged only programs. To be rated at a Level 4,
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an eligible facility must satisfy all of the criteria in each of the six designated categories listed in Levels 1, 2, 3 and 4 or complete all of the criteria designated in its respective specialized tracks for Levels 1, 2, 3 and 4. 118.30(1) Nutrition and physical activity. a. Th…