A Nurse's Home Day Care

Policies Of A Nurse's Home Day Care


Welcome to A Nurse's Home Day Care.  We are located on the North East side of Des Moines Iowa in Sheridan Park.  Our hours of operation vary depending upon the work and travel schedules of our existing clients.  

Our services include caring for children from newborn through the age of five.  We do not take school aged children.  We do not provide school transportation at any time. We are a well child day care. 

The mission of the day care is to provide a safe and nurturing environment when parents are working.  Due to the need for quality and affordable full time care, the day care operates primarily as a service for full time clients.  Part time schedules will be considered but a minimum of three full working days is required for consideration.  Part time care is available only on a limited basis.

General but important information: 

Due to a very serious allergy to most perfumes and fragrances, parents and children may not enter the day care at any time wearing any kind of perfume, after shave, lotion, or scents.  PLEASE make sure your child does not have perfume or scents on them when coming to day care.  If we notice a scent upon arrival we will request the child be taken home to remove the scent.  Parents are requested to avoid using scented detergents, lotions, or soaps on the child or the child's clothing.  Johnson and Johnson baby products and Equate baby products are allowed.  Tide, Dreft, All, Cheer, and Whisk are also okay for laundry detergents.  If you can use the "Free" scented laundry soap it would be best.

For safety reasons the front and back door are locked at all times.  We wouldn't want any of the little crumb snatchers to elope or let a bad guy in so we keep it locked.  Please ring the doorbell and we will come to unlock the door.  If you have to wait, please know we are securing the children or finishing a child related task before we can come to open the door.  It may take a few minutes for us to get there!!

Policies:  The following policies have been developed over the past 20 years of operating an in home child care.  They are designed to meet the needs of the individual children and the group as a whole. 


Children may enter the program at any time there is an opening for their age group and the needed schedule.  Children of any race, color, religion, sex, or national origin will be eligible for enrollment.  We are a Christian family and observe Christian holidays and celebrations. 

An enrollment fee of $50.00 is due at the time of enrollment.  It is not refundable.  A maintenance fee of $50.00 per week is required for all slots being held without attendance.  This fee will not be applied to future day care tuition once the child begins day care.

Children with medical disabilities, chronic medical illnesses, or behavioral problems will be considered for enrollment based on the ability of the day care to provide excellent care to the child and existing children in the day care.  We receive many requests to consider special needs children but usually have only one slot available.  We currently have that slot filled and will not be considering additional special needs children at this time unless the child has a parent or State funded assistant present during day care hours.


Parents are required to fill out, sign, and return all enrollment forms before their child is allowed to attend day care.  Children age five and under must have a physical yearly and supply that physical to the day care.  The required forms are

  • physical
  • immunization records
  • medication release
  • general enrollment
  • pictures release
  • field trip (walking) forms 

We will give these forms to you after the second interview.


Please see our "rates" section for weekly and part time rates.  Tuition is due on Friday by noon for the upcoming week.  We offer balance transfer for easy weekly bill pay. We also accept cash, checks, money orders, and Paypal (with a five percent processing fee).  We give a hard copy receipt yearly for taxes with our EIN number.  If you would like us to do a weekly receipt, please present it with your Friday payment and I will be happy to sign it every week.

We do not raise rates on existing clients except for situations where the care hours for the child have increased or departure time has changed to a later departure.  We also offer siblings born into the day care the same base rate as the older sibling.

The rates can be lowered under the following situations:  The child's schedule changes requiring an earlier departure or the child going from full time to part time (minimum of three full days per week).  Notices for ANY changes that lower the weekly rate must be put in writing and presented to the day care on a Friday.  A months notice for any fee lowering change must be given.  Also the change must be approved to insure there is a slot available for the change.  Any schedule changes that result in a pick up earlier than 3 p.m. will not lower the rate below the 3 p.m. departure rate.  This is our lowest possible weekly rate. 


Definition of a slot:  A slot in the day care means a standard scheduled day shift guaranteed to you and your child.  Eight slots are currently available.  A maximum of four slots are available for children under the age of two. 

Full time:  Any schedule requiring five days a week attendance.  We give priority to full time slots. 

Part time:  Any schedule requiring three or four days per week attendance. 


The parent must pay for ANY day their child misses child care for any reason. If your child is absent any day of the week you are still responsible to drop them off and pick them up at the contracted times each attending day thereafter.  We do not make up any time for missed days. Absences on one day do not allow you to use more day care hours on any other day.  Part time children can not attend the day care on an unscheduled day to make up for a missed scheduled day. 

Arrival and Departure

The Driveway:  Orchestrating arrivals and departures is one of the biggest challenges of successfully running a home day care.  We try to pace out arrivals and departures so that the driveway is as available as much as possible to each parent and the street congestion is as little as possible for the neighbors.  Please be respectful of my neighbors.  Please don't block their driveways or park illegally on the street. A complaint from them could cause problems for the business.  I've always gotten along well with my neighbors and want to keep it that way. 

We don't allow double parking in the driveway.  The parent that gets parked behind is often upset with me for allowing it.  If you see another parent in the driveway please park on the street and/or wait for your turn at the driveway.  If you are waiting for your chance at the driveway and the parent in the driveway is delayed please just park on the street and bring your child in.  It's just a few extra feet of will help keep the congestion down.  Please don't leave your child in the day care beyond his/her pick up time in order to wait for a turn at the driveway. 

All children are to be hand walked to their cars.  Please don't allow them to cross over into the neighbors driveway or yard. Please take them straight from the front door to the car.  The front yard and driveway are not play areas so the children are not allowed to play in either at any time.  Families arriving early or departing late be mindful of the neighbors and avoid anything noisy such as loud music or disagreements with the children.  Our neighbors work odd hours so we try to not disrupt their rest.  If your child is having difficulty behaving during arrivals or departures please get them into the house quickly for arrivals and into your car quickly at departures.

Parents will contract with the day care for arrival and departure times.  Parents are allowed to bring their children no more than five minutes before the scheduled arrival time unless overtime arrangements have been made.  The only exception to this is inclement weather.  If you arrive more than five minutes early please park on the street to wait to enter the day care until your scheduled drop off time. 

Late pick ups:  Don't do it.

Holidays and vacation:  See that section on our site.

Emergency closings:  We aren't allowed to operate without basic utilities.  If we loose power we will notify you within a few minutes via text or phone calls.  Please confirm you have received any texts by returning a "message received" text.  If the power isn't back on within a half hour we will notify you again and ask that you come pick up your child within a half hour.  We will notify you a half hour after the power is back on so you have the option to return your child to day care.  If we loose power overnight, I will contact you as early as I can.          

Illness policy:  We are a well child day care. Please assess your child before coming to the day care.  If your child is ill he/she can not attend the day care.  Children showing signs of illness upon arrival will not be admitted.  Please call in advance to discuss your child's condition if you have any question regarding their communicability or ability to attend the day care.  Parents must notify the day care at drop off of ANY medication given to the child within six hours of the drop off.  Parents will be notified if their child becomes ill in day care. 

A child is considered ill if they present with the following:  Fever greater than 100.0 Fahrenheit, vomiting, diarrhea, an undetermined body rash, a persistent runny nose, coughing, extreme changes in usual behavior.  Once a parent receives notice that their child is ill the child must be picked up within 45 minutes of notification. 

Fever:  A temperature of greater than 100 degrees Fahrenheit is excludable from the day care.  Please do not give your child Tylenol or Advil to mask the fever so they appear able to attend the day care. 

Vomiting or Diarrhea:  Children who have vomited or have diarrhea are not allowed to enter the day care until they are symptom free for a full 24 hours.  We do not exclude on the first diarrhea unless it is accompanied by other illness symptoms.  We notify the parent of the first one via a phone call, email, or text.  If the child has another bout of diarrhea he/she must be excluded until the child is symptom free for 24 hours.  If the child returns to day care 24 hours later and has one bout of diarrhea he/she will be excluded again for 24 hours. 

Teething, Ear Infections, and Allergies:  About 90 percent of the time when children present with moderate illness symptoms the parents feel it is either teething, allergies, or an ear infection.  These are three "illnesses" that are not contagious which would allow the child to be in day care despite symptoms that would otherwise exclude them from care. 

Teething:  It is a common misconception that children get fevers when they are teething.  Children will not be allowed to attend the day care if they have a fever, persistent non clear runny nose, coughing, or diarrhea that coincides with teething.  Children will be allowed to attend day care if they present swollen gums and drooling associated with teething.

Ear Infection:  Children may attend the day care with an ear infection as long as he/she is able to participate in our normal activities and does not have any fluid draining out of the ear canal.  Children will not be allowed to attend the day care if they have a fever, persistent non clear runny nose, coughing or diarrhea that coincides with an ear infection.

Allergies:  If a child comes to day care with a runny nose, coughing, congestion, and the parent feels this is due to allergies we must have a Doctor's diagnosis stating what the child is allergic to.  Children will not be allowed to attend the day care if they have a fever, persistent non clear runny nose, persistent coughing or diarrhea that coincides with allergies. 

Viruses:  We get many reports back from parents stating the child has "just a virus".  We must have in writing from the Doctor if the diagnosed virus is contagious.  If it is contagious the child may not attend day care until he/she is symptom free without the aid of fever reducing medication.  We have newborns, special needs children, immunocomprimised children, newly enrolled children, and part time children who have not been exposed to the child with a virus.  These kids could have serious repercussions from exposure to a viral infection.  We can not accept children into the day care with "just-a-virus" because the Doctor assumes everyone has already been exposed. 

Pink Eye and Conjunctivitis:  Children are not allowed to attend day care with eyes that are red and/or eyes that are weeping with clear or cloudy drainage.  They must be completely free of drainage both running and dried drainage around their eyes before they can return to day care.  We do not accept Dr's notes allowing children to return to day care after treating conjunctivitis if the redness and drainage are still present. 

Medications:  We rarely give medication of any sort.  We do ask the parents supply an infant bottle of Advil or Tylenol for babies and a children's bottle for kids over two.  We would only give that medication with permission from the parent and directions on the weight/dosage for their child.  If we feel the child needs medication we will call the parent to discuss before administration.  Again, this is VERY rare.  We go years without ever giving medication to the children. 

We do not give nebulizer or breathing treatments.  Please do not ask if we will do this.  If your child requires treatments they can not attend the day care until their condition allows them to be in care without the need of the treatments.  We also do not allow parents to give breathing treatments in our home.  We will accept a child after receiving a treatment.  Please let us know if you have given your child a nebulizer treatment before care. 

Injuries:  In case of accidental injury or emergency illness, you will be notified immediately after emergency medical services have been summoned.  The day care will not accompany any child to the hospital or physicians office if emergency medical services is enlisted.  Please supply us with a copy of your child's current medical insurance card. 

Clothing:  Parents are requested to send their child in comfortable and easy to manage clothing.  Please do not send your child to day care in clothing that has many snaps.  Outfits requiring you to remove the top in order to get to their diaper area are not acceptable as they are too time consuming for changes.  Overalls are not acceptable for children being potty trained.  

All children who are not potty trained must wear onesie undershirts with secure snaps.  Babies wearing footie jammies or outfits must have a pair of socks on also.  All children must wear socks or slippers that the child can not remove or do not easily come off during clothing changes.  We recommend Robeez brand slippers and can assist you in finding a pair for your child at a reasonable cost.  If a child removes their socks during play time we will not hunt for them.  We will return them when we come upon them.  For sanitary reasons, we do not allow staff or children to go barefooted in the house or wear just a diaper in the day care. 

We keep the house cool in the summer and fairly cool in the winter.  (Nan is hot blooded)  Feel free to overdress your child.  We can always remove layers to make your child comfortable. Dress your child for the coldest part of the day and we will take it from there.  We provide naptime Halo sacks for all children ages birth to five.  Children age two and older may keep a personal blanket from home for naptime.

No amber necklaces, hats, barrettes, jewelry, watches, belts, or clothing with strings attached.  We do not allow hoodies with strings or jackets with strings.  No indoor wear hoodies at any time for any age child.  Children may have hoodies for outerwear for outside only (outside spring and fall jackets).  They can't wear them inside the house.  Any bottoms with drawstrings are not allowed.

We need three spare complete head to toe outfits for the kids under two and two outfits for the kids over the age of two.  We will pass them back as the children outgrow them.  All children must arrive dressed for the day.  We do not change clothing upon arrival, before departure, or for bedtime on the evening shift.  Whatever clothing the child arrives in will remain on the child unless there is a spill or the child has an accident.  We do not do children's hair or brush teeth on either shift.  Please make sure your child has their hair and teeth done before bringing them to child care. 

Diapers:  We do not allow generic diapers.  The brands we accept are Huggies, Pampers, and Luvs.  We accept Target brand diapers but the current Target brand runs one size smaller than Huggies, Pampers, and Luvs.  If you would like to use Target diapers we must have one size up from what your child would wear in the premium diapers.  We also do not allow generic wipes with the exception of Target wipes.  No scented wipes.

We offer a cloth diapering service.  Please contact us to inquire about this service to see if we can accomodate your child's needs.

We change kids about every 2 to 3 hours.  Figure about 4-5 diapers a day.  Breast fed babies may need as many as 5-7 a day plus additional "over diapers" of the next size up.  We don't use pull ups until the child is nearly done with potty training and has been accident free for one week. 

We put a note on the front door when we need diapers and wipes.  We will ask for wipes about once a month.

Discipline:  We have little behavior issues with our kids.  They don't hit, bite, fight, or be mean to each other in any way.  The love each other and treat each other with respect and admiration.  Most if not all of the children here have been raised with us since they were newborns or young infants.  They have been brought up in our ways and have a strong attachment to the other kids and to their Nan. 

We use a strict supervision and correction system that pretty much eliminates any aggressive behavior.  We have "rules of play" that are wrought from 30 years of experience caring for kids which keep the kids focused on the toys and co-operative play.  When children have escalating behavior we use "proximity control" or physically close supervision until the child exhibits the behaviors we seek for normal group activity. 

We rely on the other children to show children with unwanted behavior what behavior we expect and promote.  If a child persists with unnaceptable behavior we "team" them up with the child in the day care who is able to show them the proper way to conduct themselves.  When children with behavior issues are surrounded by balanced and stable children they will adjust quickly to the conduct of the rest of the group.  We encourage the older children to model kind and co-operative behavior and to mentor the younger children who need help.  Works like a charm

Now and then a child may need a time out to cool their jets and get a chance to start over again.  We rarely use this because it doesn't work very well but will give it a try if we are unsuccessful with our other methods.  We can go years in between the need to use time out but we will give it a try now and then.  We'll let you know if your child was put to time out and discuss with you what's going on that led to the separation from the other kids. 

If your child has any behavior issues here you will be the first to know.  We keep the parents informed of any behaviors that are requiring repeated corrections.  (In other words... we rat them out ) Please keep us posted of any behavior issues you are having at home ESPECIALLY any kind of physical or violent acting out.  We will be happy to help with advise or work on the issues here. 

Naps:  All children have a rest time daily.  The normal afternoon nap is 2.5 hours and is sometime between noon and three p.m.  We do not provide child care services for children who do not need a full afternoon nap.

We do not schedule departure times during nap times.  If you need to pick up your child during nap time we ask that you let us know in the morning so we can nap your child in a separate nap area.  We don't like to interupt the napping kids. 

Toy And Cup Policy:  No toys or sippy cups from home.  Please do not bring them into the child care.   Parents are required to check their child's pockets before entering the day care to make sure the child does not bring anything into the day care.  If coins or small objects are found on your child we will need to terminate your child's care to protect the safety of the little ones. 


Car Seats:  We do not allow car seats in the house for either arrival or departure.  We do not keep car seats on the property or in the house while you are at work. 

Field Trips:  For outdoor activity the children go  off property (weather permitting) to Sheridan Park, to Brubaker Elementary Playground, and neighborhood walks We do not transport children via car off property at any time.  Parents are asked to sign a permission slip to allow their child to go on our daily adventures.  We provide shoes, coats, hats, gloves, boots, and snow suits for each child.  Parents are not required to bring their child in weather appropriate outdoor gear.  We will make sure they have everything they need every day.

Termination of child care:  We require a one calendar month notice in writing for termination of child care services.  We receive notices on Friday's only.  Any unused acrued vacation and Holiday pay owed to the day care will be due at the end of the contract.  Parents are required to pay for all of the one months notice time regardless of the child's attendance.