Child care center employees—physical examination, training credits, 109.7(2)“a”(3), 109.9(1)“b”
ARC 0448D
HUMAN SERVICES DEPARTMENT[441]
Adopted and Filed
Rulemaking related to child care centers
The Department of Health and Human Services hereby amends Chapter 109, “Child Care Centers,” Iowa Administrative Code.
Legal Authority for Rulemaking
This rulemaking is adopted under the authority provided in Iowa Code chapter 237A and 2025 Iowa Acts, House File 390.
State or Federal Law Implemented
This rulemaking implements, in whole or in part, Iowa Code section 237A.5(1) and 45 CFR Part 98.
Purpose and Summary
This rulemaking implements amendments required by 2025 Iowa Acts, House File 390. The legislation changes the requirement for child care center employees to have a physical examination within six months prior to employment to instead require the child care center employees to have a physical examination within six months of employment.
Additionally, this rulemaking eliminates a requirement that providers cannot utilize a training credit more than one time every five years. Because of how frequently trainings are modified and updated, this will allow providers to have more flexibility in how they obtain their training hours.
Public Comment and Changes to Rulemaking
Notice of Intended Action for this rulemaking was published in the Iowa Administrative Bulletin on May 13, 2026, as ARC 0254D. Public hearings were held on the following date:
? June 2, 2026
No one attended the public hearings. No public comments were received. No changes from the Notice have been made.
Adoption of Rulemaking
This rulemaking was adopted by the Department on June 23, 2026.
Fiscal Impact
This rulemaking has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rulemaking, no impact on jobs has been found.
Waivers
Any person who believes that the application of the discretionary provisions of this rulemaking would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to 441—Chapter 2504.
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rulemaking by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rulemaking at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
Effective Date
This rulemaking will become effective on September 1, 2026.
The following rulemaking action is adopted:
ITEM 1. Rescind subparagraph 109.7(2)“a”(3).
ITEM 2. Amend paragraph 109.9(1)“b” as follows:
b. A physical examination report. As required in Iowa Code section 237A.5(1), personnel shall have good health as evidenced by a preemployment physical examination within six months of hire. Acceptable physical examinations shall be documented on a form prescribed by the department. The examination shall be performed within six months prior to of beginning employment and shall be repeated at least every three years. A physical examination may be requested if the employer has reason to believe an employee would not be able to perform a job successfully or safely due to a medical condition.
[Filed 6/23/26, effective 9/1/26]
[Published 7/22/26]
EDITOR’S NOTE: For replacement pages for IAC, see IAC Supplement 7/22/26.
The official published PDF of this document is available from the Iowa General Assembly’s Administrative Rules page.
View the Iowa Administrative Bulletin for 7/22/2026.
The following administrative rule references were added to this document. You may click a reference to view related notices.
Rule 441-109.7(2)"a" Rule 441-109.9(1)"b"The following Iowa code references were added to this document. You may click a reference to view related notices.
Iowa Code 237A.5(1)© 2026 State of Iowa | Privacy Policy