Qualified organizations may obtain a gambling license to conduct fund-raising activities benefiting educational, civic, public, charitable, patriotic, or religious purposes. Administrative law judges who work for DIA. Intermediate care facilities for individuals with anintellectual disability(ICF/IID) provide health or rehabilitation services for persons with an intellectual disability. Larry Johnson, Jr., is the director of DIA. The board also hears appeals of rulings of the Occupational Safety and Health Administration (OSHA) and rulings of the Iowa Public Employees Retirement System (IPERS). of the department of inspections and appeals in the Iowa Administrative Code as follows: a. Psychiatric hospitals are defined in Title 42 of the Code of Federal Regulations (CFR). The licensee of a nursing facility shall be responsible for the provision and maintenance of a safe environment for residents and personnel. Many patients in long-term care hospitals have transferred from an intensive care or critical care unit. Hospitals are primarily devoted to the treatment or care for persons experiencing illness, injury, or deformity; for obstetrical care; or for chronic or convalescent care. The Iowa Racing and Gaming Commission regulates pari-mutuel dog and horse racing, commercial gambling facilities, sports wagering, and fantasy sports contests in Iowa. view historical versions. If the person chooses to file a complaint, a complaint form and pre-addressed envelope stamped "confidential" will be mailed to them. They work as fast as possible to complete the cases. The Department of Inspections and Appeals, Health Facilities Division, licenses . Residents and family members were given about 48 hours' notice of the evacuation. Nursing facilitiesfive-year review of rules, physician assistants, amendments to ch 58 . 2. Fire Inspector Rob Van Pelt may be reached by phone at 515.725.1133 or by email at vanpelt@dps.state.ia.us; Centers for Medicare and Medicaid Program Contact Each unit, like DIA's major divisions, has Iowa Code-mandated duties and responsibilities. Inspections and Appeals Department . THIS IS A BIG DEAL. Intermediate care facilities for persons with mental illness are defined in Iowa Code Chapter 135C and Title 42 of the Code of Federal Regulations (CFR). Find out how to be added to the registry, how to transfer to the Iowa registry, how to transfer to another state registry, how to stay active on the registry, how to update your own information in the registry, and more. If suspected dependent adult abuse is occurring in a health-related facility, contact the Iowa Department of Inspections and Appeals Nursing Home and Home . Public participation in the formulation of administrative rules helps our state to reform burdensome rules and prevent overregulation or red tape, encouraging efficiency, economic growth and job creation. Privacy Policy. Reporting COVID-19 test results for Long Term Care facilities Slides and Transcript 3.29.22. Home; Organizations; Inspections and Appeals Department; Inspections and Appeals Department Open For Comment 4; All 205; ARC 6911C. Iowa Department of Inspections and Appeals Lucas State Office Building, Third Floor 321 East 12th Street Des Moines, Iowa 50319-0083 Phone: 515.281.7102 All current job listings for the department can be found on the State of Iowa career website. 535 W. Jefferson St. Springfield, IL 62761. and certified nursing assistant status on the Iowa Direct Care Registry, as well ashotel, restaurant, and otherfood business inspections. The Iowa Department of Inspections and Appeals' Food and Consumer Safety Bureau is responsible for licensing and conducting inspections at food establishments (grocery stores, restaurants, and convenience stores), food processing plants, and hotels and motels. The woman, 82, was pronounced dead at. Anyone may file a complaint against a licensee by filling out the complaint form found here. 2010, must complete an assisted living management or nursing course within 6 months of hire. A critical access hospital (CAH) certified in the Medicare program and licensed as a CAH must be located in a rural area, designated by the Iowa Department of Public Health as a necessary provider, have an agreement with a network hospital, operate with 25 beds or fewer, and maintain an average length of stay of 96 hours or less. I THINK WERE CONFIDENT THAT RESIDENTS WILL FIND SAFE PLACEMENT. Johnson received his law degree from Creighton University School of Law, and his Bachelor of Science in management from Purdue Universitys Krannert School of Management. Des Moines, IA 50319-0001. For more information visit the Dependent Adult Abuse page. BUT THE FOCUS FOR EVERYBODY RIGHT NOW IS TO HELP THEM MOVE THROUGH THIS VERY, VERY TRAUMATIC PROCESS. The Iowa Health Care Association says it is working with the state and other agencies to help the residents find a new home. Hospitals are defined in Iowa Code Chapter 135B and Title 42 of the Code of Federal Regulations (CFR). Special focus facilities: Flagged by the government for having a history of serious quality issues. The case was referred to New York Attorney General Letitia James' office. Note that for the best user experience, DIA recommends using the application in Chrome, Edge, or Safari browsers. The question will be how far away from home? 262 0 obj <>/Filter/FlateDecode/ID[<0E28DF88193BDF458556558BDF8381AC><7EFE21A9BA00F046AE57E771EA61FF3D>]/Index[240 34]/Info 239 0 R/Length 108/Prev 291945/Root 241 0 R/Size 274/Type/XRef/W[1 3 1]>>stream If you are making report as a mandatory reporter, you must leave your name and contact information. Iowa Code Administrative Rules Additional Information Regarding Rules & Waivers Under Iowa Code Chapter 235E, the Department of Inspections and Appeals is now responsible for accepting reports of suspected dependent adult abuse in the following facilities and for completing evaluations of these reports: Health care facilities licensed in Iowa Code section 135C.1, Hospitals defined in Iowa Code section 135B.1, The Iowa Department of Inspections and Appeals is looking into disturbing allegations at a southeast Iowa nursing home. 29 Views , 0 Comments Notice of Intended Action; Inspections and Appeals Department . The (DIA) said that the facilities are now in receivership by the state. Complete the form with as much detail as necessary. Click here to Access Online Services or to Apply Online, Iowa HHS Bureau of Professional Licensure321 E. 12th St.Des Moines, IA 50319Phone:(515) 281-0254Fax:(515) 281-3121, Online Licensure Services:http://ibplicense.iowa.gov, Office Hours:8 a.m. to 4:30 p.m.Monday through Friday, excluding state holidays, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Iowa Board of Nursing Home Administrators, Iowa Board of Cosmetology Arts and Sciences, Iowa Board of Physical and Occupational Therapy, Iowa Board of Respiratory Care and Polysomnography, Iowa Board of Sign Language Interpreters and Transliterators, Iowa Board of Speech Pathology and Audiology, https://amanda-portal.idph.state.ia.us/ibpl/portal/, Persons wishing to file a complaint can open the Complaint form below, enter information into the highlighted fields, print the form, sign and mail to the licensure office, or. If you have questions it is best to contact the board administrator for direction. Rule 481-58.52 - Incompetent resident. Iowans interested in the administrative rules promulgated and administered by the department may access DIA's Rules Docket. Learn more about the department and find links to Iowa Code and Iowa Administrative Rules. 273 0 obj <>stream Click here for a state-by-state breakdown of the data. Note that for the best user experience, DIA recommends using the application in Chrome, Edge, or Safari browsers. YES, A LOT OF FAMILIES TRYING TO FIGURE OUT THEIR NEXT STEPS TONIGHT BECAUSE THESE FACILITIES WILL HAVE TO CLOSE IN ABOUT 60 DAYS. Before the facilities close, the state has appointed a temporary manager of the facilities.The affected nursing/skilled nursing facilities are:Webster Post Acute Rehabilitation (also known as Fort Dodge Villa Care Center) in Fort DodgeHumboldt Wellness and Rehabilitation (also known as Humboldt Care Center) in HumboldtTimber City Wellness and Rehabilitation (also known as Crestridge Care Center) in MaquoketaMadison Wellness and Rehabilitation (also known as Winterset Care Center North) in WintersetThe affected assisted living facilities are:Villa Cottages in Fort Dodge Madison Square Assisted Living and Memory Care in WintersetPrevious coverage: Saatva Mattress Review: Our Pick for the Best Overall Bed of 2023, We Found 12 Cute Planters and Flower Pots That Cost Less Than $25, Here's Where to Watch and Stream Marvel's 'Ant Man and the Wasp: Quantumania' Online. Any person with concerns regarding a facility may file a complaint with the Department of Inspections and Appeals, Complaint/Incident Bureau, Lucas State Office Building, Third Floor, 321 E. 12th Street, Des Moines, Iowa 50319-0083; by use of the complaint hotline, 1-877-686-0027; by facsimile sent to (515)281-7106; or through the Web site Rehabilitation hospitals are defined in Title 42 of the Code of Federal Regulations (CFR). They were previously owned by QHC Management. The question will be how far away from home? If you would like to receive press releases issued by the Iowa Department of Inspections and Appeals, please click the link below. Four and a half months later, after initiating an investigation of the death, the Iowa Department of Inspections and Appeals informed the home's medical director that residents of the facility . "I think we're confident that residents will find safe placement. Iowa Nursing Home Inspections Iowa Inspections, Nursing Homes, Report Card The Health Facilities Division of the Iowa Department of Inspections & Appeals, inspects, licenses and/or certifies more than 4,000 providers and suppliers of health, habilitation, and adult services in the State of Iowa. The Food and Consumer Safety Bureau is responsible for administering and enforcing the Iowa Food Code (Iowa Code Chapter 137F) by conducting food safety inspections at food establishments (grocery stores, restaurants, bars, farmers markets, home bakeries, convenience stores, etc.) (III) 58.28(3) . ARC 6908C. NURSING HOME AND HOME HEALTH COMPLAINT HOTLINE Report complaints to Iowa Department of Inspections and Appeals by calling 1-877-686-0027 or in writing to: Iowa Department of Inspections and Appeals Health Facilities Division/Complaint Unit Lucas State Office Building 321 East 12th Street Des Moines, Iowa 50319-0083 CHILD CARE COMPLAINT HOTLINE Overview POSITION SUMMARY Area of Interest: Behavioral Health - Nursing; FTE/Hours per pay period: 1.0; Department: Residential Care; Shift: Monday - Friday, 8 . STATE AND FEDERAL LAW REQUIRES A 60 DAY PROCESS. Information on deficiencies comes from a homes last three inspection cycles, or roughly three years in total. The division also includes the Iowa Direct Care Worker (DCW) Registry, which manages the database of certified nursing assistants (CNAs) in Iowa, and the Abuse Coordinating Unit, which asists with the detection, investigation, and prosecution of civil, administrative dependent adult abuse investigations in health care facilities. "I think we're confident that residents will find safe placement. Homepage Photo Credit: Monte Goodyk/Moment via Getty Images, Health Care Employment Agency Requirements [NEW], Chapter 10A - Department of Inspections and Appeals, Chapter 17A - Iowa Administrative Procedure Act, Chapter 73 - Preferences (Targeted Small Business Procurement), Chapter 99B - Games of Skill or Chance, and Raffles, Chapter 135B - Licensure and Regulation of Hospitals, Chapter 135G - Subacute Mental Health Care Facilities, Chapter 135H - Psychiatric Medical Institutions for Children, Chapter 137F - Food Establishments and Food Processing Plants, Chapter 235E - Dependent Adult Abuse in Facilities and Programs, All Department of Inspections and Appeals Rules, Chapter 4 - Agency Procedure for Rule Making, Chapter 5 - Public Records and Fair Information Practices, Chapter 6 - Uniform Waiver and Variance Rules, Chapter 7 - Consent for the Sale of Goods and Services, Chapter 8 - Licensing Action for Nonpayment of Child Support and Prohibition of Licensing Action for Student Loan Default/Noncompliance with Agreement for Payment of Obligation, Chapter 10 - Rules of Procedure and Practice Before the Administrative Hearings Division, Chapter 11 - Procedure for Contested Cases Involving Permits to Carry Weapons and Acquire Firearms, Chapter 15 - Iowa Code of Administrative Judicial Conduct, Chapter 31 - Food Establishment and Food Processing Plant Inspections, Chapter 34 - Home Food Processing Establishments, Chapter 40 - Foster Care Facility Inspections, Chapter 41 - Psychiatric Medical Institutions for Children (PMIC), Chapter 50 - Health Care Facilities Administration, Chapter 52 - Dependent Adult Abuse in Facilities and Programs, Chapter 54 - Governor's Award for Quality Care, Rule 57.14 - Involuntary Discharge or Transfer from Residential Care Facility, Rule 58.40 - Involuntary Discharge or Transfer from Nursing Facility, Chapter 60 - Minimum Physical Standards for Residential Care Facilities, Chapter 61 - Minimum Physical Standards for Nursing Facilities, Chapter 62 - Residential Care Facilities for Persons with Mental Illness (RCFs/PMI), Chapter 63 - Residential Care Facility - Three- to Five-Bed Specialized License, Chapter 64 - Intermediate Care Facilities for the Intellectually Disabled, Chapter 65 - Intermediate Care Facilities for Persons with Mental Illness (ICF/PMI), Chapter 67 - General Provisions for Elder Group Homes, Assisted Living Programs, and Adult Day Services, Chapter 71 - Subacute Mental Health Care Facilities, Chapter 72 - Economic Fraud Control Bureau, Chapter 90 - Public Assistance Debt Recovery Unit, Chapter 100 - General Provisions for Social and Charitable Gambling, Chapter 104 - General Provisions for All Amusement Devices, Chapter 105 - Registered Amusement Devices, Chapter 106 - Card Game Tournaments by Veterans Organizations. If you suspect a child under the age of 18 is being abused or neglected: Report complaints to Iowa Department of Inspections and Appeals by calling, Iowa Department of Inspections and Appeals, Health Facilities Division/Complaint Unit, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, If you believe the child is in imminent danger, CALL. The Administrative Hearings Division of DIA conducts contested-case and other administrative proceedings for nearly all State agencies and some local government agencies. Media inquiries must be made to the Division of Communications at 217-782-5750. MORE THAN 50 RESIDENTS ARE SPENDING THEIR LAST WEEKS IN WINTERSET CARE CENTER BEFORE IT CLOSES FOR GOOD. The results in this box only correspond to those deficiencies with inspection narrative reports available. View a sample petition for waiver. The Iowa Health Care Association says it is working with the state and other agencies to help the residents find a new home. A new report from the Iowa Department of Inspections and Appeals, released on Feb. 1, 2023 and first reported by CBS affiliate KCCI, details the series of events that led up to the woman being . The Iowa Department of Inspections and Appeals (DIA) told KCCI that the owner of Blue Care Homes told regulators that they could no longer operate its facilities. Health care facilities administrationfive-year review of rules, 50.3(3)"f," 50.6 to 50.9, 50.11 . ITS UNCLEAR HOW FAR FAMILIES WILL NOW HAVE TO TRAVEL TO SEE THEIR LOVED ONES. Nominations are open to all health care facilities licensed under Iowa Code Chapter 135C, which include nursing facilities, residential care facilities, and intermediate care facilities, including those facilities specializing in the care of persons with mental illness or intellectual disabilities. The professional licensing board has the authority to license and regulate the professionals under its jurisdiction. It is important to do a thorough investigation this often involves interviewing numbers of persons and obtaining documents. If you have concerns regarding a specific child care provider or child care business that is not meeting Iowa regulations, please contact the Iowa Child Care Complaint Hotline at 844-786-1296. Intermediate care facilities for persons with mental illness (ICF/PMI) provide room and board and nursing care for those who primarily have a mental illness. Boarding homesfive-year review of rules, amendments to ch 66 Published on 2/22/2023 . They are located in four different cities, including Fort Dodge, Winterset, Humboldt and Maquoketa.The Iowa Department of Inspections and Appeals (DIA) told KCCI that the owner of Blue Care Homes told regulators that they could no longer operate its facilities.The closures mean that more than 260 residents are now searching for a new place to live. Birth centers, 481Chapter 52; c. Hospices, 481Chapter 53; d. Residential care facilities, 481Chapters 57 and 60; e. Nursing facilities, 481Chapters 58, 59 and 61; The DIA HFD application has been upgraded and the URL has changed. BRANT WILL AT THE PRESIDENT AND CEO OF THE IOWA HEALTH CARE ASSOCIATION, SAYS THIS MANY CLOSINGS HAS NEVER HAPPENED BEFORE OR HIS ORGANIZATION IS NOW HELPING TO QUICKLY PLACE ALL 250 TWINS IN A NEW HOME. Applicants for positions in the Department of Inspections and Appeals must undergo a . DIA-Regulated Health Facilities DIA supports health facilities in Iowa with licensing, certifications, surveys (inspections), and more. The Iowa Department of Inspections and Appeals (DIA) within the Health Facilities Division informs the public of licensure status of nursing facilities, assisted living and other health facilities. Iowa Department of Inspections and Appeals addressing backlog of nursing home investigations after pandemic delays 12/28/2022 Biden breaks silence on his handling of classified documents: 'I have . Records requests can be made by filling out DIA's online form, by phone (515.281.7102),fax (515.242.6863), or mail, or in person at DIA's main office in the Lucas State Office Building, 321E. 12th Street, Des Moines, Iowa 50319. Hospice care is not limited to medical care, but also addresses all physical, psychological, and spiritual needs of the patient, as well as the emotional needs of the patients family. The incident happened at the Water's Edge Rehab and Nursing Center in Port Jefferson, the Suffolk County Police Department tells PEOPLE in a statement. THEY WOULD DEPARTMENT OF INSPECTIONS AND APPEALS NOW SAYS A THIRD PARTY WILL NOW OVERSEE THE LIQUIDATION. Homepage Photo Credit: Monte Goodyk/Moment via Getty Images, Health care employment agency requirements, Health Care Employment Agency Requirements [NEW]. Administrative Hearings & Legal Resources. endstream endobj 241 0 obj <. Update: See important new information on Mandatory Reporter Training. Chapter I. Lucas State Office Building, Third Floor The Iowa Department of Inspections and Appeals (DIA) told KCCI that the owner of Blue Care Homes told regulators that they could no longer operate its facilities. In addition to unemployment cases, the board hears appeals involving peace officer issues and contractor registration requirements. As we have started to see a number of rural nursing homes in Iowa close in recent years, and particularly in the last year, those numbers have dwindled and individuals that are seeking nursing home care are having to travel farther away from home," said Brent Willett, the president and CEO of Iowa Health Care Association. A long-term care hospital (LTCH) is certified as an acute-care hospital, and provides acute care for patients who stay for more than 25 days, on average. This app uses data from the U.S. Centers for Medicare and Medicaid Services. Assisted living programs (ALPs) provide room and board in a homelike environment, as well as services that may include, but are not limited to: health-related care, personal care, and assistance with essential daily living activities. State Licensing for Senior Communities and Care Services in Iowa. That means they will eventually shut down. Nominations will also be accepted via the department'sonline nomination form. Please update your bookmarks to the new URL. The Department of Inspections and Appeals completes an investigative report for review and evaluation by the appropriate board. Medicaid fraud occurs when a Medicaid provider knowingly makes, or causes to be made, a false or misleading statement or representation for use in obtaining reimbursement from the medical assistance program. Find complaints and survey reports. The Investigations Division audits health care facilities, and conducts criminal, civil, and administrative investigations of fraud and misconduct. Consumable hemp products do not include those intended to be introduced into the human body by any method of inhalation, which are prohibited under Iowa Code 204.14A. This would include, but is not limited to, billing for services not provided, charging Medicaid more than the reasonable value of the services and providing services that were medically unnecessary. The Health Facilities Division, inspects, licenses and/or certifies more than 4,000 providers and suppliers of health, habilitation, and adult . Hospitals may be accredited by two different organizations: The Joint Commission or the American Osteopathic Association, both of which meet all Medicare conditions of participation (CoP), except the required provision of active treatment in psychiatric hospitals. Rehabilitation hospitals, or inpatient rehabilitation facilities,provide psychiatric and/or rehabilitation services explicitly excluded, or not paid for, under the Medicare prospectivepayment system. DIA also regulates hotels, motels, and inns (including bed-and-breakfast inns). The Iowa Department of Inspections and Appeals said it was making up for the lost time when it comes to inspecting care facilities. Hospices provide an alternative way to care for terminally-ill individuals, stressing palliative care (medical relief of pain), as opposed to curative or restorative care. 321 East 12th Street. Health facilities subject to DIAs oversight will interact with the department in a variety of ways. Administrative Hearings & Legal Resources. The affected nursing/skilled nursing facilities are: The affected assisted living facilities are: Hearst Television participates in various affiliate marketing programs, which means we may get paid commissions on editorially chosen products purchased through our links to retailer sites. The questioning may lead the licensee to determine who filed the complaint. Iowa Department of Inspections and Appeals Health Facilities Division Citation Citation Number: 7038 Date: September 4, 2019 Facility Name: Heartland Care Center Survey Dates: August 12, 2019 - August 20, 2019 Facility Address/City/State/Zip 604 East Fenton Marcus, IA 51035 MW/DC Rule or Code Section Nature of Violation Class License holders may alsologin here to file a gambling report for 2021. Download the raw data files, updated January 2023. All complaints received in the office are given a case number and are treated as confidential even to the person complaining and the licensee. While the division is required to conduct certain contested case proceedings by statute or administrative rule, it is also authorized under section 10A.801(5) of Iowa Code to conduct any proceeding for any governmental entity on a contract basis. Close the case by writing a confidential letter of education to the licensee; Make a probable cause determination and proceed to a Statement of Charges against the licensee. The Iowa Department of Inspections and Appeals recently proposed a $29,750 fine for the Timely Mission Nursing Home in Buffalo Center due to the Feb. 27 death of Virginia Olthoff. Report suspected Medicaid member fraud, Supplemental Nutrition Assistance Program (SNAP) and Family Investment Program (FIP) fraud by calling 1-877-347-5678, available Monday-Friday 7 a.m. to 6 p.m. You may also report suspected fraud to the US Department of Health and Human Services at the Office of Inspector General website. 6 nursing and assisted living facilities across Iowa closing. The closures mean that more than 260 residents are now searching for a new place to live. DIA regulates food businesses like restaurants, bars (including those that only serve beverages), cafeterias, catering operations, mobile food trucks, farmers markets, temporary events, vending machines, grocery and convenience stores, home food processing establishments, and food processing plants and warehouses. Two weeks ago, the Iowa Capital Dispatch reported that the Iowa Department of Inspections and Appeals had 410 complaints pending against Iowa nursing homes that were at least 30 days old. The nursing facilities must stay open for 60 days, while assisted living facilities must stay open for 90 days.The DIA said it has only filed for receivership once before. https://dia-hfd.iowa.gov CNAs may download the application for the Direct Care Worker Registry here. Download a PDF of the Guide for Mandatory Reporters (or download the Spanish Guide for Mandatory Reporters). Special focus facility candidates: Meet the criteria to be a special focus facility but haven't yet been designated as one. Staff within the division work closely with other State and local partners in identifying fraud, waste, and abuse, and where appropriate, forward cases to federal, State, and local officials for prosecution. You may comment on all administrative rules open for comment on this website. Rule 481-58.53 - County care facilities. Surveyors from DIA conduct routine, unannounced on-site survey visits to assess the quality of care and services provided to clients. Learn how to apply for a social and charitable gambling license, Iowa Administrative Procedures Act, Iowa Code chapter 17A, Visit the Health Facilities Division online database, Visit the Employment Appeal Board website, Visit the Iowa Racing and Gaming Commission website, Preside over telephone or in-person hearings, Write proposed agency decisions in cases on many topics, including drivers licenses revocations and child abuse assessment proceedings, James Strohman,Chair, Labor Representative, Ashley Koopmans, Vice Chair, Public Representative, Myron Linn, Board Member, Management Representative. The DIA said it has only filed for receivership once before. Governor Reynolds. Long-term care hospitals are defined in Title 42 of the Code of Federal Regulations (CFR). The Iowa Department of Inspections and Appeals (DIA) is a multifaceted regulatory agency charged with protecting the health, safety, and well-being of Iowans. Please be ready to provide identifying information and the whereabouts of the child. Sen. Chuck Grassley sent a letter Thursday to Larry Johnson Jr., the director of the Iowa Department of Inspections and Appeals. 2023, Hearst Television Inc. on behalf of KCCI-TV. Department of Inspections and Appeals Health Facilities Division Citation If, within thirty (30) days of the receipt of the citation, you: (1) do not request a formal hearing or; (2) withdraw . In addition, CAB administers the State's Court-Appointed Special Advocate Program (CASA), which is designed to protect the rights of Iowas foster children in all court-related activities. These reports are divided into regions. Submit a complaint for DIA to review about: In Iowa, only certified nursing assistants (CNAs), also referred to as nurse's aides, are placed on the Direct Care Worker Registry. Health Facilities Division personnel also investigate complaints alleging improper care or treatment of patients, residents, and tenants in licensed and certified entities. endstream endobj startxref A psychiatric hospital primarily provides services surrounding the diagnosis and treatment of mentally-ill persons by a doctor of medicine or osteopathy (M.D or D.O). Newly disclosed state records show that as of 2022, care facilities in Iowa owed at least half a million dollars either to their own residents or to the state. They are located in four different cities, including Fort Dodge, Winterset, Humboldt and Maquoketa. While in college, he studied in Spain at the University of Sevilles School of Economics and Business. Qualified organizations may obtain a social or charitable gambling license to conduct fund-raising activities benefiting educational, civic, public, charitable, patriotic, or religious purposes. The purpose of the Iowa Food Code is to "safeguard the public health and provide to consumers, food that is safe, unadulterated and honestly prepared." Rule 481-58.51 - Choice of physician and pharmacy. DIA provides oversight for nursing facilities, skilled nursing facilities, residential care facilities, intermediate care facilities for the intellectually disabled, hospitals, hospices, home health agencies, programs and facilities caring for children, assisted living programs, and elder group homes. All personnel must . A report shows that one administrator at Windsor Place Senior Living in . If specific complaints or concerns are received, DIA staff may complete on-site inspections in addition to routine compliance inspections. Providers may select a vendor from this list to conduct the comprehensive preliminary background checks for provisional employment of employees or provisional participation by students. The three members of the board are appointed to represent employers, employees, and the general public. In addition, DIA staff investigates alleged fraud in Iowa's public assistance programs and conducts contested case hearings to settle disputes between Iowans and various State and local government agencies. A uniform complaint procedure assures consistency in processing complaints.