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Licensing
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11/16/2011
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License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Abby's One True Gift

Adoptions, Inc.

Director: Patricia Gerlitz Child Placing License status N/A Full None Dupey Polk

755 Frontier Avenue Adoption under Appeal

Suite 102

Waukee, IA 50263

Phone: (515) 987-0565



About A Child

Director: Victoria Kats

West Des Moines Child Placing 6/1/11-6/1/2014 N/A Full None Dupey Polk

729 22nd Street Adoption

West Des Moines, IA 50265

Phone: (515) 221-2231



Adoption Bridges, Inc. Child Placing 4/1/10-4/1/2013 N/A Full None Kroeger Polk

Director: Andrey Korsakov Adoption

535 S. 34th Street

West Des Moines, IA 50265

Phone: (515) 771-0211



Adoption Connection, Ltd. Child Placing 5/1/11-5/1/2014 NA Full N/A Dupey Polk

Director: LuAnn Barnes Adoption

Adoption Connection: The

Iowa Center for Adoption

114 NW 5th Street, Suite 103

Ankeny, IA 50023

Phone: (515) 965-8029



American Home Finding Association

Director: Tom Lazio

Ottumwa Child Placing 11/1/10-11/1/2013 N/A Full N/A Kroeger Wapello

217 East 5th Street Adoption

Ottumwa, Iowa 52501 Foster Care

Phone: (641) 682-3449



Page 1

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Emergency Shelter Private Shelter 11/1/10-11/1/2011 15 Full None Kroeger Wapello

6941 Ashland Road

Agency, Iowa 52530

Phone: (641) 937-5272





Avalon Center

Director: Leah Weber

Mason City Child Placing 9/1/10-9/1/2013 N/A Full None Dupey Cerro Gordo

22 North Georgia, Suite 102 Adoption

Mason City, IA 50401 Foster Care

Phone: (641) 422-0070



Bethany Christian Services

of Northwest Iowa

Director: Martha Himba

Bethany Christian Services of Child Placing 1/1/11-1/1/2014 N/A Full N/A Kroeger Sioux

the Heartland-Orange City Adoption

123 Albany Ave S.E. Foster Care

Orange City, IA 51041

Phone: (712) 737-4831



Bethany Christian Services of

the Heartland-Mason City SATELLITE SATELLITE N/A N/A N/A Kroeger Cerro Gordo

1631 4th Street SW

Suite 125A

Mason City, IA 50401





Bethany Christian Services of

South Central Iowa

Director: Marlene Hibma

Des Moines Child Placing 6/1/11-6/1/2014 N/A Full N/A Dupey Polk

316 East 6th Street Adoption

Des Moines, IA 50309 Foster Care

Phone: (515) 270-0824





Page 2

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Pella Child Placing 6/1/11-6/1/2014 N/A Full N/A Dupey Marion

617 Franklin St. Adoption

Pella, Iowa 50219 Foster Care

Phone: (641) 628-3247



Cedar Rapids SATELLITE SATELLITE N/A N/A N/A Dupey Linn

900 2nd Street SE

Suite 104

Cedar Rapids, IA 52401





Bethany For Children and Families

Director: Bill Steinhauser

Davenport Child Placing 6/1/10-6/1/2013 N/A Full N/A Wilcox Scott

1202 West 3rd Street Adoption

Davenport, Iowa 52801 Foster Care

Phone: (563) 324-9169



Maquoketa SATELLITE SATELLITE N/A N/A N/A Wilcox Jackson

115 S. 2nd Street

Unit 6

Maquoketa, IA 52060



Muscatine Child Placing 6/1/10-6/1/2013 N/A Full N/A Wilcox Muscatine

216 Green Street, Suite 1 Adoption

Muscatine, IA 52761 Foster Care

Phone: (563) 262-9401





Black Hawk County Youth

Shelter

Director: Amy Jones

1450 West Dunkerton Road Public Shelter 1/1/11-/1/1/2012 15 Full None Wilcox Black Hawk

Waterloo, Iowa 50703

Phone: (319) 291-2531









Page 3

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Boys and Girls Home and

Family Services, Inc.

Director: Robert Sheehan

Boys and Girls Home Campus Comprehensive 10/1/10-10/1/2011 18 Full Control Dupey Woodbury

Brick Residential Room

2101 Court St, 2nd Floor-B (PMIC)

Sioux City, Iowa 51104

Phone: (712) 293-4904



Boys and Girls Home Campus Comprehensive 5/2/11-10/1/2011 18 Full Control Dupey Woodbury

Crossroads Residential Room

2101 Court St., 4th Floor-C (PMIC)

Sioux City, Iowa 51104

Phone: (712) 293-4769



Boys and Girls Home Campus Comprehensive 10/1/10-10/1/2011 18 Full Control Dupey Woodbury

Corbett Residential Room

2101 Court St., 6th Floor-B (PMIC)

Sioux City, Iowa 51104

Phone: (712) 293-4861



Boys and Girls Home Campus Comprehensive 5/2/11-10/1/2011 18 Full Control Dupey Woodbury

Ward Residential Room

2101 Court St, 6th Floor-C (PMIC)

Sioux City, Iowa 51104

Phone: (712) 293-4858



Boys and Girls Home Campus Child Placing 12/1/10-12/1/2013 N/A Full None Dupey Woodbury

Sioux City Adoption

2101 Court Street Foster Care

Sioux City, IA 51104

Phone: (712) 293-4700



Catholic Charities of the Diocese

of Sioux City, Iowa

Director: Jerry Eaton

Sioux City Child Placing 10/1/10-10/1/2013 N/A Full N/A Kroeger Woodbury

1601 Military Road Adoption



Page 4

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Sioux City, Iowa 51103 Foster Care

Phone: (712) 252-4547



Carroll Child Placing 11/1/10-11/1/2013 N/A Full N/A Kroeger Carroll

409 1/2 West 7th Street Adoption

Carroll, Iowa 51401 Foster Care

Phone: (712) 792-9597



Fort Dodge Child Placing 9/15/10-2/1/2012 N/A Full N/A Kroeger Webster

1200 3rd Avenue NW Adoption

Suite 1 Foster Care

Fort Dodge, Iowa 50501

Phone: (515) 576-4156



Storm Lake SATELLITE SATELLITE N/A NA N/A Kroeger Buena Vista

1709 Richland

Storm Lake, IA 50588



Algona

715 East North Street SATELLITE SATELLITE N/A NA N/A Kroeger Webster

Algona, IA 50511



Spencer SATELLITE SATELLITE N/A NA N/A Kroeger Clay

1111 4th Avenue West

Spencer, IA 51301





Catholic Council for Social

Concern, Inc.

Director: Nancy Galeazzi

Catholic Charities of the Diocese Child Placing 5/1/11-5/1/2014 N/A Full N/A Dupey Polk

of Des Moines-A New Beginning Adoption

601 Grand Avenue Foster Care

Des Moines, Iowa 50309

Phone: (515) 237-5082





Central Iowa Juvenile



Page 5

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Detention Center Public Detention 4/1/11-4/1/2012 30 Full Mechanical Dixon Hardin

Director: Tony Reed Restraints

2317 Rick Collins Way

Eldora, Iowa 50627

Phone: (641) 858-3852





Children & Families of Iowa

Director: Gloria Gray

Des Moines Child Placing 6/1/10-6/1/2013 N/A Full N/A Dupey Polk

1111 University Avenue Adoption

Des Moines, Iowa 50314 Foster Care

Phone: (515) 288-1981



Fort Dodge Child Placing 7/1/10-7/1/2013 N/A Full N/A Dupey Webster

111 Avenue O West Adoption

Fort Dodge, Iowa 50501 Foster Care

Phone: (515) 573-2193



Ottumwa Child Placing 9/8/10-8/1/2012 N/A Full N/A Dupye Wapello

711 Church Street Adoption

Ottuwma, IA 52501 Foster Care

Phone: (641) 682-3642



Osceola Child Placing 8/1/09-8/1/2012 N/A Full N/A Dupey Clarke

115 West McLane Adoption

Osceola, IA 5213 Foster care

Phone: (641) 342-3444



Ankeny Child Placing 8/1/11-8/1/2014 N/A Full N/A Dupey Polk

501 SW Ankeny Road Adoption

Ankeny, IA 50021 Foster care

Phone: (515) 289-2272



Farrand House Comprehensive 8/1/09-8/1/2012 10 Full None Dupey Polk

2331 East 8th St. Residential

Des Moines, IA 50316

Phone: (515) 266-6338



Page 6

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Ten Eleven Group Home Comprehensive 8/1/09-8/1/2012 10 Full None Dupey Polk

1011 Park Avenue Residential

Des Moines, Iowa 50315

Phone: (515) 244-0839





Cornerstone Recovery Comprehensive 6/1/11-6/1/2012 11 Full Control Dupey Polk

501 SW Ankeny Road Residential Room

Ankeny, IA 50021 (PMIC)

Phone: (515) 289-2272





Children's Home Society & Family Services

Director: Maxine Walton

Iowa Child Placing 9/24/09-10/1/2011 N/A Full None Wilcox Cerro Gordo

103 East State Street Adoption

Suite 607

Mason City, IA 50401

Phone: (641) 781-1505



ChildServe

Director: Lloyd Vander Kwaak

Johnston Child Placing 6/1/09-6/1/2012 N/A Full N/A Dupey Polk

5406 Merle Hay Road Supervised Apartment Living

Johnston, IA 50131

Phone: (515) 727-8750



Christian Home Association-

Children's Square USA

Director: Carol Wood

Children's Emergency Shelter Private Shelter 2/1/11-2/1/2012 20 Full None Kroeger Pottawattamie

North 6th and Avenue E

Council Bluffs, Iowa 51502

Phone: (712) 322-3700



Cottonwood Cottage Comprehensive 2/1/11-2/1/2012 12 Full None Kroeger Pottawattamie

North 6th and Avenue E Residential



Page 7

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Council Bluffs, Iowa 51502 (PMIC)

Phone: (712) 322-3700



Kinney Cottage Comprehensive 2/1/11-2/1/2012 14 Full None Kroeger Pottawattamie

North 6th and Avenue E Residential

Council Bluffs, Iowa 51502 (PMIC)

Phone: (712) 322-3700



Miller Cottage Comprehensive 2/1/11-2/1/2012 10 Full None Kroeger Pottawattamie

North 6th and Avenue E Residential

Council Bluffs, Iowa 51502 (PMIC)

Phone: (712) 322-3700



Stephan Cottage Comprehensive 2/1/11-2/1/2012 12 Full None Kroeger Pottawattamie

North 6th and Avenue E Residential

Council Bluffs, Iowa 51502 (PMIC)

Phone: (712) 322-3700



Council Bluffs Child Placing 7/1/09-7/1/2012 N/A Full None Kroeger Pottawattamie

North 6th Street & Avenue E Adoption

Council Bluffs, IA 51502 Foster Care

Phone: (712) 322-3700



Sioux City Child Placing 7/1/09-7/1/2012 N/A Full None Kroeger Woodbury

Street

705 Douglas Street Adoption

Suite 652 Foster Care

Sioux City, IA 51101

Phone: (712) 255-9061





Clarinda Youth Corporation

Director: Mike McFarland

Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy-SW5

Washington Hall Community 7/1/11-5/1/2013 30 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632



Page 8

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy-SW6

Jefferson Hall Community 7/1/11-5/1/2013 30 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy-SW7

Jackson Hall Community 7/1/11-5/1/2013 32 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy-SW8

Lincoln Hall Community 7/1/11-1/1/2012 33 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy-SW9

Coolidge Hall Community 7/1/11-11/1/2011 26 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy-NE5 Kennedy Hall Community 7/1/11-5/1/2013 31 Full None Kroeger Page

1820 N. 16th St. Residential



Page 9

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Clarinda, Iowa 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy- NE6 Angelou Hall Community 7/1/11-11/1/2011 32 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy- NE7 Reagan Hall Community 7/1/11-7/1/2012 24 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, IA 51632

Phone: (712) 542-3103



Sequel Youth Services of

Clarinda, LLC- Clarinda

Academy- NE9 Parks Hall Community 7/1/11-11/1/2011 28 Full None Kroeger Page

1820 N. 16th St. Residential

Clarinda, Iowa 51632

Phone: (712) 542-3103



Coleman Counseling, Inc.

Director: Jill Coleman

Eagle Grove Child Placing 6/1/11-6/1/2014 N/A Full N/A Dupey Humboldt

321 NW 3rd Adoption

Eagle Grove, IA 50533 Foster Care

Phone: (515) 368-0150



Coleman Counseling - SATELLITE SATELLITE N/A N/A N/A Dupey Humboldt

Dakota City

202 3rd Street North

Dakota Ctiy, IA 50529





Dubuque County Sheriff's



Page 10

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Office

Director: Captain Gregory Egan

Dubuque County Juvenile Public 12/1/10-12/1/2011 6 Full None Wilcox Dubuque

Detention Center Detention

855 Central Avenue

Dubuque, IA 52004

Phone: (563) 587-3835



Families First Counseling

Services of Iowa, L.L.C.

Director: Laone Kishman

Waterloo Child Placing 12/1/10-12/1/2013 N/A Full N/A Wilcox Black Hawk

111 Plaza Circle Adoption

Waterloo, IA 50701 Foster Care

Phone: (319) 433-0395



Burlington SATELLITE SATELLITE N/A N/A N/A Wilcox Black Hawk

218 North 3rd Street

Suite 816

Burlington, IA 52601



Decorah SATELLITE SATELLITE N/A N/A N/A Wilcox Winneshiek

911 South Mill Street

Suite 3

Decorah, IA 52101



Dubuque SATELLITE SATELLITE N/A N/A N/A Wilcox Dubuque

880 Locust Street

Suite 130

Dubuque, IA 52001



Clinton SATELLITE SATELLITE N/A N/A N/A Wilcox Clinton

1651 Lincoln Way

Clinton, IA 52732



Families, Inc.

Director: Mary Kay Townsend

West Branch Child Placing 12/1/09-12/1/2012 N/A Full N/A Wilcox Cedar



Page 11

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

233 South Second Street Adoption

West Branch, Iowa 52358 Foster Care

Phone: (319) 643-2532





Family Resources, Inc.

Director: Cheryl Goodwin

Davenport Child Placing 5/1/09-12/1/2011 N/A Full N/A Wilcox Scott

2800 Eastern Avenue Adoption

Davenport, Iowa 52803 Foster Care

Phone: (563) 326-6431



Muscatine Child Placing 5/1/09-12/1/2011 N/A Full N/A Wilcox Muscatine

119 Sycamore, Suite 200 Adoption

Muscatine, Iowa 52761 Foster Care

Phone: (563) 263-0067



Newcomb Comprehensive 9/1/11-9/1/2012 15 Full Control Wilcox Scott

2800 Eastern Avenue Residential Room

Building A, East

Davenport, IA 52803

Phone: (563) 326-6431



Victory House Comprehensive 9/1/11-4/1/2013 20 Full Control Wilcox Scott

2800 Eastern Avenue Residential Room

Building F

Davenport, IA 52803

Phone: (563) 326-6431



Leslie Comprehensive 4/1/09-4/1/2012 16 Full Control Wilcox Scott

2800 Eastern Ave. Residential Room &

Building J, West Locked Cottage &

Davenport, Iowa 52803 Mechanical Restraints

Phone: (563) 326-6431



Anchorage House Comprehensive 4/1/09-4/1/2012 11 Full None Wilcox Scott

2800 Eastern Ave Residential

Building A, North



Page 12

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Davenport, Iowa 52803

Phone: (563) 326-6431





Shelton Comprehensive 9/23/09-4/1/2012 16 Full Control Wilcox Scott

2800 Eastern Ave Residential Room

Building A, West

Davenport, Iowa 52803

Phone: (563) 326-6431



Bridge House Comprehensive 9/1/11-3/1/2014 11 Full Control Wilcox Scott

2800 Eastern Avenue Residential Room

Building E, South

Davenport, Iowa 52803

Phone: (563) 326-6431



S.U.M.M.I.T. Comprehensive 4/1/09-4/1/2012 28 Full Control Wilcox Scott

2800 Eastern Ave Residential Room

Building H

Davenport, IA 52805

Phone: (563) 326-6431



Sophie's Place Community 6/1/11-6/1/2014 4 Full None Wilcox Scott

1112 Bridge Avenue MR

Davenport, IA 52803

Phone: (563) 322-1880



Kinsman Shelter Private Shelter 9/1/11-7/1/2012 11 Full None Wilcox Scott

2800 Eastern Ave

Building E, North

Davenport, Iowa 52803

Phone: (563) 326-6431



Family Solutions Services, Inc.

Director: Denise Driesen

Orange City Child Placing 11/1/08-11/1/2011 N/A Full N/A Kroeger Sioux

209 1st Street NE Adoption

Orange City, IA 51041 Foster Care



Page 13

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Phone: (712) 541-0107



Sioux City Child Placing 11/1/08-11/1/2011 N/A Full N/A Kroeger Sioux

505 5th Street Adoption

Suite 510 Foster Care

Sioux City, IA 51101

Phone: (712) 898-1245



Father Flanagan's Boys' Home

Director: Brian Fox

Boys Town of Iowa Child Placing 8/19/10-9/1/2012 N/A Full N/A Kroeger Pottawattamie

1851 Madison Avenue Adoption

Suite 100 Foster Care

Council Bluffs, IA 51503

Phone: (712) 323-4011



Florence Crittenton Home of

Sioux City, Iowa

Director: Marian Burnett

Family Development Services Child Placing 4/1/11-4/1/2014 N/A Full N/A Kroeger Woodbury

303 W. 24th Street Adoption

Sioux City, Iowa 51104 Foster care

Phone: (712) 255-4321 Supervised Apartment Living





Crittenton Center for Shelter Private Shelter 12/1/10-12/1/2011 27 Full None Kroeger Woodbury

and Youth Development

3901 Green Ave

Sioux City, IA 51106

Phone: (712) 252-8262



Foundation 2, Inc.

Director: Barb Gay

Foundation 2 Youth Shelter Private Shelter 6/1/11-6/1/2012 17 Full None Wilcox Linn

3015 12th Avenue SW

Cedar Rapids, Iowa 52404

Phone: (319) 366-8797





Page 14

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Foundation 2 Supervised Child Placing 6/1/11-6/1/2012 N/A Full N/A Wilcox Linn

Apartment Living Supervised Apartment Living

1500 2nd Avenue SE

Suite 102

Cedar Rapids, IA 52402

Phone: (319) 368-3376





Four Oaks Family and

Children's Services

Director: James Ernst

South Oaks #2 Comprehensive 6/1/10-6/1/2013 10 Full Control Wilcox Linn

5400 Kirkwood Blvd. SW Residential Room

Cedar Rapids, Iowa 52404

Phone: (319) 364-0259



South Oaks #3 Comprehensive 10/1/10-6/1/2013 10 Full Control Wilcox Linn

5400 Kirkwood Blvd. SW Residential Room

Cedar Rapids, Iowa 52404

Phone: (319) 364-0259



Smith Center-PMIC Comprehensive 10/1/11-10/1/2012 20 Full Control Wilcox Linn

5400 Kirkwood Blvd. SW Residential Room

Cedar Rapids, Iowa 52404 (PMIC)

Phone: (319) 364-0259



McIntyre Center-PMIC Comprehensive 10/1/11-10/1/2012 16 Full Control Wilcox Linn

5400 Kirkwood Blvd. SW Residential Room

Cedar Rapids, IA 52404 (PMIC)

Phone: (319) 364-0259



North Oaks-PMIC Comprehensive 10/1/11-10/1/2012 16 Full Control Wilcox Linn

5400 Kirkwood Blvd. SW Residential Room

Cedar Rapids, IA 52404 (PMIC)

Phone: (319) 364-0259



Smith Center-RT Comprehensive 10/1/11-10/1/2012 20 Full None Wilcox Linn

5400 Kirkwood Blvd. SW Residential



Page 15

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Cedar Rapids, Iowa 52404

Phone: (319) 364-0259



Independence Girls Residential Comprehensive 8/15/11-8/1/2012 18 Full Control Wilcox Buchanan

Treatment Residential Room

2277 Iowa Avenue

Reynolds Bldg., Ward 6

Independence, IA 50644

Phone: (319) 334-9206



Independence Boys Residential Comprehensive 8/15/11-8/1/2012 29 Full Control Wilcox Buchanan

Treatment Residential Room

2277 Iowa Avenue

Reynolds Bldg., Wards D & E

Independence, IA 50644

Phone: (319) 334-9206





Independence Phase Program Comprehensive 1/1/11-1/1/2014 43 Full Control Wilcox Buchanan

2277 Iowa Avenue Residential Room

Renolds Bldg, Wards E & F

Independence, IA 50644

Phone: (319) 334-9206



JMRT Comprehensive 10/1/10-10/1/2013 25 Full Control Wilcox Jones

818 West 1st Street Residential Room

Monticello, Iowa 52310

Phone: (319) 465-3727





STOP #1 Comprehensive 10/1/11-10/1/2014 13 Full Control Wilcox Linn

1341 Bertram Street Residential Room

Bertram, Iowa 52403

Phone: (319) 866-6000



STOP #2 Comprehensive 10/1/11-10/1/2014 13 Full Control Wilcox Linn

1341 Bertram Street Residential Room &

Bertram, Iowa 52403 Locked



Page 16

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Phone: (319) 866-6000 Cottage



STOP #3 Comprehensive 10/1/11-10/1/2014 12 Full Control Wilcox Linn

1341 Bertram Street Residential Room

Bertram, Iowa 52403

Phone: (319) 866-6000



Cedar Rapids Child Placing 10/1/10-10/1/2013 N/A Full N/A Wilcox Linn

5400 Kirkwood Blvd. SW Adoption

Cedar Rapids, Iowa 52404 Foster Care

Phone: (319) 364-0259



Urbandale Child Placing 7/1/10-7/1/2013 N/A Full N/A Wilcox Polk

2600 72nd Street Adoption

Suite A Foster Care

Urbandale, IA 50322

Phone: (515) 261-3719



Dubuque Child Placing 7/1/10-7/1/2013 NA Full N/A Wilcox Dubuque

180 West 15th Street Adoption

Dubuque, IA 52001 Foster Care

Phone: (563) 557-3100



Waterloo Child Placing 7/1/10-7/1/2013 N/A Full N/A Wilcox Blackhawk

402 East 4th Street Adoption

Waterloo, IA 50703 Foster Care

Phone: (319) 233-5695



Youth Homes-Iowa City Child Placing 10/1/10-10/1/2013 N/A Full N/A Wilcox Johnson

1916 Waterfront Drive Adoption

Iowa City, Iowa 52240 Foster Care

Phone: (319) 337-4523



Youth Homes - Shelter Private Shelter 10/1/11-10/1/2012 14 Full None Wilcox Johnson

1916 Waterfront Drive

Iowa City, Iowa 52240

Phone: (319) 337-4523





Page 17

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Independence Youth Shelter Private Shelter 8/1/11-8/1/2012 23 Full None Wilcox Buchanan

2277 Iowa Avenue

Reynolds Bldg., Ward 5

Independence, IA 50644

Phone: (319) 334-9206



Mason City Child Placing 12/1/10-12/1/2013 N/A Full None Wilcox Cerro Gordo

980 South Iowa Avenue Adoption

Mason City, IA 50401 Foster Care

Phone: (641) 423-3222



Windsor Unit Comprehensive 12/1/10-12/1/2011 11 Full None Wilcox Cerro Gordo

980 South Iowa Avenue Residential

Mason City, IA 50401 (PMIC)

Phone: (641) 423-3222



Endres Unit Comprehensive 12/1/10-12/1/2011 11 Full None Wilcox Cerro Gordo

980 South Iowa Avenue Residential

Mason City, IA 50401 (PMIC)

Phone: (641) 423-3222



Main Building Comprehensive 12/1/10-12/1/2011 24 Full None Wilcox Cerro Gordo

980 South Iowa Avenue Residential

Mason City, IA 50401 (PMIC)

Phone: (641) 423-3222



Pembrooke Unit Comprehensive 12/1/08-12/1/2011 2 Full None Wilcox Cerro Gordo

980 South Iowa Avenue Residential

Mason City, IA 50401

Phone: (641) 423-3222



Francis Lauer Youth

Services, Inc.

Director: Jean McAleer

Francis Lauer Youth Shelter Private Shelter 6/1/11-6/1/2012 16 Full None Dupey Cerro Gordo

50 N. Eisenhower

Mason City, Iowa 50401

Phone: (641) 423-7362



Page 18

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Stepping Stones Supervised Child Placing 1/1/10-1/1/2013 N/A Full None Dupey Cerro Gordo

Apartment Living Program Supervised Apartment Living

50 North Eisenhower

Mason City, IA 50401

Phone: (641) 423-7362



Gift of Love International

Adoptions, Inc.

Director: Kim Laube

America World Adoption Child Placing 5/1/11-5/1/2014 N/A Full None Dupey Polk

Association-Iowa Adoption

2300 4th Street SW

Altoona, IA 50009

Phone: (866) 416-5488 Ext 104

Phone: (703) 891-3133





Hillcrest Family Services

Director: Gary Gansemer

Dubuque Child Placing 12/1/10-12/1/2013 N/A Full None Wilcox Dubuque

2005 Asbury Road Adoption

Dubuque, IA 52001 Foster Care

Phone: (563) 583-7357 Supervised Apartment Living



Maquoketa Child Placing 12/1/10-12/1/2013 N/A Full None Wilcox Jackson

117 S. Olive Adoption

Maquoketa, IA 52060 Foster Care

Phone: (563) 652-4958 Supervised Apartment Living



Cedar Rapids Child Placing 2/1/11-12/1/2013 N/A Full None Wilcox Linn

317 7th Avenue SE Adoption

Suite 202C Foster Care

Cedar Rapids, Iowa 52401 Supervised Apartment Living

Phone: (319) 362-3149



Hillcrest Emergency Youth Private Shelter 10/1/11-10/1/2012 23 Full None Wilcox Dubuque

Shelter



Page 19

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

13066 Seippel Road

Dubuque, Iowa 52002

Phone: (563) 588-0688



Peterson Lodge Comprehensive 10/1/11-10/1/2014 16 Full Control Wilcox Dubuque

2485 Wilbricht Lane Residential Room

Dubuque, Iowa 52001

Phone: (563) 557-8211





Molitore House Comprehensive 12/1/10-12/1/2011 12 Full Control Wilcox Dubuque

2445 Hillcrest Road Residential Room

Dubuque, Iowa 52001 (PMIC)

Phone: (563) 557-4388



New Hope Comprehensive 12/1/10-12/1/2011 12 Full Control Wilcox Dubuque

2435 Hillcrest Road Residential Room

Dubuque, Iowa 52001

Phone: (563) 557-4386



New Pathways Comprehensive 12/1/10-12/1/2013 12 Full Control Wilcox Dubuque

2489 Hillcrest Road Residential Room

Dubuque, Iowa 52001

Phone: (563) 557-7222



Pathways Comprehensive 12/1/10-12/1/2011 12 Full Control Wilcox Dubuque

2465 Hillcrest Road Residential Room

Dubuque, Iowa 52001

Phone: (563) 557-4418



Holt International

Children's Services, Inc.

Director: Celeste Snodgrass

Le Grand Child Placing 10/1/11-6/1/2013 N/A Full N/A Kroeger Marshall

300 East Dawn Street Adoption

Le Grand, IA 50142 Foster Care

Phone: (641) 479-2054





Page 20

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County





Hope Haven, Inc.

Director: David Van Ningen

Rock Valley Child Placing 7/1/11-7/1/2014 N/A Full N/A Kroeger Sioux

1800 19th Street Foster Care

Rock Valley, Iowa 51247

Phone: (712) 476-2737





Spencer SATELLITE SATELLITE N/A N/A N/A Kroeger Clay

920 S. Grand

Spencer, IA 51301

Phone: (712) 262-4157



Niessink Home South Comprehensive 7/1/11-7/1/2014 4 Full Control Kroeger Sioux

3274 Fig Avenue MR Room

Rock Valley, Iowa 51247

Phone: (712) 476-5166



Niessink Home East Comprehensive 7/1/09-7/1/2012 4 Full Control Kroeger Sioux

3274 Fig Avenue MR Room

Rock Valley, Iowa 51247

Phone: (712) 476-5166



Orange City Children's Home Community 7/1/11-7/1/2014 4 Full None Kroeger Sioux

420 5th Street SW MR

Orange City, IA 51041

Phone: (712) 737-8839





Horizons, A Family Service

Alliance

Director: Scott Jamieson

Cedar Rapids Child Placing 6/1/09-6/1/2012 N/A Full N/A Wilcox Linn

819 5th Street SE Supervised Apartment Living

Cedar Rapids, Iowa 52406

Phone: (319) 398-3943



Page 21

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Marshalltown SATELLITE SATELLITE N/A N/A N/A Wilcox Marshall

204 East State St.

Marshalltown, IA 50158



Dubuque Child Placing 6/1/09-6/1/2012 N/A Full N/A Wilcox Dubuque

1824 Central Avenue Supervised Apartment Living

Dubuque, Iowa 52001

Phone: (563) 588-2227



House of Mercy

Director: Todd Beveridge

In Touch With Teens Comprehensive 7/1/10-7/1/2013 28 Full None Dupey Polk

1409 Clark Street Residential

Des Moines, Iowa 50314

Phone: (515) 643-6518





Integrative Health Services, Inc.

Director: Paula Welsh

Williamsburg Child Placing 8/11/11-11/1/2012 N/A Full N/A Wilcox Iowa

515 Court Street Adoption

Williamsburg, IA 52361 Foster Care

Phone: (319) 668-2050





Kids First of Iowa, Inc.

Director: Jeremy Gomez

35th Street Community 8/1/11-8/1/2014 3 Full None Wilcox Linn

232 35th Street Drive SE MR

Cedar Rapids, IA 52403

Phone: (319) 550-2050



38th Street Community 4/1/11-4/1/2012 3 Full None Wilcox Linn

924 38th Street SE MR

Cedar Rapids, IA 52403

Phone: (319) 826-1430





Page 22

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

10th Street Community 8/15/11-8/1/2012 3 Full None Wilcox Linn

1416 10th Street NW MR

Cedar Rapids, IA 52405

Phone: (319) 265-7341



LDS Family Services Child Placing 8/1/11-8/1/2012 N/A Full N/A Dupey Pottawattamie

Director: Christy Saufley Adoption

2303 Butler Street Foster Care

Council Bluffs, IA 51501

Phone: (712) 353-2223





Lifelink International Adoption Child Placing 6/1/11-6/1/2014 N/A Full N/A Wilcox Scott

Director: Tim Rhodes Adoption

Supervisor: Pat Radley

3420 Jersey Ridge Road

Davenport, IA 52807

Phone: (563) 441-0165





Linn County Community Services

Director: Jeff Lindeman

Juvenile Detention Center Public Detention 2/1/11-2/1/12 35 Full Control Wilcox Linn

800 Walford Road SW Room

Cedar Rapids, IA 52404

Phone: (319) 892-5735





Lutheran Family Service

Director: Eric Schillo

Fort Dodge Child Placing 2/1/11-2/1/2014 N/A Full N/A Dupey Webster

230 9th Avenue North Adoption

Fort Dodge, Iowa 50501 Foster Care

Phone: (515) 573-3138



Cedar Rapids SATELLITE SATELLITE N/A N/A N/A Dupey Linn

4403 1st Avenue S.E.

Suite 309



Page 23

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Cedar Rapids, IA 52403



Des Moines SATELLITE SATELLITE N/A N/A N/A Dupey Polk

7177 Hickman Road

Suite 3

Des Moines, IA 50322



Sioux City SATELLITE SATELLITE N/A N/A N/A Dupey Woodbury

4301 Sergeant Road

Suite 203

Sioux City, IA 51106



Schleswig SATELLITE SATELLITE N/A N/A N/A Dupey Crawford

601 Date Street

Schleswig, IA 51461









Lutheran Family Services

of Nebraska, Inc.

Director: Ruth Henrichs

Council Bluffs Child Placing 11/1/09-11/1/2012 N/A Full N/A Kroeger Pottawattie

300 West Broadway Adoption

Suite 7

Council Bluffs, IA 51503

Phone: (712) 242-1040





Lutheran Services in Iowa, Inc.

Director: Dr. Douglas Johnson

Bremwood - Trinity Cottage Comprehensive 2/1/11-2/1/2014 18 Full Control Kroeger Bremer

106 16th St. SW Residential Room

Centennial Hall, 1st Floor

Waverly, IA 50677

Phone: (319) 859-3509





Page 24

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Bremwood - Cuna Cottage Comprehensive 7/1/10-7/1/2013 10 Full Control Kroeger Bremer

106-16th Street SW Residential Room

Cuna Mutual Cottage, 2nd Floor

Waverly, Iowa 50677

Phone: (319) 859-3501



Bremwood - Banker Cottage Comprehensive 2/1/11-2/1/2014 10 Full Control Kroeger Bremer

106-16th Street SW Residential Room

Banker Bldg, 2nd Floor-West

Waverly, Iowa 50677

Phone: 319-859-3500



Bremwood - North Cottage Comprehensive 2/1/11-2/1/2014 10 Full Control Kroeger Bremer

106-16th Street SW Residential Room

Centennial Hall, 2nd Floor-North

Waverly, Iowa 50677

Phone: (319) 859-3507



Bremwood - South Cottage Comprehensive 8/1/10-8/1/2013 10 Full Control Kroeger Bremer

106-16th Street SW Residential Room

Centennial Hall, 2nd Floor-South

Waverly, Iowa 50677

Phone: (319) 859-3508



Bremwood - Jacobson Cottage Comprehensive 11/1/09-11/1/2012 12 Full Control Kroeger Bremer

106-16th Street SW Residential Room

Waverly Bldg, 1st Floor

Waverly, Iowa 50677

Phone: (319) 859-3504



Bremwood - Waverly Cottage Comprehensive 11/1/09-11/1/2012 16 Full Control Kroeger Bremer

106-16th Street SW Residential Room

Waverly Bldg, 2nd Floor

Waverly, Iowa 50677

Phone: (319) 859-3511



Bremwood - Woodhaven Shelter Private Shelter 2/1/11-2/1/2012 9 Full None Kroeger Bremer

106 16 St. SW



Page 25

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Thompson Center-Lower Level

Waverly, IA 50677

Phone: (319) 859-3512



Bremwood-Phoenix Cottage Comprehensive 7/1/11-7/1/2012 12 Full Control Kroeger Bremer

106 16th St. SW Residential Room

Banker Bldg., 1st Floor (PMIC)

Waverly, IA 50677

Phone: (319) 859-3506



Bremwood-Andrew Cottage Comprehensive 2/13/11-2/1/2012 10 Full Control Kroeger Bremer

106 16th St SW Residential Room

Banker Bldg., 2nd Fl-East

Waverly, IA 50677

Phone: (319) 859-3528



Beloit-Hunziker Unit Comprehensive 12/1/10-12/1/2011 12 Full Control Kroeger Story

1323 Northwestern Residential Room

Anna J. Hall Treatment Ctr SW

Ames, IA 50010

Phone: (515) 817-0904



Beloit-Hill Unit Comprehensive 7/1/11-7/1/2013 12 Full Control Kroeger Story

1323 Northwestern Residential Room

Anna J. Hall Treatment Ctr NW

Ames, IA 50010

Phone: (515) 817-0903



Beloit-Faith Unit Comprehensive 7/1/11-7/1/2012 12 Full Control Kroeger Story

1323 Northwestern Residential Room

Anna J. Hall Treatment Ctr NE (PMIC)

Ames, IA 50010

Phone: (515) 817-0901



Beloit-Bethesda Unit Comprehensive 7/1/11-7/1/2012 12 Full Control Kroeger Story

1323 Northwestern Residential Room

Anna J. Hall Treatment Ctr SE (PMIC)

Ames, IA 50010



Page 26

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Phone: (515) 817-0907



Beloit-Journey Unit Comprehensive 7/1/11-7/1/2012 6 Full Control Kroeger Story

1323 Northwestern Avenue Residential Room

Odland Bldg, South (PMIC)

Ames, IA 50010

Phone: (515) 817-0905



Beloit-Triumph Unit Comprehensive 7/1/11-7/1/2014 7 Full Control Kroeger Story

1323 Northwestern Avenue Residential Room

Odland Bldg, South

Ames, IA 50010

Phone: (515) 817-0906



Waverly Child Placing 4/1/11-4/1/2014 N/A Full N/A Kroeger Bremer

106-16th Street SW Adoption

Waverly, Iowa 50677 Foster Care

Phone: (319) 352-2630 Supervised Apartment Living



Fort Dodge SATELLITE SATELLITE N/A N/A N/A Kroeger Waverly

900 Central Avenue

Suite 21

Fort Dodge, IA 50501



Ames Child Placing 11/1/09-11/1/2010 N/A Full N/A Kroeger Story

1323 Northwestern Adoption

Ames, Iowa 50010 Foster Care

Phone: (515) 232-7262 Supervised Apartment Living



Clinton Child Placing 12/1/10-12/1/2013 N/A Full N/A Kroeger Clinton

315 5th Avenue S Adoption

Clinton, Iowa 52732 Foster Care

Phone: (563) 243-8200 Supervised Apartment Living



Davenport Child Placing 12/1/10-12/1/2013 N/A Full N/A Kroeger Scott

111 West 15th Street Adoption

Davenport, Iowa 52803 Foster Care

Phone: (563) 322-7419 Supervised Apartment Living



Page 27

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Denison Child Placing 5/1/11-5/1/2014 N/A Full N/A Kroeger Crawford

205 South 7th Street Adoption

Denison, Iowa 51442 Foster Care

Phone: (712) 263-9341 Supervised Apartment Living



Cottage Grove Child Placing 12/1/09-12/1/2012 N/A Full N/A Kroeger Polk

3125 Cottage Grove Adoption

Des Moines, Iowa 50311 Foster Care

Phone: (515) 274-4946 Supervised Apartment Living



Dubuque Child Placing 12/1/10-12/1/2013 N/A Full N/A Kroeger Dubuque

2255 JFK Road Adoption

Dubuque, Iowa 52002 Foster Care

Phone: (563) 582-0044 Supervised Apartment Living



Manchester SATELLITE SATELLITE N/A N/A N/A Kroeger Delaware

124 E. Fayette Street

Manchester, IA 52057

Phone: (563) 927-3281



Muscatine Child Placing 12/1/10-12/1/2013 N/A Full N/A Kroeger Muscatine

315 Iowa Avenue,Suite C Adoption

Muscatine, Iowa 52761 Foster Care

Phone: (563) 263-5170 Supervised Apartment Living





Waterloo Child Placing 7/1/10-7/1/2013 N/A Full N/A Kroeger Black Hawk

925 East 4th Street Adoption

Waterloo, Iowa 50703 Foster Care

Phone: (319) 233-3579 Supervised Apartment Living



Charles City SATELLITE SATELLITE N/A N/A N/A Kroeger Floyd

Messiah Lutheran Church

703 3rd Street

Charles City, IA 50616



Decorah Child Placing 12/1/08-12/1/2011 N/A Full N/A Kroeger Winneshiek



Page 28

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

911 S. Mills Street Adoption

Suite 2 Foster Care

Decorah, IA 52101 Supervised Apartment Living





McElroy, Teresa P.

Director: Teresa McElroy

4 R Kids Child Placing 4/1/09-4/1/2012 N/A Full None Kroeger Woodbury

3632 Pierce St. Adoption

Sioux City, IA 51104 Foster Care

Phone: (712) 258-8033



Mental Health Institute

Director: Dr. B.J. Dave

Independence Mental Health Comprehensive 9/1/10-9/1/2011 30 Full Control Dupey Buchanan

Institute/PMIC Unit Residential Room

2277 Iowa Ave (PMIC)

Independence, IA 50644

Phone: (319) 334-2583



Midwest Christian Services

Director: Deanna Scott

White House Comprehensive 10/1/09-10/1/2012 10 Full None Kroeger Clay

4509 20th Avenue Residential

Peterson, Iowa 51047

Phone: (712) 295-5430



Brick House Comprehensive 10/1/09-10/1/2012 15 Full None Kroeger Clay

4509 20th Avenue Residential

Peterson, Iowa 51047

Phone: (712) 295-5431





New Choices, Inc.

Directors: Joe York & Tom Kay

43rd Street House Community 6/1/09-6/1/2012 3 Full None Wilcox Scott

3304 West 43rd Street MR

Davenport, IA 52806



Page 29

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Phone: (563) 388-1029





New Horizons Adoption

Agency, Inc.

Director: Marlys Ubben

Mason City Child Placing 2/1/11-2/1/2014 N/A Full N/A Dupey Cerro Gordo

103 East State Street Adoption

Suite 623 Foster Care

Mason City, Iowa 50402

Phone: (641) 421-7332





Nissly Enterprises, L.L.C.

Director: Karen Nissly

Graceful Adoptions Child Placing 8/1/11-2/1/2012 N/A Full N/A Dupey Polk

163 S. 62nd Street Adoption

West Des Moines, IA 50266

Phone: (515) 225-3651







North Iowa Juvenile

Detention Services

Director: Luis Cox Public Detention 1/1/11-1/1/2012 31 Full Mechanical Wilcox Black Hawk

1440 West Dunkerton Road Restraints &

Waterloo, Iowa 50703 Control Room

Phone: (319) 291-2455





Northwest Iowa Multi-County

Regional Juvenile Detention Center

Director: Cheryl McGrory

NW IA YES Center Public Detention 2/1/11-2/1/2012 15 Full Mechanical Kroeger Cherokee

1231 West Cedar Loop Restraints &

Suite 110 Control Room

Cherokee, Iowa 51012

Phone: (712) 225-5777



Page 30

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Orchard Place

Director: Brock Wolf

Aliber House Comprehensive 8/1/11-8/1/2012 24 Full Control Kroeger Polk

925 SW Porter Residential Room

Des Moines, Iowa 50315 (PMIC)

Phone: (515) 285-6781



Kenyon House Comprehensive 8/1/11-8/1/2012 15 Full Control Kroeger Polk

1301 Kenyon Avenue Residential Room

Des Moines, Iowa 50315 (PMIC)

Phone: (515) 287-9711



Jacobson House Comprehensive 8/1/11-8/1/2012 20 Full Control Kroeger Polk

925 SW Porter Residential Room

Des Moines, Iowa 50315 (PMIC)

Phone: (515) 285-6781



Shiffler House Comprehensive 8/1/11-8/1/2012 20 Full Control Kroeger Polk

925 SW Porter Residential Room

Des Moines, Iowa 50315 (PMIC)

Phone: (515) 285-6781



Bright House Comprehensive 8/1/11-8/1/2012 24 Full Control Kroeger Polk

925 SW Porter Residential Room

Des Moines, Iowa 50315 (PMIC)

Phone: (515) 285-6781





Polk County Youth Services

Director: Brian Boyer

Polk County Youth Shelter Public Shelter 6/1/11-6/1/2012 20 Full None Dupey Polk

1548 Hull Avenue

Des Moines, Iowa 50316

Phone: (515) 286-3221



Polk County Juvenile Detention Public Detention 6/1/11-6/1/2012 66 Full Control Dupey Polk

Center Room &



Page 31

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

1548 Hull Avenue Mechanical

Des Moines, Iowa 50316 Restraints

Phone: (515) 286-3344



Quakerdale

Director: Robert Talbot

Quakerdale of

New Providence Child Placing 1/1/11-1/1/2014 N/A Full None Dupey Hardin

26866 County Hwy S 55 Adoption

New Providence, IA 50206 Foster Care

Phone: (641) 497-5219 Supervised Apartment Living



Quakerdale of Marshalltown Child Placing 1/1/11-1/1/2012 N/A Full N/A Dupey Marshall

1909 Summit Street Adoption

Marshalltown, Iowa 50158 Foster Care

Phone: (641) 752-3912 Supervised Apartment Living



Quakerdale of Waterloo Child Placing 1/1/11-1/1/2014 N/A Full N/A Dupey Black Hawk

140 South Barclay Street Adoption

Waterloo, Iowa 50703 Foster Care

Phone: (319) 233-2554 Supervised Apartment Living



Quakerdale of Manning Child Placing 8/1/11-8/1/2014 N/A Full N/A Dupey Carroll

1500 West 3rd Street Adoption

Manning, Iowa 51455 Foster Care

Phone: (712) 655-2012 Supervised Apartment Living





Quakerdale of Waterloo-

Slife Cottage Comprehensive 8/1/09-8/1/2012 10 Full None Dupey Black Hawk

130 South Barclay Street Residential

Waterloo, Iowa 50703

Phone: (319) 233-2554



Quakerdale of Manning-

Flensburger Cottage Comprehensive 8/1/11-8/1/2014 14 Full None Dupey Carroll

1500 West 3rd Street Residential

Manning, Iowa 51455



Page 32

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Phone: (712) 655-2012



Quakerdale of New Providence- Comprehensive 3/1/11-3/1/2014 10 Full None Dupey Hardin

Branson Cottage Residential

26866 County Highway S 55

New Providence, IA 50206

Phone: (641) 497-5294



Quakerdale of New Providence- Private Shelter 3/1/11-3/1/2012 12 Full None Dupey Hardin

Bartholomew Cottage Weekend

Program

26866 County Highway S 55

New Providence, IA 50206

Phone: (641) 497-5219



Quakerdale of Manning Shelter Private Shelter 9/1/10-9/1/2011 14 Full None Dupey Carroll

1500 West 3rd Street

Manning, IA 51455

Phone: (712) 655-2012





Rabiner Treatment Center

Director: Brad Klug/Nissa Ray

Cottage 1 Comprehensive 10/1/10-10/1/2013 18 Full Control Dupey Webster

1762 Johnson Avenue Residential Room

Fort Dodge, Iowa 5051

Phone: (515) 573-1347



Cottage 2 Comprehensive 10/1/10-10/1/2013 18 Full Control Dupey Webster

1762 Johnson Avenue Residential Room

Fort Dodge, Iowa 5051

Phone: (515) 573-1350



Cottage 5 Comprehensive 10/1/10-10/1/2013 18 Full Control Dupey Webster

1762 Johnson Avenue Residential Room

Fort Dodge, Iowa 50501

Phone: (515) 573-5970





Page 33

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Cottage 3-Weekend Choices Private Shelter 4/1/11-4/1/2012 20 Full None Dupey Webster

1762 Johnson Avenue

Fort Dodge, IA 50501

Phone: (515) 573-1354



Independent Choices Child Placing 2/21/11-2/1/2012 10 Full None Dupey Webster

1762 Johnson Avenue Supervised Apartment Living

Fort Dodge, IA 50501

Phone: (515) 573-1354





REM Iowa Community

Services, Inc.

Director: Edward Murphy

REM Iowa-Harbet Community 10/1/11-10/1/2012 3 Full None Wilcox Linn

5201 Harbet Avenue NW MR

Cedar Rapids, IA 52405

Phone: (319) 447-6380



REM Iowa-Appanoose Community 8/1/09-8/1/2012 3 Full None Wilcox Johnson

149 Appanoose Court MR

Iowa City, IA 52240

Phone: (319) 358-2843





Rural Family Therapy

Services, LLC

Director: Pat Lowenberg

Afton Child Placing 4/1/11-4/1/2014 NA Full NA Kroeger Union

2507 210th Street Adoption

Afton, IA 50830 Foster Care

Phone: (641) 347-5060



Creston SATELLITE SATELLITE N/A N/A N/A Kroeger Union

505 E. Taylor

Creston, IA 50801



Ruth Harbor, Inc. Community 6/1/09-6/1/2012 7 Full None Dupey Polk



Page 34

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Director: Mark McDougal Residential

534 42nd Street

Des Moines, IA 50312

Phone: (515) 279-4661



Scott County Juvenile Public Detention 5/1/11-5/1/2012 18 Full Mechanical Wilcox Scott

Detention Center Restraints &

Director: Jeremy Kaiser Control Room

500 West 4th Street

Davenport, Iowa 52801

Phone: (563) 326-8686





South Iowa Area

Detention Service Agency

Director: Linda Clemens

2528 225th Street Public Detention 12/1/10-12/1/2011 21 Full Control Wilcox Lee

Montrose, Iowa 52639 Room &

Phone: (319) 463-7417 Mechanical

Restraints



Southwest Iowa Juvenile

Emergency Services

Director: Richard Sousa

Southwest Iowa Juvenile Public Detention 11/1/10-11/1/2011 25 Full Mechanical Kroeger Pottawattamie

Detention Center Restraints

629 6th Avenue

Council Bluffs, Iowa 51501

Phone: (712) 328-4893





Stork Adoption Agency, Inc. Child Placing 3/1/11-3/1/2012 N/A Full N/A Dupey Polk

Director: Alla Lakov Adoption

4715 74th Street

Urbandale, IA 50322

Phone: (515) 559-3819







Page 35

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Systems Unlimited, Inc.

Director: Dion Williams

3025 4th Avenue Community 11/1/09-9/1/2012 3 Full None Wilcox Linn

3025 4th Avenue MR

Marion, IA 52302

Phone: (319) 373-6853



2219 Taylor Drive Community 1/1/10-1/1/2013 2 Full None Wilcox Johnson

2219 Taylor Drive MR

Iowa City, IA 52240

Phone: (319)338-7462



Lee Street Residence Community 8/1/09-8/1/2012 3 Full None Wilcox Linn

4427 Lee Street NE MR

Cedar Rapids, IA 52402

Phone: (319) 378-1801



Family Systems-Iowa City Child Placing 1/18/11-8/1/2013 N/A Full N/A Wilcox Johnson

1519 S. Gilbert Street Adoption

Iowa City, Iowa 52240 Foster Care

Phone: (319) 248-1005



Family Systems-Cedar Rapids Child Placing 8/1/10-8/1/2013 N/A Full N/A Wilcox Linn

5005 Bowling Street SW Adoption

Suite B Foster Care

Cedar Rapids, IA 52404

Phone: (319) 654-9195









Tanager Place

Director: Mary Estle

Cedar Rapids Child Placing 2/1/11-2/1/2014 N/A Full N/A Wilcox Linn

2309 C Street SW Adoption

Cedar Rapids, Iowa 52404 Foster Care

Phone: (319) 365-9164 Supervised Apartment Living





Page 36

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Dutton Cottage Comprehensive 9/1/11-9/1/2012 12 Full Control Wilcox Linn

2309 C St. S.W. Residential Room

Cedar Rapids, IA 52404 (PMIC)

Phone: (319) 365-9164



Cook Cottage Comprehensive 9/1/11-9/1/2012 12 Full Control Wilcox Linn

2309 C Street SW Residential Room

Cedar Rapids, Iowa 52404 (PMIC)

Phone: (319) 365-9164



Tomlinson Cottage Comprehensive 9/1/11-9/1/2012 12 Full Control Wilcox Linn

2309 C Street SW Residential Room

Cedar Rapids, Iowa 52404 (PMIC)

Phone: (319) 365-9164



Van Vechten Cottage Comprehensive 9/1/11-9/1/2012 12 Full Control Wilcox Linn

2309 C Street SW Residential Room

Cedar Rapids, Iowa 52404 (PMIC)

Phone: (319) 365-9164



Sinclair Cottage Comprehensive 9/1/11-9/1/2012 12 Full Control Wilcox Linn

2309 C Street SW Residential Room

Cedar Rapids, Iowa 52404 (PMIC)

Phone: (319) 365-9164



Transitional Services of Iowa, Inc.

Director: Darin Dunn

Sioux City Child Placing 3/1/10-3/1/2013 N/A Full N/A Kroeger Woodbury

915 Pierce Street Supervised Apartment Living

Sioux City, IA 51101

Phone: (712) 255-0204



Council Bluffs Child Placing 3/1/10-3/1/2013 N/A Full N/A Kroeger Woodbury

300 W. Broadway Supervised Apartment Living

Council Bluffs, IA 51503

Phone: (712)323-1660







Page 37

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

William Pearce Adoption Child Placing 9/1/10-9/1/2013 N/A Full N/A Dupey Polk

Services Adoption

Director: William Pearce

6868 NE Berwick Drive

Ankeny, IA 50021

Phone: (515) 262-9047



Woodbury County Juvenile

Receiving & Detention Center

Director: Mark Olsen

Juvenile Detention Center Public Detention 2/1/11-2/1/2012 21 Full Mechanical Kroeger Woodbury

822 Douglas Street, 4th Floor Restraints

Sioux City, Iowa 51101

Phone: (712) 279-6621



Woodward Youth Corporation

Director: Bill Dean

Sequel Youth Services of

Woodward, LLC-Woodward

Academy B1-Delta Company Community 9/1/11-9/1/2014 31 Full None Dupey Boone

1251 334th St Residential

Woodward, IA 50276

Phone: (515) 438-3476



Sequel Youth Services of

Woodward, LLC-Woodward

Academy D1-Victory Hall Community 9/1/11-9/1/2012 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3483



Sequel Youth Services of

Woodward, LLC-Woodward

Academy D2-Triumph Hall Community 9/1/11-9/1/2014 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3484





Page 38

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Sequel Youth Services of

Woodward, LLC-Woodward

Academy A2-Mountaineer Hall Community 9/1/11-9/1/2014 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3481



Sequel Youth Services of

Woodward, LLC-Woodward

Academy A1-Legacy Hall Community 7/1/11-1/1/2013 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3481



Sequel Youth Services of

Woodward, LLC-Woodward

Academy B2-Expedition Hall Comprehensive 9/1/11-9/1/2014 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3474



Sequel Youth Services of

Woodward, LLC-Woodward

Academy C1 - Pathfinder Hall Comprehensive 9/1/11-9/1/2014 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3137



Sequel Youth Services of

Woodward, LLC-Woodward

Academy C2-Navigator Hall Comprehensive 9/1/11-9/1/2012 31 Full None Dupey Boone

1251 334th St. Residential

Woodward, IA 50276

Phone: (515) 438-3480



Sequel Youth Services of

Woodward, LLC-Des Moines Child Placing 9/1/11-9/1/2012 N/A Full N/A Dupey Polk

107 E. 5th Street Supervised Apartment Living



Page 39

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Suite 100

Des Moines, IA 50309

Phone: (515) 274-9607



Young House Family Services,

Inc.

Director: Jack Escorcia

Burlington Child Placing 7/1/11-5/1/2014 N/A Full N/A Wilcox Des Moines

724 North 3rd Street Adoption

PO Box 845 Foster Care

Burlington, Iowa 52601

Phone: (319) 752-4000



Christamore Family Treatment Comprehensive 4/1/09-4/1/2012 16 Full Control Wilcox Henry

Center Residential Room

905 South Iris St.

Mt. Pleasant, Iowa 52641

Phone: (319) 385-2906



Youth & Family Resource Services

Director: Jennifer Sievert

Forest Ridge Shelter Private Shelter 10/13/11-10/1/2012 24 Full None Dupey Emmett

2043 395th Avenue

Estherville, IA 51334

Phone: (712) 362-3425



Forest Ridge- Community 10/13/11-10/1/2012 15 Full None Dupey Emmett

Oak Hall Residential

4502 230th Street

Wallingford, IA 51365

Phone: (712) 867-4724



Forest Ridge -

Ellinwood Community 9/1/11-9/1/2014 12 Full None Dupey Emmet

4410 210th Street Residential

Estherville, IA 51334

Phone: (712) 362-2949





Page 40

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Forest Ridge -

Eagle Cottage Community 9/1/10-9/1/2013 24 Full None Dupey Emmet

4502 230th St. Residential

Wallingford, Iowa 51365

Phone: (712) 867-4528



Forest Ridge -

Crystal Cottage Community 9/1/10-9/1/2013 24 Full None Dupey Emmet

4502 230th St. Residential

Wallingford, Iowa 51365

Phone: (712) 867-4538



Forest Ridge -

Anita Cottage Comprehensive 9/1/10-9/1/2013 15 Full None Dupey Emmet

4510 230th St. Residential

Wallingford, IA 51365

Phone: (712) 867-4547





Youth & Shelter Services, Inc.

Director: George Belitsos

Family Life Center Child Placing 10/1/11-11/1/2013 N/A Full N/A Dupey Story

125 S. 3rd Street Adoption

Ames, IA 50010 Foster Care

Phone: (515) 233-2250 Supervised Apartment Living



Lighthouse Transitional Child Placing 11/1/10-11/1/2013 N/A Full N/A Dupey Polk

Living Center Supervised Apartment Living

1216 MLK Parkway

Des Moines, IA 50314

Phone: (515) 288-7884



Iowa Homeless Youth Center Child Placing 11/1/10-11/1/2013 N/A Full N/A Dupey Polk

1219 Buchanan Street Supervised Apartment Living

Des Moines, Iowa 50316

Phone: (515) 265-1222





Page 41

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County

Youth & Shelter Services Child Placing 11/1/10-11/1/2013 N/A Full N/A Dupey Marshall

of Marshall County Foster Care

11 East State Street Supervised Apartment Living

Marshalltown, Iowa 50158

Phone: (515) 752-2300



Youth & Shelter Services Child Placing 11/1/10-11/1/2013 N/A Full N/A Dupey Hamilton

of Hamilton County Foster Care

321 Second Street Supervised Apartment Living

Webster City, Iowa 50595

Phone: (515) 832-1061



Youth & Shelter Services Child Placing 11/1/10-11/1/2013 N/A Full N/A Dupey Boone

of Boone County Foster Care

105 South Marshall Supervised Apartment Living

Boone, Iowa 50036

Phone: (515) 432-7983



Rosedale Shelter Private Shelter 5/1/11-5/1/2012 15 Full None Dupey Story

703 Burnett

Ames, Iowa 50010

Phone: (515) 233-2330





Youth Emergency Services

& Shelter of Iowa

Director: Steve Quirk

YESS Private Shelter 9/1/11-9/1/2012 60 Full None Dupey Polk

918 SE 11th Street

Des Moines, Iowa 50309

Phone: (515) 282-9377



Youth Homes of Mid-America

Director: Ronald Stehl

Grubb East Cottage Comprehensive 6/1/11-6/1/2014 7 Full Control Dupey Polk

7085 NW Beaver Dr. Residential Room

Johnston, Iowa 50131

Phone: (515) 276-3473



Page 42

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County



Grubb West Cottage Comprehensive 6/1/11-6/1/2012 7 Full Control Dupey Polk

7085 NW Beaver Dr. Residential Room

Johnston, Iowa 50131

Phone: (515) 276-3473



Ross Cottage Comprehensive 6/1/11-6/1/2014 10 Full Control Dupey Polk

7085 NW Beaver Dr. Residential Room

Johnston, Iowa 50131

Phone: (515) 276-3473



Grubb South Cottage Comprehensive 6/1/11-6/1/2014 7 Full Control Dupey Polk

7085 N.W. Beaver Dr. Residential Room

Johnston, Iowa 50131

Phone: (515) 276-3473



Jacobson North Cottage Comprehensive 6/1/11-6/1/2014 14 Full Control Dupey Polk

7085 NW Beaver Dr. Residential Room

Johnston, Iowa 50131

Phone: (515) 276-3473



Jacobson West Cottage Comprehensive 6/1/11-6/1/2014 14 Full Control Dupey Polk

7085 NW Beaver Dr. Residential Room

Johnston, Iowa 50131

Phone: (515) 276-3473



Community Services Child Placing 1/1/11-1/1/2012 N/A Full None Dupey Polk

1132 44th Street Adoption

Des Moines, Iowa 50311 Foster Care

Phone: (515) 279-2008 Supervised Apartment Living





Youth Shelter Care

of North Central Iowa, Inc.

Director: Doreen Coppinger

301 Avenue M West Private Shelter 10/1/11-10/1/2012 20 Full None Dupey Webster

Fort Dodge, Iowa 50501

Phone: (515) 955-4222



Page 43

License Licensing Full or Special

Agency Type Period Capacity Provisional Provisions Licenser County









Page 44


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