The Butterfly Garden Child Development Center

Rule violated (DCDEE’s description below)

“Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas There was no evidence of this requirement in the infant room.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Parent’s medication authorization did not include required information.

“Date and amount was missing.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“There was no evidence of a thermometer in the infant room refrigerator.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

A current activity plan was not posted for each group of children for reference.

“Lesson plan in the infant/toddler classroom was dated for the week of April 28, 2025.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

A safe indoor and outdoor environment was not provided for the children.

“There was a container with standing rain water.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

All staff records, except financial records, were not made available for review.

“There was one new staff, much of the information needed was off-site as owner and staff has been working on files.”

Rule All staff records, except financial records, were not made available for review.. Corrected during the inspection.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Two staff files contained all health information which was not placed in separate file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Corrected during the inspection.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“The gate opening measured four inches at the bottom.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 2024. Correction verified: by a letter from the provider.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“The names listed were old employee making the list invalid.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Corrected during the inspection.

A child’s hands were not washed after each diaper change.

“On July 18, 2024, a staff member did not wash the hands of three children after their diapers were changed.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“On July, 18, 2024, staff left mop water in the classroom accessible to children for an extended period of time.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2024. Correction verified: by a letter from the provider.

All staff did not wash their hands thoroughly after diapering each child.

“On July 18, 2024, one three occasions, a staff member did not wash their hands after changing diapers of children.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“A staff member picked a one year old child and aggressively sat the child in a chair during lunch time. In addition the same staff member guided a two year old child around a table abruptly by the child’s forearm causing the child to loose their footing and bump their head against a chair.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A staff member constantly turned her back to one and two year old children while they were eating lunch. As a result, the staff member was unaware a one year old child had a mouth full of food when the staff member laid the child down to change the child’s diaper.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“A staff member constantly used an harsh tone when telling one and two year old children to “sit” and “no”.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.