The Butterfly House

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“1. Room 4 and 5 both had areas of peeling paint along the walls in their classrooms. 2. Preschool playground had a wooden activity table with mesh corners that were torn, exposing sharp edges. 3. Peeling/chipping wood causing sharp edges along the legs and lower roofing of the “gazebo” structure.”

Rule 8VAC20-780-270-A.

Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

“Room 5 had an unlocked cabinet with bleach water and hand sanitizer accessible to children.”

Rule 8VAC20-780-280-B.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Infant B had prepared bottles in the fridge, and one child’s bottles did not have a date.”

Rule 8VAC20-780-570-E.

REPEAT VIOLATION A nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing.

“Room 4 had a diaper changing pad with a large cut exposing the soft, absorbent cushion inside.”

Rule 8VAC20-780-500-B.

REPEAT VIOLATION. Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes: Identity of the person conducting the drill; The date and time of the drill; The method used for notification of the drill; The number of staff participating; The number of children participating; Any special conditions simulated; The time it took to complete the drill; Problems encountered, if any; and For emergency evacuation drills only, weather conditions.

“The facility did not have complete documentation of the emergency drill log.”

Rule 8VAC20-780-550-G.

22.1-289.023-A

“Based on observation, the facility did not ensure that the Notice of the Superintendent’s intent was posted in a prominent place at each public entrance of the licensed premises to advise consumers or serious or persistent violations. Evidence: observed and identified through staff interviews that the notice of intent was not posted in a prominent place at each public entrance.”

Rule 22.1-289.023-A.

22.1-289.035-B-1

“Based on review, the facility did not ensure that staff provided a sworn statement of disclosure prior to employment. Evidence: reviewed 2 staff records and found that Staff 1 did not have documentation of a sworn statement of disclosure and their first day was on 8/19/2024.”

Rule 22.1-289.035-B-1.

8VAC20-780-130-E

“Based on review, the facility did not ensure that they obtained documentation of additional immunizations every six months for children under the age of two years. Evidence: reviewed 5 children’s records and found that Child 5 did not have documentation of updated immunizations. Child 5’s last immunization was dated 11/28/2023.”

Rule 8VAC20-780-130-E.

8VAC20-780-500-B

“Based on observation, the facility did not ensure that the diapering surface was nonabsorbent. Evidence: observed that there was a long tear on the side of the diaper changing mat that was uncovered when the nonabsorbent liner was used.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-F

“Based on review, the facility did not ensure that the lockdown procedures are practiced at least annually. Evidence: reviewed the emergency drill log and found that there were no lockdown drills practiced within the last 12 months.”

Rule 8VAC20-780-550-F.

8VAC20-780-550-G

“Based on review, the facility did not ensure that all required information was documented on emergency drill logs. Evidence: reviewed the emergency drill log and found that it was missing documentation of time of drill, notification of drill, problems encountered, and events simulated.”

Rule 8VAC20-780-550-G.

8VAC20-780-60-A

“Based on review, the facility did not ensure that children’s records were maintained with the required information. Evidence: reviewed 5 children’s records and found that Child 1 and 2 did not have documentation of the parents annual review of the emergency contact information. Child 1’s last review was dated 1/9/2023 and Child 2’s last review was dated 7/20/2023.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review, the facility did not ensure that staff records were maintained with required documentation. Evidence: reviewed 2 staff records and found that Staff 1 did not have documentation of a second reference check.”

Rule 8VAC20-780-70.

Repeat violation systemic violation

“Based on video footage, the required staff-to-child ratio of 1:4 for infants was not followed. Evidence: On April 30, 2024 at approximately 8:25am, there were 5 infants with 1 staff member. At 8:45am, another child came into care. There were 6 children in care with 1 staff member until approximately 9:00am when another staff member came into the classroom. The infant classroom was out of ratio for 40 minutes.”

Rule 8VAC20-780-350-B-1. From a complaint.

Based on record review, program leaders did not meet all required qualifications.

“Evidence: Staff 1 and Staff 2 do not meet lead teacher qualifications.”

Rule 8VAC20-780-210-A.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the Purple Butterfly classroom, a hand sanitizer was on a shelf accessible to children.”

Rule 8VAC20-780-280-B.

Based on observation, cleaning and sanitizing materials were located in an area close to food.

“Evidence: In the toddler classroom, cleaning and sanitizing products were on the same counter as food.”

Rule 8VAC20-780-280-D.

Based on observation, electrical outlets did not have protective covers in place.

“Evidence: In the hallway entrance, an unused electrical outlet did not have protective cover in place.”

Rule 8VAC20-780-290-A-3.

Based on observation, a child did not wash hands after bathrooming.

“Evidence: A child from the Green Butterfly class did not wash their hands after using the bathroom.”

Rule 8VAC20-780-500-A.

Based on observation, medication was not labeled with the child’s name.

“Evidence: There was an allergy medication with no name on it.”

Rule 8VAC20-780-510-G.

Based on observation, staff’s personal medication was kept in an unlocked place.

“Evidence: In the toddler class, an adult medication was kept in an unlocked upper cabinet.”

Rule 8VAC20-780-510-L.

Repeat violation systemic deficiency

“Based on interviews and video footage, staff supervising children did not always ensure their care, protection and guidance. 1) On 2/5/2024 from approximately 5:24pm until 5:33pm, video footage and staff interviews confirmed Child #1 (3 years) was left alone outside on the playground. 2) The child was on the playground alone for approximately 9 minutes and staff were not aware that the child was missing until a parent notified them. 3) The playground is located adjacent to a parking lot.”

Rule 8VAC20-780-340-A. From a complaint.

Systemic deficiency

Rule 8VAC20-780-340-A. From a complaint.

Repeat violation systemic deficiency

Rule 8VAC20-780-340-F. From a complaint.

Systemic deficiency

Rule 8VAC20-780-340-F. From a complaint.

Systemic deficiency

“Based on observation and documentation, the required staff-to-child ratio of 1:4 for infants was not followed. Evidence: On 2/28/2024, from approximately 8:05am until 8:30am there were 5 infants (ages 3 months to 14 months) with Staff 4 in the infant classroom. At 8:31am, Staff 5 went into the classroom.”

Rule 8VAC20-780-350-B-1. From a complaint.

Systemic deficiency

Rule 8VAC20-780-350-G. From a complaint.

Systemic deficiency

Rule 8VAC20-780-40-E. From a complaint.

Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Cleaning supplies were located in an unlocked cabinet in the bathroom of the “Toddlers” room.”

Rule 8VAC20-780-280-B.

Based on record review, an out of state central registry search was not conducted for each staff who lived outside of Virginia within the last 5 years.

“Evidence: Staff A did not have a complete out of state central registry search on file. Staff A has lived in MD within the last 5 years.”

Rule 22.1-289.035-B-4.

Based on interview, a child was moved from their grouping to maintain ratio.

“Evidence: A staff member confirmed that a child was moved from the “Purple Butterflies” room to the “Orange Butterflies” room to maintain ration in the “Purple Butterflies” room.”

Rule 8VAC20-780-350-Q.

Based on record review, minor injury reports were missing required information.

“Evidence: 2 of 5 minor injury records reviewed were missing the time in which the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

Based on observation, the findings of the most recent inspection were not posted.

“Evidence: The findings of the inspection that occurred 09/222 were not posted.”

Rule 8VAC20-820-120-E-2.

Based on observation, cleaning agents were not kept in a locked place.

“Evidence: Cleaning supplies were located on a sink in the “Infants” room.”

Rule 8VAC20-780-280-B.

Based on record review, the center did not implement monthly evacuation drills.

“Evidence: The evacuation drill for September was not conducted.”

Rule 8VAC20-780-550-D.

Based on observation, refrigerated bottles were not dated.

“Evidence: Refrigerated bottles located in the infant room of Child A and Child B were not dated.”

Rule 8VAC20-780-570-E.

Based on record review, the center did not keep a complete record for each child in care.

“Evidence: 1) The record of Child C was missing the employer phone numbers of both parents. 2) The record of Child D was missing the employer phone number of the father and the employer and employer phone number of the mother.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-C

“Based on record review, staff orientation did not include all facility specific topics. Evidence: 1. Staff # 1’s first day of employment was 3/14/22. 2. Staff # 1’s orientation did not include the following topics: a. prevention of sudden infant death syndrome; b. prevention of shaken baby syndrome and abusive head trauma; c. prevention and response to food and allergic reactions; and d. prevention and control of disease.”

Rule 8VAC20-780-240-C.

8VAC20-780-240-E

“Based on record review, within 30 days of the first day of employment, staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. Staff # 1’s first day of employment was 3/14/22. 2. Staff # 1’s record did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR), within 30 days of employment.”

Rule 8VAC20-780-240-E.