The Butterfly Garden Child Development Center

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.

Violation corrected during visit

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.

Violation corrected during visit

Parent's medication authorization did not include required information. Date and amount was missing.

Violation corrected during visit

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.

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. There was a container with standing rain water.

Violation corrected during visit

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.

Violation corrected during visit

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.

Violation confirmed corrected by letter received from provider on 11/6/2024

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.

Violation corrected during visit

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.

Violation corrected during visit

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.

Violation confirmed corrected by letter received from provider on 8/9/2024

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.

Violation confirmed corrected by letter received from provider on 9/10/2024

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.

Violation confirmed corrected by letter received from provider on 9/10/2024

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.

Violation confirmed corrected by letter received from provider on 10/8/2024

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".

Violation confirmed corrected by letter received from provider on 8/9/2024

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.

Violation confirmed corrected by letter received from provider on 8/9/2024

Staff/child ratios applicable to a classroom, were not posted in each classroom. the ratio sheet was not posted in the classroom.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. Space three(toddler classroom) did not have a current plan posted, the date was for the week of October 5th.

Violation corrected during visit

Parent's medication authorization did not include required information. In space one(preschool classroom) the medication form was expired(8/2023).

Violation confirmed corrected by letter received from provider on 11/14/2023

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space three(toddler room) door was unlocked and lead to space two which is currently being used as a storage room had several plastic bags, and other potential chocking hazards.

Violation corrected during visit

All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. R.B. First Aid expired in August 2023.

Violation confirmed corrected by letter received from provider on 11/14/2023

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. R.B CPR was expired in August 2023.

Violation confirmed corrected by letter received from provider on 11/14/2023

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child There were two children's files who did not have updated information. the last updated was in 2021 and in 2022.

Violation confirmed corrected by letter received from provider on 11/14/2023

The depth of the loose surfacing was not based on critical height of the equipment. Mulch did not meet the proper depth under the swings, some places measure 5 inches.

Violation confirmed corrected by letter received from provider on 11/14/2023