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.

Corrected during the visit

Parent's medication authorization did not include required information.

Corrected during the visit

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

Corrected during the visit

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

Corrected during the visit

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

Corrected during the visit

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

Corrected during the 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.

Corrected during the visit

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 visit

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

The state verified the correction on Nov 6, 2024

Child was handled roughly.

The state verified the correction on Aug 9, 2024

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

The state verified the correction on Aug 9, 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.

The state verified the correction on Oct 8, 2024

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

The state verified the correction on Sep 10, 2024

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

The state verified the correction on Sep 10, 2024

Children were not adequately supervised at all times.

The state verified the correction on Aug 9, 2024

The depth of the loose surfacing was not based on critical height of the equipment.

The state verified the correction on Nov 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.

The state verified the correction on Nov 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.

The state verified the correction on Nov 14, 2023

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.

The state verified the correction on Nov 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.

Corrected during the visit

Parent's medication authorization did not include required information.

The state verified the correction on Nov 14, 2023

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

Corrected during the visit

Staff/child ratios applicable to a classroom, were not posted in each classroom.

Corrected during the visit