The Butterfly House

8VAC20-780-570-E

“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.”

8VAC20-780-280-B

“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.”

8VAC20-780-270-A

“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.”

8VAC20-780-550-G

“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.”

8VAC20-780-500-B

“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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

8VAC20-780-350-B-1 Complaint related: Yes

“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.”

8VAC20-780-210-A

“Based on record review, program leaders did not meet all required qualifications. Evidence: Staff 1 and Staff 2 do not meet lead teacher qualifications.”

8VAC20-780-510-L

“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.”

8VAC20-780-510-G

“Based on observation, medication was not labeled with the child's name. Evidence: There was an allergy medication with no name on it.”

8VAC20-780-500-A

“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.”

8VAC20-780-290-A-3

“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.”

8VAC20-780-280-B

“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.”

8VAC20-780-280-D

“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.”

8VAC20-780-340-F Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on interviews and video footage, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence 1) Video footage shows, on 1/23/2024 at approximately 3:30pm, Staff 1 and 2 were supervising 11 children in the classroom. Staff 1 was changing diapers and helping children use the restroom. Staff 2 was supervising the remainder of the children in the classroom. 2) Video footage shows that at approximately 3:38pm, Child 1 (3 years old) walked out of the classroom through an open gate of the classroom, down the hallway and out the front door of the school. 3) A parent stated that while approaching the facility, they found Child 1 outside of the facility’s front door. The parent stated Child 1 would not go with them. They went inside and informed the staff inside the building that Child 1 was outside. 4) After being informed by the parent, Staff 3 went outside to get the child, by which time, the child’s mother had already found the child.”

8VAC20-780-350-G Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on observations and video footage, staff included in the required staff-to-child ratios were not always directly supervising children. Evidence: 1) Video footage from 1/23/2024 shows Staff 1 and 2 in a classroom of 11 children ages 2 ? years to 3 years old. Between 3:27pm and 3:46pm, the video shows both staff members exiting the classroom about 5 times briefly, leaving the other teacher alone with 11 children. Staff 2 left the classroom about 3 times and, while in the hallway, was seen turning their back to their classroom and interacting with teachers and students in the classroom across the hall. At 3:30pm , both teachers stepped out of the classroom, leaving the children unsupervised for about 1 minute. 2) On 2/28/2024 during breakfast from approximately 9:00am until 9:15am, the Blue Butterfly classroom had 9 children (2 years old) and 2 staff supervising. Teachers in that classroom stepped out for a minute or two to obtain breakfast items for their classroom leaving their classroom out of ratio whenever one teacher stepped out. 3) On 2/28/2024 during breakfast from approximately 9:00am until 9:15am, the Orange Butterfly classroom had 12 children (3 years old) and 2 staff supervising. Teachers in that classroom stepped out for approximately 1-2 minutes to obtain breakfast items for their classroom leaving their classroom out of ratio whenever one teacher stepped out.”

8VAC20-780-340-A Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on interviews and video footage, staff supervising children did not always ensure their care, protection and guidance. Evidence: 1)Video footage and interviews confirmed that on 1/23/2024 at approximately 3:38pm, Child 1 (3 years old) left the classroom unnoticed and was outside of the building for approximately 6 minutes. 2) Staff were unaware the child was missing until a parent arriving at the center at approximately 3:46pm notified them that the child was outside. 3) The front of the building is adjacent to the parking lot of the school and a through street utilized by campus staff.”

8VAC20-780-350-B-1 Complaint related: No

“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.”

8VAC20-780-40-E Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on documentation review and interviews, the center did not follow their own policies and procedures. Evidence: 1) The center’s staff handbook states (page 43), ?When children are taken out to the playground or to any other outing, teachers will use their in-app Tracking Sheet to indicate having been seen with the group at departure? and ?The teachers also use the in-app Name-to-Face Tracking Sheet to indicate contact with the students.? 2) Staff 1 and 2 stated that on 2/5/2024, when entering the building from the playground, they did not conduct a name-to-face check to indicate contact with the students as required in the policy handbook.”

8VAC20-780-340-A Complaint related: Yes

“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.”

8VAC20-780-340-F Complaint related: Yes

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interviews and video footage , children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1) Video footage shows, at approximately 5:24pm on 2/5/2024, Staff 1 and 2 left the playground area and entered the building with 7 children. Child 1 (3 years old) was left outside on the far side of the playground. 2) Staff stated and video footage confirmed at about 5:32pm a parent notified them that they observed Child 1 outside on the playground alone. 3) Staff 1 stated and video footage confirmed that Staff 1 went outside at about 5:33pm and found Child 1 on the far corner of the playground. 4) Child 1 was outside alone on the playground for approximately 9 minutes without staff supervision.”

8VAC20-780-340-F Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on interviews and video footage, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence 1) Video footage shows, on 1/23/2024 at approximately 3:30pm, Staff 1 and 2 were supervising 11 children in the classroom. Staff 1 was changing diapers and helping children use the restroom. Staff 2 was supervising the remainder of the children in the classroom. 2) Video footage shows that at approximately 3:38pm, Child 1 (3 years old) walked out of the classroom through an open gate of the classroom, down the hallway and out the front door of the school. 3) A parent stated that while approaching the facility, they found Child 1 outside of the facility’s front door. The parent stated Child 1 would not go with them. They went inside and informed the staff inside the building that Child 1 was outside. 4) After being informed by the parent, Staff 3 went outside to get the child, by which time, the child’s mother had already found the child.”

8VAC20-780-350-G Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on observations and video footage, staff included in the required staff-to-child ratios were not always directly supervising children. Evidence: 1) Video footage from 1/23/2024 shows Staff 1 and 2 in a classroom of 11 children ages 2 ? years to 3 years old. Between 3:27pm and 3:46pm, the video shows both staff members exiting the classroom about 5 times briefly, leaving the other teacher alone with 11 children. Staff 2 left the classroom about 3 times and, while in the hallway, was seen turning their back to their classroom and interacting with teachers and students in the classroom across the hall. At 3:30pm , both teachers stepped out of the classroom, leaving the children unsupervised for about 1 minute. 2) On 2/28/2024 during breakfast from approximately 9:00am until 9:15am, the Blue Butterfly classroom had 9 children (2 years old) and 2 staff supervising. Teachers in that classroom stepped out for a minute or two to obtain breakfast items for their classroom leaving their classroom out of ratio whenever one teacher stepped out. 3) On 2/28/2024 during breakfast from approximately 9:00am until 9:15am, the Orange Butterfly classroom had 12 children (3 years old) and 2 staff supervising. Teachers in that classroom stepped out for approximately 1-2 minutes to obtain breakfast items for their classroom leaving their classroom out of ratio whenever one teacher stepped out.”

8VAC20-780-340-A Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on interviews and video footage, staff supervising children did not always ensure their care, protection and guidance. Evidence: 1)Video footage and interviews confirmed that on 1/23/2024 at approximately 3:38pm, Child 1 (3 years old) left the classroom unnoticed and was outside of the building for approximately 6 minutes. 2) Staff were unaware the child was missing until a parent arriving at the center at approximately 3:46pm notified them that the child was outside. 3) The front of the building is adjacent to the parking lot of the school and a through street utilized by campus staff.”

8VAC20-780-350-B-1 Complaint related: No

“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.”

8VAC20-780-40-E Complaint related: Yes

“SYSTEMIC DEFICIENCY Based on documentation review and interviews, the center did not follow their own policies and procedures. Evidence: 1) The center’s staff handbook states (page 43), ?When children are taken out to the playground or to any other outing, teachers will use their in-app Tracking Sheet to indicate having been seen with the group at departure? and ?The teachers also use the in-app Name-to-Face Tracking Sheet to indicate contact with the students.? 2) Staff 1 and 2 stated that on 2/5/2024, when entering the building from the playground, they did not conduct a name-to-face check to indicate contact with the students as required in the policy handbook.”

8VAC20-780-340-A Complaint related: Yes

“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.”

8VAC20-780-340-F Complaint related: Yes

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Based on interviews and video footage , children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1) Video footage shows, at approximately 5:24pm on 2/5/2024, Staff 1 and 2 left the playground area and entered the building with 7 children. Child 1 (3 years old) was left outside on the far side of the playground. 2) Staff stated and video footage confirmed at about 5:32pm a parent notified them that they observed Child 1 outside on the playground alone. 3) Staff 1 stated and video footage confirmed that Staff 1 went outside at about 5:33pm and found Child 1 on the far corner of the playground. 4) Child 1 was outside alone on the playground for approximately 9 minutes without staff supervision.”