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The Butterfly House

Inspection · 2024-08-20

Date
2024-08-20
Complaint Related
No
Licensing Inspector
Keesha Minor
(571) 596-3660
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 8/20/2024, as a part of probationary period. The on-site inspection began at 12:48pm and ended at 2:21pm. The inspector reviewed compliance in the areas listed above. There were 47 children present and 7 staff. The inspector reviewed 5 children?s records and 2 staff records on-site. This inspection included:
?document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms),
?tour of the facility,
?interviews,
?observations (this would include observations of photos, recordings, etc.), and

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 9/10/2024. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 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.
Plan of Correction: Notice of Intent has been posted.
Standard 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.
Plan of Correction: Staff member was going through the orientation process and had not yet worked with the children. Moving forward all new employee forms will be completed on or prior to their first day of employment.
Standard 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.
Plan of Correction: Updated record has been placed in the childs file.
Standard 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.
Plan of Correction: The tear was repaired.
Standard 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.
Plan of Correction: Moving forward all emergeby drills will be documented in center binder immediately following the drill.
Standard 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.
Plan of Correction: The previous emergency drill log has been replaced with a form that list all required information.
Standard 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.
Plan of Correction: Updated annual review was signed and dated by parent.
Standard 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.
Plan of Correction: Completed reference check form has be placed in employee file.
View original record on Virginia Department of Social Services