Destinee's Butterflies Childcare

ThisStatement of Deficiencies was generated as a result of the on-site Statelicensure inspection conducted at your facility on 01/09/2026. Please respond to each deficiency and attachdocuments as requested for the deficiency it pertains to. Sign and submit your Plan of Correctionwithin 10 business days of receipt. Inspection consensus, the facility islicensed for 12 children as a Group Care. The census at the time of survey was 4children. 4 children's files and 3 staff files were If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this st 432A.310 TB Testing Based on a review of staff files, staffmembers, volunteers, and/or residents of the facility did not have writtenevidence that they were free from communicable tuberculosis issued within thepreceding 24 months. Staff listed below may not return until current TB testverification is received: Destinee H. NAC 323 1. Except as otherwise provided in NAC NAC 323 1. I have completed my Wellness training 01/24/202 432A.521 and NRS 432A.177, within 120 and printed out Kyrie's current Nevada 6 days after commencing his or her Registry, placing both in the licensing employment or position in a child care binder. facility, each person who is employed in a 2. 01/24/2026 child care facility, other than a person 3. I ensure all required classes will be employed in a facility that prov... 432A.323 Initial Training Based on interview and record review,the facility failed to ensure that within 120 days of hire each employeecompleted the required hours of training in childcare. Training not on file forstaff as noted below: Wellness (Obesity Prevention/Nutrition/ Physical Activity) 2hrs. Kyrie P. 432A.430.3 DidNot Assess Each Child within Three Months Based onobservation, interview and record review, the facility failed to assess eachchild within three months of enrollment and every six months thereafter.Children as noted below did not have a current assessment on file duringinspection. Child #1 Child #2 Child #3 Child #4

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 11/3/2025. The facility is licensed for 12 children as a Group Care. The census at the time of survey was 12 children. 0 children's files and 0 staff files were reviewed. Child files and all staff files will be audited at the Annual inspection. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: DESTINEE HODGES Title: Owner Date: 11/18/ Based on observation, the following hazards were noted: Pet feces have been observed on the playground area. This presents a potential health and safety risk to children and staff. Please ensure that all pet feces are immediately removed from the playground , and that the playground surfaces and toys are properly disinfected and sanitized. 3. Prevention / Measures to Avoid Future Based on observation and interview, Occurrences the facility had no record that a natural Drill logs will remain on designated disaster was held at least once every clipboards in the staff area to ensure immediate access during inspections. Staff three months. The last disaster drill was have been trained on the location and use logged was unknown, as the staff was of the logs. Drills will continue as required: unable to locate disaster drill log. fire drills monthly and disaster drills every three months. Based on observation and interview, the facili Based on observation, the following hazards were noted The bathroom was found to be not well maintained. The toilet bowl did not meet environmental standard, and urine was observed on the toilet seat. Please ensure that the bathroom is thoroughly cleaned and sanitized, including all toilet surfaces and surrounding areas. Regular checks should be conducted to maintain hygiene and ensure the facilities are safe and sanitary for use. Upload picture of corrections. The broom and dustpan were were located in the classroom area and accessible to children. Ensure the broom and dustpan are stored in a location that is inaccessible to children. Answer 4 POC questions. NAC 304 1. The director of a child care facility is NAC 304 11/03/202 responsible for screening, scheduling and 1. Corrective Action... Based on the interview, the staff was unable to provide the Surveyor with the required documentation at the time of the inspection. It is the responsibility of the owner to ensure that all required documentation is readily available, up to date, and accessible upon request during inspections. Ensure that all records are accessible upon request during inspections. Answer 4 POC questions. NAC 414 1. A carpeted floor or rug on a floor that is NAC 414 11/03/202 too large to wash in a washing machine 1. Corrective Action + Verification 5 must be vacuumed not less than one time The carpets and rugs Based on observation, and interview, verification that carpeted floors/rugs too large for washing once every three months was not available at time of inspection. Upload proof the carpets are cleaned at least once every three months. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 1/16/2025. The facility is licensed for 12 children as a Group Care. The census at the time of survey was 2 children. 2 children's files and 4 staff files were reviewed. Reminders: Begin the renewal process. Pay fee by 1/31/2025 to avoid any late fees. Upload renewal checklist documents. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Nam Based on observation, the facility failed to ensure the State Business License (SBL) remained up to date at all times. The SBL expired on 8/31/2024. Please upload up to date business license. Answer 4 POC questions. 3950 B. WING _______________________ 01/16/2025 NAME OF PROVIDE Based on observation the facility failed to ensure the pet immunization records were accessible at the time of the inspection. Please upload a copy of the pet immunization records. Answer 4 POC questions. 3950 B. WING _______________________ 01/16/2025 Based on observation and interview, the facility had no record that a natural disaster was held at least once every three months. There was not a disaster drill log on file. Based on observation and interview, the facility had no record that a fire drill was held monthly. The fire drill on file was not completed. Ensure a disaster drill is done at least once every three months and logged accordingly. Ensure a fire drill is done at least monthly and logged accordingly. Upload a copy of the logged fire and disaster drill log. Answer 4 POC questions. Based on record review, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission. Please upload proof of health statement for Child #2. Answer 4 POC questions. NRS 230 NRS 230 1. Obtained document from partnered SCF 01/17/202 Certificate of immunization prerequisite to 2. 01/17/25 5 admission to child care facility; conditional 3. Owner/Director will ensure immunizations admission; report to Health Division. Except stay up to date by checking files monthly as otherwise provided in NRS 432A.235 for 4. Owner/Director accommodation fac Based on record review, the facility failed to ensure a copy of children's up to date with immunizations were on file for all children. Please upload updated immunizations Child # 1 identifier list. Answer 4 POC questions.

This Statement of Deficiencies was generated as a result of the on-site State licensure survey conducted at your facility on 08/13/2024. The facility is licensed for 12 children as a Group Care. The census at the time of survey was 4 children. 6 children's files and 4 staff files were reviewed. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: DESTINEE HODGES Title: Owner Date: 09/16/2024 REPRESENTATIVE'S SIGNATURE Based on Inspector observations the facility failed to eliminate hazards in the playground. There were broken toys in the left-hand corner of the play area and a water hose spread out across the concrete area. Ensure the water hose is properly stored and the broken toys are removed/discarded. Upload proof of the corrections. Answer POC questions. AND PLAN OF CORREC Basedon interview and/or record review, new employees were not given a written andoral orientation and training in the policies, procedures, and programs of thefacility within the first 2 weeks after commencing employment. Upload proof of written orientationfor the following staff: Kyrie P. Dominique T. Alicia W. Answer 4 POC questions. NAC 340 1. Procedures for admission must provide NAC 340 1. Children #1 and #2 are no longer 08/13/202 the caregiver with sufficient information and enrolled. 4 instruction from the parents to enable the 2. 8/13/24 caregiver to prepare a record and to make 3. Based on record review, the facility failed to ensure that each child had a written authorization signed by a parent which allows emergency and medical care. Upload signed Medical Emergency Consent forms for children listed on the identifier list. Child #1 Child #2 Answer 4 POC questions. Based on record review and interview, the facility did not have a health statement signed by a registered nurse or physician within 30 days after admission. Please upload proof of health statement for children listed on the identifier list. Child # 3 Child # 4 Answer 4 POC questions NRS 230 NRS 230 1. Received child #4 immunizations from 08/13/202 Certificate of immunization prerequisite to Sunrise Children Foundations, printed and 4 admission to child care facility; conditional placed in file. It was also provided via email admission; report to Health Division. Except to surveyor upon reques Based on record review and interview, the facility did not have current immunization records on file. Please upload immunization records for the following children listed on the identifier list. Child #1 Child #4 Answer 4 POC questions. NAC 430 1. Each facility, including, without limitation, NAC 430 1. Have completed child #5 assessments. 08/20/202 a family home and a group home, shall Child #6 is school age. Excluding children 4 have an early care and education program. #1 and #2, no longer enrolled. 2. Each facility described in subsection 1 2. 8/20/24. shall develop a written assessment p Based on observation, and review of records, the facility did not assess each child within three months after enrollment in the facility or repeat assessment every six months. Please upload assessments for children listed on the identifier list. Child #1 Child #2 Child #5 Child #6 Answer 4 POC questions

ThisStatement of Deficiencies was generated as a result of the on-site State initial licensure inspection conducted at your facility, on 3/27/24. There were no regulatory deficienciesidentified at the time of the survey. Thefacility is licensed for #12 Children as a Group Care. If deficiencies are cited, an approved plan of correction must be returned within 10 days after receipt of this statement of deficiencies. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER Name: Title: Date: REPRESENTATIVE'S SIGNATURE