Lucketts Community Center

8VAC20-780-140-A · Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.

Child #2 did not have a physical examination on file and has been attending the center for six months.

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8VAC20-780-520-B · Sunscreen is required to be inaccessible to children under five years of age. There were two sunscreens in the childcare classroom (ages 3-5 years) bathroom accessible to children.

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8VAC20-780-40-E · REPEAT VIOLATION/ SYSTEMIC DEFICIENCY

Based on observation, the operational responsibilities of the licensee did not ensure that the center?s activities and services are maintained in compliance with the center?s own policies and procedures. Evidence: 1. The program?s staff training handbook states ?face to name attendance should be taken before and after each transition to different activities or areas in or out of the facility.? 2. The program?s Intensive Plan of Correction also states that ?face to name roll is completed at the beginning and end of every transition.? 3. The Childcare class was observed transitioning from the auditorium to their classroom. 4. Face to name attendance was not taken before the group transitioned to their classroom.

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8VAC20-780-40-E · Repeat Violation.

Based on a review of the centers policies and interviews, the operational responsibilities of the licensee did not ensure that the centers activities and services are maintained in compliance with these standards, the centers own policies and procedures that are required by these standards. Evidence: 1. On 7/13/2023, Staff #1 pickup up Child #1 (6 years old) and placed them on their hip, took a few steps and then sat down to discuss an altercation that Child #1 was involved in. 2. Staff #1 stated that they are trained not to pick up children however they felt as though Child #2 was in danger and they ?made a split decision? to pick-up Child #1 and try to mitigate in another area? 3. The program director confirmed that the center policy would be to not pick-up the child.

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22.1-289.035-A · Based on review, 1 of 9 staff background checks was not repeated every five years.

Evidence: 1. The most recent out-of-state central registry results on file for Staff #5 is dated 11/30/2015. 2. The out-of-state central registry results on file for Staff #5 expired on 11/30/2020.

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8VAC20-780-40-E · Based on a review of the centers policies, video footage obtained from the center and interviews, the operational responsibilities of the licensee did not ensure that the centers activities and services are maintained in compliance with these standards, the centers own policies and procedures that are required by these standards.

Evidence: 1.The program?s staff training handbook states "face to name attendance should be taken before and after each transition to different activities or areas in or out of the facility." 2. On 6/19/2023, Child #1 was registered to attend the program?s Child Care program when camp dismissed at 4pm. Staff #1 stated that they should have transitioned the child and completed a face to name check at the end of camp to the Child Care classroom. Staff #1 stated that they did not see Child #1 in the classroom at 4pm, so they had assumed that one of the Child Care staff had already transitioned the child to the appropriate classroom. Staff #1 confirmed that they marked ?CC? next to the child?s name in the Sign In/Sign Out book indicating that they had been transitioned to the Child Care classroom without completing a face to name check. 3.Child #1 was in the bathroom from approximately 3:29pm until 4:35pm. The child was never transitioned to the Child Care classroom.

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8VAC20-780-560-G · Based on observation, requirements were not met when food was brought from home.

Evidence: 1. 8 lunch boxes were observed in the preschool classroom without a name or date. 2. 9 lunch boxes were observed in the preschool classroom without the date.

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8VAC20-780-560-G · Based on observation, requirements were not met when food was brought from home.

Evidence: Five lunch boxes were observed in the daycare classroom without first and last names to identify their owner.

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22.1-289.035-B-4 · Based on record review, the center did not obtain an out-of-state background check by the end of the 30th day of employment for an employee that has resided outside of the state of Virginia within the last five years.

Evidence: Staff #1 (date of hire: 9/2/2021) sworn disclosure statement documented that they have lived outside of the state of Virginia in the last 5 years. Staff #1's out-of-state central registry background check is dated 4/29/2022.

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