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Lucketts Community Center
42361 Lucketts Road
Leesburg, VA 20176
(703) 777-0357

Current Inspector: Tameika King (804) 629-7486

Inspection Date: June 27, 2023

Complaint Related: No

Areas Reviewed:
8 VAC 20-780 Administration
8 VAC 20-780 Staff Qualifications and Training
8 VAC 20-770 Background Checks
22.1 Background Checks Code

Technical Assistance:
A percentage of all staff files were reviewed. Each staff person's emergency contact information is requested be kept also on file within their internal computer file system. It was previously discussed that emergency contact information be primarily kept on site and will be reviewed during in person inspections.

Comments:
The following inspection took place between the hours of 10 am through 3:30 pm. Staff files were reviewed by a representative from the Commonwealth of Virginia, Department of Education, Office of Child Care Health and Safety (Fairfax) and through the County of Loudoun, Department of Parks, Recreation, and Community Services main office located in Leesburg, Virginia. A total of 9 staff files were reviewed for this facility.

Information gathered during the inspection determined that there were (3) non-compliances with the applicable standards, and code. These violations were documented on the Violation Notice issued to the center. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov

Violations:
Standard #: 22.1-289.035-A
Description: 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.

Plan of Correction: These staff will attend a Licensing Orientation training when they return from LWOP.

Standard #: 8VAC20-770-60-C-2
Description: Based on review, 1 of 9 staff files indicated that the facility did not obtain the results of an central registry check by end of 30th day of employment.

Evidence:
1. There was no documentation of central registry results for staff #8.
2. The start date for Staff #8 was listed as 03/30/2023.

Plan of Correction: Our department had been unable to input these background checks into the OBI portal for completion. This issue was resolved on 6/28 and this record check was submitted for completion on 6/30.

Standard #: 8VAC20-780-70
Description: Based on review, 2 of 9 required records were not kept for each staff member.

Evidence:
1. On the date of inspection (06/27/2023), there was no documentation of staff #6 and staff #9 completing orientation.
2. The start date for Staff # 6 was listed as 11/16/2021.
3. The start date for Staff #9 was listed as 08/04/2022.

Plan of Correction: This record check was mailed on 7/5/23 for completion.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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