Lucketts Community Center

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.”

8VAC20-780-400-B

“Based on a review of video footage obtained from the center and interviews, behavioral guidance was not age and stage appropriate. Evidence: On 7/13/2023, Staff #1 picked up Child #1 (6 years old) and placed them on their hip to walk away from an altercation with Child #2. Picking up Child #1 was not age and stage appropriate.”

8VAC20-770-60-C-2

“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.”

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.”

8VAC20-780-70

“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.”

8VAC20-780-340-A

“Based on interview and video footage obtained from the center, staff did not always ensure their care, protection and guidance when supervising children. Evidence: 1. One 6/19/2023, at approximately 3:29pm, Child #1 (5 years old) runs to the bathroom in the upstairs camp classroom. 2. Child #1 was alone in the classroom from approximately 4:25pm until 4:35pm. 3. Staff #1, Staff #2 and Staff #3 were unaware that Child #1 was in the bathroom for approximately 1 hour and 6 minutes. 4. Child #1?s parents arrived at the facility at approximately 4:30pm and the child could not be located. 5. Child #1 was in the bathroom until approximately 4:35pm. 6. Staff #1 stated that when they did not see Child #1 in the classroom at 4pm, 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 observing or verifying the child left the room.”

8VAC20-780-340-F

“Based on video footage obtained from the center, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. On 6/19/2023, at approximately 3:29pm, Child #1 (5 years old) runs to the bathroom in the upstairs camp classroom. 2. At approximately 4:14pm, Staff #1 leaves the classroom. 3. At approximately 4:25pm, Staff #2 and Staff #3 leave the classroom. 4. Child #1?s parents arrive at the facility at approximately 4:30pm and the child cannot be located. 5. At approximately 4:35pm, Staff #1 runs into the upstairs classroom and locates Child #1 in the bathroom. 6. Staff confirmed that they were unaware Child #1 had entered the classroom bathroom. 7. Child #1 was not within actual sight and sound supervision for approximately 1 hour and 6 minutes.”

8VAC20-780-340-I

“Based on interview and video footage obtained from the center, staff did not oversee each child's departure from the center. Evidence: 1. 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. 2.Child#1 was located in the upstairs camp classroom bathroom at approximately 4:35pm.”

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.”

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.”

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.”

22.1-289.035-B-4 Complaint related: No

“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.”

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

“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, and the terms of the current license issued by the department. Evidence: 1. The center's behavioral guidance management policy states that ?General discipline techniques will include positive reinforcement for appropriate behaviors and careful explanation of behaviors that are unacceptable. Behavioral guidance shall be age and developmentally stage appropriate constructive in nature and shall be intended to redirect participants to appropriate behavior and resolve conflict.? 2. On 7/12/2022, staff #1 did not practice guidance that was age and developmentally appropriate when child #1 (age: 6 years old) was picked up and carried off the center playground and into the center. Staff #1 did not redirect child#1 to a more appropriate behavior or encourage conflict resolution. 3. The center's policies state ?PRCS staff are trained to use discipline techniques that are constructive, age-appropriate, and that focus on redirection and positive reinforcement.? 4. When asked how PRCS staff are trained to handle behavioral conflicts, staff #1 stated ?I have never been trained for a situation like this.?and ?No one has ever given me a straight answer on how to handle negative behaviors.? Staff #3 stated ?Our administration recognizes that we do not have enough training on behavioral management.?”

8VAC20-780-400-A Complaint related: Yes

“Based on interviews and video footage obtained from the center, staff did not interact with children in order to promote the child's physical, intellectual, emotional and social well-being. Evidence: 1. Staff #1, staff #2 and staff #5 reported that child #1 had hit children on the playground. When approached by staff #5 to discuss the hitting, child #1 ran away from the staff and crouched down next to a bench to avoid the discussion. Child #1 was refusing to talk to staff #5. 2. Staff #1 approached child #1 to discuss the hitting. The staff stated that they told the child if they cannot talk about what happened that they would need to ?go to the office.? Staff #1 stated that child #1 said ?I?m not using my words. I?m never using my words.? Staff #1 stated that they ?made a judgment call and picked [child #1] up to take them into the office.? 3. Staff #1 and staff #5 confirmed that child #1 was picked up and carried off the playground by staff #1. Once outside the playground gate, staff #1 continued to carry the child for approximately 12 feet and then put the child on the ground to walk. Staff #1 held child #1?s hand to walk into the school. At the front door of the school, child #1 is observed displaying labored breathing, hunched over. Staff #1 stated that child #1 ?started hyperventilating.? After approximately 30 seconds, staff #1 is observed opening the entrance door and attempting to pull the child inside. Child #1 is observed reaching for the door to resist entering the building. Once inside, the child continued to resist going into the office and was pulling the opposite direction as staff #1. Staff #1 picked the child up again by putting their arm around the child’s torso. Staff #1s arm slipped up the child's torso while the child flailed their body. Staff #1 repositioned by putting their hands under each armpit and carrying the child facing outward into the management office. 4. Staff #1, staff #2, staff #3 and staff #5 confirmed that staff carry walkie-talkies to be able to contact management if help is needed. Staff #1 and staff #5 stated that a walkie-talkie was in the medical bag on the playground and was not used when child #1 was resisting leaving the playground.”

8VAC20-780-410-1 Complaint related: Yes

“Based on interviews and review of video footage obtained from the center, rough handling was permitted. Evidence: On 7/12/2022, staff #1 picked up and carried child #1 to remove them from the playground despite child #1 resisting physical contact. 2. Child #1 was observed displaying labored breathing at the front entrance of the center when staff #1 tried to take child #1 into the center, child #1 resisted by grabbing the center's front door. Staff #1 pulled the child into the building as the child pulled the opposite direction out of the building. Staff #1 put their arms around the child's torso. 3. Child #1 was flailing their body to resist staff #1. When the child slipped out of the staff's arms, staff #1 picked the child up again from under their arms, with the child facing outward and carried the child into the center's main office.”