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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: Nov. 29, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration
8VAC20-780 Programs

Comments:
A monitoring non-mandated inspection was conducted to examine the area(s) of noncompliance identified in the Intensive Plan of Correction on 11/29/2023 between the hours of approximately 9:30 a.m. and 11:10 a.m. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions, please e-mail me at tameika.king@doe.virginia.gov. Thank you for your cooperation during the inspection.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:
Standard #: 8VAC20-780-40-E
Description: 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.

Plan of Correction: Staff will keep ipad or phone on them when transitioning and complete face to name before and after transitions.

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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