They have used a local on all 6 of my boys. I have witnessed one myself, dh witnessed one and the others were done at the nursery and I signed papers about it and specifically was told they do. Maybe this is regional... I'm in CA and this was between 1997 and 2011.
Kristi, Mommy to Josh & Nick (identical twins 6-97) Nathen (3-02), Joey (2-04), Jacob (11-05) & Aaron (12-11) I sell Tupperware!
"A person's a person, no matter how small..." Dr Seuss