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OFC/SACC - Lynbrook
5801 Backlick Road
Springfield, VA 22150
(703) 866-7660

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Nov. 8, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.

Comments:
On 11/5/18, the licensing office received an online report of a serious injury that occurred on 11/2/18 at approximately 5:30pm. The report was related to a child falling in the gym and sustaining injuries to both wrists. Staff and parent interviews were conducted. Staff administered first aid to the child at the time of the injury. Violations related to the incident were cited and listed in the violation notice. For any questions related to this incident, please contact me at mahrukh.aziz@dss.virginia.gov or 571-835-4718.

Violations:
Standard #: 22VAC40-185-550-M
Description: Based on staff and parent interviews, the center did not maintain a written record of an injury. Evidence: 1. On 11/2/18 at approximately 5:30pm, Child # 1 was playing a game of tag in the school gym with other children and Staff # 1. 2. Staff # 1 stated that Child # 1 was trying to slide on the gym floor. As Child # 1 was sliding he lost his balance and fell. 3. Staff # 1 stated that as Child # 1 fell he landed on both his hands. Staff # 1 noticed that when Child # 1 stood back up he was rubbing his fingers. Staff # 1 stated that when she asked Child # 1 to indicate any area of pain, Child # 1 pointed to the top of his left wrist. 4. On 11/8/18, Child # 1's parent was contacted by the licensing inspector. The parent stated that she had not yet received a written report of the injury from the center. 5. On 11/8/18, Staff # 2 stated that he had written a report and submitted it to his supervisor for review, but a written report had not been provided to the parent and was not maintained at the center.

Plan of Correction: A copy of the incident report was given to the parent.

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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