Summary:
Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on laboratory personnel interview and review of the competency records, the Laboratory Director acting as Technical Consultant#1, failed to establish written policies and procedures to assess consultant competency for 2 of 3 Technical Consultants, from 09/20/2017 through the date of the survey (06/12/2018). Findings: 1. Review of the competency records revealed no documentation of Technical Consultant competency for 2 of 3 Technical Consultants from (09/20/2017) through the date of the survey (06/12/2018). 2. Written policies and procedures to assess Technical Consultant competency were not found from 09/20/2017 through the date of the survey (06/12/2018). 3. During the survey (10:00 06/12/2019), the Laboratory Supervisor confirmed, the above findings. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --