Anne Arundel Dermatology

CLIA Laboratory Citation Details

2
Total Citations
6
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 21D2079951
Address 1185 Imperial Drive Ste 201, Hagerstown, MD, 21740
City Hagerstown
State MD
Zip Code21740
Phone(667) 296-5288

Citation History (2 surveys)

Survey - June 20, 2024

Survey Type: Standard

Survey Event ID: K9H511

Deficiency Tags: D5407 D3009 D5787 D5407 D5787

Summary:

Summary Statement of Deficiencies D3009 FACILITIES CFR(s): 493.1101(c) The laboratory must be in compliance with applicable Federal, State, and local laboratory requirements. This STANDARD is not met as evidenced by: Based on review of the CLIA and Maryland State licensing database and interview with the histo technician (HT) and supervisor, the laboratory failed to complete the application process for updating the identity of the current laboratory director (LD) as required in the Code of Maryland Regulations COMAR10.10.07.01 Permitted POL [Physician Office Laboratory] and POCL [Point-of-Care Laboratory]- Director and Associate Director. B. Standards. (6) Changes in Employment or Service. A director shall notify the OHCQ [Office of Health Care Quality] within 30 days of any change in the director's service or employment as a laboratory director. Findings: 1. During the survey at 11:45 AM, the HT confirmed that the LD listed on the CLIA certificate and Maryland State licensing database left in August 2023. 2. During the survey on 06 /20/2024 at 12:45 PM, the HT and supervisor confirmed that the laboratory had not submitted an application to OHCQ update the identity of the qualified LD for the CLIA and Maryland State license. The laboratory failed to be in compliance with the applicable Maryland State laboratory requirements. D5407 PROCEDURE MANUAL CFR(s): 493.1251(d) Procedures and changes in procedures must be approved, signed, and dated by the current laboratory director before use. This STANDARD is not met as evidenced by: Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- Based on review of the policy and procedure manuals and interview with the histo technician (HT), the laboratory failed to have all the policies and procedures approved by the current laboratory director (LD). Findings: 1. Review of the policy and procedure manuals showed that they were signed by the LD listed on the CLIA certificate. When interviewed the HT stated that the LD had left in August 2023. The acting LD is listed on the "Laboratory Personnel Report CLIA" but the appropriate documents have not been submitted to the Office of Health Care Quality to make the changes. Refer to Tag D3009 for details. 2. During the survey on 06/20/2024 at 11:30 AM, the HT confirmed that the policy and procedure manuals were not signed by the current laboratory director. D5787 TEST RECORDS CFR(s): 493.1283(a) The laboratory must maintain an information or record system that includes the following: (a)(1) The positive identification of the specimen. (a)(2) The date and time of specimen receipt into the laboratory. (a)(3) The condition and disposition of specimens that do not meet the laboratory's criteria for specimen acceptability. (a)(4) The records and dates of all specimen testing, including the identity of the personnel who performed the test(s). This STANDARD is not met as evidenced by: Based on review of the Mohs maps and interview with the histo technician (HT), the laboratory's record system failed to identify the HT who performed the staining and slide preparation of each stage of the procedure. Findings: 1. According to the HT that was interviewed on 06/20/24 at 10:45 AM, whenever there are two HT's working the same day they both initial the "Histo" section of the Mohs map in case they perform staining of one of the stages. Moh's map #24-106 was pulled for review. The procedure was performed on 04/04/24 and there were two initials documented on the "Histo" section and two stages were performed before the margins were clear. The records failed to identify which HT performed the stage one or stage two staining. 2. During the survey on 06/20/2024 at 11:15 AM, the HT confirmed that the Mohs maps failed to identify which HT performed the staining and slide preparation for each stage of the testing. -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - April 4, 2018

Survey Type: Standard

Survey Event ID: FG8C11

Deficiency Tags: D5429

Summary:

Summary Statement of Deficiencies D5429 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(a)(1) For unmodified manufacturer's equipment, instruments, or test systems, the laboratory must perform and document maintenance as defined by the manufacturer and with at least the frequency specified by the manufacturer. This STANDARD is not met as evidenced by: Based on review of maintenance records and interview with the testing person, the laboratory did not maintain maintenance records for all instruments utilize for performing patient testing and for the overall acceptability of laboratory testing. Findings: 1. The laboratory did not have a record of the autoclave spore checks performed during the year 2017 up to the time of survey. 2. The testing person stated that spore checks were performed on the autoclave but documentation of the check was not available. 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 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access