Anne Arundel Dermatology, Pa

CLIA Laboratory Citation Details

2
Total Citations
2
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 44D0312501
Address 1450 N Dowell Springs Blvd, Suite 210, Knoxville, TN, 37909
City Knoxville
State TN
Zip Code37909
Phone(865) 332-1297

Citation History (2 surveys)

Survey - May 23, 2024

Survey Type: Standard

Survey Event ID: 5YE111

Deficiency Tags: D5473

Summary:

Summary Statement of Deficiencies D5473 CONTROL PROCEDURES CFR(s): 493.1256(e)(2)(g) (e) For reagent, media, and supply checks, the laboratory must do the following: (e) (2) Each day of use (unless otherwise specified in this subpart), test staining materials for intended reactivity to ensure predictable staining characteristics. Control materials for both positive and negative reactivity must be included, as appropriate. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on a review of the laboratory's Hematoxylin and Eosin (H&E) stain control slide log, laboratory procedure, and staff interview, the laboratory failed to define the predicted characteristics of the H&E stain in 2023 through the survey date (05.23.2024). The findings include: 1. A review of the laboratory's H&E stain control slide logs revealed no documentation of the predicted characteristics of the H&E stain quality for 2023 through the survey date of 05.23.2024. 2. A review of the laboratory's "MOHS PATIENT & SLIDE NUMBERING SYSTEM" procedure revealed that it did not define predictable characteristics of the H&E stain quality. 3. During an interview on 05.23.2024 at 9:30 a.m., the lead histotechnician confirmed the laboratory had not defined or documented the predicted characteristics of the H&E stain quality for 2023 through the survey date of 05.23.2024. 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 --

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Survey - February 12, 2020

Survey Type: Standard

Survey Event ID: F2CC11

Deficiency Tags: D5209

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 review of the Quality Assurance (QA) Plan, testing personnel records for providers performing KOH and Wet Prep Analysis, and upon interview with the Site and Clinical Supervisor, it was determined the laboratory failed to have a written policy to document training and assess testing personnel competency for performing KOH (Potassium Hydroxide) and Wet Prep Analysis for 2018 and 2019. The findings include: 1. A review of the QA Plan revealed no documentation of policy for KOH/Wet Prep Analysis training (prior to testing), semi-annual competencies during the first year and annually thereafter. 2. A review of personnel records for testing personnel revealed no initial training, semi- annual or annual competencies documented for KOH/Wet Prep Analysis for all testing personnel for 2018 or 2019. 3. An interview at approximately 3:00 p.m. February 12, 2020, with the Site and Clinical Supervisor confirmed the laboratory failed to have a documented policy for training, semi-annual and annual competencies, training documentation, semi-annual and annual competencies for all testing personnel for performing KOH and Wet Prep Analysis. ==================================== 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 --

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