Cdc Natl Ctr Infect Disease Dengue Lab

CLIA Laboratory Citation Details

3
Total Citations
10
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 40D0869394
Address 1324 Calle Canada, San Juan, PR, 00920
City San Juan
State PR
Zip Code00920
Phone(888) 232-6348

Citation History (3 surveys)

Survey - July 11, 2023

Survey Type: Standard

Survey Event ID: V9S911

Deficiency Tags: D5433 D5433

Summary:

Summary Statement of Deficiencies D5433 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(b)(1) For equipment, instruments, or test systems developed in-house, commercially available and modified by the laboratory, or maintenance and function check protocols are not provided by the manufacturer, the laboratory must establish a maintenance protocol that ensures equipment, instrument, and test system performance that is necessary for accurate and reliable test results and test result reporting. The laboratory must perform and document the maintenance activities specified in paragraph (b)(1)(i) of this section. This STANDARD is not met as evidenced by: Based on the tour of the laboratory, review of laboratory procedures, and lack of function check documents, and interview with the general supervisor (GS) #1 the laboratory failed to perform and document function checks for three of three thermometers used for Serology and Molecular testing from July 11, 2021, to July 11, 2023. Findings Include: 1. Doc. No. DBMOL.DR.009 - 10.1.2.1 states, "Incubate at room temperature for 10 minutes". 2. Doc. No. DBMOL.DR.022 - 10.2.4 states, "solution, samples in cartridge and let it set for 15 minutes". 3. On the day of the survey, while on tour of the laboratory the following thermometers used for Serology and Molecular testing were due for a function check: - Serology Lab - Room L013 - VWR Timer - Serial Number 18769984 - Exp. 11/10/2020. - Serology Lab - Room L019 - Fisher Timer - Serial Number 150063388 - Exp. 01/29/2017. - Molecular Lab - Room L003 -VWR Timer - Serial Number 170881798 - Exp. 12/15/2019. 4. GS #1 confirmed the finding above on July 11, 2023 around 900 am. 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 - July 8, 2021

Survey Type: Standard

Survey Event ID: DYV211

Deficiency Tags: D2015 D0000 D2015 D0000

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at CDC NATL CTR INFECT DISEASE DENGUE LAB on 07/07 - 07/08/2021 by a Centers for Medicare & Medicaid Services (CMS) federal surveyor. The laboratory was survey under 42 CFR part 493 CLIA requirements. The specific deficiencies are as follows: D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: Based on proficiency testing (PT) records review and staff interview the laboratory failed to document and maintain the documentation of the handling, preparation, processing, examination of each step of testing for all (PT) samples in the virology section of the laboratory. Findings include: On 07/07,2021, at approximately 2:45 pm, during a review of the PT records the laboratory notified the CMS surveyor that the laboratory conducts a Molecular alternative assessment (AA) Panel for proficiency test in the form of blind testing of materials with known values. The review revealed no records of sample handling, preparation and processing documents for the testing personnel to ensure the accuracy and verification of each step of the proficiency testing evaluation for the virology section of the laboratory for the following test: 1- 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 -- Dengue Serotyping Test 2- Trioplex Test 3- Respiratory Test 4-COVID-19 During the exit interview on July 08, 2021 at approximately 1:30 pm, technical supervisor #1 (TS #1) confirmed , the laboratory did not have the documentation for the (AA) with each of the laboratory results. -- 2 of 2 --

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Survey - May 1, 2019

Survey Type: Standard

Survey Event ID: CDED11

Deficiency Tags: D5403 D5403 D6127 D6127

Summary:

Summary Statement of Deficiencies D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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