Summary:
Summary Statement of Deficiencies D3011 FACILITIES CFR(s): 493.1101(d) Safety procedures must be established, accessible, and observed to ensure protection from physical, chemical, biochemical, and electrical hazards, and biohazardous materials. This STANDARD is not met as evidenced by: Based on surveyor observation and staff interview, it was determined that the laboratory area was not adequately equipped for proper decontamination in the subspecialty of hematology. Findings include: 1. Surveyor observation on 5/10/18 at 10:30 AM revealed the laboratory area contained 2 cloth chairs which could not properly be decontaminated. 2. Staff interview with the technical supervisor on 5/10 /18 at 10:30 AM, confirmed the above. 3. The laboratory performs 500 each for sperm count, sperm motility and sperm morphology tests annually. 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 --