Colorado Center For Dermatology

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 06D2117692
Address 7180 E Orchard Rd, Ste 210, Centennial, CO, 80111
City Centennial
State CO
Zip Code80111
Phone(303) 761-0906

Citation History (2 surveys)

Survey - July 17, 2023

Survey Type: Standard

Survey Event ID: P0XH11

Deficiency Tags: D5217 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 laboratory personnel records and an interview with the laboratory manager, the laboratory failed to assess the competency of 4 out of 4 testing personnel performing potassium hydroxide (KOH) testing since the last survey on 10/12/2020. Findings include: 1. A review of laboratory personnel records revealed the laboratory failed to document the competency assessment for 4 out of 4 testing personnel performing KOH testing since the last survey. 2. The laboratory performed approximately 25 KOH tests annually. 3. An interview with the laboratory manager on 7/17/2023, at approximately 3:00 PM, confirmed the laboratory failed to assess the competency of the testing personnel. D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on a record review and an interview with the laboratory manager, the laboratory failed to perform twice annual verification testing for potassium hydroxide (KOH) during 2021 and 2022. Findings include: 1. A review of laboratory records revealed the laboratory failed to document the verification of KOH testing at least 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 -- twice year for 2021 and 2022. 2. The laboratory performed approximately 25 KOH tests annually. 3. An interview with the laboratory manager on 7/17/2023, at approximately 2:30 PM, confirmed the laboratory failed to perform and document twice a year verification for KOH. This is a repeat deficiency from the last survey on 10/12/2020. -- 2 of 2 --

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Survey - October 12, 2020

Survey Type: Standard

Survey Event ID: FMU511

Deficiency Tags: D5217

Summary:

Summary Statement of Deficiencies D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on the lack of accuracy verification (comparison) testing documentation and staff interview, the lab failed in 2019 to twice annually verify the accuracy of the Potassium Hydroxide (KOH) skin preparation examination test. Staff confirmed that there were 22 patient specimens tested for KOH in 2019. 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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