Dermatology Associates Of San Antonio

CLIA Laboratory Citation Details

2
Total Citations
6
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 45D0970303
Address 18540 Sigma Road, San Antonio, TX, 78258
City San Antonio
State TX
Zip Code78258
Phone(210) 490-4661

Citation History (2 surveys)

Survey - May 11, 2022

Survey Type: Standard

Survey Event ID: Z17O11

Deficiency Tags: D6053 D6054 D6128 D6128

Summary:

Summary Statement of Deficiencies D6053 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least semiannually during the first year the individual tests patient specimens. This STANDARD is not met as evidenced by: Based on review of the laboratory's personnel records, and staff interview, it was revealed the laboratory failed to have documentation of the technical consultant performing semiannual competency assessments on 1 of 1 testing personnel within the first year of testing. The findings include: 1. A review of the laboratory's personnel records revealed testing personnel number 9 was hired by the facility in April 2021. Thus, two competency assessments were required by April 2022. 2. The laboratory was asked to provide documentation of the two competency assessments being performed within the first year of testing. No documentation was provided. 3. An interview with the medical assistant supervisor on 05/11/2022 at 1000 hours in her office revealed competency assessments had not been performed for testing personnel number 9. This confirmed the findings. D6054 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) The technical consultant is responsible for evaluating and documenting the performance of individuals responsible for moderate complexity testing at least annually, after the first year. This STANDARD is not met as evidenced by: Based on review of the laboratory's personnel records, and staff interview, it was 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 -- revealed the laboratory failed to have documentation of the technical consultant performing annual competency assessments on 5 of 5 testing personnel requiring them in 2021. The findings include: 1. A review of the laboratory's personnel records revealed 5 testing personnel required annual competency assessments for 2021. 2. The laboratory was asked to provide documentation of the competency assessments being performed in 2021. No documentation was provided. 3. An interview with the medical assistant supervisor on 05/11/2022 at 1000 hours in her office revealed competency assessments had not been performed in 2021. This confirmed the findings. D6128 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(9) The technical supervisor is responsible for evaluating and documenting the performance of individuals responsible for high complexity testing at least annually after the first year, unless test methodology or instrumentation changes, in which case, prior to reporting patient test results, the individual's performance must be reevaluated to include the use of the new test methodology or instrumentation. This STANDARD is not met as evidenced by: Based on review of the laboratory's personnel records, and staff interview, it was revealed the laboratory failed to have documentation of the technical supervisor performing annual competency assessments on 2 of 2 testing personnel requiring them in 2021. The findings include: 1. A review of the laboratory's personnel records revealed 2 testing personnel required annual competency assessments for 2021. 2. The laboratory was asked to provide documentation of the competency assessments being performed in 2021. No documentation was provided. 3. An interview with the medical assistant supervisor on 05/11/2022 at 1000 hours in her office revealed competency assessments had not been performed in 2021. This confirmed the findings. -- 2 of 2 --

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Survey - January 17, 2018

Survey Type: Standard

Survey Event ID: 2L1O11

Deficiency Tags: D0000 D5785

Summary:

Summary Statement of Deficiencies D0000 Noted deficiencies and plans of correction were discussed with the laboratory representative at the entrance and exit conferences. The facility representative was given an opportunity to provide evidence of compliance with the noted deficiencies, and no such evidence was provided prior to survey exit. The facility was found to be in compliance with applicable Conditions of Participation in the CLIA program, and recertification is recommended. Note: The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the

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