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 review of proficiency testing for micrographic cutaneous oncology and interview with the office manager on January 18, 2019 at 12:15PM the laboratory failed to verify accuracy twice annually in 2017, 2018 and to date January 18, 2019. D6127 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 semiannually during the first year the individual tests patient specimens. This STANDARD is not met as evidenced by: Based on review of competencies and interview with the office manager the technical supervisor failed to document and evaluate competency for testing personnel #1 in 2018. Findings: 1. Review of competencies showed no initial, semi-annual or annual competency was completed on testing personnel #1 in 2018. 2. Interview with the office manager on January 18, 2018 at 12:15 PM confirmed the technical supervisor failed to evaluate and document competency for testing personnel #1 in 2018. 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 --