Forefront Dermatology Sc

CLIA Laboratory Citation Details

2
Total Citations
5
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 49D1011927
Address 5201 Hickory Park Drive Suite A, Glen Allen, VA, 23059
City Glen Allen
State VA
Zip Code23059
Phone(804) 262-6060

Citation History (2 surveys)

Survey - June 8, 2023

Survey Type: Standard

Survey Event ID: SX1411

Deficiency Tags: D0000 D5417

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Forefront Dermatology, SC (Glen Allen) on June 8, 2023 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Regulations. Specific deficiency cited is as follows: D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on laboratory tour observations, review of policy and procedure manual, and interviews, the laboratory failed to ensure that their Potassium Hydroxide (KOH) 10% and fungal stain reagents, stored in the microscopy area, were within the manufacturer's stated expiration dates for five (5) of 5 bottles of reagents in use on the date of the inspection June 8, 2023. Findings include: 1. During a laboratory tour of the microscopy area at approximately 10:00 AM on 6/8/23, the inspector noted the following expired reagents stored for use in the dermatology microscopy testing room: One bottle Potassium Hydroxide 10%, Lot Number 0084-00 (manufacturer's printed expiration date 09/30/2022); Two (2) bottles of Delasco Wright-Giemsa Stain, Lot Number K213D2 (manufacturer's printed expiration date 03/31/23); 2 bottles of Delasco Chlorazol Fungal Black Stain, Lot Number K217J1 (manufacturer's printed expiration date of 07/31/2022) and Lot Number K19563 (expiration date of 05/31 /2020). The laboratory inspector inquired if the expired KOH and fungal stain reagents were being used for patient microscopy testing and the nurse practitioner stated: "Yes, they are being used for KOH direct preps, ectoparasite, and tzanck slides". 2. Review of the laboratory's policy and procedure manual revealed a Quality Control Policies and Documentation: Reagents protocol that stated, "All outdated Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State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 -- /expired reagents will be disposed of properly". 3. An interview with the office manager on 6/8/23 at approximately 12:30 PM confirmed the above findings. -- 2 of 2 --

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Survey - April 25, 2019

Survey Type: Standard

Survey Event ID: S4BE11

Deficiency Tags: D0000 D5200 D5217

Summary:

Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Forefront Dermatology SC on April 25, 2019 by the Virginia Department of Health's Office of Licensure and Certification. The laboratory was surveyed under 42 CFR part 493 CLIA Requirements. Specific deficiencies cited are as follows: D5200 GENERAL LABORATORY SYSTEMS CFR(s): 493.1230 Each laboratory that performs nonwaived testing must meet the applicable general laboratory systems requirements in 493.1231 through 493.1236, unless HHS approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub. 7), that provides equivalent quality testing. The laboratory must monitor and evaluate the overall quality of the general laboratory systems and correct identified problems specified in 493.1239 for each specialty and subspecialty of testing performed. This CONDITION is not met as evidenced by: Based on a review of the procedure manual, split sample proficiency testing (PT) records, QA

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