Summary:
Summary Statement of Deficiencies D6111 This Standard is not met as evidenced by: Surveyor: 27571 Based on a review of records and interview of personnel the laboratory failed to have education equivalency documentation to qualify 3 of 4 technical supervisors. Findings: 1. A review of personnel folders revealed that 3 of 4 technical supervisors designated on the CMS- 209 did not have education equivalency documentation to qualify them as technical supervisors. 2. An interview with the laboratory director on 09/21/2018 at 11:50 AM confirmed the above findings. D6143 This Standard is not met as evidenced by: Surveyor: 27571 Based on a review of records and interview of personnel the laboratory failed to have education equivalency documentation to qualify 1 of 2 general supervisors. Findings: 1. A review of personnel folders revealed that 1 of 2 general supervisors designated on the CMS-209 did not have education equivalency documentation to qualify them as a general supervisor. 2. An interview with the laboratory director on 09/21/2018 at 11:50 AM confirmed the above findings. D6171 This Standard is not met as evidenced by: Surveyor: 27571 Based on a review of records and interview of personnel the laboratory failed to have education equivalency documentation to qualify 11 of 12 testing personnel. Findings: 1. A review of personnel folders revealed that 11 of 12 testing personnel designated on the CMS-209 did not have education equivalency documentation to qualify them as testing personnel. 2. An interview with the laboratory director on 09/21/2018 at 11:50 AM confirmed the above findings. 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 --