Summary:
Summary Statement of Deficiencies D3003 FACILITIES CFR(s): 493.1101(a)(2) The laboratory must be constructed, arranged, and maintained to ensure contamination of patient specimens, equipment, instruments, reagents, materials, and supplies is minimized. This STANDARD is not met as evidenced by: ___________________________________ Based on observation January 3, 2018 of the Histology Processing laboratory that is easily accessable by patient traffic and upon interview with the Histotechnologist who stated that sometimes patients enter the laboratory looking for the restroom or to ask a question and interview with the Laboratory Director, determined the laboratory failed to be constructed/arranged to ensure that contamination of patient traffic is not an issue in the Histology Processing laboratory. The findings include: 1. Observation during CLIA survey on January 3, 2018 upon tour of Histology Processing laboratory, the laboratory was found to be easily accessable to patient traffic flow with open pathways on each side of laboratory, no doors and no designation as a testing area to be off limits to patients. 2. Upon interview at approximately 10:00 a.m. January 3, 2018 with the Histotechnologist, confirmed the laboratory was easily accessable to patient traffic and stated that sometimes patients enter the laboratory looking for the bathroom or to ask a question. 3. Upon interview at approximately 2:30 p.m. January 3, 2018 with the Laboratory Director, discussed the issue of easy access to the Histology Proccessing laboratory to patient traffic flow due to open pathways on each side of laboratory, no doors and no designation as a testing area to ensure contamination of patient traffic is not an issue. _________________________________ 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 --