Laboratorio Clinico Doctor Center Miramar

CLIA Laboratory Citation Details

2
Total Citations
9
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 40D0658242
Address Ave Ponce De Leon 670, San Juan, PR, 00907
City San Juan
State PR
Zip Code00907
Phone(787) 722-8144

Citation History (2 surveys)

Survey - January 22, 2025

Survey Type: Standard

Survey Event ID: 47BJ11

Deficiency Tags: D5445 D5445 D6020 D0000 D6020

Summary:

Summary Statement of Deficiencies D0000 The Centers for Medicare & Medicaid Services (CMS) conducted an unannounced CLIA recertification survey at Laboratorio Doctor Center Miramar on January 22, 2025. The laboratory was surveyed under 42 CFR part 493 CLIA requirements. The following standard level deficiencies were found during the unannounced routine CLIA recertification survey ending on January 22, 2025. D5445 CONTROL PROCEDURES CFR(s): 493.1256(d)(1)(2)(g) (d) Unless CMS Approves a procedure, specified in Appendix C of the State Operations Manual (CMS Pub. 7), that provides equivalent quality testing, the laboratory must-- (d)(1) Perform control procedures as defined in this section unless otherwise specified in the additional specialty and subspecialty requirements at 493. 1261 through 493.1278. (d)(2) For each test system, perform control procedures using the number and frequency specified by the manufacturer or established by the laboratory when they meet or exceed the requirements in paragraph (d)(3) of this section. (d)(3) At least once each day patient specimens are assayed or examined perform the following for: This STANDARD is not met as evidenced by: A. Based on the Mycoplasma pneumoniae Individualized Quality Control Plan ( IQCP), quality control records reviewed and laboratory director interview on January 22, 2025 at 11:10 A.M., it was determined that the laboratory did not perform the risk assessment (RA) evaluation. The laboratory processed and reported 119 patients sample since from April 29, 2024 to December 31, 2024. The findings include: 1. Review of the Mycoplasma pneumoniae quality control records on January 22, 2025 at 11:00 A.M., showed that the laboratory performed the quality control procedures with each new lot or new open box instead of each day of patient testing. 2. The laboratory director stated on January 22, 2025 at 11:10 A.M., that the IQCP was implemented on April 29, 2024 to reduced the quality control frequency for 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 -- Mycoplasma pneumoniae test. 3. Review of the approved IQCP documents showed that the laboratory did not performed the risk assessment evaluation. 4. The laboratory director confirmed on January 22, 2025 at 11:10 A.M., that the risk assessment of the Mycoplasma pneumoniae IQCP was not performed. The laboratory processed and reported 119 patients sample since from April 29, 2024 to December 31, 2024. B. Based on the Human Chorionic Gonadotropin (hCG) Individualized Quality Control Plan ( IQCP) , quality control records reviewed and laboratory director interview on January 22, 2025 at 10:52 A.M., it was determined that the laboratory did not perform the risk assessment (RA) evaluation. The laboratory processed and reported 27 patients sample from May 1, 2024 to December 18, 2024. The findings include: 1. Review of the hCG quality control records on January 22, 2025 at 10:45 A.M., showed that the laboratory performed the quality control procedures with each new lot or new open box instead of each day of patient testing. 2. The laboratory director stated on January 22, 2025 at 10:49 A.M., that the IQCP was implemented on April 29, 2024 to reduced the quality control frequency for hCG test. 3. Review of the approved IQCP documents showed that the laboratory did not performed the risk assessment evaluation. 4. The laboratory director confirmed on January 22, 2025 at 10: 52 A.M., that the risk assessment of the hCG IQCP was not performed. The laboratory processed and reported 27 patients sample from May 1, 2024 to December 18, 2024. D6020 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(5) (e)(5) Ensure that the quality control and quality assessment programs are established and maintained to assure the quality of laboratory services provided and to identify failures in quality as they occur; This STANDARD is not met as evidenced by: Based on Mycoplasma pneumoniae and Human chorionic Gonadotropin IQCP plan reviewed, quality control records and laboratory director interview on January 22, 2025 at 11:15 A.M. it was determined that the laboratory director did not assure that the risk assessment evaluation for the IQCP plan were performed for Human chorionic Gonadotropin and Mycoplasma pneumoniae. Refer to D5445. -- 2 of 2 --

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Survey - November 27, 2018

Survey Type: Standard

Survey Event ID: PBLH11

Deficiency Tags: D5291 D6094 D6094 D5291

Summary:

Summary Statement of Deficiencies D5291 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1239(a) The laboratory must establish and follow written policies and procedures for an ongoing mechanism to monitor, assess, and, when indicated, correct problems identified in the general laboratory systems requirements specified at 493.1231 through 493.1236. This STANDARD is not met as evidenced by: Based on Quality Assessment (QA) records review and laboratory technical supervisor interview on November 27, 2017 at 12:00 PM, it was determined that laboratory failed to follow the established Quality Assessment Program to monitor and evaluate the personnel competence requirement from April 2017 to November 2018. The findings include: 1. The laboratory quality assessment records showed that personnel competence must be performed every year. 2. On November 27, 2017 at 12: 00 PM, personnel file of the technical supervisor showed that the laboratory did not evaluate the her personnel competence annually. The last competence in record was performed in April 2017. 3. The technical supervisor confirmed on November 27, 2017 at 12:00 PM, that her personnel file includes the competence performed in April 2017. D6094 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(5) The laboratory director must ensure that the quality assessment programs are established and maintained to assure the quality of laboratory services provided and to identify failures in quality as they occur. This STANDARD is not met as evidenced by: 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 -- Based on QA records review and laboratory technical supervisor interview on November 27, 2017 at 12:00 PM, it was determined that laboratory director failed to ensure compliance with QA requirements. Refer to D 5291 (the laboratory failed to follow the established QA Program to monitor and evaluate the personnel competence requirement from April 2017 to November 2018). -- 2 of 2 --

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