Summary:
Summary Statement of Deficiencies D6121 TECHNICAL SUPERVISOR RESPONSIBILITIES CFR(s): 493.1451(b)(8)(i) The procedures for evaluation of the competency of the staff must include, but are not limited to direct observations of routine patient test performance, including patient preparation, if applicable, specimen handling, processing and testing. This STANDARD is not met as evidenced by: Based on the surveyor's review of the laboratory's records for evaluation of competency reporting and an interview with the laboratory technical supervisor (TS) on 12/8/2021 between 1:30 p.m and 3:30 p.m. , it was determined that the staff competency reports for were missing for 2020. Findings include: 1. On 12/8/2021, an inspection was conducted between 1:30 p.m. and 3:30 p.m. 2. During a review of the laboratory documentation for staff competency, it was determined that the reports for testing staff were missing for 2020. 3. There were reports for 2019. 4. The findings were discussed with the TS, and it was verified that the 2020 records were absent for the team. 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 --