Summary:
Summary Statement of Deficiencies D0000 The following deficiencies were cited as the result of a recertification survey on 03/10 /2021 for 42 CFR part 493 Laboratory Requirements. D6066 TESTING PERSONNEL QUALIFICATIONS CFR(s): 493.1423(b)(4)(ii) Have documentation of training appropriate for the testing performed prior to analyzing patient specimens. This STANDARD is not met as evidenced by: Based on the review of personnel records, CMS (Centers for Medicare & Medicaid Services) Personnel Report Form 209, and email, there was no documentation of training for 1 Testing Person (TP#4) of 4 (TP#1-TP#4)Testing Personnel. Finding are: A. Review of CMS Report Form 209, signed by the Laboratory Director on 03/09 /2021, indicated TP#4 was a current testing person at this laboratory [Lab C]. B. Review of personnel records revealed no documentation of training at this laboratory location. C. Review of an email dated 03/15/2021 from the Technical Consultant indicated TP#4 transferred to the current laboratory on 08/30/2020 from Lab A. D9999 Laboratory Identifiers Atrisco Lab A Paradise Lab B Las Estancias Lab C Northside Lab D Santa Fe Lab E 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 --