Lifelink Foundation Inc D/B/A

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 10D0645555
Address 9661 Delaney Creek Blvd, Tampa, FL, 33619
City Tampa
State FL
Zip Code33619
Phone(813) 886-8111

Citation History (1 survey)

Survey - August 14, 2018

Survey Type: Standard

Survey Event ID: KOKU11

Deficiency Tags: D5209

Summary:

Summary Statement of Deficiencies D5209 PERSONNEL COMPETENCY ASSESSMENT POLICIES CFR(s): 493.1235 As specified in the personnel requirements in subpart M, the laboratory must establish and follow written policies and procedures to assess employee and, if applicable, consultant competency. This STANDARD is not met as evidenced by: Based on review of employee competencies and interview with the General Supervisor C, the laboratory failed to perform competency evaluations on 1 (B) of 3 Clinical Consultants, 1 (B) of 3 Technical Supervisors, and 1 (F) of 6 General Supervisors listed on the CMS 209 for 2 of 2 (2017-2018) years reviewed. Findings Included: Review of the Form CMS 209, Laboratory Personnel Report, revealed Employee B was a Clinical Consultant and Technical Supervisor and Employee F was a General Supervisor. A review of the personnel files and employee competencies revealed no competencies had been performed for Employee B and F. Interview on 08 /14/18 at approximately 11:00 AM with General Supervisor C confirmed that there were no competencies performed for Employee B (Clinical Consultant and Technical Supervisor) and Employee F (General Supervisor). 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 --

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