Summary:
Summary Statement of Deficiencies D0000 A recertification survey was conducted on April 30, 2024. McRoberts and Steiner Chartered DBA Children's Physicians clinical laboratory was not in compliance with 42 CFR 493, requirements for clinical laboratories. D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on interview, record review of laboratory logs and review of the Beckman Coulter DxH 520 Instructions for Use manual, the laboratory failed to record the humidity of the laboratory from 01/13/2022 to 4/30/2024. Findings: Review of the Beckman Coulter DxH 520 Instructions for Use manual noted a maximum relative humidity rate of 80 %. Review of the laboratory's temperature logs showed the humidity of the laboratory was not recorded. On 04/30/2024 at 11:45 AM, Testing Personnel A acknowledged the humidity of the laboratory was not recorded. 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 --