Navesink Pediatrics

CLIA Laboratory Citation Details

2
Total Citations
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 31D0716005
Address 55 N Gilbert St, Tinton Falls, NJ, 07701
City Tinton Falls
State NJ
Zip Code07701
Phone(732) 842-6677

Citation History (2 surveys)

Survey - September 19, 2023

Survey Type: Standard

Survey Event ID: 7BB011

Deficiency Tags: D5477

Summary:

Summary Statement of Deficiencies D5477 CONTROL PROCEDURES CFR(s): 493.1256(e)(4)(g) (e) For reagent, media, and supply checks, the laboratory must do the following: (e) (4) Before, or concurrent with the initial use-- (e)(4)(i) Check each batch of media for sterility if sterility is required for testing; (e)(4)(ii) Check each batch of media for its ability to support growth and, as appropriate, select or inhibit specific organisms or produce a biochemical response; and (e)(4)(iii) Document the physical characteristics of the media when compromised and report any deterioration in the media to the manufacturer. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on surveyor review of the Quality Control (QC) records, the Procedure Manual and interview with Testing Personnel (TP), the laboratory failed to check each new lot number and shipment of Selective Strep Agar (SSA) media for its ability to inhibit specific organisms from 5/18/21 to the date of the survey. The findings include: 1. The laboratory failed to use at least one organism to confirm the SSA inhibitory characteristic. 2. The TP #9 as listed on CMS-209 form confirmed on 9/19/23 at 11:30 am the laboratory did not perform the above mentioned QC on SSA media. 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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Survey - April 5, 2018

Survey Type: Standard

Survey Event ID: L7J511

Deficiency Tags: D5477

Summary:

Summary Statement of Deficiencies D5477 CONTROL PROCEDURES CFR(s): 493.1256(e)(4)(g) (e) For reagent, media, and supply checks, the laboratory must do the following: (e) (4) Before, or concurrent with the initial use-- (e)(4)(i) Check each batch of media for sterility if sterility is required for testing; (e)(4)(ii) Check each batch of media for its ability to support growth and, as appropriate, select or inhibit specific organisms or produce a biochemical response; and (e)(4)(iii) Document the physical characteristics of the media when compromised and report any deterioration in the media to the manufacturer. (g) The laboratory must document all control procedures performed. This STANDARD is not met as evidenced by: Based on surveyor review of Quality Control (QC) records and interview with the Testing Personnel (TP), the laboratory failed to check QC on each batch of Selective Strep Agar (SSA) used for Throat Culture testing from 3/15/16 to the date of the survey. The findings include: 1. The laboratory did not check SSA for: a. Ability to support growth. b. Ability to select or inhibit specific organisms 2. The TP confirmed on 4/5/18 at 10:30 am that the laboratory did not perform the above-mentioned QC checks. 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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