Park Avenue Pediatrics Pc

CLIA Laboratory Citation Details

2
Total Citations
10
Total Deficiencyies
6
Unique D-Tags
CMS Certification Number 33D1068926
Address 421 Route 59, Monsey, NY, 10952
City Monsey
State NY
Zip Code10952
Phone(845) 671-4000

Citation History (2 surveys)

Survey - July 24, 2020

Survey Type: Special

Survey Event ID: 66OO11

Deficiency Tags: D2000 D2000 D6015 D6015

Summary:

Summary Statement of Deficiencies D2000 ENROLLMENT AND TESTING OF SAMPLES CFR(s): 493.801 Each laboratory must enroll in a proficiency testing (PT) program that meets the criteria in subpart I of this part and is approved by HHS. The laboratory must enroll in an approved program or programs for each of the specialties and subspecialties for which it seeks certification. The laboratory must test the samples in the same manner as patients' specimens. For laboratories subject to 42 CFR part 493 published on March 14, 1990 (55 FR 9538) prior to September 1, 1992, the rules of this subpart are effective on September 1, 1992. For all other laboratories, the rules of this subpart are effective January 1, 1994. This CONDITION is not met as evidenced by: Based on a proficiency testing (PT) desk review of Center for Medicaid and Medicare Service (CMS) PT data reports, the laboratory failed to enroll in an approved PT program for the sub-specialty Bacteriology/Throat Culture for the calendar year 2020. D6015 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(4) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(4) Ensure that the laboratory is enrolled in an HHS approved proficiency testing program for the testing performed. This STANDARD is not met as evidenced by: Based on PT desk review of the CMS PT data reports, the laboratory director failed to Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- enroll the laboratory in an approved HHS PT program for the sub-specialty Bacteriology/Throat Culture in the calendar year 2020. Refer to D2000. -- 2 of 2 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access

Survey - June 13, 2019

Survey Type: Standard

Survey Event ID: KJHK11

Deficiency Tags: D6021 D6029 D5411 D5423 D6021 D6029

Summary:

Summary Statement of Deficiencies D5411 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(a) Test systems must be selected by the laboratory. The testing must be performed following the manufacturer's instructions and in a manner that provides test results within the laboratory's stated performance specifications for each test system as determined under 493.1253. This STANDARD is not met as evidenced by: Based on a review of patient test reports, package inserts for the Taxo A disk, Becton Dickinson/Healthlinks Strep Selective Agar plates (SSA) and an interview with the laboratory director, the laboratory failed to follow the manufacturer's instructions for plating patient specimens on the SSA plates and reporting throat culture test results. Finding Includes: It was confirmed with the laboratory director on June 13, 2019, at approximately 11:00 am, that: 1) patient test results for throat cultures as documented as "Positive". 2) The laboratory testing personnel places four patient test specimens on one 100 mm SSA plates. 3) The manufacturer's package inserts for the Bacitracin disk and SSA media states that patient test results for throat culture testing are to be reported as "presumptive positive". 4) The manufacturer's package inserts for the SSA plates states that "To culture a specimen from a swab, inoculate the medium by rolling the swab over a third of the agar surface and streak the remainder of the plate to obtain isolated colonies". D5423 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE CFR(s): 493.1253(b)(2) Each laboratory that modifies an FDA-cleared or approved test system, or introduces a test system not subject to FDA clearance or approval (including methods developed in-house and standardized methods such as text book procedures), or uses a test system in which performance specifications are not provided by the manufacturer Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 3 -- must, before reporting patient test results, establish for each test system the performance specifications for the following performance characteristics, as applicable: (2)(i) Accuracy. (2)(ii) Precision. (2)(iii) Analytical sensitivity. (2)(iv) Analytical specificity to include interfering substances. (2)(v) Reportable range of test results for the test system. (2)(vi) Reference intervals (normal values). (2)(vii) Any other performance characteristic required for test performance. This STANDARD is not met as evidenced by: Based on a lack of validation records and an interview with the laboratory director, the laboratory failed to establish and verify the performance specifications for plating more than one specimen on a SSA plate with Bacitracin disk to show accuracy, precision, analytical sensitivity, analytical specificity to include interfering substances, reportable range of test results for the test system, reference intervals (normal values), and any other performance characteristic required for test performance. The laboratory did not comment on how to prevent cross-contamination and did not show that the zone size will be the same for all addition specimens plated on the media that is 100 mm in diameter. Findings Include: 1. On June 13, 2019, at approximately 11:30 AM it was confirmed with the laboratory director that four patient specimens were placed on the SSA plates with bacitracin disk. 2. The laboratory failed to validate placing four patient specimens on one-100 mm SSA plate with bacitracin disk prior to the lab performing patient testing. 3. Approximately 320 patient specimens were tested and reported for throat cultures from February 2019 to the date of this survey. 4. Please also note, a qualified high complexity director is required when off-label use is instituted. D6021 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(5) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(5) Ensure that quality assessment programs are established and maintained to assure the quality of laboratory services provided. This STANDARD is not met as evidenced by: Based on a review of laboratory procedures, patient test reports, observation,and an interview with the laboratory director, the laboratory director failed to maintain an effective QA program for bacteriology testing. Refer to D5411 and D5423 D6029 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1407(e)(11) The laboratory director is responsible for the overall operation and administration of the laboratory, including the employment of personnel who are competent to perform test procedures, and record and report test results promptly, accurate, and proficiently and for assuring compliance with the applicable regulations. (e) The laboratory director must-- (e)(11) Ensure that prior to testing patients' specimens, all personnel have the appropriate education and experience, receive the appropriate training for the type and complexity of the services offered, and have demonstrated that they can perform all testing operations reliably to provide and report accurate results. -- 2 of 3 -- This STANDARD is not met as evidenced by: Based on a review of personnel records and an interview with the laboratory director, the laboratory failed to have documentation of training for the throat culture testing. Findings Include: On June 13, 2019, at approximately 10:45 am, it was confirmed with the laboratory director that the director failed to ensure that appropriate training was documented for two of two testing personnel who perform moderate complexity testing for throat cultures testing. -- 3 of 3 --

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access