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 record review and interview, the laboratory failed to perform competency evaluations on 6 out of 6 testing personnel for 2 out of 2 years (2017-2019) reviewed. Findings Included: Review of the CMS 209 revealed 6 Testing Personnel. Review of the 6 Testing Personnel files revealed no competency for 6 out of 6 testing personnel evaluations from April 2017 through April 2019. During the interview on 2/13/19 at 10:00 AM , the coordinator confirmed that no documentation of competency evaluations were performed. 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 --