Pediatric And Adolescent Care Of Silver Spring Pa

CLIA Laboratory Citation Details

3
Total Citations
9
Total Deficiencyies
5
Unique D-Tags
CMS Certification Number 21D0213175
Address 12501 Prosperity Drive Suite 100, Silver Spring, MD, 20904
City Silver Spring
State MD
Zip Code20904
Phone301 681-6730
Lab DirectorROBIN WITKIN

Citation History (3 surveys)

Survey - March 29, 2023

Survey Type: Standard

Survey Event ID: NGKL11

Deficiency Tags: D2015 D2015

Summary:

Summary Statement of Deficiencies D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: Based on review of the microbiology proficiency testing (PT) records and interview with the laboratory director (LD), the laboratory failed to ensure that the all attestation worksheets were signed and dated by the appropriate personnel. Findings: 1. The PT records from the 2021 through 2022 (six events) were reviewed. 2. The PT records from 2022 (three events) showed that the attestation worksheet did not have the signature of the LD and testing personnel who performed the test along with the date of testing. 3. During the survey on 03/29/2023 at 10:15 AM, the LD confirmed that the attestation worksheets from three events in 2022 did not have the signature of the LD and testing personnel who performed the test along with the date of testing. 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 - August 19, 2021

Survey Type: Standard

Survey Event ID: UKNN11

Deficiency Tags: D3011 D5217 D5217 D5417 D5417

Summary:

Summary Statement of Deficiencies D3011 FACILITIES CFR(s): 493.1101(d) Safety procedures must be established, accessible, and observed to ensure protection from physical, chemical, biochemical, and electrical hazards, and biohazardous materials. This STANDARD is not met as evidenced by: Based on observation and interview with the laboratory director (LD), the laboratory failed to provide an eyewash station in the area where testing was performed. Findings: 1. It was observed that the area where testing was performed did not contain an eyewash station to aid in flushing out the eyes of testing personnel should they be splashed with cleaning solutions, testing reagents, or patient specimens. 2. During the exit interview on 08/19/2021 at 11:25 AM, the LD confirmed that there was no eyewash station in the laboratory testing area. D5217 EVALUATION OF PROFICIENCY TESTING PERFORMANCE CFR(s): 493.1236(c)(1) At least twice annually, the laboratory must verify the accuracy of any test or procedure it performs that is not included in subpart I of this part. This STANDARD is not met as evidenced by: Based on review of records and proficiency testing (PT) documentation, the laboratory failed to verify the accuracy of group A Streptococcus (GAS) screening cultures for vaginal and rectal specimens at least twice annually. Findings: 1. The laboratory's throat culture log was reviewed from 11/25/2020 - 08/17/2021. In this time the laboratory cultured 3 vaginal specimens and 7 rectal specimens for GAS screening which were documented on the throat culture log. 2. The laboratory's PT 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 -- records showed that the laboratory was enrolled in PT for throat cultures, but not for cultures of vaginal and rectal specimens. 3. The laboratory did not verify the accuracy of culturing vaginal and rectal specimens for GAS screening at least twice annually. D5417 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(d) Reagents, solutions, culture media, control materials, calibration materials, and other supplies must not be used when they have exceeded their expiration date, have deteriorated, or are of substandard quality. This STANDARD is not met as evidenced by: Based on record review and interview with the laboratory director (LD), the laboratory failed to ensure that culture media was not used past their expiration date. Findings: 1. The laboratory used Selective Strep Agar (SSA) for throat culture screening and dermatophyte test medium (DTM) for dermatophyte culture screening. 2. Patient results were recorded on throat culture and fungal screening logs that included the lot number and expiration dates of the culture media that was used for each patient specimen cultured. 3. The throat culture log was reviewed from 05/2020 - 08/2021. The log showed that SSA lot number 19630 had an expiration date of 10/04 /2020, but was used to culture 9 patient specimens from 10/06/2020 - 10/22/2020 and lot number 455923 had an expiration date of 05/12/2020, but was used to culture 6 patient specimens from 05/14/2020-06/02/2020. 4. The fungal screening log was reviewed from 01/2021 - 08/2021. The log showed that DTM lot number 917802 had an expiration date of 01/06/2021, but was used to culture 17 patient specimens from 01 /15/2021-08/03/2021. 5. During the exit interview on 08/19/2021 at 11:25 AM, the LD confirmed that the throat culture and fungal screening logs recorded SSA and DTM being used past their expiration date. -- 2 of 2 --

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Survey - December 19, 2018

Survey Type: Standard

Survey Event ID: SGIU11

Deficiency Tags: D5403 D5403

Summary:

Summary Statement of Deficiencies D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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