Planned Parenthood-Md Annapolis Health Center

CLIA Laboratory Citation Details

3
Total Citations
11
Total Deficiencyies
10
Unique D-Tags
CMS Certification Number 21D0216329
Address 929 West Street Suite 200, Annapolis, MD, 21401
City Annapolis
State MD
Zip Code21401
Phone(410) 576-1414

Citation History (3 surveys)

Survey - May 3, 2022

Survey Type: Standard

Survey Event ID: PBVO11

Deficiency Tags: D3011

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 surveyor observation and interview with the Director of Risk and Quality Management, the laboratory did not ensure that an eye wash station was located in the laboratory area where testing occurs. Findings: 1. During a tour of the laboratory at 10: 15 AM, it was observed that there was no eye wash station available in the laboratory where laboratory testing is performed. The laboratory's eye wash station was located on the other side of the facility. 2. During an interview on 05/03/2022 at 11:45 AM, the Director of Risk and Quality Management confirmed that the eye wash station was not located in the room where laboratory testing is 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 --

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Survey - September 20, 2019

Survey Type: Standard

Survey Event ID: PMQH11

Deficiency Tags: D0000 D2009 D2015 D5415

Summary:

Summary Statement of Deficiencies D0000 Please note that this survey was performed at the following location: Planned Parenthood 8579 Commerce Dr. Suite 102 Easton, MD 21601 D2009 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The individual testing or examining the samples and the laboratory director must attest to the routine integration of the samples into the patient workload using the laboratory's routine methods. This STANDARD is not met as evidenced by: Based on proficiency testing (PT) record review and interview with the director of quality assurance, the laboratory failed to ensure that the testing person signed PT attestation statements, attesting that PT specimens were run in the same way as patient samples. Findings: 1. A review of Rh PT records from 2017 to 2019 showed that the testing person did not sign the attestation statement for 1 out of 8 events, Q3 of 2018. 2. During an interview on 9/20/19 at 11:00 AM, the director of quality assurance confirmed that the attestation statements were not signed by the testing person for the event listed above. 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 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 -- 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 proficiency testing (PT) record review and interview with the director of quality assurance, the laboratory did not ensure that a copy of all PT records were maintained for a minimum of two years from the date of the PT testing event. Findings: 1. A review of Rh PT records from 8 PT events from 2017 to 2019 showed that for event Q3 of 2017 (Nonchemistry) the attestation worksheet, attesting that PT specimens were run in the same manner as patient samples was not available for review at the time of the survey; and 2. The PT report form used by the laboratory to record PT results for Rh testing was not available at the time of the survey for Q3 of 2017 and Q1 of 2018 (Nonchemistry). 3. During an interview on 9/20/19 at 11:00 AM, the director of quality assurance confirmed that the attestation worksheet and PT report forms from the PT events listed above were not maintained with the PT records reviewed. D5415 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(c) Reagents, solutions, culture media, control materials, calibration materials, and other supplies, as appropriate, must be labeled to indicate the following: (1) Identity and when significant, titer, strength or concentration. (2) Storage requirements. (3) Preparation and expiration dates. (4) Other pertinent information required for proper use. This STANDARD is not met as evidenced by: Based on observation and interview with the laboratory staff, the laboratory did not ensure that the Panoscreen controls for Rh testing were labeled with the date that they were put in to use. Findings: 1. During a tour of the laboratory at 9:15 AM, it was observed that the opened and in use "Panoscreen Reagent Red Blood Cell" controls in the laboratory refrigerator were not labeled with the date that they were put in to use 2. During an interview on 9/20/19 at 11:00 AM, the director of quality assurance confirmed that the Rh controls in use were not labeled with the date that they were opened. -- 2 of 2 --

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Survey - January 29, 2018

Survey Type: Standard

Survey Event ID: 6WS412

Deficiency Tags: D5211 D6053 D6107 D2015 D5787 D6054

Summary:

Summary Statement of Deficiencies No Tags No deficiency details available. 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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