Summary:
Summary Statement of Deficiencies D6053 TECHNICAL CONSULTANT RESPONSIBILITIES CFR(s): 493.1413(b)(9) (b)(9) Evaluating and documenting the performance of individuals responsible for moderate complexity testing at least semiannually during the first year the individual tests patient specimens. This STANDARD is not met as evidenced by: Based on a review of Personnel records and an interview with the Testing Personnel (TP), the TC failed to assess TP competency at least semi-annually in the first year of patient testing. The surveyor noted one out of one TP had no documentation of semi- annual competency assessment from 2023-2025. The findings include: 1. A review of Personnel records revealed the TP had an initial training date of 12-28-2023 and an annual competency assessment date of 1-15-2025. No evidence of a semi-annual competency assessment was available for review. 2. The Practice Manager and TP confirmed the above findings during the exit conference on 1-17-2025 at 1:11 PM. 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 --