Robert B Sollitto Md Pc

CLIA Laboratory Citation Details

2
Total Citations
4
Total Deficiencyies
4
Unique D-Tags
CMS Certification Number 31D2086204
Address 801 New Road, Northfield, NJ, 08225
City Northfield
State NJ
Zip Code08225
Phone609 646-9000
Lab DirectorROBERT SOLLITTO

Citation History (2 surveys)

Survey - October 19, 2021

Survey Type: Standard

Survey Event ID: CNBE11

Deficiency Tags: D5209 D5413 D6102

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 surveyor review of the lack of Competency Assessment (CA) records and interview with the Office Manager (OM), the laboratory failed to perform CA for Testing Personnel (TP) from 11/28/18 to the date of the survey. The finding includes: 1. One out of one TP did not have a CA performed from 11/28/18 to the date of the survey. 2. The OM confirmed on 10/19/21 at 12:00 pm that the CA was not performed. D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on surveyor review of the lack of Temperature Records (TR) and interview with the Office Manager (OM), the laboratory failed to document Room Temperature 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 -- (RT) where Histopathology test reagents were stored and tests were performed from 11/28/18 to the date of the survey. The findings include: 1. There were no temperatures recorded. 2. The OM confirmed on 10/19/21 at 12:15 pm that the laboratory failed to accurately record RT. D6102 LABORATORY DIRECTOR RESPONSIBILITIES CFR(s): 493.1445(e)(12) The laboratory director must 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. This STANDARD is not met as evidenced by: Based on surveyor review of Personnel Records (PR) and interview with the Office Manager (OM), the Laboratory Director failed to ensure that the education records were available on the date of the survey. The finding includes: 1. Education records were not available for one Testing Personnel (TP). 2. The OM confirmed on 10/19/21 at 11:45 am that education records were not available. -- 2 of 2 --

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Survey - November 28, 2018

Survey Type: Standard

Survey Event ID: IF0E11

Deficiency Tags: D5401

Summary:

Summary Statement of Deficiencies D5401 PROCEDURE MANUAL CFR(s): 493.1251(a) A written procedures manual for all tests, assays, and examinations performed by the laboratory must be available to, and followed by, laboratory personnel. Textbooks may supplement but not replace the laboratory's written procedures for testing or examining specimens. This STANDARD is not met as evidenced by: Based on surveyor review of the Procedure Manual (PM), observation of the Automated Staining Station (ASS) and interview with the Facility Administrator (FA), the laboratory failed to follow Mohs Staining Procedure from 11/30/16 to the date of the survey. The finding includes: 1. The ASS in the laboratory did not correspond with the staining procedure in the PM. a) The PM stated 95% alcohol for step one, but the ASS had water. b) The PM stated water for step two, but the ASS had 95% alcohol. c) The PM stated Gill III hematoxylin for step three, but the ASS had 100% alcohol. d) The PM stated Gill III hematoxylin for step four, but the ASS had 100% alcohol. e) The PM stated water for step five, but the ASS had Eosin. f) The PM stated Vinegar for step six, but the ASS had 95% alcohol. 2. The AF confirmed on 11/28/18 at 10:00 am that PM procedure did not match with ASS. 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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