Scpmg Dermatology/Mohs

CLIA Laboratory Citation Details

1
Total Citation
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 05D1096470
Address 5601 De Soto Ave, Ste 1870, Woodland Hills, CA, 91367
City Woodland Hills
State CA
Zip Code91367
Phone(833) 574-2273

Citation History (1 survey)

Survey - December 12, 2024

Survey Type: Standard

Survey Event ID: CRVP11

Deficiency Tags: D5821 D5435 D6094

Summary:

Summary Statement of Deficiencies D5435 MAINTENANCE AND FUNCTION CHECKS CFR(s): 493.1254(b)(2) For equipment, instruments, or test systems developed in-house, commercially available and modified by the laboratory, or maintenance and function check protocols are not provided by the manufacturer, the laboratory must: (i) Define a function check protocol that ensures equipment, instrument, and test system performance that is necessary for accurate and reliable test results and test result reporting. (ii) Perform and document the function checks, including background or baseline checks, specified in paragraph (b)(2)(i) of this section. Function checks must be within the laboratory's established limits before patient testing is conducted. This STANDARD is not met as evidenced by: Based on the review of the laboratory's policies and procedures, preventive maintenance (PM) documentation, ten (10) randomly selected Mohs patient test records, and an interview with the department administrator (DA), it was determined that the laboratory failed to ensure preventive maintenance performed was monitored and documented properly prior to patient testing. The findings include: 1. Based on the review of the PM documentation called "Microscope, Hematoxylin and Eosin (H&E) Stain Quality Control Log" on December 12, 2024, at approximately 3:30 p. m., no check mark or initial was found recorded on April 25, 2024. 2. Out of 10 patient records reviewed by the surveyor on December 12, 2024, at approximately 3: 30 p.m., the surgery for patient M24-0283 was performed on 4/25/24 during the time when PM entry was missed to be recorded. Thus, the quality of the control slide created that day cannot be assured. 3. Based on the laboratory's policy and procedure for quality assessment, it was the practice of the laboratory that log sheets are reviewed on a timely manner. The log sheet for April 2024 was reviewed and signed on December 11, 2024. However, no

πŸ”’ Unlock Deficiency Summary

Get full access to the detailed deficiency summary for this facility

One-time payment β€’ Lifetime access