Summary:
Summary Statement of Deficiencies D6066 TESTING PERSONNEL QUALIFICATIONS CFR(s): 493.1423(b)(4)(ii) Have documentation of training appropriate for the testing performed prior to analyzing patient specimens. This STANDARD is not met as evidenced by: During an onsite recertification survey on 03/24/2022, based on a review of policy and procedure manual, an observation of competency records, and an interview with testing personel, it was determined that the laboratory failed to keep competency records for 1 lab tech from 2016 through 2022. Findings Include: 1. An onsite review of policiy and procedure manual revealed that compentencies are performed twice in employees first year and yearly after. 2. Observation of laboratory documents showed that their were no competency records available for 7 years for lab tech. a. 2016 to 2022 3. Interview with testing personnel on 03/24/22 at 12:10pm confirmed that 7 years of competency testing documents for lab tech were not available. a. 2016 to 2022 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 --