Unitypoint Clinic Pediatrics Walnut Creek

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 16D0383590
Address 1271 8th Street, Suite 100, West Des Moines, IA, 50265-2635
City West Des Moines
State IA
Zip Code50265-2635
Phone515 224-4993
Lab DirectorHONGYAN DAI

Citation History (1 survey)

Survey - July 1, 2025

Survey Type: Standard

Survey Event ID: TBE311

Deficiency Tags: D5209

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 review of the laboratory's Training and Competency policy, personnel records, and confirmed by interview with Technical Consultant (TC) #1 at 10:00 am on 07/01/2025, the laboratory failed to follow written policies and procedures for assessing competency for 5 out of 20 new testing personnel hired since the last survey on 07/11/2023. The findings include: 1. The laboratory's Training and Competency policy stated the following under the New Employee heading: "Initially: Perform training checklists, competency & quizzes. 6 months: Perform competency. 1 Year: Perform competency & quizzes." 2. The laboratory hired and documented training for Testing Personnel (TP) #1- #20 since the last survey on 07/11/2023. 3. Review of personnel records did not include documentation of competency assessment performance at 6 months for the following personnel: TP #1, TP #2, TP #3, TP #6, and TP #11. 4. At the time of the survey, TC #1 confirmed the laboratory did not assess and document 6 month competency assessments for TP #1, TP #2, TP #3, TP #6, and TP #11. 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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