Summary:
Summary Statement of Deficiencies D0000 An announced CLIA recertification survey was conducted at Coral Gables Dermatology & Laser Center on 7/17/2019. The laboratory is not in compliance with 42 CFR Part 493, Requirements for Laboratories. 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 record review and interview with testing personnel (TP) A, the laboratory failed to document the annual competency assessment on 1 out of 3 testing personnel for 2 out of 2 years reviewed. Findings include: Review of employee documentation showed that the laboratory failed to have documentation of annual competency assessment on 2017 and 2018 for TP C. During an interview on 07/17/2019 at 10:30 AM, with the TP A, she confirmed that there was no competency assessment documented for the period of reference for TP C. 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 --