Van Buren Youth Camp

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 23D2263043
Address 12370 45th St, Bloomingdale, MI, 49026
City Bloomingdale
State MI
Zip Code49026
Phone(269) 521-3855

Citation History (1 survey)

Survey - September 29, 2022

Survey Type: Special

Survey Event ID: A6I811

Deficiency Tags: D1002

Summary:

Summary Statement of Deficiencies D1002 REPORTING OF SARS-CoV-2 TEST RESULTS During the Public Health Emergency, as defined in 400.200 of this chapter, each laboratory that performs a test that is intended to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (hereinafter referred to as a "SARS-CoV-2 test") must report SARS-CoV-2 test results to the Secretary in such form and manner, and at such timing and frequency, as the Secretary may prescribe. This CONDITION is not met as evidenced by: . Based on a lack of records and interview with the Laboratory Director, the laboratory failed to report positive SARS-CoV-2 test results as required for 3 of 3 patients that tested positive since the laboratory started testing June 10, 2022. Findings include: 1. An interview on 9/29/22 at 10:00 am with the Office Manager revealed the laboratory started testing in 2022 and had a total of 3 patients test positive for SARS-CoV-2. 2. The surveyor requested documentation of the laboratory's attempts to report positive SARS-CoV-2 results using its SARS-CoV-2 antigen test systems to the health department on 9/29/22 at 10:00 am and it was not made available. 3. An interview on 9 /29/22 at 10:00 am with the Laboratory Director confirmed the laboratory had no documentation showing the 3 patients that had tested positive were reported to the health department. 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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