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U.S. Department of Health and Human Services

Inspections, Compliance, Enforcement, and Criminal Investigations

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West Boca Medical Center 06-Aug-01


Public Health Service


Food and Drug Administration
555 Winderley Place, Suite 200
Maitland, FL 32751

FACILITY ID # 157040
August 6, 2001

Karen Elder, Director
West Boca Medical Center
21644 State Rd. 7
Highway 441
Boca Raton, Florida 33428

Dear Ms. Elder

We are writing to you because on July 23,2001, your facility was inspected by a representative of the State of Florida, acting in behalf of the Food and Drug Administration (FDA). This inspection revealed a serious regulatory problem involving the mammography at your facility.

Under a United States Federal law, the Mammography Quality Standards Act of 1992, your facility must meet specific requirements for mammography. These requirements help protect the health of women by assuring that a facility can perform quality mammography. The inspection revealed the following REPEAT Level 2 finding at your facility:

Level 2- REPEAT: Your facility failed to produce documents verifying that the interpreting physician [redacted] (0 CME?S in 36 months) met the continuing education requirement of having taught or completed at least 15 category 1 continuing medical education units in mammography in 36 months.

A finding is considered to be a repeat finding if the same type of violation was cited during a previous inspection, whether or not the finding is associated with the same piece of equipment (x-ray unit, processor, darkroom) or the same personnel in any given category.

We are including your response to the inspection dated July 8,2000 referencing the previously cited violations and your commitment to comply with the (Quality Standards for Mammography.

The specific problems noted above appeared on your MQSA Facility Inspection Report, which was issued to your facility at the close of the inspection. Because these conditions may be symptomatic of serious underlying problems that could compromise the quality of mammography at your facility, they represent a serious violation of the law which may result in FDA taking regulatory action without further notice to you. These actions include, but are not limited to, placing your facility under a Directed Plan of Correction, charging your facility for the cost of on-site monitoring, assessing civil money penaltiesupto$10,000 for each failure to substantially comply with, or each day of failure to substantially comply with, the Standards, suspension or revocation of your facility?s FDA certificate, or obtaining a court injunction against further mammography.

It is necessary for you to act on this matter immediately. Please explain to this office in writing within fifteen (15) working days from the date you received this letter:

  • the specific steps you have taken to correct all of the violations noted in this letter;
  • each step your facility is taking to prevent the recurrence of similar violations;
  • equipment settings (including technique factors), raw test data, and calculated final results, where appropriate; and
  • sample records that demonstrate proper record keeping procedures, if the findings relate to quality control or other records (Note: Patient names or identification should be deleted from any copies submitted).*

Please submit your response to Timothy J. Couzins, Compliance Officer, U.S. Food & Drug Administration, 555 Winderley Place, Suite 200, Maitland, Florida 32751, (407) 475-4728.

Finally, you should understand that there are many FDA requirements pertaining to mammography. This letter pertains only to findings of your inspection and does not necessarily address other obligations you have under the law. You may obtain general information about all of FDA?s requirements for mammography facilities by contacting the Mammography Quality Assurance Program, Food and Drug Administration, P.O. Box 6057, Columbia, MD 21045-6057 (1-800-838-7715) or through the Internet at http://www.fda.gov.

If you have more specific questions about mammography facility requirements, or about the content of this letter, please feel free to contact D. Janneth Caycedo,Consumer Safety Officer, Boca Raton Resident Post, Food and Drug Administration, 1499 W. Palmetto Park Rd., Suite. 110, Boca Raton, Florida 33486, or at 561-338-5236, ext. 23.

Sincerely yours,


Emma R. Singleton

Director, Florida District

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