| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 05P004 | (X3) Date Survey Completed 02/16/2022 |
| Name of Provider or Supplier Sierra Donor Services | Street Address, City, State 1760 Creekside Oaks Drive, Suite 160, Sacramento, CA | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| E0000 | On behalf of the Centers for Medicare & Medicaid Services (CMS), an unannounced on-site Recertification Survey conducted at the above-named Organ Procurement Organization (OPO) from 02/14/22 through 02/16/22 resulted in substantial compliance respective to the Emergency Preparedness Program Condition of Participation under 42 CFR 485.625. |