ML18347A724

Diagnostic Health Center of Anchorage, LLC, - NRC Form 591M Part 1, NRC Inspection 03020372/2018001

ML18347A724
Person / Time
Site:	03020372
Issue date:	10/25/2018
From:	VonEhr J E NRC Region 4
To:	Kassel K Diagnostic Health Center of Anchorage
References
IR 2018001
Download: ML18347A724 (1)

See also: IR 07200201/1980001

Text

NRC FORM 591M PART 1 (4-2008) U.S. NUCLEAR REGULATORY

COMMISSION

10 CFR2.201 SAFETY INSPECTION

REPORT AND COMPLIANCE

INSPECTION

1. LICENSEE/LOCATION

INSPECTED:

2. NRC/REGIONAL

OFFICE Diagnostic

Health Center of Anchorage, LLC A wholly owned subsidiary

of Alliance HealthCare

Services U.S. Nuclear Regulatory

Commission

Region IV, 1600 East Lamar Blvd Arlington, Texas 76011-4511

4100 Lake Otis Parkway, Suite 102, Anchorage, ~K REPORT NO.: 2018-001 3. *oocKET NUMBER 030-20372

4. LICENSE NUMBER 50-23214-01

5. OATE(S) OF INSPECTION

October 25, 2018 LICENSEE:

The inspection

was an examination

of the activities

conducted

under your license as they relate to radiation

safety and to compliance

with the Nuclear Regulatory

Commission (NRC) rules and regulations

and the conditions

of your license. The inspection

consisted

of selective

examinations

of procedures

and representative

records, interviews

with personnel, and observations

by the inspector.

The inspection

findings are as follows: D D D 1. Based on the inspection

findings, no violations

were identified.

2. Previous violation(s)

closed. 3. The violations(s), specifically

described

to you by the inspector

as non-cited

violations, are not being cited because they were identified, non-repetitive, and corrective

action was or is being taken, and the remaining

criteria in the NRC Enforcement

Policy to exercise discretion, were satisfied.

D Non-Cited

Violation(s)

was/were discussed

involving

the followinS

requirement(s)

and Corrective

Action(s):

4. During this inspection

certain of your activities, as described

below and/or attached, were in violation

of NRC requirements

and are being cited. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance

with 1 O CFR 19.11. License Condition

15.A of NRC Materials

License 50-23214-01, Amendment

No. 23, dated September

19, 2016, requires, in part, that the licensee conduct its program in accordance

with the statements, representations, and procedures

contained

in the documents, including

any enclosures, contained

in the application

dated October 20, 2014. The application

dated October 20, 2014, requires, in part, that the licensee conducts weekly wipes in select locations

where licensed material is used and stored. Contrary to the above, from March 17, 2017, through October 12, 2018, the licensee failed to conduct weekly wipes in select locations

where licensed material is used and stored. Specifically, on at least 30 occasions

between the above dates, the licensee failed to conduct wipes of use and storage locations, and licensed material was used, including

weeks when therapeutic

quantities

of 1-131 were used. To correct the above non-compliance, the licensee RSO reviewed the requirements

with the on-site CNMT, committed

to future reviews via a third-party

consultants, and editing the information

system NMIS to change the way the automated

reminder is generated

to eliminate

an identified

loophole in the current system. Licensee's

Statement

of Correcti 1 ve Actions for Item 4, above. I . I hereby state that, within 30 days, the actions described

by me to the inspector

will be taken to correct the violations

identified.

This statement

of corrective

actions is made in accordance

with the requirements

of 1 O CFR 2.201 (corrective

steps already taken, corrective

steps which will be taken, date when full compliance

will be achieved).

I understand

that no further written response to NRC will be required, unless specifically

requested.

Title Printed Name Signature

Date LICENSEE-'$------------kkassei@ahcsusa. ;.~~t:~~;s~~:~om. . I / / REPRESENTATIVE

Kay Kassel, M.S., CNMT, RSO DN:cn=kkassel@ahcsusa.com

11 12 18 *,'~~\., ~l,=-°'<::~n110112o,!:{'

NRC INSPECTOR

J. vonEhr BRANCH CHIEF James Thompson NRG FORM 591 M PART 1 ., D Non-Public

D Sensitive

-Security-Related

0 Non-Sensitive