FDA Cites Sterile Processing, QC at Outsourcing Facility
FDA has identified significant deficiencies at BayCare Integrated Service Center, an outsourcing facility in Temple Terrace, Florida, following a March inspection, according to a just-released FDA Form 483. The inspection found weaknesses in environmental monitoring, cleaning validation, quality oversight, and batch release practices that could affect the sterility and quality of compounded drugs.
Investigators reported that the facility failed to adequately monitor aseptic processing conditions during active production. Critical ISO 5 areas were not routinely subjected to dynamic viable air monitoring, and supporting cleanroom areas were sampled less frequently than required by internal procedures.
The agency cited deficiencies in the firm’s cleaning and disinfection program, including a lack of evidence that its disinfectants are effective against bacterial and fungal spores. Environmental data showed repeated recovery of spore-forming organisms such as Bacillus and Paenibacillus dating back to 2023, with a notable increase in 2025.
FDA said the firm lacked robust written procedures to ensure product quality, particularly in visual inspection processes. The agency noted the absence of statistically valid sampling plans and inadequate controls for inspection conditions such as lighting and defect detection criteria. Additional issues included missing second-person verification of laboratory data and insufficient documentation practices.
The inspection also highlighted structural concerns within the company’s quality unit, where a small team was responsible for multiple overlapping functions, including environmental monitoring, investigations, batch review, and final product release. FDA investigators said this lack of segregation of duties undermines independent quality oversight.