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Run: Grocery Pharmacy Compliance Walk

Use this Grocery Pharmacy Compliance Walk template to verify licensure, controlled substance controls, cold-chain storage, counseling privacy, and basic fire...

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Licensure, Posting, and Permits

Confirm the pharmacy license is unexpired, matches the location, and is posted in a public or readily accessible area as required by state board rules.
Verify the current pharmacist-in-charge or equivalent responsible pharmacist designation is on file and available for review.
Confirm DEA registration or applicable controlled substance authority is current and matches the pharmacy location and authorized activity.
Check for required notices such as patient counseling availability, privacy notices, complaint information, and any state-mandated postings.
Review all posted or maintained licenses, permits, and certificates for legibility, expiration date, and consistency with the operating location.

Controlled Substance Logs and Security

Verify controlled substance logs are up to date, include required entries, and reconcile to on-hand inventory without unexplained variances.
Check that receipts, dispensing transactions, returns, wastage, and inventory adjustments are recorded according to policy and applicable law.
Confirm any count variance, missing record, or suspected diversion event has a documented investigation and escalation path.
Verify storage areas are secured and access is limited to authorized staff with functioning locks or equivalent controls.
Confirm controlled substances are stored in designated locations, separated by schedule or policy, and not commingled with unsecured stock.

Refrigerator and Temperature-Controlled Storage

Measure the current refrigerator temperature and verify it remains within the acceptable medication storage range per policy and product labeling.
Verify temperature logs are documented at the required frequency, signed or initialed as required, and reviewed for excursions.
Confirm any out-of-range event includes corrective action, product assessment, and disposition documentation.
Check that medications are stored off the floor, air circulation is not blocked, and expired or quarantined items are segregated.

Patient Counseling and Privacy

Confirm there is a designated area or process that supports confidential counseling without unnecessary disclosure of protected health information.
Verify a pharmacist is present or otherwise available as required to provide counseling and answer patient questions during pharmacy hours.
Check that the pharmacy has a consistent process to offer counseling on new prescriptions and significant changes, and that staff understand the workflow.
Observe whether patient conversations are protected from public overhearing and whether screens, queue spacing, or other safeguards are used where needed.

Fire, Life Safety, and Workplace Safety

Verify exit routes are unobstructed, doors open as required, and stored items do not reduce the required means of egress.
Confirm the extinguisher is mounted or readily accessible, has a current inspection tag, and is not blocked by merchandise or equipment.
Check for damaged cords, daisy-chained power strips, exposed wiring, or overloaded outlets in the pharmacy work area.
Verify floors are clean and dry, spills are addressed promptly, and trip hazards are removed from staff and patient pathways.
Confirm appropriate PPE such as gloves or eye protection is available when handling hazardous materials or cleaning chemicals.

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