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Why is FDA at my facility, and what do I do during an inspection?: 2-day In-person Seminar

Martina LaGrange,
Former FDA Investigator and FDA Compliance Officer
Shelly Maifarth,
Former FDA Investigator and FDA Compliance Officer
Location 1:-
San Diego, CA

Thursday, February 5, 2015 | Friday, February 6, 2015
Location 2:-
Chicago, IL

Wednesday, April 22, 2015 | Thursday, April 23, 2015
Location 3:-
Orlando, FL

Thursday, June 4, 2015 | Friday, June 5, 2015

Course "Why is FDA at my facility, and what do I do during an inspection?" has been pre-approved by RAPS as eligible for up to 12 credits towards a participant's RAC recertification upon full completion.

Course Description:

This two day course will prepare firms for a quick, productive, and efficient FDA inspection. Included are segments on FDA Law, how to prepare for the inspection, how to prepare your subject matter experts (SME’s) to respond properly, and how to respond to an FDA 483 or Warning Letter. Case Studies and Templates are included.

This course begins with a high level discussion about why FDA conducts inspections and the sanctions available to FDA for those companies who choose not to comply with FDA requirements. Next, we cover what to expect during the inspection, including how to communicate with the investigators, run your front and back rooms, and present documents and records. We cover do’s and don’ts, choosing your core inspection team, facilitators, Subject Matter Experts (SME’s), runners and scribes. We provide tips for Executive Management/CEO’s, Production area staff, Reception Area staff and what each group needs to know during an inspection. The session includes real life inspection scenarios/case studies. Participants are given real life FDA inspection scenarios and are asked to discuss how they would handle each situation. Feedback is given on how to best handle each situation and scenario. This is one of our most popular training sessions!

Instructors are former FDA Investigator and FDA Compliance Officer, having more than 36 years of combined experience working with FDA.

Learning Objectives:

If you are looking for answer of these questions, you would certainly benefit by attending this seminar:

  • Which FDA sanctions apply to you, and how to operate in compliance with FDA requirements.
  • What to do when FDA knocks – step by step instructions to handle inspections.
  • How to handle day by day inspection scenarios?
  • What is a front room and back room? Do you need one?
  • Runners and Scribes? What do they do?
  • Are your SME’s the right people, and are they ready/right for the job?
  • Why responses to 483’s and Warning Letters are critical?
  • Steps for responding to 483’s and Warning Letters.

Interview with
Shelly Maifarth & Martina LaGrange, Former FDA Investigator and FDA Compliance Officers

Who will Benefit:

Industries Positions/Titles Types of facilities:
  • FDA regulated Industries
    • Medical Device
    • Pharmaceuticals
  • Dietary Supplements
    • Food
    • Med Tech
  • Top and Middle Management
  • Subject Matter Experts (SME)
  • Quality Assurance/management
  • Compliance Management
  • Manufacturing
  • Laboratory
  • Regulatory Personnel
  • Manufacturing facilities
  • Private label and contract manufacturing facilities
  • Distributors, warehouses
  • Own label distributors, private label distributors
  • Packers, Labelers
  • Ingredient suppliers
  • Laboratories
  • Importers

Course Outline:

Day One (8:30 AM – 5:00 PM) Day Two (8:30 AM – 4:30 PM)

Registration Process: 8:30 AM – 9:00 AM

Session Start Time: 9:00 AM

FDA Law and Inspection Training

  1. FDA Management and General Training
    1. Legal Obligations
      1. FD&C Act, § 704(a)(1), Right to Inspect
      2. Case Law- Real life examples
        1. Section 305 Notices
        2. Indictments
        3. Convictions
        4. Debarment
        5. Consent Decree
        6. Dis-engorgement penalty
      3. Regulatory Sanctions used by FDA
        1. Written Notices
        2. Judicial Action
        3. Prosecution (fines, jail)
      4. Administrative Action
      5. Prohibited Acts
        1. Interstate commerce
        2. Adulteration
        3. Misbranding
      6. Penalties
        1. Seizure
        2. Injunction
        3. Prosecution (fines, jail)
      7. Civil vs. Criminal
    2. Management Responsibility from FDA’s view
      1. Management with Executive Responsibility defined
      2. Expectations
      3. Resources
      4. Duty, Power, Responsibility
  2. Front Room Back Room
    1. Your FDA Inspection Team
      1. Inspection Team Roles
      2. Assigning jobs on the Inspection Team
    2. FDA Inspection SOP
      1. Initial FDA Meeting
      2. Scribes-what are they – what do they do?
      3. Runners- what are they- what do they do?
    3. Front Room/Back Room
      1. Staffing
      2. Supplying/equipping
      3. Location
      4. Training/Prep
    4. Putting it all together

SME training, 483/Warning Letter Response

  1. SME Training
    1. Basic Ground Rules for everyone
    2. Role of the SME
      1. What is an SME?
      2. SME Characteristics
      3. How to choose effective SMEs
      4. Off-site SMEs
      5. SME’s Should:
      6. Utilize Subject Matter Experts (SMEs)
    3. FDA Interviews
      1. predetermined roles
      2. How to understand and answer FDA questions
      3. Should you use props!
      4. What does your Facilitator do?
    4. How to get the best out of the inspection
    5. Say NO to…
    6. Do’s and Don’ts
  2. Replying to 483s and Warning Letters
    1. General Points to Consider
      1. FDA 483 Responses
      2. Warning Letter Responses
      3. What you must know about both responses
      4. Hard copy or via the internet?
      5. Specific and Systemic Corrections
      6. Templates to consider
      7. Make sure…
    2. The Response
      1. Response Cover Letter Importance Tone Who Signs
      2. Response Body
      3. Attachments
    3. Templates
    4. Let’s not forget
    5. When and How to do updates

* This training will not delve into clinical inspection issues.

* Chicago, IL seminar on June 5-6, 2014 will be presented by Shelly Maifarth.

Meet Your Instructors

Martina LaGrange
Principal, FDA Compliance Group LLC

Ms. Martina LaGrange began her career in Seattle, WA as an FDA Field Investigator. She moved back home to Denver, CO in 1996 where she completed her 14 year career with the FDA as a Medical Device Specialist.

Ms. LaGrange performed medical device, dietary supplement, pharmaceutical and clinical investigator inspections both domestically and internationally. She inspected some of the world's largest manufacturers, with 75% of inspections resulting in the issuance of a Warning Letter. She was the lead investigator on several injunction recommendations.

Ms. LaGrange was a member of the Quality System Inspection Technique (QSIT) Reengineering Team. She assisted in creating QSIT Training CD-ROM and QSIT CD Exam. She assisted in developing QSIT Training for FDA managers and compliance officers, and was a presenter on the 7/00 LIVE video downlink that trained FDA managers and compliance officers nationwide. She received Vice President Gore's Government Hammer Award for her accomplishments in the device arena. She was also part of the Medical Device EIR (Establishment Inspection Report) Workgroup, created to harmonize FDA's inspectional reports in accordance with the Mutual Recognition Agreement (MRA). She provided classroom training to FDA employees European Union authorities, Colorado Department of Health and Environment, trade groups, and professional societies.

Ms. LaGrange has been consulting in the medical device, dietary supplement, pharmaceutical and clinical investigator areas since 2003. She continues to assist FDA regulated companies in gaining compliance with the FDA regulations. Her focus includes gap analysis, quality control reviews, mock FDA audits, training, SOP development, MDR and Adverse Event Reporting.

Interview with
Shelly Maifarth & Martina LaGrange, Former FDA Investigator and FDA Compliance Officers

Shelly Maifarth, RAC
Principal, FDA Compliance Group LLC

Ms. Maifarth began her career with FDA as an investigator and microbiologist in Dallas and Denver Districts from 1972 to 1984, then served as an FDA Compliance Officer in Denver's District Office for more than 22 years. As a compliance officer, she has significant experience in the medical device, dietary supplement, food, and pharmaceutical areas. She has conducted training, reviewed quality systems and provided guidance on quality, labeling and compliance issues. Ms. Maifarth provided technical assistance and guidance to investigators and analysts within Denver District, and to state, local, and other federal agencies, including Customs (CBP), EPA, and CDC.

As the senior Compliance Officer in the Denver District Office, Ms. Maifarth received the most complex cases to determine if a company was in compliance with FDA laws, regulations and current policy. These cases were in the areas of medical device cGMPS/labeling/510(k)/PMA, dietary supplement labeling, pharmaceutical GMPS/labeling/new drug, seafood and juice HACCP, and food sanitation and labeling. She successfully completed numerous regulatory actions to bring firms and products into compliance. These actions included Warning Letters, Regulatory Letters, Seizures, Injunctions, Prosecutions, Inspection Warrants, License Suspensions and License Revocations. She provided guidance to assist these companies to come into compliance after these FDA actions.

Ms. Maifarth served as a member of the Expert Panel for National Compliance Officers Law Course, a member of Cadre and Trainer for National Compliance Law Clerk Course, and has provided training for Regulatory Affairs Professional Society (RAPS) on current FDA compliance policies on dietary supplements, drugs and medical devices.

Since beginning her career as a consultant, she has worked extensively with medical device and dietary supplement industries to assist them in achieving compliance with the requirements of FDA laws and regulations. She has coordinated meetings and successfully interacted with FDA on behalf of client firms at the Denver District, FDA Headquarters, and other district offices. She effectively coordinates communication with FDA post-audit, writes 483 responses on behalf of client firms to the FDA, and coordinates any subsequent follow-up.

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February 5-6, 2015, San Diego, CA
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Actual Price: $1,699

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April 22-23, 2015, Chicago, IL
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June 4-5, 2015, Orlando, FL
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It was a lively seminar with good real life examples and case studies. Management responsibility topic was most valuable for me because it is often missed and not addressed in other seminars. I really appreciate the way how ComplianceOnline is conducting seminars and webinars. Their training topics are always current and timely.
- Quality Assurance Manager, Nellson Nutraceutical

I like the way how seminar was informal and allowing for dialogue. We discussed practical inspection situations through class questions and case studies which will help organizations prepare for inspections. ComplianceOnline has chosen a great venue for this seminar.
- Quality Assurance Specialist, Gilead Sciences

I really enjoyed both presenters and their field experience was shown throughout the session that was very helpful. It provided good insight in the proper demeanor to have while dealing with the FDA auditors on site.
- Quality Assurance, Paramount Farms International, LLC

This seminar provided a good understanding on FDA systems and also provided awareness on compliance issues. Case studies discussed were very useful. This seminar was well coordinated by ComplianceOnline and had a very professional approach on the entire process.
- Cody Laboratories

This was an informative seminar. Provided very valuable insight into how the FDA works. Presenters' experience in real life events and interaction with the FDA is priceless.
- Director of QC and Food Safety, Dulcinea Farms, LLC

Martina and Shelly are very knowledgeable and as former investigators have provided valuable information and insight. Front/back room set up topic was highly valuable to me because we have an upcoming PAI and this information will help us to prepare upfront.
- QA Manager, Trius Therapeutics

This seminar was incredibly informative and there was a good amount of interaction between the speakers and the participants. Both the instructors were highly knowledgeable and experienced and I liked their rapport with each other. Also the case studies discussed were very useful.
- Sr. QA Associate II, Ardea Biosciences

Interaction among attendees and the presenters was excellent. Gained good insight on how to respond to FDA warning letters and 483s. It was a well-organized event. I am impressed with the way how ComplianceOnline has conducted this seminar.
- Supervisor, Corporate Audit, Apotex Inc.

This was an interesting session with good practical information. Case studies discussed are very useful to me.
- Director Quality Assurance, Cereal Ingredients, Inc

It was an excellent resource for those companies starting the journey of preparation for FDA audits.
- Quality Assurance, Paramount Farms International, LLC

Presenters were highly knowledgeable and conversation with other participants were very beneficial for me.
- Quality Manager, Cereal Ingredients, Inc

I thoroughly enjoyed this session. Instructors provided good real life examples and personal experiences.
- Quality Assurance, Paramount Farms International, LLC

Seminar was very helpful and both the presenters were highly knowledgeable.
- Chief Engineer, Terumo Corporation

It was valuable to have training from experienced and highly knowledgeable former FDA investigator and compliance officer.
- Program Manager, Medtronic

I really enjoyed this seminar and it was covering a wide range of topics for various industries.
- QA Manager, Trius Therapeutics

I learned a lot about process during the FDA audits, FDA's expectations and how to prepare for the audits. Good stories and experiences shared by presenters were very interesting and it was a nice team teaching method.
- Food Safety Supervisor, Paramount Farms

Excellent and highly knowledgeable speakers with great new ideas and approaches.
- Sr. Manager – QA, Trius Therapeutics

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San Diego, CA, Local Attractions

Chicago, IL, Local Attractions

The first European to set foot in California was the Spanish explorer Juan Rodriguez Cabrillo, who stepped on shore near this spot in in 1542. He's the guy they made this statue to look like - and named the park after. We don't know if Cabrillo climbed all the way up to the top of this promontory or not, but people who make up here nowadays get some of the best views of San Diego, looking across the Bay and back toward downtown.

Birch Aquarium is north of San Diego in La Jolla. It's not as big as some of the other aquariums in California or as flashy as the big sea-themed park down the road, but instead just right, filled with interesting exhibits and home to leafy sea dragons like the one above, creatures so improbably they look more like something from a children's book than from the ocean.

Legoland theme park takes its inspiration from Lego toys, those cute little bricks that snap together to build all kinds of fun things. It's one of several Legolands worldwide.

The San Diego Zoo's sister park offers a different kind of animal experience. Its name (Safari Park) is the clue and it indeed offers a more safari-like experience. Lots of large animals live in the same big, open areas here - predators kept away from prey, but otherwise much as they would in their natural habitat.

Coronado isn't really an island but a peninsula - a fact that doesn't get in the way of the name most people use for it. Whatever you call it, it's on a slender strip of land between the San Diego Bay and the Pacific Ocean, barely a few blocks wide. What it lacks in size it makes up for in fun, with a beach that's been named among the best in the country, a classic hotel and a compact, lively little downtown. Coronado's laid-back temperament makes a nice break from the busier parts of San Diego across the water.

Originally built for temporary use during the 1915-16 Panama-California Exposition in San Diego, Balboa Park boasts buildings beautiful enough to be considered attractions in themselves, especially if you're a photographer. They're surrounded by trees, lawns and fountains, but that's only the beginning.

In Spanish, La Jolla means "the jewel," an apt name for a pretty, Mediterranean-style seaside town - sitting on cliffs flanking the ocean.
La Jolla visitors like to shop and eat in the nice restaurants, some of them with lovely ocean views. There's a lot for the active visitor, too, including ocean kayaking, tide pool-hopping, surfing at Windansea Beach, biking or running along the waterfront.

One of the more breathtaking scenes on the lake is this tall ship approaching the docks at Navy Pier. The 148-foot four-masted schooner (and its new sister ship, the Windy II ) sets sail for 90-minute cruises two to five times a day, both day and evening. (Because the boats are sometimes booked by groups, the schedule changes each week; call first to confirm sailing times). The boats are at the whims of the wind, so every cruise charts a different course. Passengers are welcome to help raise and trim the sails and occasionally take turns at the ship's helm (with the captain standing close by). The boats are not accessible for people with disabilities.

The building may be historic (it was the first planetarium in the Western Hemisphere), but some of the attractions here will captivate the most jaded video-game addict.

Your first stop should be the modern Sky Pavilion, where the don't-miss experience is the StarRider Theater. Settle down under the massive dome, and you'll take a half-hour interactive virtual-reality trip through the Milky Way and into deep space, featuring a computer-generated 3-D-graphics projection system and controls in the armrest of each seat. Six high-resolution video projectors form a seamless image above your head -- you'll feel as if you're literally floating in space. If you're looking for more entertainment, the Sky Theater shows movies with an astronomical bent; recent shows have included Secrets of Saturn and Mars Now!

With its gleaming-white, palatial, six-story grandstand and lush gardens, this racecourse is one of the most beautiful showcases for thoroughbred horse racing in the world. Its storied history stretches back to 1927, and such equine stars as Citation, Secretariat, and Cigar have graced the track. The annual Arlington Million (the sport's first million-dollar race, held in mid-Aug) attracts top jockeys, trainers, and horses and is part of the World Series Racing Championship, which includes the Breeders Cup races. Arlington's race days are thrilling to behold, with all of racing's time-honored pageantry on display -- from the bugler in traditional dress to the parade of jockeys.

You can't -- and shouldn't -- miss the Art Institute. (You really have no excuse, since it's conveniently located right on Michigan Ave. in the heart of downtown.) No matter what medium or century interests you, the Art Institute has something in its collection to fit the bill. Japanese ukiyo-e prints, ancient Egyptian bronzes, Greek vases, 19th-century British photography, masterpieces by most of the greatest names in 20th-century sculpture, and modern American textiles are just some of the works on display, but for a general overview of the museum's collection, take the free "Highlights of the Art Institute" tour Saturday and Sunday.

A truly grand theater with historic-landmark status, the Auditorium gives visitors a taste of late-19th-century Chicago opulence. Because it's still a working theater -- not a museum -- it's not always open to the public during the day; to make sure you'll get in, schedule a guided tour, which are offered on Mondays at 10am and noon.

Designed and built in 1889 by Louis Sullivan and Dankmar Adler, the 4,000-seat Auditorium was a wonder of the world: the heaviest (110,000 tons) and most massive modern edifice on earth, the most fireproof building ever constructed, and the tallest building in Chicago. It was also the first large-scale building to be lit by electricity, and its theater was the first in the country to install air-conditioning. Originally the home of the Chicago Opera Company, Sullivan and Adler's masterpiece is defined by powerful arches lit by thousands of bulbs and features Sullivan's trademark ornamentation -- in this case, elaborate golden stenciling and gold plaster medallions. It's equally renowned for otherworldly acoustics and unobstructed sightlines.

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