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Omega & Delta Co., Inc. was cited for manufacturing adulterated hand sanitizer products under insanitary conditions, with the FDA observing facility disrepair, poor cleaning, insects, cobwebs, and unexplained spills in manufacturing and raw material storage areas during an April-May 2022 inspection. The company failed to maintain adequate controls to prevent product contamination and violated Current Good Manufacturing Practice (CGMP) regulations, including failures by the quality control unit to meet its responsibilities. This represented a repeat compliance issue, as similar facility conditions had been observed during a previous FDA inspection in 2017.