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Lakeland Clinic IPAC Report

Initial Report

  • Premise/Facility under investigation (name and full address):

    • Lakeland Clinic, 2 Albert Street North, Lindsay, Ontario K9V 4J1



  • Type of Premise/Facility (e.g., clinic, personal service setting):

    • oral surgery dental clinic



  • Date Board of Health became aware of IPAC Lapse:

    • 4/22/2018



  • Date of initial report posting:

    • No initial report posted as patient notification was required



  • Date of initial report update(s), if applicable:

    • n/a



  • How the IPAC lapse was identified?

    • Reportable disease investigation



  • Summary description of the IPAC lapse:

    • During the inspection, it was observed that the disinfection and sterilization of medical devices on site did not follow the Royal College of Dental Surgeons of Ontario Standard of Practice for Infection Prevention and Control in the Dental Office or the Provincial Infectious Disease Advisory Committee (PIDAC) Best Practices for Cleaning, Disinfection and Sterilization of Medical Equipment/Devices in All Health Care Settings. Specifically, there was inadequate monitoring and auditing of sterilization processes for reusuable medical devices prior to each client. As part of the initial investigation, an epidemiologic link was identified between two hepatitis C cases, of the same rare genotype, who received care on the same day at the dental office. As part of our further investigation, inadequate infection prevention and control practices were observed related to handling of medication between patients in the operatory.


IPAC Lapse Investigation

  • Did the IPAC lapse involve a member of a Regulatory College?

    • Yes



  • If Yes, was the issue referred to the Regulatory College?

    • Yes



  • Were any corrective measures recommended and/or implemented?

    • Yes



  • Please provide further details:

    • 1) corrective action required

      2) request for patient roster

      3) follow-up request for an additional patient roster



  • Date any order(s) or directive(s) were issued to the owners/operators (if applicable):

    • On Feb 20, 2018 a verbal Section 13 order under the HPPA was issued to the premise operators related to inadequate monitoring and auditing of sterilization practices.

      On March 01, 2018 a written Section 13 order under the HPPA was issued to premise operators.


Initial Report Comments and Contact Information

  • Any additional comments:(do not include any personal information or personal health information):



Final Report

  • Date of final report posting:

    • 4/23/2019



  • Date any order(s) or directive(s) were issued to the owners/operators. (if applicable):

    • On Feb 20, 2018 a verbal Section 13 order under the Health Protection and Promotion Act (HPPA) was issued to the premise operators related to inadequate monitoring and auditing of sterilization practices.

      On March 01, 2018 a written Section 13 order under the HPPA was issued to premise operators.

      On April 4, 2018, a written order was issued requesting patient roster information to inform further investigation.

      On May 2, 2018, a written order was issued requesting additional patient roster information.



  • Brief description of corrective measures taken:

    • IPAC practices brought into compliance with Infection Prevention and Control (IPAC) Best Practices for use of equipment following cleaning, disinfection and sterilization. Methods used to correct the outstanding requirements were education, verbal order and written order. Royal College of Dental Surgeons of Ontario also provided education and direction to the operator.



  • Date all corrective measures were confirmed to have been completed:

    • 3/1/2018


Final Report Comments and Contact Information

  • Any additional comments (do not include any personal information or personal health information):

    • N/A



  • If you have any further questions, please contact:

    • Email address: info@hkpr.on.ca