This Version Posted: June 17, 2020

Public Health Unit Infection Prevention and Control Lapse Report
Initial Report
Premise/facility under investigation: (name and address)Lakeland Clinic, 2 Albert St N, Lindsay ON K9V 4J1
Type of premise/facility: (E.g. clinic, personal services setting)oral surgery dental clinic
Date Board of Health became aware of IPAC lapse22/04/2018
Date of Initial Report posting No initial report posted as patient notification was required
Date of Initial Report update(s) (if applicable)
How the IPAC lapse was identifiedReportable disease investigation
Summary Description of the IPAC LapseDuring the inspection, it was observed that the disinfection and sterilization of medical devices on site did not follow the Royal College of Dental Surgeons’ Infection Control standard or the Provincial Infectious Disease Advisory Committee (PIDAC) Best Practice Standards for medical device reprocessing and infection control in a clinical office setting including inadequate monitoring and auditing of sterilization processess 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 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/steps1) 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)
If you have any further questions, please contact:
Name
Title
E-mail addressInfo@hkpr.on.ca
Phone number
Final Report
Date of Final Report posting:23/04/2019
Date any order(s) or directive(s) were issued to the owner/operator (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.
Brief description of corrective measures takenIPAC practices brought into compliance with 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 also provided education and direction to the premise.
Date all corrective measures were confirmed to have been completed01/03/2018
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:
Name
Title
Email addressinfo@hkpr.on.ca
Phone number