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Infection Prevention and Control Lapse Reports

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Home/Health and Wellness/Infection and Disease/Infection Prevention and Control Lapse Reports

Infection Prevention and  Control Banner

This webpage contains reports where Region of Waterloo Public Health and Emergency Services identified an infection prevention and control (IPAC) lapse at a premise. Lapses are identified through assessments and investigations, which are initiated by complaints, referrals, or communicable disease surveillance. The Ministry of Health and Long-Term Care requires that public health units disclose these reports.

If you have a complaint about a regulated health care professional or health care setting related to infection prevention and control for COVID-19, please contact the appropriate regulatory college directly to make your complaint. View this listing of regulatory colleges for website and contact information.

To file a complaint about a regulated health care professional or health care setting, please complete the form below or call us at 519-575-4400.

File a Complaint

To request a full investigation report for a lapse, contact us at at 519-575-4400 or publichealth@regionofwaterloo.ca. 

If you are concerned about food safety, infection prevention or sanitary conditions of a business in Waterloo Region, you can file a complaint on the Check it! We inspect it. site.


Disclaimer

  • We respond to all complaints and referrals
  • We do not endorse any premises
  • We carry out investigations according to the Health Protection and Promotion Act
  • This webpage does not include reports where investigations did not identify an IPAC lapse
  • Reports are not exhaustive and do not guarantee that premises listed or not listed are free of IPAC lapses or other conditions affecting health
  • Reports are for premises in the Region of Waterloo only
  • Each report corresponds to only one premises
  • Although we make every effort to ensure all information is accurate and complete, we cannot guarantee that all information is accurate and complete at all times

Reports will remain posted for a minimum of two years.


Current Lapses

Monarch Dentistry - December 29, 2020

As a result of an infection prevention and control complaint, Region of Waterloo Public Health is currently investigating Monarch Dentistry, 51 Benton Street, Kitchener, ON. Please see the Initial Report below for details about findings pertaining to this investigation.

Public Health has worked with Monarch Dentistry to make immediate corrections and will continue to follow-up to ensure required infection prevention and control practices are being implemented.

Region of Waterloo Public Health has identified deficiencies in the cleaning and sterilization of dental instruments/devices at this premise. The risk of blood-borne infection (hepatitis B, hepatitis C and HIV) to clients is low and there are no associated cases of disease transmission known at this time. This infection prevention and control lapse was restricted to patient visits from November 20th, 2020 to November 26th, 2020. Clients who were seen during the date-range affected by the lapse were sent a letter to notify them and given a requisition to take to their health care provider for testing. Clients with concerns about their own individual health risk associated with this investigation should consult with their family health care provider. Clients or health care providers with questions about the investigation are asked to contact Region of Waterloo Public Health at 519-575-4400.

Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through our monitoring of infections in the community which is reportable to Public Health. Dental practices are overseen by the Royal College of Dental Surgeons of Ontario, which has been informed of the identified infection prevention and control lapse.

IPAC Initial Report - Monarch Dentistry

 

Previous Lapses

Breslau Smiles Family Dentistry - June 30, 2020

Region of Waterloo Public Health’s infection prevention and control investigation pertaining to Breslau Smiles Family Dentistry has concluded. Please see the Final Report posted below.

Public Health has been working with Breslau Smiles Family Dentistry and the Royal College of Dental Surgeons of Ontario (RCDSO) to ensure required infection prevention and control practices were implemented. A re-inspection was conducted on July 17, 2020. Region of Waterloo Public Health observed that all infection prevention and control practice requirements were met. Region of Waterloo Public Health has approved Breslau Smiles Family Dentistry to resume practice. A final inspection was conducted on August 13, 2020. Region of Waterloo Public Health observed that all infection prevention and control practice requirements were continuing to be met.

During its investigation, Region of Waterloo Public Health identified lapses in certain clinic processes, including the disinfection and sterilization of dental devices. There is a low risk that patients who had any procedure between March 9, 2020 to July 2, 2020 may have been exposed to blood-borne pathogens. Impacted clients have been notified by Breslau Smiles Family Dentistry. Clients with concerns about their own individual health risk associated with this investigation should consult with their family health care provider. Clients or health care providers with questions about the investigation are asked to contact Region of Waterloo Public Health at 519-575-4400, ext. 5275. Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through our monitoring of infections in the community which are reportable to Public Health. Dental practices are overseen by the Royal College of Dental Surgeons of Ontario.

IPAC Final Report - Breslau Smiles Family Dentistry

North Dumfries Dentistry - June 17, 2020

Region of Waterloo Public Health’s infection prevention and control investigation pertaining to North Dumfries Dentistry has concluded. Please see the Final Report posted below.

Public Health has been working with North Dumfries Dentistry and the Royal College of Dental Surgeons of Ontario (RCDSO) to ensure required infection prevention and control practices were implemented. A re-inspection was conducted on July 23, 2020. Region of Waterloo Public Health observed that all infection prevention and control practice requirements were met.

Region of Waterloo Public Health is not recommending that clients of this practice be tested for hepatitis B, hepatitis C and HIV. Clients with concerns about their own individual health risk associated with this investigation should consult with their family health care provider. Clients or health care providers with questions about the investigation are asked to contact Region of Waterloo Public Health at 519-575-4400, ext. 5275.

Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through our monitoring of infections in the community which are reportable to Public Health. Dental practices are overseen by the Royal College of Dental Surgeons of Ontario.

IPAC Final Report - North Dumfries Dentistry

KW Healthy Living Medical Centre - November 26, 2019

Region of Waterloo Public Health’s infection prevention and control investigation pertaining to KW Healthy Living Medical Centre has concluded. Please see the Final Report posted below.

Public Health worked with KW Healthy Living Medical Centre to make practice corrections resulting in no further risk of infection to clients. Public Health has verified that all required infection prevention and control practices have been implemented.

A risk assessment consultation with Public Health Ontario determined that the lapse in infection control practices resulted in a risk of exposure to blood borne viral pathogens. While the risk of acquiring a blood borne infection is low, Region of Waterloo Public Health recommended that clients of this practice who received certain gynecologic procedures between February 22, 2019 and November 1, 2019 be tested for hepatitis B, hepatitis C and HIV. The physician who performed the procedures affected by the lapse has worked with Public Health to notify affected patients and offer testing.

Clients with concerns about their own individual health risk associated with this investigation should consult with their family health care provider. Clients or health care providers with questions about the investigation are asked to contact Region of Waterloo Public Health at 519-575-4400, ext. 5275.

Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through our monitoring of infections in the community which are reportable to Public Health. Doctors are overseen by The College of Physician and Surgeons of Ontario and pharmacists by the Ontario College of Pharmacists.

IPAC Final Report - KW Healthy Living Medical Centre

Monarch Dentistry - September 16, 2019

Region of Waterloo Public Health’s infection prevention and control investigation pertaining to Monarch Dentistry has concluded. Please see the Final Report posted below.

Public Health has been working with Monarch Dentistry and the Royal College of Dental Surgeons of Ontario (RCDSO) to ensure required infection prevention and control practices were implemented. A re-inspection was conducted on October 18, 2019. Region of Waterloo Public Health observed that all infection prevention and control practice requirements were met.

Region of Waterloo Public Health is not recommending that clients of this practice be tested for hepatitis B, hepatitis C and HIV. Clients with concerns about their own individual health risk associated with this investigation should consult with their family health care provider. Clients or health care providers with questions about the investigation are asked to contact Region of Waterloo Public Health at 519-575-4400, ext. 5275.

Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through our monitoring of infections in the community which are reportable to Public Health. Dental practices are overseen by the Royal College of Dental Surgeons of Ontario.

IPAC Final Report - Monarch Dentistry

Park Street Family Dental - May 9, 2019

Region of Waterloo Public Health’s infection prevention and control investigation pertaining to Park Street Family Dental has concluded. Please see the Final Report posted below.

Public Health has been working with Park Street Family Dental and the Royal College of Dental Surgeons of Ontario (RCDSO) to ensure required infection prevention and control practices were implemented. A joint re-inspection with the RCDSO was conducted on May 29, 2019. Region of Waterloo Public Health observed that all infection prevention and control practice requirements were met and as such it has approved Park Street Family Dental to resume practice.

Region of Waterloo Public Health is not recommending that clients of this practice be tested for hepatitis B, hepatitis C and HIV. Clients with concerns about their own individual health risk associated with this investigation should consult with their family health care provider. Clients or health care providers with questions about the investigation are asked to contact Region of Waterloo Public Health at 519-575-4400, ext. 5275.

Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through our monitoring of infections in the community which are reportable to Public Health. Dental practices are overseen by the Royal College of Dental Surgeons of Ontario.

IPAC Final Report - Park Street Family Dental

Dr. K.S. Billing Pain Management Centre - August 2, 2018

November 19, 2018

Region of Waterloo Public Health’s infection prevention and control investigation pertaining to the Dr. K. S. Billing Pain Management Centre has concluded. Please see the Final Report posted below.

Public Health had been working with this clinic and the College of Physicians and Surgeons of Ontario (CPSO) to ensure required infection prevention and control practices are implemented. As a result of findings stemming from a complaint investigation, the clinic was ordered to suspend procedures involving infection prevention and control practices in early August 2018.

Region of Waterloo Public Health has been notified by the College of Physicians and Surgeons of Ontario (CPSO) that the Dr. K. S. Billing Pain Management Centre, 1601 River Road East, Unit 30B, has withdrawn from the CPSO’s ‘Out of Hospital Premise Program’ and is now permanently closed.

Additional details about the clinic closure and access to health records can be directed to the College of Physicians and Surgeons at 1-800-268-7096 Ext. 603.

Public Health investigates clinics only in response to complaints related to infection prevention and control practices or identification of concerns through the monitoring of infections in the community which are reportable to Public Health. Premises where certain procedures are performed are inspected and overseen by the College of Physicians and Surgeons of Ontario. The practice of individual physicians is also regulated by the College of Physicians and Surgeons.

IPAC Final Report - Dr. Billing Pain Management Clinic

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