This page contains reports on premises where an infection prevention and control lapse was identified through the assessment of a complaint or referral, or through communicable disease surveillance. It does not include reports of premises which were investigated following a complaint or referral where no infection prevention and control lapse was ultimately identified.
These reports are not exhaustive and do not guarantee that those premises listed and not listed are free of infection prevention and control lapses. Identification of lapses is based on assessment and investigation of a premises at a point-in-time, and these assessments and investigations are triggered when potential infection prevention and control lapses are brought to the attention of the local medical officer of health.
Reports are posted on the website of the board of health in which the premises is located. Reports are posted on a premises-by-premises basis, i.e., will correspond with one site only. Should you have questions about any posted lapse, please contact the Control of Infectious Diseases/Infection Control Program at 416-338-8400.
Premise/facility under investigation (name and address) | Dr. Katherine Chu
200-1371 Neilson Road. Toronto, ON. M1B 4Z8 |
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Type of premise/facility: (E.g. clinic, personal services setting) | Obstetrics and Gynecology office |
Date Board of Health became aware of IPAC lapse | |
Date of Initial Report posting | August 25, 2021 |
Date of Initial Report update(s) (if applicable) | |
How the IPAC lapse was identified | Referral from regulatory college |
Summary Description of the IPAC Lapse |
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Did the IPAC lapse involve a member of a regulatory college? | Yes |
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If yes, was the issue referred to the regulatory college? | Regulatory College initiated referral to TPH |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps |
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Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | August 19, 2021 Verbal Order issued:
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Any Additional Comments |
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Date of Interim Report posting: | December 14, 2021 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Any additional comments |
Date of Final Report posting: | April 4, 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed | March 31, 2022 |
Any additional comments |
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Name | Cecilia Alterman |
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Title | Manager, Control of Infectious Diseases/Infection Control |
email address | Cecilia.Alterman@toronto.ca |
Phone number | 416-338-8400 |
Premise/facility under investigation (name and address) | Dental X
170 Rimrock Rd. Unit # D/2 Toronto ON M3J3A6 |
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Type of premise/facility: (E.g. clinic, personal services setting) | Dental Clinic |
Date Board of Health became aware of IPAC lapse | April 13, 2022 |
Date of Initial Report posting | May 5, 2022 |
Date of Initial Report update(s) (if applicable) | May 5, 2022 |
How the IPAC lapse was identified | Other |
Summary description of the IPAC lapse |
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Did the IPAC lapse involve a member of a regulatory college? | Yes |
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If yes, was the issue referred to the regulatory college? | College of Dental Hygienist of Ontario |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps |
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Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | April 20, 2022 – Letter of Recommendation with directions was sent to the operator. |
Any additional comments |
Date of Final Report posting: | July 13, 2022 |
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Date any order(s) or directive(s) were issued to the owner/operator (if applicable) | N/a |
Brief description of corrective measures taken | The 3-month IPAC re-inspection was conducted.
All IPAC infractions that were previously noted by TPH on initial visit, were observed to be in compliance. |
Date all corrective measures were confirmed to have been completed | July 13, 2022 |
Any additional comments |
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Name | Danielle R. Steinman |
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Title | Manager, Control of Infectious Diseases/Infection Control |
danielle.steinman@toronto.ca | |
Phone number | 416-338-8400 |
Initial Report |
Details |
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Premise/facility under investigation (name and address) | Bathurst Walk-In Dental Centre
902 Bathurst Street, Toronto, Ontario, M5R 3G3 |
Type of premise/facility: (E.g. clinic, personal services setting) | Dental clinic |
Date Board of Health became aware of IPAC lapse | May 6, 2022 |
Date of Initial Report posting | May 17, 2022 |
Date of Initial Report update(s) (if applicable) | May 17, 2022 |
How the IPAC lapse was identified | Other |
Summary Description of the IPAC Lapse |
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IPAC Lapse Investigation |
Results |
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Did the IPAC lapse involve a member of a regulatory college? | Yes |
If yes, was the issue referred to the regulatory college? | Royal College of Dental Surgeons of Ontario |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps |
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Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | May 16, 2022 – Letter of Recommendation with directions was sent to the operator. |
Initial Report Comments |
Details |
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Any Additional Comments | Patient notification for one exposed patient was completed. |
Interim Report |
Results |
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Date of Interim Report posting: | May 26, 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | Re-inspection was conducted on May 25, 2022. Infractions identified during initial inspection were corrected. |
Date all corrective measures were confirmed to have been completed |
May 25, 2022 |
Interim Report Comments |
Results |
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Any additional comments |
Final Report |
Results |
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Date of Final Report posting | |
Date of any order(s) or directive(s) were issued to the owner/operator (if applicable) | |
Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed | |
Comments |
Cecilia Alterman
Manager, Control of Infectious Diseases/Infection Control
Cecilia.Alterman@toronto.ca
416-338-8065
Initial Report |
Details |
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Premise/facility under investigation (name and address) | Metro Central Ultrasound & Echocardiography
27 Queen St East Toronto, ON. M5C 2M6 |
Type of premise/facility: (E.g. clinic, personal services setting) | Ultrasound Clinic |
Date Board of Health became aware of IPAC lapse | June 17, 2022 |
Date of Initial Report posting | July 11, 2022 |
Date of Initial Report update(s) (if applicable) | July 11, 2022 |
How the IPAC lapse was identified | Other |
Summary Description of the IPAC Lapse | Notified by Ministry of Health’s Independent Healthcare Facility Branch (IHF) that transvaginal ultrasound transducers (probes) were not cleaned and disinfected as per Public Health Ontario’s Best Practices for Reprocessing. |
IPAC Lapse Investigation |
Results |
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Did the IPAC lapse involve a member of a regulatory college? | Yes |
If yes, was the issue referred to the regulatory college? | Yes: College of Physicians and Surgeons of Ontario (CPSO) and College of Medical Radiation and Imaging Technologists of Ontario (CMRITO) |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps | Verbal Order on June 22, 2022
Letter of recommendation sent to owner June 24, 2022 |
Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | Verbal Order made under authority of Section 13(7) of the HPPA on June 22, 2022:
The following recommendations were provided by TPH at the time of the audit and provided in a letter of recommendation:
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Initial Report Comments |
Details |
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Any Additional Comments | Ongoing consultation with Public Health Ontario to assess risk of transmission based on the information from the IHF and the clinic, as well as the observations at the clinic. |
Interim Report |
Results |
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Date of Interim Report posting: | July 13, 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
July 11, 2022 |
Brief description of corrective measures taken |
Owner/Operator updated Policy & Procedures |
Date all corrective measures were confirmed to have been completed |
July 11, 2022 |
Interim Report Comments |
Results |
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Any additional comments | Toronto Public Health notified the Ministry of Health’s Independent Health Facilities (IHF) Branch that clinic is in compliance of Public Health Ontario’s Best Practices and that the Owner/clinic may resume intracavitary ultrasound services once IHF confirms date appointments and services for intracavitary ultrasound may begin. |
Second Interim Report |
Results |
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Date of Second Interim Report posting | July 18, 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Second Interim Report Comments |
Results |
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Any additional comments | Public Health Ontario consultation for risk assessment concluded. No follow up required for patient lookback or notification based on outcome of provincial consultation. |
Final Report |
Results |
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Date of Final Report posting | |
Date of any order(s) or directive(s) were issued to the owner/operator (if applicable) | |
Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed | |
Comments |
Danielle R. Steinman
Manager, BBD IPAC Team, Control of Infectious Diseases/Infection Control
Danielle.Steinman@toronto.ca
416 338-8352
Initial Report | Details |
Premise/facility under investigation (name and address) | Dr. Leonard Jerome
737 Mount Pleasant Road Toronto ON M4S2N4 |
Type of premise/facility: (E.g. clinic, personal services setting) | Dental Clinic |
Date Board of Health became aware of IPAC lapse | July 22, 2022 |
Date of Initial Report posting | Aug 10 2022 |
Date of Initial Report update(s) (if applicable) | Aug 10 2022 |
How the IPAC lapse was identified | Other |
Summary description of the IPAC lapse |
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IPAC Lapse Investigation | Details |
Did the IPAC lapse involve a member of a regulatory college? | Yes |
If yes, was the issue referred to the regulatory college? | Royal College of Dental Surgeons of Ontario |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps |
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Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | August 2, 2022 – Verbal Order served.
August 5, 2022 – Letter of Recommendation with directions sent to owner. |
Initial Report Comments | Details |
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Any additional comments |
Interim Reports | Details |
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Date of Interim Report posting: | August 8 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken |
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Date all corrective measures were confirmed to have been completed |
August 8 2022 |
Interim Report Comments | Details |
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Any additional comments |
Final Report | Details |
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Date of Final Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) | |
Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Final Report Comments | Details |
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Any additional comments |
Danielle R. Steinman
Manager, BBD IPAC Team, Control of Infectious Diseases/Infection Control
Danielle.Steinman@toronto.ca
416 338-8352
Initial Report | Details |
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Premise/facility under investigation (name and address) | Med-Health Laboratories
2050 Weston Road. Unit 109 Toronto, Ontario M9N 1X4 |
Type of premise/facility: (e.g. clinic, personal services setting) | Medical Laboratory & Phlebotomy Services |
Date Board of Health became aware of IPAC lapse | July 29, 2022 |
Date of Initial Report posting | August 10, 2022 |
Date of Initial Report update(s) (if applicable) | |
How the IPAC lapse was identified | Other |
Summary description of the IPAC lapse | Reprocessing and re-use of items that are deemed to be single use devices. |
IPAC Lapse Investigation | Details |
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Did the IPAC lapse involve a member of a regulatory college? | Yes |
If yes, was the issue referred to the regulatory college? | College of Medical Radiation and Imaging Technologists of Ontario (CMRITO) |
Were any corrective measures recommended and/or implemented? | Verbal order served on August 4, 2022
Letter of IPAC recommendations sent on August 17, 2022 Clinic to use disposable single use blood collection devices and tourniquets Deliver service(s) using acceptable infection prevention and control (IPAC) practices as detailed above as corrective action required. The following recommendations were provided by TPH at the time of the audit and provided in a letter of recommendation: 1) Clinic to use disposable Single Use Device tourniquets and blood collection devices, 2) Soap container must not be topped up, and 3) Alcohol Based Hand Rub (ABHR) must be available at point of care |
Please provide further details/steps | |
Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | August 4, 2022 |
Initial Report Comments | Details |
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Any additional comments |
Interim Report | Details |
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Date of Interim Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) | |
Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Interim Report Comments | Details |
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Any additional comments |
Final Report | Details |
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Date of Final Report posting: | November 17 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | Corrective measures implemented.
IPAC Infractions identified from initial TPH audit, now observed to be in compliance. |
Date all corrective measures were confirmed to have been completed | November 10, 2022 |
Final Report Comments | Details |
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Any additional comments |
Danielle R. Steinman
Manager, BBD IPAC Team, Control of Infectious Diseases/Infection Control
Danielle.Steinman@toronto.ca
416 338-8400
Initial Report | Details |
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Premise/facility under investigation (name and address) | Forest Hill Institute for Aesthetic Plastic Surgery
1188B Eglinton Ave. W., Toronto, ON M6C 2E3 |
Type of premise/facility: (e.g. clinic, personal services setting) | Plastic Surgery Clinic |
Date Board of Health became aware of IPAC lapse | August 16, 2022 |
Date of Initial Report posting | August 22, 2022 |
Date of Initial Report update(s) (if applicable) | August 22, 2022 |
How the IPAC lapse was identified | Referral from regulatory college |
Summary description of the IPAC lapse |
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IPAC Lapse Investigation | Details |
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Did the IPAC lapse involve a member of a regulatory college? | Yes |
If yes, was the issue referred to the regulatory college? | College of Physicians and Surgeons of Ontario (CPSO) |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps | Verbal Order made under authority of Section 13(7) of the HPPA on August 18, 2022:
(1) Stop providing any and all services and/or procedures that require multi-use medical devices that require reprocessing by sterilization, immediately until Toronto Public Health has authorized you to resume providing these services. (2) Deliver service(s) using acceptable infection prevention and control practices as detailed below as corrective action required.
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Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | August 18, 2022 – Verbal Order served.
August 22, 2022 – Letter of Recommendation with directions sent to owner. |
Initial Report Comments | Details |
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Any additional comments |
Interim Report | Details |
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Date of Interim Report posting: | August 24, 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) | August 18, 2022 |
Brief description of corrective measures taken |
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Date all corrective measures were confirmed to have been completed | August 23, 2022 |
Interim Report Comments | Details |
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Any additional comments | Toronto Public Health notified the Ministry of Health and Long-Term Care and CPSO that the clinic is in compliance of Public Health Ontario’s Best Practices and that the clinic may resume normal operations as of August 23, 2022. |
Interim Report | Details |
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Date of Interim Report posting: | November 9, 2022 |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
N/A |
Brief description of corrective measures taken | Policy and procedures have been updated and reviewed by all staff. |
Date all corrective measures were confirmed to have been completed |
October 4, 2022 |
Interim Report Comments | Details |
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Any additional comments (Do not include any personal information or personal health information) | A re-inspection was conducted on October 4, 2022. No infractions were observed at the time of inspection.
A final inspection will be completed after clinic renovations are complete. |
Final Report | Details |
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Date of Final Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Final Report Comments | Details |
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Any additional comments |
Danielle R. Steinman
Manager, BBD IPAC Team, Control of Infectious Diseases/Infection Control
Danielle.Steinman@toronto.ca
416 338-8352
Initial Report | Details |
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Premise/facility under investigation (name and address) | Bloor West Dentistry, 2420 Bloor St West, Toronto |
Type of premise/facility: (e.g. clinic, personal services setting) | Dental Clinic |
Date Board of Health became aware of IPAC lapse | November 3, 2022 |
Date of Initial Report posting | November 23, 2022 |
Date of Initial Report update(s) (if applicable) | |
How the IPAC lapse was identified | Other: Dental Office self-reported |
Summary description of the IPAC lapse | Report of unsterilized dental handpieces and scaling tips used on a limited number of patients on one day due to one-time error by an office staff member. |
IPAC Lapse Investigation | Details |
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Did the IPAC lapse involve a member of a regulatory college? | RCDSO |
If yes, was the issue referred to the regulatory college? | RCDSO notified |
Were any corrective measures recommended and/or implemented? | Yes, the office implemented corrective measures and notified TPH immediately for next steps. |
Please provide further details/steps | IPAC and Reprocessing audit conducted, including review of how staff are to verify sterilization has been completed.
Type 5 integrators added to each package prior sterilization Staff re-trained in re-processing. |
Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | N/A |
Initial Report Comments | Details |
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Any additional comments | TPH requested a risk assessment by Public Health Ontario to ascertain if patient notification is required. Report on file.
Patients’ notification letters sent Nov 23, 2022 |
Interim Report | Details |
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Date of Interim Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) | |
Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Interim Report Comments | Details |
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Any additional comments |
Interim Report | Details |
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Date of Interim Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Interim Report Comments | Details |
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Any additional comments (Do not include any personal information or personal health information) |
Final Report | Details |
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Date of Final Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Final Report Comments | Details |
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Any additional comments |
Danielle R. Steinman
Manager, BBD IPAC Team, Control of Infectious Diseases/Infection Control
Danielle.Steinman@toronto.ca
416 338-8400
Initial Report | Details |
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Premise/facility under investigation (name and address) | Pinnacle Vitality Rehab
367-4438 Sheppard Ave. E., Toronto, ON M1S 5V9 |
Type of premise/facility: (e.g. clinic, personal services setting) | Physiotherapy and Massage Clinic |
Date Board of Health became aware of IPAC lapse | January 3, 2023 |
Date of Initial Report posting | January 18, 2023 |
Date of Initial Report update(s) (if applicable) | |
How the IPAC lapse was identified | Other: complaint |
Summary description of the IPAC lapse | Report of no plumbed hot and cold running water |
IPAC Lapse Investigation | Details |
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Did the IPAC lapse involve a member of a regulatory college? | CPO/CMTO |
If yes, was the issue referred to the regulatory college? | CPO/CMTO |
Were any corrective measures recommended and/or implemented? | Yes |
Please provide further details/steps | Verbal Order made under authority of Section 13(7) of the HPPA on January 18, 2022:
(1) The premises is to be closed and no hands-on healthcare services may be provided to any patients/clients by any operator/staff until TPH approves re-opening. (2) Deliver service(s) using acceptable infection prevention and control practices as detailed below as corrective action required. No dedicated and plumbed hand wash station with hot and cold running water available onsite. No policies or procedures onsite. No staff education reported. |
Date any order(s) or directive(s) were issued to the owners/operators (if applicable) | January 17, 2023 – Verbal Order served.
January 18, 2023 – Letter of Recommendation with directions sent to owner. |
Initial Report Comments | Details |
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Any additional comments |
Interim Report | Details |
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Date of Interim Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) | |
Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Interim Report Comments | Details |
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Any additional comments |
Interim Report | Details |
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Date of Interim Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Interim Report Comments | Details |
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Any additional comments (Do not include any personal information or personal health information) |
Final Report | Details |
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Date of Final Report posting: | |
Date any order(s) or directive(s) were issued to the owner/operator (if applicable) |
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Brief description of corrective measures taken | |
Date all corrective measures were confirmed to have been completed |
Final Report Comments | Details |
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Any additional comments |
Danielle R. Steinman
Manager, BBD IPAC Team, Control of Infectious Diseases/Infection Control
Danielle.Steinman@toronto.ca
416 338-8400