South Pelham Dental Infection Control Inspection


Summary

Dental instruments not disassembled, packages overfilled and not labeled properly for sterilization.

Diseases resulting from similar errors in infection control may include:

  • Blood-borne infections

Contact

Duty Officer
Public Health Inspector
905-980-6000 ext. 7590, toll free 1-888-505-6074
inspect@niagararegion.ca


Findings and Corrective Measures

A complaint was identified from a member of the public on March 11, 2026, related to infection prevention and control concerns.

An initial onsite investigation was conducted on March 12, 2026.

An investigation report was given to the premise / facility noting corrective measures. Information and education was provided.

Ongoing Issues

IssueCorrectionLast Updated
No hand sanitizerNo /liquid soap and water wasare available and accessible at all sinks and reprocessing area. .Hand sanitizer/liquid soap and water to be available and accessible at point of care and at exits and entrance at reprocessing area. . March 23, 2026
For preventative maintenance on dental equipment, Manufacturer’s Instructions for Use not followed and documented. Follow the Manufacturer’s Instructions for Use for preventative maintenance on dental equipment and documented.March 23, 2026
Written policies and procedures are incomplete/not available for all aspects of infection prevention and control and reprocessing. Policies and procedures are not reviewed on a regular basis. Written policies and procedures are to be complete/available for all aspects of infection prevention and control and reprocessing. Policies and procedures are to be reviewed on a regular basis.March 23, 2026
Staff are not conducting a point of care risk assessment when selecting personal protective equipment for invasive, surgical procedures. Personal protective equipment not available in reprocessing area.Staff are to wear appropriate personal protective equipment when needed based for invasive/surgical procedures. Personal protective equipment to be provided in the reprocessing area. March 23, 2026

Corrected Issues

IssueCorrectionDate Corrected
Work surfaces not appropriate for cleaning and disinfection in reprocessing area.Install appropriate work surfaces for cleaning and disinfecting in reprocessing area.March 23, 2026
Sterilization record(s) and chemical indicators not fully recorded and reviewed.Maintain and review sterilization record(s).March 16, 2026
Dirty equipment/devices not cleaned immediately after use not kept moist.Store dirty equipment/devices that cannot be cleaned immediately moist in a sealed container.March 16, 2026
Dental/medical equipment/devices not packaged to appropriately allow steam to contact all surfaces and disassembled for sterilization.Package dental/medical equipment/devices to allow steam to contact all surfaces and disassembled for sterilization.March 16, 2026
Packaged dental/medical equipment/devices not labelled and placed in the sterilizer appropriately.Place dental/medical equipment/devices with appropriate labelling in the sterilizer according to the Manufacturer’s Instructions for Use.March 16, 2026
The level of education and training and records not adequate/maintained.Education and training is to be provided based on the tasks performed and records maintained.March 16, 2026
No barriers used on difficult to clean high touch surfaces/equipment. Barriers/ covers not removed and discarded between clients. Upon removal of barriers/covers from surfaces, the area underneath not cleaned and disinfected appropriately.Barriers/covers to be used on high touch surfaces/equipment that may become contaminated. Barriers/covers to be removed and discarded between clients. Upon removal of barriers/covers from surfaces, the area underneath to be cleaned and disinfected as appropriate.March 16, 2026
Clean dental/medical supplies are observed to be stored on the counter adjacent to sink and found under the sink.Clean dental/medical supplies are to be stored away from sinks and adjacent areas.March 16, 2026
Open surgical sites are irrigated using non-sterile water or saline.Open surgical sites are to be irrigated using sterile water or sterile saline.March 16, 2026
Sharps container(s) not located at point of use where client care provided. Sharps not appropriately transported.Sharps containers are to be located at the point of use where client care provided. Transport sharps in a covered container.March 16, 2026

Health Risks and Inspections

In the event that a direct health risk is identified for clients who visited this establishment, Niagara Region Public Health will contact those at risk with advice around any medical follow-up.

For general updates regarding this investigation, continue to monitor this website.

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