Public Health Unit Infection Prevention And Control Lapse Report

Initial Report

Premises/Facility Under Investigation

Limoges Dental Centre
601A Limoges Road
Limoges, ON
K0A 2M0

Type of Premises/Facility

Dental clinic

Date Board of Health Became Aware of IPAC Lapse

May 24, 2026

Date IPAC lapse was linked to the premise/facility

May 24, 2026

How the IPAC Lapse was Identified

Clinic Self reported

Summary Description of the IPAC Lapse

The clinic identified deficiencies in the reprocessing of dental equipment. The dental equipment were cleaned with ultrasonic cleaner, packaged and place in the autoclave. However, the autoclave cycle was not initiated. The items were later removed from the autoclave and the instruments were returned to circulation without being properly sterilized.

IPAC Lapse Investigation

Issue referred to regulatory college and/or other stakeholder notified?

Yes

If the Lapse Involved a Member of a Regulatory College, Was the Issue Referred to that Regulatory College?

Royal College of Dental Surgeons of Ontario
College of Dental Hygienist of Ontario

Were any Corrective Measures Recommended and/or Implemented?

Yes

Further Details/Steps

-Education was provided on proper reprocessing techniques.
-Education was provided on verifying chemical indicators following reprocessing, as well as the appropriate documentation of autoclave parameters and chemical indicator results.
-Education was provided on verifying chemical indicators prior to opening instrument packaging for patient use.
- Review of the clinic’s reprocessing policies and procedures.

Date any Order(s) or Directive(s) Were Issued to the Owner/Operators

May 27, 2026

If you have any further questions, please contact:

Geneviève Lord
Program Manager / Gestionnaire de programmes
glord@eohu.ca
613-933-1375 x 1233

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