Close Alert Banner
Skip to Content

kfla Public Health Logo

Contact Us
NewsContact UsLogin
FR EN
  • Health Topics
    • Climate change
    • Dental health
    • Health hazards
    • Food and healthy eating
    • Immunizations and vaccines
    • Infections and infectious diseases
    • Injury prevention and safety
    • Mental well-being
    • Parenting
    • Physical activity, sedentary behaviour, and sleep
    • Pregnancy
    • Safe water
    • Sexual health
    • Substance use health
    • Violence
  • Organizations and Professionals
    • Business owners, operators and vendors
    • Climate Change FAQ
    • Early childhood educators
    • Elementary and secondary school educators
    • Health care providers
    • Long-term care and retirement homes
  • Clinics and Classes
    • Dental hygiene clinics
    • Immunization clinics
    • Infant feeding clinics
    • Feeding Your Baby Solid Foods
    • Food For You, Food For Two classes
    • Low-cost rabies clinic
    • Prenatal and family home visiting program
    • Prenatal classes
    • Sexual health clinics
  • About Us
    • Accessibility
    • Annual reports
    • Board of Health
    • Employment and volunteering
    • Policies
    • Strategic plan
  • I Want To:

Infection prevention and control lapses

HomeHealth TopicsInfections and infectious diseasesInfection prevention and control lapses
  • Open new window to share this page via Facebook Facebook
  • Open new window to share this page via Twitter Twitter
  • Open new window to share this page via LinkedIn LinkedIn
  • Email this page Email

Person wearing a mask writing on a clipboard

An Infection Prevention and Control (IPAC) lapse is a departure from infection prevention and control standards that could result in infectious disease transmission through exposure to blood or bodily fluids.

IPAC lapses can occur at routinely inspected personal service settings (e.g., nail salons, tattoo, or piercing studios) and settings not routinely inspected by public health including regulated health professional settings (e.g., Physician or nurse practitioner, dental, or physiotherapy clinics).

IPAC lapses are disclosed to the public in accordance with the provincial Infection Prevention and Control Complaint Disclosure Protocol, 2022.

KFL&A Public Health 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 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 our medical officer of health.

Reports will be posted for a period of two (2) years, on a premises-by-premises basis. 

To view a full investigation report for any posted lapse, please call 613-549-1232, ext. 4722 or email our IPAC team.


 

Kims Foot Care Services - March 17, 2025 (final report)

Type of premises or facility

Advanced Foot Care Nurse

Date Board of Health became aware of IPAC Lapse

March 17, 2025

Date IPAC lapse was linked to the premises/facility

March 17, 2025

Date of initial report posting

March 28, 2025

Date of initial report update(s), if applicable

March 17, 2025

How the Board of Health became aware of potential IPAC lapse

Complaint

Summary description of IPAC lapse

  • The foot care nurse did not clean items with detergent and water, and did not sterilize foot care equipment using an autoclave.
  • The foot care nurse used a liquid sterilant, which cannot maintain equipment sterility to point of use and does not follow best practices.
  • Reusable foot care equipment must be sterile to the point of use.
  • Liquid sterilant and disinfectant was not applied according to the manufacturer's instructions and was used without appropriate cleaning.

IPAC LAPSE INVESTIGATION

Did the IPAC lapse involved a member of a regulatory college

Yes

If yes, was the issue referred to the regulatory college

Yes

Were other stakeholders notified?

No

Corrective measures recommended or implemented

  • The foot care nurse was verbally directed to discontinue services until a proper process was established to clean and then sterilize all reusable foot care equipment using an autoclave.
  • The operator voluntarily elected to cease providing foot care services effective March 18, 2025

 Lan Nail and Spa - June 13, 2024 (final report)

Premises or facility under investigation (name and address) 

​​Lan Nail & Spa

​546 Bath Rd Unit 4, Kingston, ON K7M 2Y3​​ 

Type of premises or facility

​​​Personal Service Setting - esthetics

Date Board of Health became aware of IPAC Lapse

​​May 31, 2024 

Date IPAC lapse was linked to the premises/facility

May 31, 2024

Date of initial report posting  

​June 13, 2024​ 

Date of initial report update(s), if applicable 

​​Not Applicable​ 

How the Board of Health became aware of potential IPAC lapse

​​Routine inspection  

Summary description of IPAC lapse 

  • ​​Identified non-compliance in reprocessing reusable instruments
  • All reusable instruments were being disinfected with ready to use disinfectant that was diluted with water
  • Diluted product was below the manufacturer’s required concentration rendering the product ineffective as a disinfectant
  • Setting did not use disinfectant according to the manufacturer’s instructions​

IPAC LAPSE INVESTIGATION 

Did the IPAC lapse involved a member of a regulatory college

​​No 

If yes, was the issue referred to the regulatory college

​​NA ​ 

Were other stakeholders notified? 

​​No

Corrective measures recommended or implemented  

  • ​​All reusable devices were collected and reprocessed – recleaned with soap and water and disinfected in undiluted disinfectant for the required contact time as per manufacturer instructions.

Re-inspection performed June 14 and July 30, 2024

  • Both follow up inspections confirmed reusable equipment is being cleaned and disinfected in appropriate level of disinfectant as per best practice. 
Subscribe to page updates
Health Topics
  • Infections and infectious diseases
    Toggle Section Infections and infectious diseases Menu
    • Avian influenza (bird flu)
    • COVID-19
    • Common childhood illnesses
    • Infection prevention and control lapses
    • Influenza
    • Invasive Meningococcal Disease
    • Lyme and tickborne diseases
    • Measles
      Toggle Section Measles Menu
      • Measles exposures
    • Mpox (monkeypox) virus
    • Pertussis (Whooping Cough)
    • Preventing the spread of respiratory infections
    • Rabies
    • Respiratory illness surveillance in KFL&A
    • Respiratory syncytial virus (RSV)
    • Tuberculosis
    • Vomiting and diarrhea (gastroenteritis)
    • West Nile Virus
  • View full Health Topics menu
    Toggle Section
    • Climate change
      Toggle Section Climate change Menu
      • Air quality
      • Extreme temperatures
      • Extreme weather and natural hazards
      • Food and water-borne illness
      • Ultraviolet radiation
      • Vector-borne disease
    • Dental health
      Toggle Section Dental health Menu
      • Dental care by age
      • Dental hygiene clinics
      • Tooth decay is increasing
      • Water fluoridation
    • Health hazards
      Toggle Section Health hazards Menu
      • Preparing for emergencies
      • Electromagnetic Fields
      • Hickory Tussock Moth caterpillars
      • Lead
      • Radon
      • Sun and UV safety
    • Food and healthy eating
      Toggle Section Food and healthy eating Menu
      • Choose water
      • Feeding your baby
      • Food and nutrition services
      • Food safety
      • Food skills
      • Healthy eating in the workplace
      • Healthy food choices by age
      • Introducing solid foods
      • Safe food handler training
      • Sport and recreational leagues
      • The cost of eating healthy
    • Immunizations and vaccines
      Toggle Section Immunizations and vaccines Menu
      • COVID-19
      • Grade 7 school-based immunizations
      • Immunization records and reporting
      • Immunization schedule by age
      • Influenza
      • Invasive Meningococcal Disease
      • Measles
      • Respiratory syncytial virus (RSV) vaccine
      • Tips before getting vaccinated
    • Injury prevention and safety
      Toggle Section Injury prevention and safety Menu
      • On and off-road safety
      • Preventing a fall
      • Sun and UV safety
      • Concussions
    • Mental well-being
      Toggle Section Mental well-being Menu
      • Children and youth mental health
      • Eating disorders and disordered eating
      • Improving your mental health
      • Mental health services
      • Pregnancy and postpartum mental health
    • Parenting
      Toggle Section Parenting Menu
      • Babies and toddlers
      • School aged children
      • Parenting programs and services
    • Physical activity, sedentary behaviour, and sleep
      Toggle Section Physical activity, sedentary behaviour, and sleep Menu
      • Physical activity
        Toggle Section Physical activity Menu
        • Move daily, live fully
        • Physical activity for babies and toddlers
        • Physical activity for school aged children
        • Physical activity for adults
        • Active transportation
        • Walking to Wellness
      • Sedentary behaviour
      • Sleep
        Toggle Section Sleep Menu
        • Sleep for babies and toddlers
        • Sleep for school aged children
        • Sleep for adults
    • Pregnancy
      Toggle Section Pregnancy Menu
      • Planning for a healthy pregnancy
      • Pregnancy and infant loss
      • Your health after pregnancy
    • Safe water
      Toggle Section Safe water Menu
      • Algae blooms
      • Beach water listings
      • Drinking water
        Toggle Section Drinking water Menu
        • Drinking water advisories
        • Municipal water
        • Private well water
        • Small drinking water systems
      • Water fluoridation
    • Sexual health
      Toggle Section Sexual health Menu
      • Condoms and safer sex supplies
      • Contraception
      • Mandatory Blood Testing Act
      • Sexually transmitted and blood-borne infections
      • Pre-Exposure Prophylaxis for HIV (PrEP)
    • Substance use health
      Toggle Section Substance use health Menu
      • Alcohol
      • Cannabis
      • Harm reduction
        Toggle Section Harm reduction Menu
        • Harm reduction supplies
        • Naloxone
        • Needle safety
        • Public disclosure of CTS inspection results
      • Tobacco
      • Vaping
    • Violence

Contact Us

kfla Public Health footer logo

Kingston, Frontenac and Lennox & Addington Public Health works together with our communities to promote and protect the public's health. Our commitment is to provide public health programs and services of the highest quality.

  • View our Facebook Page
  • View our Twitter Page
  • View our Instagram Page
  • View our YouTube Page
  • View our LinkedIn Page
  • Health Topics
  • Organizations and Professionals
  • Clinics and Classes
  • About Us

Links:

  • Copyright
  • Disclaimer
  • Feedback
  • Ontario 211
  • Privacy and records
  • Sitemap
  • Terms of reference
  • Viral respiratory mapper
Scroll to top of page

© 2023 KFL&A Public Health

By GHD Digital

I Want To:

Report

  • Animal bite or scratch
  • Childcare discharges
  • Cold chain incident
  • Food-borne illness
  • Immunizations
  • Mandatory blood testing

Apply or register

  • Clinics and classes
  • Employment and volunteering
  • Open a food premise
  • Personal service settings
  • Parenting emails
  • Special events for organizers and vendors

Access

  • Dental programs
  • Inspection results and enforcement actions
  • Beach water listings
  • Well water testing
  • COVID-19 surveillance in KFL&A

Request

  • Condoms and safer sex supplies
  • Harm reduction supplies
  • Immunizations records
  • Personal health or general record
  • Property record request
  • Sexual health (STI) record
Close Old Browser Notification
Browser Compatibility Notification
It appears you are trying to access this site using an outdated browser. As a result, parts of the site may not function properly for you. We recommend updating your browser to its most recent version at your earliest convenience.