Crystal Beach Pharmacy Infection Control Inspection

Address
3874 Rebstock Road
Fort Erie
Services
Pharmacy

Summary

Concerns that require attention include, expired cleaning and disinfectant products, lack of infection prevention policies, improper labeling and disposal of multidose vials, and not removing needle from vial after medication is drawn up.

Diseases resulting from similar errors in infection control may include:

Skin / soft tissue infections

Contact

Public Health Nurse
Public Health Nurse
905-980-6000 ext. 7453, toll free 1-888-505-6074
id@niagararegion.ca

Findings and Corrective Measures

A referral was made by on August 20, 2024, related to infection prevention and control concerns.

This infection prevention and control lapse involved a member of the regulatory college.

Orally corrective measures were discussed at the time of inspection.

An initial onsite investigation was conducted on August 21, 2024.

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

Corrected Issues

Issue	Correction	Date Corrected
There is not a policy, procedure or documented record(s) in place to prevent the transmission of blood-borne infections.	Provide a policy, procedure or documented records to prevent the transmission of blood-borne infections.	Nov. 18, 2024
No documentation of staff immunization or immunity.	Provide documentation of staff immunization or immunity.	Nov. 18, 2024
No written procedure for immediate containment, cleaning and disinfection of spills related to blood and body fluids.	Provide a written procedure describing the immediate containment, cleaning and disinfection of spills related to blood and body fluids.	Sept. 13, 2024
No cleaning procedures are in place for clinic staff or contract staff.	Provide office cleaning procedure to staff or contracted cleaning staff.	Sept. 13, 2024
Written infection control policies and procedures incomplete/not available.	Infection control policies to be based on current best practices and reviewed and updated on a regular basis.	Sept. 13, 2024
Written occupational health and safety policies and procedures incomplete/not available.	Occupational health and safety policies to be based on current best practices and reviewed and updated on a regular basis.	Sept. 13, 2024
Staff do not receive regular education related to infection, prevention and control.	Staff to receive regular education related to infection, prevention and control.	Sept. 13, 2024
Staff attendance at education and training sessions not recorded.	There is to be a process for recording staff attendance at education and training sessions.	Sept. 13, 2024
There is not a blood-borne infection post-exposure management policy or procedure.	Provide a blood-borne infection post-exposure management policy or procedure.	Sept. 13, 2024
Appropriate self screening signage was not found at the clinic entrance/reception desk/entrance of exam room.	Illness sreening signage is to be located at the clinic entrance, reception desk and entrance of exam rooms.	Aug. 28, 2024
No tissue boxes observed.	Tissue boxes are to be available in the reception and waiting areas.	Aug. 28, 2024
Furniture/items/touch surfaces in waiting area are soiled.	Furniture/items/touch surfaces in waiting area are to be clean.	Aug. 28, 2024
Surfaces/furnishings/equipment/finishes not smooth and cleanable.	Surfaces/furnishings/equipment/finishes to be smooth and cleanable.	Aug. 28, 2024
Chemical products used/stored on site are not appropriate.	Use/Store chemical products on site appropriately.	Aug. 28, 2024
Clean medical supplies are observed to be stored on counter adjacent to sink and found under the sink.	Clean medical supplies are to be stored away from sink and adjacent areas.	Aug. 28, 2024
No hand sanitizer/liquid soap and water is available and accessible.	Hand sanitizer/liquid soap and water to be available and accessible.	Aug. 28, 2024
Personal protective equipment not available in clinic setting/at point of care.	Provide personal protective equipment at point of care.	Aug. 28, 2024
Medication instructions for use not followed.	Follow medication instructions for use.	Aug. 28, 2024
Expired vials/products not discarded according to manufacturer’s expiry date.	Discard expired vials/products according to manufacturer’s expiry date.	Aug. 28, 2024
Multidose vial not labelled appropriately.	Label multidose vial appropriately.	Aug. 28, 2024
Multidose vial not discarded appropriately.	Discard multidose vial appropriately.	Aug. 28, 2024
Multidose vial not discarded according to the Manufacturer’s instructions for use/ within 28 days.	Discard multidose vial according to the Manufacturer’s instructions for use/within 28 days.	Aug. 28, 2024
Medication needle left within vial after medication drawn up.	Medication needle to be immediately withdrawn from the vial after medication drawn up.	Aug. 28, 2024
Sharps container(s) not located at point of use where client care provided.	Sharps containers to be located at the point of use where client care provided.	Aug. 28, 2024
Sharps not appropriately transported.	Transport sharps in a covered container.	Aug. 28, 2024

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.