Patients profiled by the Star said no one volunteered to them they were infected at the clinic - not the Rothbart clinic, not James, not Toronto Public Health (TPH), which investigated the outbreak, and not the College of Physicians and Surgeons of Ontario (CPSO), which has regulatory oversight of such clinics, known as "out-of-hospital" premises.
The TPH investigation included an infection-control audit, done in conjunction with Public Health Ontario. It found 170 deficiencies, including improperly sterilized equipment. TPH has never made the results of its investigation public.
The CPSO inspected the clinic a number of times after the outbreak. Its online register shows it gave the clinic "conditional" passes for three inspections, with conditions related to improving infection control.
But there is no mention on the CPSO website there was an outbreak, infection-control breaches or people were made ill.
Gelinas said she is "really, really worried" that the province is moving services out of hospitals and into clinics that do not have the same level of oversight and accountability.