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Health Hub Pharmacy (Jun 28, 2024)
Description of Action:
A panel of the Inquiry Committee (the “Panel”) of the College of Pharmacists of British Columbia (the “College”) has ordered that, effective June 28, 2024, the pharmacy licence of Health Hub Pharmacy (the “Pharmacy”) located at 5848 Fraser Street in the city of Vancouver is suspended pending completion of an investigation and any resulting disciplinary proceeding.
The Pharmacy must not operate while its license is suspended. It will be closed indefinitely. To ensure safe continuity of care, the Inquiry Committee has ordered that the patients currently served by the Pharmacy are to be transferred to other pharmacies. The Pharmacy is not permitted to accept any new patients or dispense any prescriptions while its licence is suspended.
This interim suspension order is made pursuant to the authority for taking extraordinary action under section 35 of the Health Professions Act and section 20 of the Pharmacy Operations and Drug Scheduling Act. Suspension under this authority requires the Inquiry Committee to be satisfied that the evidence shows there is a real risk of harm to patients, pharmacy professionals or other members of the public if the order is not made. However, it is important to note that the Inquiry Committee has not made any findings of fact or any findings as to whether any allegations regarding the Pharmacy are or are not proven.
Reasons for Action:
The Pharmacy’s manager is pharmacist Sukhpreet Singh Sidhu (the “Registrant”). The Registrant’s spouse is the indirect owner of the Pharmacy. Effective June 28, 2024, the Registrant’s registration is suspended pending completion of an investigation and any resulting disciplinary proceeding.
The College received reports from Health Canada indicating the Pharmacy’s non-compliance with federal controlled drug legislation after Health Canada conducted inspections at the Pharmacy. The College also received information from the Vancouver Police Department regarding traffic stops made of the Pharmacy’s delivery vehicle, during which officers identified what appeared to be evidence of criminal activities and public safety risks. College inspectors performed an onsite inspection of the Pharmacy and identified what appeared to be multiple breaches of provincial legislation and College practice standards.
Based on the information before it, including evidence of policies and procedures created, amended or implemented by the Registrant, the Panel concluded that the Pharmacy’s continued operation poses significant risks to individual patients, the public, and the Pharmacy’s staff. Under the Registrant's management of the Pharmacy, allegations have been identified regarding the following matters: unsecured narcotic drugs; improper narcotic drug prescription preparation; improper narcotic drug dispensing; incomplete patient records; lack of patient consultations; non-compliance with opioid agonist treatment standards; and improper use of non-College registrants in the delivery and administration of opioid agonist treatments.
The Panel considered that, as the Pharmacy’s manager, the Registrant had been previously investigated for similar concerns in 2020. The Panel noted that, as a result of that previous investigation, the Registrant had declared remediation of the deficiencies in the Pharmacy’s operations identified at that time and had given undertakings to operate the Pharmacy in accordance with legislated requirements in future.
The Panel considered what interim measures would be sufficient and proportionate in this case. Due to the nature of the deficiencies in the Pharmacy’s policies and procedures, the Registrant’s indirect financial interest in the Pharmacy, and the Registrant’s pattern of conduct and repeated non-compliance with legislated requirements, the Panel was not satisfied that the Pharmacy’s operations could be remediated by the Registrant or by other pharmacists. Further, the Inquiry Committee was not satisfied the Registrant would comply with any limits or conditions that would satisfactorily protect the public. Therefore, having weighed the available options and circumstances of the case, and having considered the impact on the Pharmacy’s operations, the Panel concluded that protection of the public can only be achieved through an interim suspension of the Pharmacy’s license.
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Hanania, Rami Basem (Apr 18, 2024)
- Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the conduct of Rami Hanania (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).
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Effective date: April 18, 2024
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Name of registrant: Rami Basem Hanania
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Location of Practice: Sechelt, BC
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Admissions and Acknowledgements:
The Inquiry Committee determined, and the Registrant acknowledged, that while practicing as a pharmacist and pharmacy manager at a pharmacy, he:
- Falsified inventory records and circumvented controls to conceal narcotic losses, contrary to Standard 7(a) and 7(b) of the HPA Bylaws, Schedule A - Code of Ethics;
- Left the pharmacy premises and left unregulated pharmacy staff unsupervised while the pharmacy was still operating and accessible to the public without another registrant present, contrary to section 5 of the HPA Bylaws, Schedule F, Part I – Community Pharmacy Standards of Practice and section 27(1) of the Pharmacy Operations and Drug Scheduling Act Bylaws;
- Purchased illicit substances while practicing as a pharmacist, contrary to Standard 7(a) of the Code of Ethics; and
- Consumed a mood-altering substance on the morning of a day where he was scheduled to practice as a pharmacist, contrary to Standards 7(a), 7(f), 7(g), 7(h), and 7(i) of the Code of Ethics.
- Falsified inventory records and circumvented controls to conceal narcotic losses, contrary to Standard 7(a) and 7(b) of the HPA Bylaws, Schedule A - Code of Ethics;
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Disposition:
The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that included (but are not limited to) the following:
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To pay a $1,000.00 fine;
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To be suspended as a registrant of the College for a period of thirty (30) days from April 18, 2024 to May 17, 2024;
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To complete and successfully pass an ethics course for healthcare professionals;
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To appear before the Inquiry Committee for a verbal reprimand after completing the ethics course;
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To have a letter of reprimand placed permanently on the College register;
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Following completion of the suspension, to not act as pharmacy manager, director, officer, or as a preceptor for pharmacy students for a period of 5 (five) years; and
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Following completion of the suspension, to not perform administrative tasks related to narcotic and controlled substances for a period of 1 (one) year.
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Rationale:
The Inquiry Committee considered it owes a duty to the public and to the pharmacy profession to enforce and maintain the standards of practice and code of conduct expected of members of the profession.
The Inquiry Committee considered that the Registrant’s conduct was highly unethical and amounted to a “serious matter” and “professional misconduct” as defined in section 26 of the HPA. The Registrant took advantage of his role, authority, and privileges as a pharmacist, thereby undermining the integrity of the pharmacy profession. While there were mitigating factors, his conduct was unlawful and was a clear breach of the legal and ethical standards expected of pharmacy professionals.
While the Inquiry Committee recognized the role of remediation, the Inquiry Committee also determined that the disposition should include serious punitive deterrents, given the Registrant’s conduct.
The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession.
- Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the conduct of Rami Hanania (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).
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Pharmacist Registrant 30 (Mar 14, 2024)
The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective March 14, 2024. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
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Hajrizaj, Fitim (Jan 26, 2024)
- Nature of Action: The Inquiry Committee of the College of Pharmacists of BC (the “College”) conducted an investigation into the conduct of now former registrant Fitim Hajrizaj (the “Former Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”). The Inquiry Committee and the Former Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA.
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Effective date: January 26, 2024
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Name of registrant: Fitim Hajrizaj
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Location of Practice: Esquimalt, BC
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Admissions and Acknowledgements:
Between 2021 and 2022, while working as a pharmacist at a federally regulated facility, the Former Registrant misappropriated controlled drugs and falsified records to conceal his conduct
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Disposition:
The Former Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein he consented to terms that included (but not limited to) the following, which would take effect if and when the Former Registrant is reinstated to an active practicing registration class:
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To be suspended as a registrant of the College for a period of 90 days, to commence immediately upon his reinstatement to an active practicing registration class;
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To have the following limits and conditions applied to his practice for a period of 3 years, to commence on the date that the 90-day suspension ends:
- To not be a pharmacy manager or preceptor for pharmacy students;
- In relation to narcotic and controlled drugs, to not place and receive orders or have related signing authority, to not conduct inventory counts and reconciliations, and to not handle, dispose, destroy, or return such substances;
- To not be a pharmacy manager or preceptor for pharmacy students;
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To complete and successfully pass an ethics course for healthcare professionals, within one year of reinstatement to an active practicing registration class; and
- To pay a fine of $1,000.00 within one year of reinstatement to an active practicing registration class.
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Rationale:
The Inquiry Committee considered it owes a duty to the public and to the pharmacy profession to enforce and maintain the standards of practice and code of conduct expected of members of the profession.
The Inquiry Committee considered that the Former Registrant’s conduct was highly unethical and amounted to a “serious matter” and “professional misconduct” as defined in section 26 of the HPA. The Former Registrant took advantage of his role, authority, and privileges as a pharmacist, thereby undermining the integrity of the pharmacy profession. While there were mitigating factors, his conduct was unlawful and was a clear breach of the ethical standards expected of pharmacy professionals.
The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession.
- Nature of Action: The Inquiry Committee of the College of Pharmacists of BC (the “College”) conducted an investigation into the conduct of now former registrant Fitim Hajrizaj (the “Former Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”). The Inquiry Committee and the Former Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA.
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Pharmacist Registrant 28 (Dec 19, 2023)
The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective December 19, 2023. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
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Pharmacist Registrant 56 (Dec 12, 2023)
The Inquiry Committee, pursuant to section 32.3(3)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective December 12, 2023. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
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Pharmacist Registrant 55 (Nov 9, 2023)
Pursuant to Section 32.2(4)(b)(i) of the Health Professions Act, the Inquiry Committee has reached a Consent Agreement with the pharmacist registrant whereby the pharmacist registrant consented to terms including, but not limited to, the following:
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To refrain from:
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providing any and all services that fall under the definition of “practice of pharmacy” in section 1 of the Pharmacists Regulation, BC Reg. 111/2023 (the “Regulations”); and
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providing any and all restricted activities listed in s. 4 of the Regulations.
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These terms remain in effect until further notice. The Inquiry Committee considered these terms necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
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Pharmacist Registrant 54 (Oct 25, 2023)
The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective October 25, 2023. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
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Yang, Hao ("David") (Jul 30, 2023)
- Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the conduct of Hao (“David”) Yang (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).
The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA.
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Effective date: July 30, 2023
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Name of registrant: Hao “David” Yang
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Location of Practice: Victoria, BC
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Admissions and Acknowledgements:
The Inquiry Committee determined, and the Registrant acknowledged:
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That he obtained a patient’s phone number from the patient’s local profile on the pharmacy’s prescription software and used this information to contact the patient via Whatsapp for purposes unrelated to providing health care services, contrary to section 71 of the HPA Bylaws.
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The Registrant’s conduct breached sections 3C, 3D, 7B, 8A, 8D of the Code of Ethics, and the Code of Ethics Patient Relations Program Standard.
- The Registrant’s conduct was considered to be professional misconduct as defined by section 26 of the HPA.
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Disposition:
The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that included (but not limited to) the following:
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To pay a $3,500.00 fine;
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To be suspended as a registrant of the College for a period of ninety (90) days from September 15, 2023 to December 14, 2023;
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To complete and successfully pass an ethics course for healthcare professionals;
- To appear before the Inquiry Committee for a verbal reprimand after completing the ethics course; and
- To have a letter of reprimand placed permanently on the College register.
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Rationale:
The Inquiry Committee considered that the Registrant’s conduct in the incident underscored an egregious impairment of judgment that could undermine the public’s trust.
The Inquiry Committee determined that there did not appear to be a valid reason for the Registrant to contact the patient via WhatsApp and that the Registrant did not maintain a professional boundary with the patient. For these reasons, the Inquiry Committee considered that the Registrant’s actions constituted unethical conduct and therefore may be considered professional misconduct.
The Inquiry Committee determined that the appropriate disposition should include serious progressive deterrents given the Registrant’s conduct in a previous investigation, and to also address the Registrant’s conduct of submitting contradictory statements.
The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession.
- Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the conduct of Hao (“David”) Yang (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).
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Pharmacist Registrant 52 (Jun 19, 2023)
The Inquiry Committee has reinstated the pharmacist registrant’s registration which had previously been suspended for an indefinite period on December 19, 2022. Pursuant to Section 32.2(4)(b)(i) of the Health Professions Act, the Inquiry Committee has reached a Consent Agreement with the pharmacist registrant whereby the pharmacist registrant consented to terms including, but not limited to, the following:
- To comply with any and all treatment plans as recommended by their medical providers.
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To comply with any and all work plans as advised by their medical providers and/or employers.
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To comply with every term of their Relapse Prevention Agreement (“RPA”).
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In the event of any interruption to the agreed monitoring schedule set out in the RPA, the registrant will advise the College of the interruption as soon as possible and provide an explanation for the interruption.
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To not handle or dispense opioid medications for a period of one (1) year after returning to practice;
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To not work more than forty (40) hours per week for a period of 3-months after returning to work;
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The registrant will inform the College in writing, via e-mail, of their places of work as a pharmacist and report any changes to the location of their work within 48 hours of such change. A reportable change to the registrant’s place of work contemplates both commencement and termination of work.
- Prior to the commencement of work at any pharmacy, the registrant shall:
- Disclose to the pharmacy manager and/or employer the limits and conditions on their license pursuant to their Consent Agreement;
- Ensure that any pharmacy manager and/or employer with whom the registrant secures work in a pharmacy submits a written statement to the College declaring their awareness of the registrant’s Consent Agreement and the limits and conditions on the registrant’s license to practice pharmacy. This statement must be received within 48 hours of securing work and/or within 48 hours of any change of pharmacy manager at the registrant’s place of work.
The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
December 19, 2022
(June 19, 2023 - Registration Reinstated)
The Inquiry Committee, pursuant to s. 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend the registration as a pharmacist effective December 19, 2022. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.
- To comply with any and all treatment plans as recommended by their medical providers.