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We are infection prevention specialists who understand your needs

Capsid Consulting's mission is to enhance the infection prevention and ASP in long term care facilities around the United States. Our work over the past three years has prepared us to offer what many facilities need right now, answers and guidance. 


Our physician experts are board certified in infectious diseases, members of the Infectious Diseases Society of America, SHEA,  and our nurses are CIC certified in infection prevention and control.


Our highly skilled team of doctors and nurses have many years of professional experience in the field to ensure that their partners get the best support possible.  


F. Ramzi Asfour, MD


Dr. Ramzi Asfour has worked extensively in the treatment and prevention of infectious diseases since 2004. He has developed and managed infection prevention and antimicrobial stewardship programs for hospitals and long term care facilities while working in the field as a consultant, educator and project manager. Dr. Asfour has personally worked in over 30 long term care facilities and truly understands their unique concerns.


He has a proven track record of improving compliance, efficiency and ultimately patient care in numerous facilities. ​​Dr. Ramzi Asfour leverages his expert knowledge in health care based on his experience in public health (WHO and Columbia University) and in his over 10,000 unique patient visits in hospitals around the San Francisco Bay Area.


Dost Sarpel, MD


Dr. Dost Sarpel completed his Internal Medicine Residency and Infectious Disease Fellowship at the George Washington University Hospital in Washington D.C.  After finishing his fellowship, Dr. Sarpel has worked as consultant for many hospitals throughout the East Bay area in California.  During this time he was a key part in managing Infection Control and Antibiotic Stewardship programs at numerous hospitals and long term care facilities. 


Dr. Sarpel also completed additional training in Viral Hepatology under the mentorship of Dr. Douglas Dieterich, a world renowned hepatologist. Dr. Sarpel has noted expertise in treating patients with HIV, chronic hepatitis C, or chronic hepatitis B as well as patients with co-infection of these viruses, and has given many lectures as well as published several papers on these topics. 

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Maryanne Caruso, RN, CPHQ, CIC

Director of Clinical Education

Maryanne Caruso started her clinical career first as a Zoology major at UMASS Amherst, then in Boston as an RN graduating from Laboure College, class of 1981. Her clinical experience includes nursing in acute and intensive care, emergency, maternal child, and rehabilitation. In addition to direct patient care, she has extensive hospital director level experience in healthcare quality management, infection prevention & control, and clinical education, earning her health care quality management board certification in 2004, and infection prevention & control board certification in 2011. While working as Director of Infection Prevention near Nashville Tennessee, she learned from the CDC’s Emerging Infections program, OSHA, and Tennessee’s Syndromic Surveillance Program. Maryanne’s hospital performance improvement measures received commendations for best practice from The Joint Commission, and both acute and rehabilitation facility surveys with perfect infection prevention program results. Her Quality and ICP Director experience includes skilled care and rehabilitation settings, and a good understanding of the unique needs of patients and staff in the sub acute and long term care settings. As Director of Clinical Education, Maryanne has been an effective energetic leader and innovator in staff and patient education. When not working on clinical projects, Maryanne enjoys gardening and raising puppies with her husband for service work.


Maricar Telmo,  RN, MSN, CIC

Infection Preventionist

Maricar Telmo is a registered nurse with over 22 years of experience in acute care, skilled nursing facility, ambulatory care and the home care setting. She has also worked as clinical instructor to vocational nursing program. Maricar studied her BSN in the Philippines and took her MSN in University of San Francisco and holds a certification for both Clinical Nurse leader and Infection Control. She began her career as a nursing assistant in skilled nursing facility and eventually became the Director of Nursing.


Currently she works as an Infection Preventionist. Maricar is very passionate about the world of infection control and prevention. She is a board member of the San Francisco Association of Professional in Infection Control, (APIC) chapter. She attends yearly national conferences for infection control to gain knowledge and bringing strategies and lessons learned to improve Infection Control programs.


Alicia Antonio,  RN, MSN, CIC

Infection Preventionist

Alicia Antonio has been a registered nurse for more than 20 years. She has worked in many fields, from the post-acute to acute care settings. Alicia has been an Infection Prevention Nurse for the last 8 years of her career. She specializes in Infection Prevention where she has successfully lowered Hospital Acquired Infections (HAIs) as a task force leader and been in collaboration with nursing units in numerous magnet hospitals in the bay area.  


Alicia earned her nursing degree in 1993 from Far Eastern University in Manilla, Philippines. In 1997 she passed her board of registered Nursing in California.  Most recently she completed her master's degree in nursing in 2012 while balancing her ongoing career and family.  One of Alicia's passions is working to improve the quality of care in long term care facilities. Alicia prioritizes regular exercise and travel with her family and husband. 

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Tom Smith

Chief Operations Officer

Tom has extensive experience in corporate operations, having most recently served as the Managing Director over Corporate Operations with Jensen Investment Management, a $10 billion asset management firm headquartered in the Portland, Oregon area. Having helped revenue quintuple while only doubling expenses during his tenure, Tom left Jensen in 2018 to pursue interests and opportunities outside the world of finance.


Today he operates as an angel investor, entrepreneur and small business advisor. Tom earned his MBA in business and non-profit management from the Atkinson Graduate School of Management at Willamette University, and his BA in Philosophy from UCLA. In his spare time, he can be found spending time with his wife and two sons, be it on the trail backpacking and mountain biking or in the rehearsal studio working the saxophone.

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Michael D. Stevens

Business Development

Michael D. Stevens has over 20 years of experience in business development, sales and marketing with a wide variety of customers in the healthcare, government and insurance industries. As an executive with IBM and several consulting firms, he has worked with both healthcare providers and payers, along with government agencies at all levels in the U.S. and companies throughout Europe and Asia.


His marketing experience comprises the full range of activities – from thought leadership through customer advocacy.  Mr. Stevens is an accomplished speaker, communicator and writer, and has extensive experience as a teacher and trainer.

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Tiffany Brackens

Executive Administrator

Tiffany's high-level organizational and administrative experience stretches the project management spectrum: Customer relationship management (CRM); market research; event coordination; webinar setups; grant proposal design; fundraising; and video editing, to name but a few. Enthusiastic, committed, flexible, and efficient, Tiffany's learning curves are short, and she is always excited to branch out for new challenges. Tiffany's range of interests extends to her work – bring on any project, and Tiffany is readily hands-on in both knowledge and execution. Detail-oriented, Tiffany welcomes all levels of a task, in any type of task.


Enhanced by her BS in Computer Science, Tiffany brings extensive technological savvy and people-skilled broad-mindedness to every professional role. She has excelled in a wide array of functions – from sales, billing, meeting planning, scheduling, training, and documenting and maintaining office processes. Tiffany is a dynamic, resourceful, and energetic individual who is comfortable with being the go-to person for anything related to the seamless running of an office.

Book A Free First-time Consultation

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Our mission is to help organizations interpret and customize guidelines to develop and implement a best in class, comprehensive infection prevention program.


(888) 461-3932

Fax: (888) 474-3767

P.O Box 5010, Larkspur, CA 94977


9 am to 5 pm on Weekdays
On call by prior arrangement


© 2020 Capsid Consulting.  All rights reserved.