We help providers address any non-compliances and write up their CAPA (Corrective and Preventive Action) to submit to Tusla.
Following inspection providers must submit a CAPA to demonstrate to the Inspectorate that they have effectively addressed any non-compliances found during inspection. The CAPA form is used to outline the Corrective and Preventive Action (CAPA) undertaken.
- Corrective Action
- This is the action taken to eliminate the non-compliance.
- Preventive Action
- This is the action taken to ensure the non-compliance won’t reoccur. It is on-going.
The provider must provide evidence to Tusla that the corrective and preventive action has been addressed.
- Non Compliance:
- There was no hot water available in the sanitary area.
- Corrective Action:
- A new boiler has been installed.
- Evidence of Corrective Action:
- The receipt from plumber and the plumbers report that hot water is now available and thermostatically controlled to 43°.
- Preventive Action:
- The water will be checked daily as part of daily risk check.
- Evidence of Preventive Action:
- Receipt for calibrated thermometer to check temperature and a copy of daily risk check.
Further Information and Guidance, notes (pdf) are available on the Tusla website.