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.

Example:

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.