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IPAC Compliance Readiness Audit for LTC & Retirement homes!

We help you to prepare, protect, and prevent compliance risks

It's your Home Audit Ready?

Long-Term Care and Retirement Homes are facing increased inspections when it comes to Infection Control. Oversights can lead to serious consequences: citations, financial penalties, and increased health risks for both residents and staff.

But here’s the good news: we’re here for you!

This audit was designed by our IPAC Consultants. Your results will provide a clear guide to identify gaps and improve your readiness!

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Category: IPAC Governance

An IPAC Lead is appointed and actively engaged in program oversight.

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Category: IPAC Governance

IPAC policies and procedures are aligned with the latest regulatory requirements and best practice. 

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Category: IPAC Governance

An annual IPAC Program Evaluation has been completed.

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Category: IPAC Governance

There is a structured process for reviewing and updating IPAC policies, and SMART goals have been established, at least annually. 

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Category: IPAC Governance

IPAC Committee meets regularly (at least quarterly) to review compliance, the progress of the IPAC program, and outbreak response plans. 

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Category: Staff Training & Competency

All staff receive mandatory IPAC training upon hire and annually thereafter.

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Category: Staff Training & Competency

Training records are documented and accessible for audits, including training provided during huddles and just-in-time education. 

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Category: Staff Training & Competency

Staff demonstrate proper hand hygiene techniques during audits/observations, for a minimum of 15 seconds. 

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Category: Staff Training & Competency

PPE usage and donning/doffing protocols are actively monitored and reinforced. 

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Category: Staff Training & Competency

Department-specific IPAC training is provided for nursing, dietary, environmental services, and recreation. 

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Category: Outbreak Preparedness and Response

A written outbreak management plan is in place and reviewed with all staff, at least annually. 

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Category: Outbreak Preparedness and Response

Staff understand their roles in outbreak response, including cohorting and isolation of residents. 

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Category: Outbreak Preparedness and Response

Supplies (PPE, hand hygiene supplies, disinfectants) are adequately stocked. 

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Category: Outbreak Preparedness and Response

Communication protocols are established for reporting outbreaks to regulatory bodies, even in the absence of the IPAC Lead. 

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Category: Outbreak Preparedness and Response

Post-outbreak evaluations are conducted to improve future responses, and written action plans are established. 

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Category: Environmental Cleaning & Disinfection

Routine and discharge cleaning schedules are followed and documented. 

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Category: Environmental Cleaning & Disinfection

Only medical-grade, facility-approved disinfectants are used at the correct contact times. 

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Category: Environmental Cleaning & Disinfection

High-touch surfaces are disinfected at least twice per day, and is documented. 

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Category: Environmental Cleaning & Disinfection

Housekeeping staff receive ongoing IPAC-specific training. 

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Category: Environmental Cleaning & Disinfection

Audits are conducted regularly to assess cleaning effectiveness, and audit results are shared with the IPAC Committee. 

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Category: Audit readiness & compliance documentation

Regular program audits are conducted to ensure IPAC compliance, at least quarterly. 

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Category: Audit readiness & compliance documentation

Previous audit findings have been addressed with corrective action plans and with SMART goals. 

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Category: Audit readiness & compliance documentation

All required documentation (policies, training records, audit reports) are organized and accessible.

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Category: Audit readiness & compliance documentation

Senior leadership is engaged in compliance oversight and are involved in the IPAC program. 

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Category: Audit readiness & compliance documentation

Mock audits are conducted to prepare staff for inspections. 

Congrats, you’ve completed your audit!

Your results provide a clear roadmap to compliance, and we’re here to guide you every step of the way.

Learn More!

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