This guide walks you through the core CAP lifecycle: creating CAPs from an audit, reviewing them internally, publishing to a delegate, capturing the delegate response, and finalizing remediation.

Scope of this guide: This guide covers the day-to-day Corrective Action Plan (CAP) workflow in Readily, from CAP creation through delegate response and remediation.

Phase 1: Understanding the CAP Dashboard and Statuses

This phase introduces the CAP dashboard and the statuses a CAP moves through as it cycles between your team and the delegate.

ℹ️ How a CAP flows: A CAP cycles between your internal team and the delegate. You initiate it from an audit, review it internally, then publish it to the delegate (Info Requested). The delegate responds with a root cause and action plan, which comes back to you for review. Once remediation is accepted, the CAP is

marked Remediated.

Step 1.1: Understand the CAP Tracker

Open the CAP Tracker from the left navigation. Every CAP is one row, and each CAP is made up of one or

more deficiencies. The tracker shows the key fields you will work from:

• CAP name, source (where it came from), and the delegate it is assigned to.

• Year, deficiency count, and status (whose court the ball is in).

• Next due date, which pairs with the status to show when something is expected.

• Assignee roll-up: if deficiencies have different assignees, the CAP shows all assignees involved.

• Last updated date, for a quick read on recent activity.

The CAP Tracker lists every CAP with its status, due date, and assignees.

Step 1.2: Locate the New CAP in the Tracker

A new CAP will populate in the CAP Tracker dashboard. It will Return to the CAP Tracker and find the CAP you just created. It will show start with an Open (untriaged) status, meaning nothing has been done yet and it has not yet been published to the delegate.

A newly created CAP appears in the tracker in Open status.

Grouped findings within the CAP.

Step 1.3: CAP Statuses

CAP statuses track whose court the CAP is in and what stage of the review-and-remediation cycle it's in:

This phase covers publishing reviewed CAPs to the delegate and setting the due date they need to respond by. Once published, the CAP moves to Info Requested and the clock starts on the delegate's response.

Step 2.1: Publish CAPs to the Delegate

From the completed-review stage, send the CAPs to the delegate.

• Select the reviewed CAPs and choose Assign CAPs to Delegate.

• Assign a delegate-facing due date at the time of publishing (required), set the points of contact, and publish.

Once published, the CAPs move to Info Requested: they are in the delegate’s court and you are waiting for a response. The tracker always shows the latest due date for the CAP.

Click Assign CAPs to Delegate.

Assign a delegate due date, then publish to move the CAPs into Info Requested.

Status changes to Info Requested when CAPs are assigned to a delegate.

This phase covers the full response-and-finalize cycle: the delegate submits their response, you review it and approve or reject the root cause and action plan, then accept remediation and finalize the CAP. The cycle repeats as needed.

Step 3.1: Delegate Enters Responses and Submits

From the delegate view, the delegate sees the CAPs published to them and awaiting response. For each deficiency they:

• Enter a root cause (a deficiency can have more than one).

• Add one or more action plans under each root cause, with a planned completion date.

• Upload evidence supporting the remediation, then save.

• Publish the responses back to the CAP issuer. Responses are published per CAP.

The delegate completes the CAP with Root Cause Analysis and Action Plan.

Once CAPs are filled out, the delegates publishes the CAP back to the CAP issuer.

Step 3.2: Review the Delegate Response

When the delegate submits, the CAP returns to your side and moves from "Awaiting Info" to Needs Internal Review. Readily logs the response date and sets a standard two-week timeline for your review. Open the CAP and review what was submitted:

• Approve the root cause if it is acceptable.

• Review the action plan; reject and send it back for revision if it does not meet requirements.

• Flag any items that need changes, then complete the review task to confirm you are done. The CAP returns to the "Submit Completed Review" stage.

CAP moves from “Awaiting Info” to Needs Internal Review.

Review the delegate’s root cause and action plan, approving or rejecting as needed.

Step 3.3: Accept Remediation and Finalize

From the completed-review stage, finalize the CAP:

• Accept the proposed remediation elements and add any final notes.

• Once all action plans are completed and validated, accept the full remediation and update the CAP status to Remediated.

• Submit your final review back to the delegate. The cycle repeats through response, review, remediation, and resubmission as needed.

Accept the full remediation and set the CAP status to Remediated.

Reference detail and edge cases that sit outside the core path above.

Each CAP contains one or more deficiencies, and each deficiency nests its own remediation detail:

• Deficiency — has a finding and a recommendation.

• Root cause analyses — a deficiency can have multiple (e.g., "no policy," "staff not trained").

• Action plans — one or more per root cause (e.g., "write policy," "update file"), each tracked separately with its own evidence, status, and timeline.

• Evidence — files attached to an action plan as proof of implementation, once the root cause and action plan are approved.

The reviewer can track implementation status, mark actions complete, or request additional work per action plan.

Each CAP has a comments thread shared between the delegate and the health plan. Use it for ad hoc clarifications or questions related to the CAP; comments go out to the delegate.

Readily keeps a complete history of each CAP — who updated items, performed actions, assigned tasks, created entries, and uploaded evidence — so you do not have to track it manually.

• Filter by source to show only a certain CAP type (e.g., incident, grievance, reporting, monitoring, ad hoc, or audit CAPs).

• Customize the dashboard by choosing the fields or categories you track, and star a source view as a favorite.

• Use the My CAPs toggle to filter down to CAPs you own or are assigned to.