Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.64(a) | The ceiling fan cover in the common bathroom of the home was covered in a thick layer of what appeared to be dust. The glass light shades in this bathroom had a thin layer of what appeared to be dust. | Clean and sanitary conditions shall be maintained in the home. | The upstairs bathroom site was thoroughly cleaned and disinfected in all areas on the same day. CRHS will ensure that staff consistently clean and disinfect all areas, including ventilation and lighting systems, on a daily basis to prevent dust accumulation, regardless of whether the area is in use. |
02/13/2025
| Implemented |
6400.68(b) | At the time of inspection, the hot water in the Individual's bathroom measured 123°. Hot water in the home shall be maintained at or below 120°. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | CRHS promptly contacted the maintenance team regarding the water temperature issue, which was resolved on the same day. Moving forward, staff are responsible for checking the water temperature during fire drills to ensure it remains within the appropriate range and call maintenance immediately to make adjustments when needed. |
02/13/2025
| Implemented |
6400.104 | The notification to the local fire department on file was dated 4/30/19. The letter indicates that the home is empty and was not updated to reflect the admission of an individual on 6/26/19. Notification to the local fire department must be kept current. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| CRHS updated and submitted all local fire department notifications for its residential sites on February 20, 2025. Moving forward, CRHS must update and submit these notifications annually or whenever there are changes to the home or the number of individuals residing there. |
02/20/2025
| Implemented |