| 6400.68(b) | At 11:25AM, the hot water temperature measured 131.0 F in the shower of first floor bathroom off the main hallway. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Community Living Care, Inc.
Corrective Action Plan ¿ North Second
The area of non-compliance was identified as follows:
6400.68(b) At 11:25am the hot water temperature measured 131.0 F in the shower of the first floor bathroom off the main hallway.
Individual Corrective Action Plans:
6400.68(b) Maintenance turned the water temperature down at North Second on May 1st, 2019 directly after it was identified by the ODP licensing, reading 119o.
Systemic Corrective Action Plan:
PA Avenue, Marilou, Pitcairn, Walters, Jane, Washington, Meadowbrook, Center, Willow and Harcourt were checked May 1st by the ODP Licensing and were all compliant.
The remaining homes were monitored for compliance with 6400.68(b) and found to be in compliance.
(See attached chart)
As the water temperature checked across all sites was compliant, there is no systemic Corrective Action Plan necessary. However, during the review of this non-compliance it was discovered that supervisors do not consistently record the water temperature on the 6400 checklist that CLC has supervisors complete monthly; sometimes they only record a ¿C¿ for compliant. This checklist is submitted by the 10th of each month to the Program Specialists for their review. The checklist has been changed as of May 15th to highlight this regulation item and wording for this item was changed to increase likelihood that the actual temperature is recorded. Program Specialists have received training to ensure their review of these documents are thorough and include follow up action as needed on all items including obtaining an actual temperature reading when it is not present on a checklist. (checklist and training attached). |
05/31/2019
| Implemented |