Observations
Based on a physical plant inspection, the facility failed to keep the water temperature from exceeding 120 degrees Fahrenheit. The bathroom had a water temperature of 129 degrees Fahrenheit.These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
1. PLAN OF CORRECTION
The facility will correct the cited area of noncompliance regarding water temperature by lowering the hot water
heater thermostat settings to ensure hot water at all resident-accessible fixtures does not exceed 120 degrees
Fahrenheit. Immediately following the inspection, the hot water tank mixing valves were adjusted, and the
bathroom water temperature was successfully re-tested and verified to be within safe regulatory limits.
2. PERSONS RESPONSIBLE
Director of Female Operations and Director of Male Operations
3. PREVENTION PLAN
To prevent this physical plant issue from happening again, the facility has implemented a mandatory Water
Temperature Log. Staff members will conduct weekly testing of water temperatures at various resident
accessible fixtures across the property using a calibrated digital thermometer. The weekly temperature readings
will be documented on a physical tracking sheet. The directors will review these logs on a monthly basis. If any
reading approaches 120 degrees Fahrenheit, immediate maintenance adjustments will be triggered.
4. CORRECTIVE ACTION / COMPLETION DATE
06/16/2026
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