Frequently Asked Questions

Understanding CDPHE Regulations & The Value of Independent Mock Audits

  • CDPHE conducts unannounced routine surveys and complaint investigations. Under recent state updates (SB22-154), civil penalties can reach up to $10,000 per violation. Proactive mock audits identify non-compliant practices—such as missing CAPS background portal verifications, medication log gaps, or hot water scalding risks—before state surveyors issue public citations or place holds on new admissions.

  • Under 6 CCR 1011-1 Chapter 2, Part 2.10.4(B), your facility has strictly 10 calendar days from receiving the report to submit an acceptable Plan of Correction (PoC) covering all 5 required elements. Phos Aletheia provides immediate 5-day PoC remediation support to draft your response, perform root-cause analysis, and rewrite failing protocols.

  • While we evaluate your facility using exact CDPHE survey standards across Chapters 2, 7, and 24, our role is protective and collaborative. We help your management team fix deficiencies behind closed doors, offering executive exit reports, custom SOP templates, and hands-on staff guidance without public posting or financial penalties.

  • We specialize in 6 CCR 1011-1 Chapter 7 (Assisted Living Residence Standards), Chapter 24 (Medication Administration & QMAP Standards), Chapter 2 (General License Standards), and C.R.S. § 26-3.1-111 (Mandatory CAPS Background Checks).

  • Absolutely. Prior to stepping foot on facility grounds or reviewing charts, we execute a formal Business Associate Agreement (BAA) and Non-Disclosure Agreement (NDA) to ensure 100% HIPAA compliance. No Protected Health Information (PHI) ever leaves your secure facility.

  • No, and that is your facility's biggest advantage. Phos Aletheia LLC is a strictly independent, private consulting firm. This means our mock audit findings are 100% confidential and are never reported to the state, giving you a safe runway to fix systemic issues.