What it asks for. The organisation must decide which changes are configuration controlled, review and approve proposed changes with security and privacy impact in mind, document decisions, implement approved changes, keep records, monitor and review change activity, and coordinate through a defined oversight body.
In practice. This means a change management process proportionate to risk: standard pre-approved changes, normal changes reviewed by a change board or peer review, and emergency changes reviewed after the fact. For infrastructure-as-code, pull request approval and pipeline logs serve as evidence. Auditors expect change records, approvals, test evidence and reconciliation of detected changes against approved ones. ITIL and ISO/IEC 27001 change management are closely related.
Common gaps. Unauthorised changes made directly in production consoles bypass the process. Security impact is often a checkbox rather than a real assessment.