Routine inspection·March 27, 2023

On 03/27/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrators Michelle Ligon and Jocelyn Ligon. Administrators arrived a short time later. LPA toured the facility with Administrators. LPA toured the facility kitchen. LPA observed an adequate food supply. Resident bedrooms were checked. There are 4 private rooms and 1 shared room. Bedrooms observed to have all required furnishings. LPA toured the resident bathrooms, LPA observed the faucet in bathroom 2 to be leaking with a paper towel wrapped around it to absorb the leaking water. LPA measured hot water temperature. Hot water measured at 117.8 degrees F. LPA toured the exterior of the facility. All pathways and exits were clear from obstructions. Smoke detector and carbon monoxide detector observed to operational during this inspection. First Aid kit observed to have all required items. LPA will return at a later date to review resident medications and records, and staff records. A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator, Michelle Ligon, whose signature on this form confirmed receipt of this document.