Facility Evaluation Report

Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with Administrator Michelle Ligon.

Facility is licensed for 6 residents and has a current census of 6. There are 3 residents on hospice. Water temperature was checked in the kitchen which read at 111.2 degrees Fahrenheit and the common bathroom which read at 107.4 degrees Fahrenheit. Fire Extinguisher was serviced February 26, 2026 and is within the safety regulation period. Smoke and carbon monoxide detectors were tested and in working order.

Michelle Ligon Administrator's Certification is expired and currently pending. Jocelyn Ligon has a current Administrator's certificate. Staff files were reviewed S1 & S2 do not have the required annual training hours. Resident files were reviewed. Facility provided a log for disaster drills that are conducted monthly. First aid kit on site and complete. Toxins and cleaning supplies are locked and inaccessible. There is a locked storage for medications, but medication was also stored in separate containers in unlocked hutch behind kitchen table.

LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms, bathrooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean, properly furnished, with adequate lighting, and in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable.