Senior Care Records.

Facility Evaluation Report

Spring Lake Village, Santa Rosa10/02/2025Licence 490107656

Capacity679
Census20
Date signed10/02/2025 09:58:33 AM
Name of licensing program analystMarisol Cuadra
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA), Cuadra arrived unannounced at Spring Lake Village for the purpose of conducting a Case Management-Incident visit to follow up on SOC341 suspected adult/elder physical abuse. LPA met with with Dan Skillman Health Care Administrator and Director of Resident Health Services (RHS), Sharon Shnell-Hobbs. .

During this Case Management-Incident Inspection, LPA learned that this incident happened in the Skilled Nursing Unit, where Licensing does not have jurisdiction in this part of the facility, but LPA confirmed that the responsible parties including law enforcement case #SR250010503, Ombudsman and CDPH were cross reported.

LPA also followed up on a SOC341 submitted to CCL on 10/01/25. However, this incident is involving two residents from independent living section of the Spring Lake Village.

No deficiencies were observed or cited during today's Case Management-Incident visit.

Exit interview was conducted and a copy of this report was given to the Administrator.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction