Senior Care Records.

Complaint Investigation Report

Spring Lake Village, Santa Rosa02/07/2025Licence 490107656

Census357
Date signed02/07/2025 10:57:18 AM
The inspector’s account

490107656-2-7-2025-21-AS-VBEI-DDV2AH-20250213161332

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/30/2025 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20250130111931

Staff did not ensure facility was kept free of mold

Licensing Program Analyst Leibert arrived unannounced for the purpose of investigating this complaint. LPA met with the Administrator and privately with the residents of the apartment which is the subject of this complaint. The following determinations are made: An anonymous Complainant has alleged that staff have not ensured that facility is free from mold; Resident (R1) first noticed possible mold in apartment, located in the independent section of the facility, and notified management on 1/26/2025; Management responded on 1/27 with a maintenance team and remediation group assessed the situation and determined there was mold in the bathroom and laundry room of the apartment; repairs were began immediately; R1 states that the facility management responded to R1's report quickly and that there has been ongoing repairs made to the areas where mold was found; R1 has stated satisfaction with the facility's response and indicates the response was timely. Based upon observations and statements, this complaint is UNFOUNDED, meaning that it is false or without a reasonable basis. Complaint is DISMISSED.

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