Inspection Reports for Spring Lake Village

The visit was an unannounced Case Management-Incident inspection to follow up on a suspected adult/elder physical abuse incident (SOC341) involving two residents from the independent living section of the facility.

No deficiencies were observed or cited during the Case Management-Incident visit. The incident occurred in the Skilled Nursing Unit, which is outside the licensing jurisdiction, but responsible parties including law enforcement, Ombudsman, and CDPH were cross-reported.

The visit was triggered by a complaint of suspected adult/elder physical abuse (SOC341). The complaint was cross-reported to law enforcement (case #SR250010503), Ombudsman, and CDPH. The incident involved two residents from the independent living section.

An unannounced annual required inspection was conducted to evaluate compliance with licensing requirements at the facility.

The inspection found no deficiencies. The facility was compliant with safety, health, and care regulations, including fire safety, medication storage, and resident accommodations. Some staff had expired first aid/CPR certificates, resulting in a technical violation.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-01-30 alleging that staff did not ensure the facility was kept free of mold.

The investigation found that mold was present in the bathroom and laundry room of a resident's apartment, but the facility responded promptly with maintenance and remediation. The complaint was determined to be unfounded and dismissed, with no citations issued.

Complaint was unsubstantiated and dismissed. The allegation was that staff did not ensure the facility was kept free of mold. Resident reported mold on 2025-01-26, management responded on 2025-01-27 with remediation and repairs. Resident expressed satisfaction with the timely response.

The inspection was an unannounced Required-1 Year Inspection conducted to evaluate compliance with licensing regulations and facility safety standards.

The facility was found to have two main deficiencies: unlocked housekeeping/cleaning carts with accessible disinfectants posing a safety risk, and missing evacuation chairs at multiple stairwells. Other aspects such as resident and staff file reviews, emergency plans, infection control, and fire safety were compliant.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-02 regarding allegations of fraudulent billing at the facility.

The investigation found that a glitch in the facility's electronic billing system caused billing errors, which have since been addressed with affected residents either credited or billed appropriately. There was no evidence of ill intent or malice, and the complaint was determined to be unsubstantiated.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove that the alleged abuse (fraudulent billing) occurred.

Unannounced complaint investigation visit conducted due to an allegation that staff refused to administer medication to a resident.

The investigation reviewed medication administration records and observations, concluding that the allegation was unsubstantiated as the facility administered medications appropriately and the resident declined medication when offered.

The complaint alleged that staff refused to administer medication, including Morphine and Lorazepam, to Resident 1 on multiple dates in December 2023. The investigation found no preponderance of evidence to prove the alleged violations occurred, resulting in an unsubstantiated finding.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-02 regarding allegations of personal rights violations related to fraudulent billing.

The investigation found that the facility experienced a glitch in their electronic billing system which caused billing errors. The issue was addressed, residents were credited or billed appropriately, and there was no evidence of ill intent or malice. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint involved allegations of personal rights violations due to fraudulent billing. The complaint was found to be unsubstantiated.

The inspection was conducted as a Case Management - Annual Continuation visit to review compliance with licensing requirements.

No deficiencies were cited during the Case Management-Annual Continuation. Staff files, medication orders, and resident records were found appropriate. First Aid Certificates were not available for viewing and were requested.

The inspection was an unannounced Required 1 Year Inspection conducted to evaluate compliance with licensing regulations at Spring Lake Village facility.

The facility was found to be clean, well-maintained, and compliant with safety and health standards. One medication cart was found unlocked, and the Emergency Disaster Plan lacked the Community Care Licensing phone number, both issues were addressed with education. No deficiencies were cited during this inspection.

The inspection was an unannounced Case Management-Incident Inspection conducted to review a resident's file and interview the resident in care.

No deficiencies were observed or cited during the Case Management-Incident Inspection. An exit interview was conducted and a copy of the report was provided to the Executive Director.

An unannounced complaint investigation was conducted regarding an allegation that the facility was not allowing indoor visitations.

The investigation found that the facility required visitors to test for COVID before entering and did not allow unvaccinated visitors indoors even with a negative test. The facility had been following stricter visitation guidelines due to a COVID outbreak. Based on interviews and observations, the complaint was determined to be unfounded and dismissed.

The complaint alleged that the facility was not allowing indoor visitations. The complaint was investigated and found to be unfounded and dismissed.

The inspection was a Required-1 Year unannounced inspection focused on infection control practices and procedures at the facility.

No deficiencies were cited during the inspection. The facility was found to be in good repair with proper infection control measures including visitor screening, staff testing, and secured medication and toxin storage.

An unannounced Required – 1 Year inspection was conducted to evaluate compliance with licensing regulations for the assisted living and memory care facility.

The facility was found to be clean, well-maintained, and compliant with infection control measures including PPE use and vaccination rates. No deficiencies were cited during this inspection. Some guidance was provided regarding visitor screening and updating the mitigation plan for visitation.