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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 03/20/2023
Date Signed: 03/20/2023 12:42:02 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/14/2023 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230314153510
FACILITY NAME:WINDSOR COURT ASSISTED LIVINGFACILITY NUMBER:
336403366
ADMINISTRATOR:PATRICK MCADOO MORTONFACILITY TYPE:
740
ADDRESS:201 S. SUNRISE WAYTELEPHONE:
(760) 327-8351
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:130CENSUS: 123DATE:
03/20/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Patrick McAdoo, Administrator, Carminia Meza Dircetor of NursingTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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Illegal eviction.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct and investigation regarding the allegation listed above. The investigation consisted of observation, interview, record review.

Regarding the allegation illegal eviction. On March 14, 2023 the regional office received a copy of an eviction notice that was issued on March 13, 2023 to Resident #1 (R1). Interviews conducted and documentation reviewed revealed that R1 had asked for assistance from Staff #1 (S1), with uploading photos of a ring to their Ebay account. It was discovered that the ring was a Law school class ring that was engraved with Resident #2 (R2)'s name. R2 was not aware that the ring was "missing". (S1) handed R2 their ring which they thought was in their room in a box. R1 informed Administrator that R2 had brought a bunch of jewlery to their room for them to look the items up on ebay, early on March 13, 2023. The items were placed on R1's bed and a ring may have fallen off and under their bed.
***Continued on 9099c
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20230314153510
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WINDSOR COURT ASSISTED LIVING
FACILITY NUMBER: 336403366
VISIT DATE: 03/20/2023
NARRATIVE
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R1 denied having knowledge that the ring belonged to R2, however it is clear that R2's name is engraved inside the ring. In addition further documentation revealed that R2 had lost their credit card earlier in the day on March 13, 2023 and R1 had turned it in to R2 saying "there's only $14.00 on it".

Per the Administrator Patrick no further action was taken because R2 stated that they let R1 use their card to make a purchase. Administrator Patrick further stated that there was always a suspicion but no evidence to support the suspicion until recently. R1 has been found being in other resident apartments, and "things" go missing such as Resident #3 (R3) as gold plated scissors.

R1 denies having taking the ring and going to put it on ebay and stated that they found it under their bed. R1 did in fact have the intent to sell R2's ring without their knowledge. During conducted interview with LPA, R1 did admit that they like to sell things on ebay and normally use their laptop to do so. R1 had been warned in past about their behavior and was told what could potentially happen. The allegation of illegal eviction is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Therefore, the department had therefore dismissed the complaint.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2