336403366-10-4-2023-18-AS-JDHS-CWGNNU-20231010103720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 10/04/2023
Date Signed: 10/04/2023 12:07:50 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 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
08/15/2023 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20230815144142

FACILITY NAME:	WINDSOR COURT ASSISTED LIVING		FACILITY NUMBER:	336403366
ADMINISTRATOR:	PATRICK MCADOO MORTON		FACILITY TYPE:	740
ADDRESS:	201 S. SUNRISE WAY		TELEPHONE:	(760) 327-8351
CITY:	PALM SPRINGS	STATE: CA	ZIP CODE:	92262
CAPACITY:	130	CENSUS: 129	DATE:	10/04/2023
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator, Aurelien Fruit		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff did not prevent a resident from kicking another resident while in care
Staff did not prevent a resident from engaging in inappropriate sexual interactions with another resident
Staff are mishandling a resident's medical needs while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced visit to commence a complaint with the above allegations. LPA met with Administrator, Aurelien Fruit, where LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observation, interviews with staff members and residents, and record review.
On 08/15/2023, Community Care Licensing received a complaint alleging that staff did not prevent a resident from kicking another resident while in care, staff did not prevent a resident from engaging in inappropriate sexual interactions with another resident while in care, staff do not repair the facility's elevators, and staff are mishandling a resident's medical needs while in care.
In regards to the allegation that staff mishandling the resident’s medical needs while in care. It was reported that staff missed medication distribution for Resident #1. Residents indicated that they have their medical needs met and if medical needs were requested, the request was fulfilled by the facility within a reasonable time period. LPA reviewed medication and record of the MARS log which appeared to have been distributed and logged correctly. No issues or concerns were advised.
(Continued on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-248-0319
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230815144142

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WINDSOR COURT ASSISTED LIVING	FACILITY NUMBER: 336403366
	VISIT DATE: 10/04/2023

NARRATIVE

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(Continuation from 9099)
In regards to the allegation that staff did not prevent resident from kicking another resident in care. It was also reported that facility staff did not prevent a resident from engaging in inappropriate sexual interactions with another resident while in care. Information obtained from interviews indicated that the residents can report any health and safety concerns to the Administrator and have their issues resolved by the facility. LPA reviewed documents in relation to the allegation, which revealed that the facility took active measures to switch out roommates due to incidents.
Based on interviews, the allegations that staff did not prevent a resident from kicking another resident while in care, staff did not prevent a resident from engaging in inappropriate sexual interactions with another resident while in care, staff do not repair the facility's elevators, and staff are mishandling a resident's medical needs while in care., may have occurred, however is not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time.
An exit interview was conducted, and a copy of this report, appeal rights were discussed with and provided to the Administrator, Aurelien Fruit.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-248-0319
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 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
08/15/2023 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20230815144142

FACILITY NAME:	WINDSOR COURT ASSISTED LIVING		FACILITY NUMBER:	336403366
ADMINISTRATOR:	PATRICK MCADOO MORTON		FACILITY TYPE:	740
ADDRESS:	201 S. SUNRISE WAY		TELEPHONE:	(760) 327-8351
CITY:	PALM SPRINGS	STATE: CA	ZIP CODE:	92262
CAPACITY:	130	CENSUS: 129	DATE:	10/04/2023
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator, Aurelien Fruit		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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9

Staff do not repair the facility's elevators

INVESTIGATION FINDINGS:

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3
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13

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced visit to commence a complaint with the above allegations. LPA met with Administrator, Aurelien Fruit, where LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observation, interviews with staff members and residents, and record review.
On 08/15/2023, Community Care Licensing received a complaint alleging that the facility did not repair its elevators. During LPA visit on 08/18/2023, LPA observed all three (3) elevators to be in working condition. Information from the Administrator, Aurelien Fruit and staff interviews revealed that the facility has documented elevator repairs and work orders. There was no information or documentation to prove that the elevators were out of commission, or additionally that one or two of the three elevators in the facility, were not available for usage, while one was out of service. Interviews from the residents indicated that elevators are available for usage and there is always an elevator available if one was down for maintenance. Therefore, this allegation is unfounded. This agency has investigated the complaint alleging (indicate the complaint allegation). We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-248-0319
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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