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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 10/20/2023
Date Signed: 10/20/2023 10:37:02 AM

Unfounded


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
09/07/2023 and conducted by Evaluator Kathleen Banrasavong
COMPLAINT CONTROL NUMBER: 18-AS-20230907152452
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: 130DATE:
10/20/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Administrator, Aurelien FruitTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff are not emptying resident trash bins in a timely manner
Staff are not properly cleaning facility restrooms
Staff do not ensure facility patio furniture are cleaned
Staff do not keep dining room floor free from debris
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to commence a complaint investigation regarding the allegations listed above. LPA met with Administrator, Aurelien Fruit, and explained the purpose of the visit and the elements of the allegations. LPA Banrasavong conducted the investigation which consisted of observation, interviews with staff members and residents, and record review.

On 09/07/2023, Community Care Licensing received a complaint stating that staff are not emptying resident trash bins in a timely manner, staff are not properly cleaning facility restrooms, staff do not ensure facility patio furniture are cleaned, and staff do not keep dining room floor free from debris.
(Continued on 9099-C)
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-248-0319
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023
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 3
Control Number 18-AS-20230907152452
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: 10/20/2023
NARRATIVE
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(Continuation from 9099)
In regards to the allegation that staff are not emptying resident trash bins in a timely manner, it was reported that staff was not emptying Resident #1 (R1)’s trash in a timely manner. During the investigation, LPA observed the R1’s trash which did not corroborate the allegation. LPA made random visit to other resident’s room with their approval and did not observe any issues or concerns regarding the trash not being emptied. LPA spoke to R1 and R2, which is R1’s roommate and the residents denied that there were ever any issues regarding their trash not being emptied.

Regarding the allegation that facility staff are not properly cleaning facility restrooms and staff do not keep dining room floor free of debris, it was alleged that the bathroom was not sanitary and the trash was full. It was also stated that facility staff do not clean the dining room after mealtimes. During the LPA’s inspection of the facility, on multiple dates, the visitor’s restroom was clean and sanitary. The facility dining room was also observed to be free of debris. LPA interviewed residents that indicated that there were no issues or concerns regarding the cleanliness of the bathrooms, dining room, or facility.

The allegation that staff do not ensure facility patio furniture is cleaned. LPA made several field day inspections and observed the patio furniture to be in good repair and clean. LPA interviewed staff that indicated that they had a rotation list that they signed off on after they completed the cleaning for that area. Staff also indicated that they would clean and empty the trash more frequently if requested, in additional to the normal cleaning schedule. During interviews and record review, the LPA concluded that the facility has protocol in place to clean and disinfect the facility on a regular and consistent basis. It was advised and documented that the facility has a cleaning schedule that is completed throughout the day.
(Continued on 9099-C)
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-248-0319
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20230907152452
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: 10/20/2023
NARRATIVE
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(Continuation from 9099)

Based on LPA’s observation, interviews conducted, and record reviews, the preponderance of evidence shows that the allegations of staff are not emptying resident trash bins in a timely manner, staff are not properly cleaning facility restrooms, staff do not ensure facility patio furniture are cleaned, and staff do not keep dining room floor free from debris have been deemed as unfounded. This agency has investigated the complaint allegations and 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.

An exit interview was conducted, a copy of this report was provided to the Administrator, Aurelien Fruit as evidenced by his signature.
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-248-0319
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3