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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 05/02/2025
Date Signed: 05/02/2025 01:59:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
02/24/2022 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220224100404
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: 125DATE:
05/02/2025
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Aurelien Fruit, AdministratorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Facility did not provide notice to residents of rent increase.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegation. LPA met with Aurelien Fruit, Administrator, who was informed of today's visit. The Department investigation involved interviews with staff and review of records.

The Department staff reviewed a sampling of five (5) files for residents participating in the Assisted Living Waiver (ALW) Program who reside at the facility. The Department staff additionally requested and reviewed the billing history from the facility for the time period of November 2021 - February 2022. The Department staff additionally interviewed the facility staff regarding the rate increase and the notice that was sent out to the residents regarding this increase. The Department staff observed the residents were provided with a written notice of rate increase on or around 2/6/2022 stating that due to the Social Security Income (SSI) benefits increasing for the year 2022, the rate payable for services provided by the facility would be increasing as well.
Continued on LIC9099-C.....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2025
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-20220224100404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WINDSOR COURT ASSISTED LIVING
FACILITY NUMBER: 336403366
VISIT DATE: 05/02/2025
NARRATIVE
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This notice provided residents with the new benefit amount allotted by SSI, and the new "amount payable for basic services". Nowhere in the notice did it clearly outline what the residents would be charged and what the effective date of this new charge would be. However, from review of the billing documents as well as interview with the facility staff, it was revealed the residents were charged the new monthly rate as of the date of the notice (around 2/6/2022) and that the facility additionally retroactively billed the residents for the same rate for prior month, January 2022.

The Department staff additionally observed in some of the resident files reviewed that in prior years the facility was able to increase the monthly rate for those residents receiving SSI when the SSI benefits increased. A rate increase notice was sent out to the residents informing them of the increase and providing them with notice it will be in effect on a specified future date.

Based on record reviews and staff interviews, the allegation that facility did not provide notice to residents of rent increase is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report was provided, along with a copy of LIC9099-C, LIC9099-D, and Appeal Rights were provided.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20220224100404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WINDSOR COURT ASSISTED LIVING
FACILITY NUMBER: 336403366
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/02/2025
Section Cited
HSC
1569.655(a)
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Health and Safety Code
(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice to the residents
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Administrator corrected the deficiency already in 2022.
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Based on record reviews and staff interviews, staff did not provide notice to residents of rent increase. This posed a potential health and safety or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3