336403366-1-11-2024-18-AS-TDAN-D6NQKJ-20240628121423

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 01/11/2024
Date Signed: 01/11/2024 09:23:39 AM

Unsubstantiated

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
01/26/2022 and conducted by Evaluator Jesse Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220126125405

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: 127	DATE:	01/11/2024
		UNANNOUNCED	TIME BEGAN:	08:16 AM
MET WITH:	Mariahoney Malasig, Business Office Manager		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Resident's engaged in a physical altercation resulting in resident sustaining injuries.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jesse Gardner arrived at the facility unannounced to deliver findings for the complaint investigation related to the above listed allegation. LPA met with Business Office Manager Mariahoney Malasig and explained the purpose of today’s visit. LPA then toured the facility. Administrator Aurelien Fruit arrived while in the facility.

During the investigation, the Department reviewed facility records, hospital records and law enforcement records. The Department also conducted interviews with the facility staff and residents.

*Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Jesse Gardner	TELEPHONE: (951) 205-2683
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

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-20220126125405

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: 01/11/2024

NARRATIVE

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It was alleged that due to staff’s neglect and lack of supervision, residents got into a physical altercation resulting in severe injuries. Facility interviews revealed facility staff reported seeing Resident 1 (R1) around the dining room and back patio area on the day of the incident. Staff also reported having checked on Resident 2 (R2) in their bedroom on an hourly basis on the same day. Neither resident had a history of aggression or assault. Therefore, no warnings were in place that would warrant staff taking measures to prevent such an occurrence. On the day of the incident, which as 01/24/2022, at approximately 5:30pm, a physical altercation took place, between R1 and R2, resulting in R1 suffering injuries to their face. After the residents were separated by facility staff, R1 was transported to a local hospital for evaluation and treatment.

As a result of the interviews conducted and records reviewed, it was determined that R1 erroneously entered R2’s room and a physical altercation ensued. According to resident interviews, R1 attempted to punch R2, and R2 defended themselves by punching R1.

According to all parties interviewed, staff were alerted to the altercation and responded immediately to separate the residents. Insufficient evidence exists to prove that this was as a result of facility staff’s neglect and/or lack of supervision as such the allegation is Unsubstantiated.

A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No citations are being issued as a result of this compliant investigation. An exit interview was conducted and a copy of this report was provided along with a copies of the LIC9099C, and LIC811 (confidential names list).

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Jesse Gardner	TELEPHONE: (951) 205-2683
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

LIC9099 (FAS) - (06/04)

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