336403366-8-2-2024-18-AS-TDAN-DBZVXG-20241216154930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 08/02/2024
Date Signed: 08/02/2024 02:32:45 PM

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
06/03/2024 and conducted by Evaluator Sara Martinez

COMPLAINT CONTROL NUMBER: 18-AS-20240603143759

FACILITY NAME:	WINDSOR COURT ASSISTED LIVING		FACILITY NUMBER:	336403366
ADMINISTRATOR:	AURELIEN FRUIT		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:	08/02/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Director of Nurses - Carmina Meza		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff do not ensure that resident's grooming needs are met
Staff not responding to resident calls in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conclude the investigation into the allegation listed above. LPA met with Director of Nurses Carmina Meza and explained the purpose of the visit. LPA’s complaint investigation consisted of a tour of the interior/exterior areas of the facility, observations, interviews with staff and residents, and records review of requested pertinent documents.

Regarding the allegation “Staff do not ensure that resident's grooming needs are met” it was reported staff are not assisting residents with their grooming needs. Interview with five (5) out of six (6) residents reported staff are assisting residents with their grooming needs. Interview with Resident One (R1) reported they receive showers from caregivers twice a week has not experienced issues with caregivers assisting R1 with their activities of daily living (ADL). Interviews with four (4) staff revealed staff are assisting residents with their grooming and hygienic needs as much as possible. Records Review of R1 and Resident Two (R2) progress notes reveal they receive showers twice a week.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Sara Martinez	TELEPHONE: (951) 605-0913
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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-20240603143759

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: 08/02/2024

NARRATIVE

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LPA observed multiple residents in care during visits to be clean and well groomed. Therefore based on observation, interviews and record reviews, the allegation has been deemed Unsubstantiated at this time.

Regarding the allegation “Staff do not answer residents' call buttons in a timely manner”, it was reported residents have to wait more than an hour to receive assistance from staff. LPA interviewed five (5) out of (6) residents who reported staff respond to the call buttons in a timely manner and they did not have to wait more than an hour to receive assistance. Interview with four (4) staff reported the front desk or the lead caregiver will communicate with the caregivers when a call button was pulled via walkie talkies and staff will respond to the resident’s call buttons request in an appropriate amount of time. Staff will attend to the residents’ call button request within a reasonable amount of time depending on if all staff are currently assisting other residents. Staff schedule review for June 2024 and July 2024 revealed AM shift has 3 caregivers and 1 MedTech, PM shift has 3 caregivers and 1 MedTech, and NOC shift has 2 caregivers and one MedTech. LPA observed call light system located in the front desk. During the initial visit, LPA observed receptionist use a walkie talking to inform caregivers about a call light button being activated and a caregiver responding to the receptionist acknowledging the resident’s request. Investigation did not reveal documents to corroborate nor refute call time responses. Therefore based on observation, interviews, and record reviews, the allegation has been deemed Unsubstantiated at this time.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided Director of Nurses Meza.

SUPERVISOR'S NAME: Tricia Danielson	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Sara Martinez	TELEPHONE: (951) 605-0913
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC9099 (FAS) - (06/04)

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