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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 06/29/2025
Date Signed: 06/29/2025 12:14:12 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
11/30/2022 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221130170150
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: 127DATE:
06/29/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Administrator Aurelien FruitTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Facility did not report that resident was missing
Resident's needs are not being met.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with Administrator Aurelien Fruit and explained the purpose of the visit.

The investigation consisted of the following: During the initial visit conducted on 12/08/2022, LPA Colvin conducted preliminary interviews and collected documents from prior resident's (R1) file. On 06/28/2025 LPA Gutierrez interviewed Administrator, Staff #2- Staff #4, and Residents #2 -Residents #14.LPA obtained copies of the following documents: staff roster, resident roster, R1’s physicians report (LIC 602), face sheet, admission agreement, POA documents, and rent receipts. During today’s visit LPA Gutierrez interviewed two additional staff S5-S6 and delivered findings.

SEE 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2025
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 2
Control Number 18-AS-20221130170150
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: 06/29/2025
NARRATIVE
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In regard to the allegation “Facility did not report that resident was missing”, It is alleged that R1 was missing for two weeks. During interviews with Administrator and staff six (6) out of six (6) stated that to their knowledge no resident had ever been missing for two weeks. Administrator stated that residents can leave at any time, but they check in with the office so that its notated. During interviews with residents thirteen (13) out of fourteen (14) stated to their knowledge no resident has ever went missing. During record review there were no notes or complaints from POA indicating that R1 was ever missing from facility.

In regard to the allegation” Resident's needs are not being met”, it is alleged that R1 was found on bed in pile of clothes shivering and was in a shared room instead of private room. During interviews with Administrator and staff six (6) out of six (6) stated that no resident has ever been neglected. Administrator stated that R1’s health rapidly declined and was placed on hospice care until passing. It was also stated that R1 initially had a private room but due to cost POA had switched to a shared room. During interviews with residents twelve (12) out of fourteen (14) stated that staff meets their needs and thirteen (13) out of fourteen (14) felt safe with staff.

Based on interviews conducted, and information that was gathered, there is insufficient evidence to support the allegation(s). Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

A copy of this report was given to the Administrator.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2