336403366-8-7-2024-18-AS-TDAN-DBZSQR-20241216130510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 08/07/2024
Date Signed: 08/07/2024 12:52:03 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
02/07/2022 and conducted by Evaluator Sara Martinez

COMPLAINT CONTROL NUMBER: 18-AS-20220207113002

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: 126	DATE:	08/07/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director of Nurses Carmina Meza		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Lack of staff to meet residents needs
Staff not responding to resident calls in a timely manner
Staff are medicating resident to keep resident calm.
Food service is inadequate

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

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 “Lack of staff to meet residents needs”, it was reported resident one (R1) and other residents admitted to the memory care unit were not getting the care and services needed due to lack of staff. LPA interviewed three (3) out of three (3) staff working at the facility in 2022 who denied the allegation. Interviews with staff revealed in 2022 the facility had three caregivers and one MedTech scheduled for AM shift and PM shift. NOC shift had two caregivers and one MedTech. Records of the staff schedule from 2022 could not be Interview obtained. Staff One (S1) revealed R1 needed more assistance and supervision but that did not prevent staff from providing needs and services to the other residents in care.

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: 08/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024

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-20220207113002

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: 08/07/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA was not able to interview R1 due to R1 no longer residing at the facility and R1’s contact information is not available. Therefore the allegation is unsubstantiated.

Regarding the allegation “Staff not responding to resident calls in a timely manner”, it was reported staff were not responding to call button requests in a timely manner. LPA’s interviews with three (3) out of three (3) staff who worked at the facility in 2022 revealed no corroboration to the allegation. Records of call button system response times were not available for review due to the call button system being lights flashing on and off on a switchboard. Interview with five (5) out of seven (7) residents currently residing at the facility reported staff response times to call button requests vary but staff respond in an adequate amount of time. Therefore the allegation is unsubstantiated.

Regarding the allegation “Staff are medicating resident to keep resident calm”, it was reported due to R1’s behaviors, medication was being administered to keep R1 calm. LPA’s interviews with three (3) out of three (3) staff who worked at the facility in 2022 denied over medicating R1 or the other residents in care. LPA conducted a record review of R1’s Medication Administration Record (MAR) but was not able to review R1’s medication due to R1 no longer residing at the facility. LPA was not able to interview R1 due to R1 no longer residing at the facility and R1’s contact information not available. LPA was unable to obtain evidence to corroborate or refute the allegation therefore the allegation is unsubstantiated.

Regarding the allegation “food service is inadequate”, it was reported the meals served to the residents in care are limited in quantity. Interviews conducted revealed facility receives two food supply deliveries a week. During the visit LPA observed for the facility food supply to meet the minimum requirements of a 2-day supply of perishable food items and a 7-day supply of nonperishable food items. Interview with three (3) out of three (3) staff working at the facility in 2022 revealed that meals served to the residents were not limited in quantity and quality. LPA’s interviews with six (6) out of seven (7) residents currently residing at the facility deny allegation of food service being inadequate. LPA observed facility had a restaurant style dining room and observed lunch menu that had an adequate amount of items to select from. LPA observed lunch being served during this visit and did not observe an inadequate amount of food being served to residents in care. Therefore the allegation is unsubstantiated.

Although the allegation(s) 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(s) is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to 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: 08/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2