336403366-1-23-2025-18-AS-JDHS-DDE2UH-20250129164221

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 01/23/2025
Date Signed: 01/23/2025 11:29:12 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
01/31/2024 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20240131110434

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:	01/23/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator, Aurelien Fruit		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Staff does not keep residents room free from odor.
Resident’s sink is in disrepair.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Kathleen Banrasavong, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Administrator, Aurelien Fruit, who explained the purpose of the visit and the elements of the allegation. The investigation included observations, interviews with staff members and residents, and a review of records.
On February 02, 2024, Community Care Licensing received a complaint alleging that facility staff does not keep residents' rooms free from odor and that the resident’s sink is in disrepair. It was alleged that the facility staff brought a mattress into Resident 1 (R1)’s room and the mattress smelled like urine. It was also alleged that the sink in R1’s bathroom was not draining due to being in disrepair. LPA interviewed Administrator who stated that the mattress was in good condition and did not have any urine odor. This information was corroborated by Business and Development Director, Samara Harris.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

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-20240131110434

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: 01/23/2025

NARRATIVE

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Fruit and Harris indicated that the urine smell could have possibly been caused by R1’s dog as it was observed that R1’s dog would urinate in the room. Information obtained from an interview with R1 stated that the smell was originated from the mattress. R1 denied that their dog was the cause of the urine smell present in the room. At the time of the inspection and follow up visits, the mattress was no longer in R1’s room. LPA interviewed R1’s current roommate, Resident 2 (R2), who indicated that they had no issues with the odor in the room. LPA interviewed other residents’ who indicated that the facility was free from odors. LPA did not interview R1’s previous roommate due to the fact that the previous roommate had moved out of the facility and LPA was unable to obtain contact.

Regarding the allegation that the sink was not in good repair, LPA interviewed Maintenance Director, Anthony Brown, who stated that the sink was in good repair. Maintenance Director indicated that the sink was operational and able to drain. Maintenance Director also noted that R1’s room did not have any work orders related to drain issues when he pulled up the work order history for the room. Observations during the LPA’s initial and subsequent visits showed that the sink was in good repair and draining properly. Information obtained from Resident stated that the facility took 24 hours to check the seals around the sink. LPA conducted a random sampling of residents regarding the facility’s condition. Information obtained from residents indicated that they had not experienced any issues with the facility being in disrepair. It was also stated that residents would submit a work order and the issue would be addressed in a reasonable amount of time. Information obtained from staff members also indicated that work orders are fixed within a reasonable amount of time.

Based on the information obtained during the investigation, the allegations that facility staff does not keep residents' rooms free from odor and that the resident’s sink is in disrepair are unsubstantiated. Although the allegations may have occurred or may be valid, there is not enough evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated.

An exit interview was conducted, and a copy of this report was discussed with and provided to the Administrator.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

LIC9099 (FAS) - (06/04)

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