336403366-1-23-2025-18-AS-JDHS-DDE2PM-20250129163434

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 01/23/2025
Date Signed: 01/23/2025 11:24:00 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
06/21/2024 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20240621162245

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:	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 did not ensure resident's restroom was not leaking
Staff did not ensure resident's restroom was free of mildew
Staff made inappropriate comments towards resident

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 June 21, 2024, Community Care Licensing received a complaint alleging that facility staff did not ensure the resident's restroom was not leaking, staff did not ensure the resident's restroom was free of mildew, and staff made inappropriate comments towards the resident. It was alleged that the facility staff did not ensure the resident’s restroom was not leaking.

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-20240621162245

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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In regards to the allegation that staff did not ensure resident’s restroom was not leaking, on June 17, 2024, a leak in the dining room was observed. Maintenance Director, Anthony Brown, indicated that the leak was from R1’s shower. During the facility inspection, LPA observed the leak. A work order was created on June 14^th and the leak was repaired on June 20th. Administrator corroborated the information and stated that the leak was fixed within 48 hours. Administrator stated during that time, R1 was offered to use the communal shower, but R1 refused. It was reported that Administrator spoke inappropriately to R1, by advising that the use of the communal shower was “not that bad.” Administrator denied making the inappropriate comment to R1. Information obtained from R1 stated that inappropriate comments were made. On a subsequent visit, LPA observed R1’s restroom to be in good repair and did not observe any leaks. LPA was unable to interview R1’s roommate.

It was also alleged that staff did not ensure the resident's restroom was free of mildew. R1 indicated that there was mildew in the restroom due to the leaks. During visits, LPA did not observe any mildew in the restroom. Administrator indicated that the rooms were free from mildew. LPA interviewed staff members who indicated no issues within the facility. LPA interviewed other residents who indicated that the facility was free from mildew.

Based on the information obtained during the investigation, this agency has investigated the allegations that staff did not ensure the resident's restroom was not leaking, staff did not ensure the resident's restroom was free of mildew, and staff made inappropriate comments towards the resident and determined that allegations 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.

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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