336403366-3-21-2025-18-AS-APEZ-DG82ER-20250429172022

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 03/21/2025
Date Signed: 03/21/2025 04:02:55 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
03/18/2025 and conducted by Evaluator Seo Jeon

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250318143624

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: 126	DATE:	03/21/2025
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Aurelien Fruit, Administrator		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff did not ensure the facility was free of pests

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to investigate the allegation mentioned above. LPA met with Aurelien Fruit, Administrator, and explained the purpose of the visit.

On March 18, 2025, Community Care Licensing received a complaint report alleging that staff did not ensure the facility was free of pests. LPA's investigation involved a comprehensive review of the facility records, thorough inspection of the facility kitchen, hallways, and residents’ rooms. LPA also conducted resident/staff interviews.

The records review included four (4) reports (summary of services) from a pest control company for past 2 months. LPA’s records review revealed the facility has regular weekly/monthly services from a pest control

Continued on LIC9099-C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Seo Jeon	TELEPHONE: 951-248-0309
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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-20250318143624

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: 03/21/2025

NARRATIVE

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company. LPA’s kitchen inspection revealed the facility kitchen was free of any pests. LPA inspected all areas of the facility kitchen including under the kitchen sinks. LPA inspected hallways and random residents’ rooms and did not find any pests or any sign of.

LPA conducted ten (10) resident interviews and twelve (12) staff interviews. Ten out ten residents interviewed have not seen or heard of any pest issues in the facility. Twelve out twelve staff interviewed have not seen or heard of any pest issues.

Based on interviews, observation, and records review, staff did not ensure the facility was free of pests is determined to be Unsubstantiated. A finding of Unsubstantiated means that the allegation may have happened or is valid, but there is no preponderance of evidence to prove that the alleged violation occurred.

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

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Seo Jeon	TELEPHONE: 951-248-0309
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC9099 (FAS) - (06/04)

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