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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 05/29/2026
Date Signed: 05/29/2026 02:07:31 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
10/08/2024 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20241008114454
FACILITY NAME:WINDSOR COURT ASSISTED LIVINGFACILITY NUMBER:
336403366
ADMINISTRATOR:AURELIEN FRUITFACILITY TYPE:
740
ADDRESS:201 S. SUNRISE WAYTELEPHONE:
(760) 327-8351
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:130CENSUS: DATE:
05/29/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Aurelien Fruit, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff do not answer resident's call button in a timely manner
Staff do not ensure resident's showering needs are being met
Staff do not ensure residents’ incontinence needs are being met
Staff do not ensure that resident's have clean linen
Staff are smoking inside the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to deliver findings of the above allegations. LPA met with Aurelien Fruit, Administrator, and informed them of the purpose of the LPA’s visit. The Department’s investigation involved interviews with staff and residents and review of records.

On October 8, 2024, Community Care Licensing (The Department) received a complaint report with the following allegations.

It was alleged that staff do not answer resident’s call button in a timely manner. Information received indicated that PM shift staff members did not respond to residents’ call button. LPA conducted interviews with nine (9) residents. Seven (7) residents interviewed stated that they were satisfied with staff’s call button response time. Two (2) residents interviewed stated that they have experienced delayed staff response time a few times in the past.
Continued on LIC9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
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 3
Control Number 18-AS-20241008114454
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: 05/29/2026
NARRATIVE
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LPA conducted interviews with five (5) staff members, all of whom stated that call button response time could vary depending on what the staff member were working on, but staff members usually responded in about 10 to 15 minutes. All five (5) staff members interviewed expressed that they had to finish what they were doing for a resident before they can respond to the next resident. Based on interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff do not answer resident’s call button in a timely manner. This allegation is unsubstantiated.

It was alleged that staff do not ensure resident’s showering needs are being met. Information received indicated that Resident #1 (R1) did not receive shower or bathing services. LPA conducted an interview with R1 who stated that they did not have any problems receiving bathing services from the facility staff members. R1 did not have any concerns with the facility staff. LPA conducted interviews with additional eight (8) residents, all of whom stated that they received shower/bath services per their schedules. All eight (8) residents interviewed denied missing any shower/bath service in the past. LPA’s interviews with five (5) staff members confirmed the statements from the residents interviewed. The staff members stated that some residents do refuse shower/bath service, and staff members just note the resident’s file for record keeping. Based on interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff do not ensure resident’s showering needs are being met. This allegation is unsubstantiated.

It was alleged that staff do not ensure residents’ incontinence needs are being met. Information received indicated that residents were left in soiled diapers during PM shift due to staff neglect. LPA conducted interviews with nine (9) residents, all of whom stated that they were satisfied with the incontinence care services provided by the staff. LPA conducted interviews with five (5) staff members, all of whom stated that incontinence care services were provided every two (2) hours or per request from residents. LPA’s records review revealed that staff did not have incontinence care logs. Based on the interviews conducted and records review, the Department’s investigation did not provide enough information to corroborate the allegation that staff do not ensure residents’ incontinence needs are being met. This allegation is unsubstantiated.

It was alleged that staff do not ensure that residents have clean linen. Information received indicated that staff did not change residents’ wet bedding. LPA conducted interviews with nine (9) residents, all of whom denied experiencing wet bedding or lack of laundry services from staff. Continued on LIC9099-C....

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20241008114454
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: 05/29/2026
NARRATIVE
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LPA conducted interviews with five (5) staff members, all of whom stated that laundry services were done according to the facility schedule which is two (2) times per week or right after shower/bath service. None of the five (5) staff members interviewed heard any complaints about linen change from residents. Based on interviews conducted, the Department’s investigation did not provide enough information to corroborate the allegation that staff do not ensure that residents have clean linen. This allegation is unsubstantiated.

It was alleged that staff are smoking inside the facility. Information received indicated that staff members were observed to be smoking in a vacant resident room while they were on duty. The information was referring to PM shift caregivers. LPA conducted interviews with nine (9) residents, all of whom denied witnessing staff members smoking inside the facility. LPA conducted interviews with five (5) staff members, all of whom denied witnessing or smoking inside the facility. LPA conducted a tour of the facility and observed several residents smoking outside the residential building by the swimming pool. LPA did not observe anyone, including staff members, smoking inside the facility during the facility tour. Based on interviews conducted and observations, the Department’s investigation did not provide enough information to corroborate the allegation that staff are smoking inside the facility. This allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.



An exit interview was conducted where a copy of this report was provided.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3