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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 07/03/2026
Date Signed: 07/03/2026 12:16:21 PM

Substantiated


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
07/01/2026 and conducted by Evaluator Seo Jeon
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20260701142111
FACILITY NAME:PALM 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: 130DATE:
07/03/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Samara Harris, Director of Bus DevelopmentTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff do not ensure that facility is free of pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced visit to the facility to initiate the investigation into the allegation listed above. The LPA met with Samara Harris, Director of Business Development, and informed them of the purpose of the LPA’s visit.

On July 1, 2026, Community Care Licensing (The Department) received a complaint report with the following allegation.

It was alleged that staff do not ensure that facility is free of pests. Information received indicated that residents' rooms are infested with insects. LPA conducted a tour of interiors of the facility and observed dead insects in Resident #1's (R1) room floor. LPA conducted interviews with nine (9) additional residents. Seven (7) out of none (9) residents interviewed stated that there have been ongoing insect issues in their rooms and bathrooms. LPA conducted interviews with three (3) staff members. Continued on LIC9099-C....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026
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-20260701142111
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: PALM COURT ASSISTED LIVING
FACILITY NUMBER: 336403366
VISIT DATE: 07/03/2026
NARRATIVE
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Two (2) out of three (3) staff members interviewed stated that they have seen insects in the residents rooms on daily basis.

Based on interviews conducted and observation, the evidence found during the Department’s investigation met the preponderance of evidence standard. Therefore, this allegation is substantiated.

A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report was provided, along with a copy of LIC9099D, and Appeal Rights were provided.

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

DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20260701142111
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: PALM COURT ASSISTED LIVING
FACILITY NUMBER: 336403366
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/17/2026
Section Cited
CCR
80087(a)(1)
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80087 Buildings and Grounds, (a) The facility shall be clean, safe, sanitary and in good repair at all times..., (1) The licensee shall take measures to keep the facility free of flies and other insects.
This requirement was not met as evidenced by:
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Director of business development agree to discuss the matter with the Administrator and the Licensee and send proof of pest control services to LPA by the POC due date via email.
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Based on interviews conducted and observation, staff did not ensure residents' rooms were free of insects. This posed potential personal rights and/or health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3