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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336403366
Report Date: 08/10/2025
Date Signed: 08/10/2025 05:12:20 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
08/27/2024 and conducted by Evaluator Blanca Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240827114012
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: 130DATE:
08/10/2025
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Bobbie Rodriguez, Director of Memory CareTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff are not providing adequate meal service to the residents
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Blanca Gonzalez and Mayra Cota conducted another subsequent complaint visit to investigate the allegations listed above. The initial complaint visit was conducted by LPA Seo Jeon on 09/04/24. A subsequent visit was conducted by LPAs Gonzalez and Cota on 08/09/25. During today’s visit, LPAs met with Bobbie Rogriuez, Director of Memory Care and explained the reason for the visit.
During the initial 10-day complaint visit, LPA Jeon toured interior and exterior of the facility, conducted record review, obtained copies of pertinent documents, interviewed staff and residents. During the subsequent complaint visit on 08/09/25, LPAs obtained staff and resident rosters. LPAs toured the facility with focus on inspecting a themed diner, dining area, kitchen, and food storage areas. LPAs conducted interviews with staff # 6-11 (S6-S11) and residents #7-10 (R7-R10). During today’s visit, LPAs toured the facility and delivered findings for allegation listed above.
continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2025
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 2
Control Number 18-AS-20240827114012
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: 08/10/2025
NARRATIVE
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Regarding the allegation “Staff are not providing adequate meal service to the residents” it is alleged that on or around 08/16/2024, residents were served dinner and some residents, and a staff member became sick by the meal and residents continue to get served food that is expired.

The investigation revealed the following: Per LPAs' observations of facility kitchen, food pantries, refrigerator, and freezer, the facility provides adequate food service. The food is fresh and not expired. LPAs observed well stocked food storage area, refrigerator and freezer. LPAs observed meal preparation and afternoon meal service.

During interviews with staff, 10 out of 10 staff deny allegation of not providing adequate meal service to residents, serving expired food and had not heard of residents getting sick from the meals served. S6 stated they had not heard of an incident where residents got sick after a meal service. S7 stated meals are prepared daily per the menu. S7 stated food is delivered twice a week and is ordered according to the menu. LPAs asked about pies observed in the refrigerator, S7 stated” the pies were baked yesterday for today’s meal.” S7 stated they had not heard of any residents being sick from the meals served at the facility.

During interviews with residents, 9 out of 10 residents deny getting sick from the meals served at the facility. R5 stated they became sick after dinner on 08/16/2024. R5 stated they did not see a doctor for it. R8 stated the food is good and is fresh.

Based on LPA observations and interviews with staff and residents, it is determined that there was not enough supportive evidence to corroborate with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview held, and a copy of this report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2025
LIC9099 (FAS) - (06/04)
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