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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 05/13/2025
Date Signed: 05/13/2025 12:21:28 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/15/2022 and conducted by Evaluator Venus Mixson
COMPLAINT CONTROL NUMBER: 18-AS-20221115152403
FACILITY NAME:YORKSHIRE VILLAGEFACILITY NUMBER:
331800223
ADMINISTRATOR:TERESA MAPILISFACILITY TYPE:
740
ADDRESS:26933 CORNELL STTELEPHONE:
(951) 658-1068
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:100CENSUS: 87DATE:
05/13/2025
UNANNOUNCEDTIME BEGAN:
12:11 PM
MET WITH:ADMINISTRATOR, TERESA MAPILISTIME COMPLETED:
12:21 PM
ALLEGATION(S):
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Staff did not safeguard a resident while in care
Staff did not follow appropriate reporting requirements
INVESTIGATION FINDINGS:
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On May 13, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced and met with Administrator, Teresa Mapilis. LPA explained the purpose for the visit was to provide findings for the complaint investigation.

On November 15, 2022, Community Care Licensing received a complaint alleging staff did not safeguard a resident while in care and staff did not follow appropriate reporting requirements. During the investigation LPA conducted interviews and record reviews.

Regarding the allegation staff did not safeguard a resident while in care, it was reported on August 09,2022, family members abducted Resident from the facility and placed Resident in another assisted living facility.

Information obtained from interview with Administrator denied the allegation. Additional information obtained from interview with Administrator stated Resident was removed from the facility on July 1, 2022.
An exit interview was conducted and a copy of this report was provided to Administrator, Teresa Mapilis.


Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2025
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-20221115152403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: YORKSHIRE VILLAGE
FACILITY NUMBER: 331800223
VISIT DATE: 05/13/2025
NARRATIVE
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Administrator stated there was no incident involving Resident being removed from the facility inappropriately. Administrator indicated that the facility did safeguard Resident while in care and ensured plans of care was followed.

Information obtained from interviews stated there were no issues or concerns regarding Resident’s placement. Additional information obtained from staff interviews corroborated that Resident was removed in July 2022. Interviews with additional residents indicated they have no concerns regarding their safety.

Interview with witness indicated Resident was receiving the best care while residing at the facility. Witness denied that Resident was kidnapped from the facility and corroborated that Resident was removed from the facility in July 2022. Due to the death of Resident, LPA is unable to interview Resident to obtain any additional information regarding the allegations.

Regarding the allegation that staff did not follow appropriate reporting requirements it was reported facility staff did not notify law enforcement of the removal of the resident because there were no issues or concerns.

Administrator denied the allegation and stated Resident was not residing at the facility on the date of the reported incident; therefore, there was no need to report. Administrator stated the facility ensures all incident reports are submitted in a timely manner. LPA conducted a review of the incident reports submitted and no issues or concerns regarding reporting were observed.

Based on interviews and record reviews, the allegations that staff did not safeguard a resident while in care and staff did not follow appropriate reporting requirements are deemed as unfounded due to Resident not being placed at the facility when the alleged incident occurred.

An allegation finding of unfounded means the allegation was false, could not have happened and/or is without a reasonable basis.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2