331800223-9-16-2025-18-AS-RORN-DLRLB2-20250922083601

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 09/16/2025
Date Signed: 09/16/2025 09:57:39 AM

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
11/28/2022 and conducted by Evaluator Mary G Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20221128115055

FACILITY NAME:	YORKSHIRE VILLAGE		FACILITY NUMBER:	331800223
ADMINISTRATOR:	TERESA MAPILIS		FACILITY TYPE:	740
ADDRESS:	26933 CORNELL ST		TELEPHONE:	(951) 658-1068
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	100	CENSUS: 85	DATE:	09/16/2025
		UNANNOUNCED	TIME BEGAN:	07:23 AM
MET WITH:	Nicole Anguiano - Office Manager		TIME COMPLETED:	10:05 AM

ALLEGATION(S):

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Resident is being neglected

INVESTIGATION FINDINGS:

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LPA Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Nicole Anguiano Office Manager and explained the reason for the visit.

The investigation consisted of the following: On 11/30/22 LPA Nwogene conducted an initial investigation visit. On 9/10/25 LPA Flores contacted administrator via telephone and requested a copy of staff/resident roster and pertaining documents. On 9/12/22 LPA conducted interviews with 6 staff over the phone. On 9/15/25 LPA Flores conducted an unrelated complaint investigation visit at the facility and toured the facility and interviewed 9 residents.

Regarding allegation: Resident is being neglected. It is alleged that resident #1(R1) was found on 11/28/22 not assisted with toileting needs. LPA was unable to interview R1, as R1 is no longer at the facility. Interviews with residents revealed 9 out of 9 residents stated staff provides care with toileting needs as needed. (CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025

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-20221128115055

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: YORKSHIRE VILLAGE	FACILITY NUMBER: 331800223
	VISIT DATE: 09/16/2025

NARRATIVE

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Those residents that do not required assistance stated to have observed others around them receive assistance with toileting needs as needed. Interviews with staff revealed residents have not been found soiled in the morning or during any of the shifts. Per staff, residents are checked and cleaned at least every two hours and as needed for those that may need more frequent care. Documents reviewed revealed R1’s physician’s report dated: 9/1/22 notes R1 required assistance with toileting needs. During the tour of the facility LPA observed residents clean, no observations of residents being neglected were observed.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was provided.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2025

LIC9099 (FAS) - (06/04)

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