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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 09/16/2025
Date Signed: 09/16/2025 09:58:58 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
12/14/2022 and conducted by Evaluator Mary G Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221214131706
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: 85DATE:
09/16/2025
UNANNOUNCEDTIME BEGAN:
07:26 AM
MET WITH:Nicole Anguiano - Office Manager TIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Resident is being neglected while in care
Resident is being left unattended in soaking wet clothing with feces for extended periods of time
INVESTIGATION FINDINGS:
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LPA Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Nicole Anguiano and explained the reason for the visit.

The investigation consisted of the following: On 12/21/22 LPA Arreola conducted an initial investigation visit. On 9/10/25 LPA Flores contacted administrator via telephone, requested a copy of staff/resident roster, and requested pertinent documents. On 9/12/25 LPA interviewed 6 staff over the phone. On 9/15/25 LPA Flores conducted a visit and interviewed 9 residents. On 9/16/25 LPA Flores delivered findings.

Regarding allegation: Resident is being neglected while in care. It is alleged residents are being left unattended. Interviews with residents revealed 9 out of 9 residents stated staff provide residents with care and respond when they call for assistance. Residents stated to use the call light cord, phone, or walk to staff when in need of assistance. Resident #1(R1) was unable to be interviewed as R1 is no longer at the faciltiy.

(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)
Page: 1 of 2
Control Number 18-AS-20221214131706
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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Interviews with staff revealed residents are not left without care. Staff provide assistance with showers, change of clothes, incontinence care, etc. During the facility’s tour LPA Flores observed 9 resident’s rooms had a call light cord accessible to them, which can be pull to request assistance from staff. Most residents were observed in the common area and staff were observed assisting or responding to the residents’ needs.

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.

Regarding allegation: Resident is being left unattended in soaking wet clothing with feces for extended periods of time. It is alleged resident #1(R1) is being left in clothes with feces and wet. Interviews conducted with staff revealed residents have not been found in soaking clothes or feces. Per staff residents are checked at least every two hours. Those that may soil themselves more often are checked every 30 minutes and change as needed. Per documents reviewed, needs and care plan dated: 8/15/23 R1 required maximum assistance with toileting needs and was needed to be assisted with frequent or unscheduled changes.

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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