331800223-8-12-2026-18-AS-APEZ-DWXTH7-20260814144417

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 08/12/2026
Date Signed: 08/12/2026 04:03:32 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
07/24/2026 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20260724102019

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: 87	DATE:	08/12/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Nicole Kalacas		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not ensure resident received medical care in a timely manner
Resident sustained bruise due to staff neglect or physical abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abdoulaye Zerbo, conducted an unannounced visit to the facility in order to deliver findings on the above allegations. LPA met with Business Office Manager, Nicole Kalacas, who was informed of the purpose of the visit.
It was alleged that staff did not ensure that Resident #1 (R1) received medical care in a timely manner. Information received indicated that facility staff did not promptly seek medical treatment for R1. LPA conducted multiple interviews with facility staff and with R1 to determine whether a delay in medical attention occurred on July 15, 2026.
Interviews with several staff members indicated that R1 was observed to be lethargic, pale, slurring speech, and responding to verbal prompts by nodding. Staff reported that 911 was contacted immediately upon recognizing R1’s change in condition.
(Continue to LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

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-20260724102019

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: 08/12/2026

NARRATIVE

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LPA also reviewed the facility’s surveillance footage from July 15, 2026. At 12:21 p.m., R1 was observed scratching their hand while seated at the dining table and not eating the food provided. At 12:22 p.m., Staff #2 (S2) approached R1 after noticing that R1 was not eating. At 12:23 p.m., S2 notified Staff #3 (S3) of R1’s condition. At 12:24 p.m., S3 was observed calling 911. Between 12:24 p.m. and 12:35 p.m., staff remained with R1 and monitored their condition until paramedics arrived at 12:35 p.m. The video evidence corroborates staff statements that emergency medical services were contacted promptly and that R1 was continuously monitored until paramedics arrived.

It was alleged that resident sustained bruise due to staff neglect or physical abuse. Information received indicated that a blackened bump on the left side of R1’s lip had been observed. LPA conducted multiple interviews and reviewed hospital records related to R1’s admission on July 15, 2026. Staff reported that R1 had vomited on themselves when they became lethargic, and stated the darkened area observed may have been food particles rather than a bruise.

On July 30, 2026, LPA interviewed R1 at a skilled nursing facility. R1 was alert and oriented and denied any neglect or abuse by staff, stating that staff were careful and respectful. LPA also reviewed R1’s hospital records, which documented a physical examination noting multiple excoriated lesions over the trunk and extremities with generalized itchy skin. The hospital report did not document any blackened bump or bruising on the resident’s lip.

Based on interviews conducted, review of surveillance footage, and examination of medical records, there is insufficient evidence to support the allegation that Staff did not ensure resident received medical care in a timely manner or that resident sustained bruise due to staff neglect or physical abuse. Therefore, these allegations are deemed unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means the preponderance of the evidence has not been met.

An exit interview was conducted, and a copy of the report was provided to the facility representative.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026

LIC9099 (FAS) - (06/04)

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