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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 11/03/2025
Date Signed: 11/03/2025 12:17:08 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
10/02/2023 and conducted by Evaluator Mary G Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20231002082742
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: 83DATE:
11/03/2025
UNANNOUNCEDTIME BEGAN:
10:49 AM
MET WITH:Nicole Anguiano - Business Office ManagerTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff handled resident in an inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegation. LPA met with Nicole Anguiano and explained the reason for the visit.

The investigation consisted of the following: On 10/6/23 LPA Martinez conducted an initial complaint investigation visit and requested pertaining documents. On 10/30/25 LPA Flores conducted an interview with administrator and business office manager over the phone and requested resident #1(R1)’s physician report, needs and care plan, admission agreement, and face sheet. On 11/3/25 LPA Flores conducted interviews with 4 staff and 8 residents. LPA attempted to contact R1’s responsible party.

The investigation revealed the following: Regarding allegation: Staff handled resident in an inappropriate manner. It is alleged staff mishandled a resident while outside the facility.
(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2025
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-20231002082742
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: 11/03/2025
NARRATIVE
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Interviews with residents revealed 6 out of 8 residents stated staff are gentle and do not yell at residents in care. 2 out of 8 residents were unable to be interviewed due to cognitive skills. Interviews with staff revealed staff have not observed any staff mistreat or been rough to residents in care. Interview with Business Office Manager revealed the day of the allegation staff had taken R1 to a medical appointment. R1 had become agitated during the appointment and as they were leaving staff was guiding R1 to the vehicle by speaking louder due to R1’s listening skills. Staff did not put hands on R1 but put their hand up to avoid being hurt, as R1 was batting their hands due to their agitation. Per staff responsible party was notified via telephone. Documents review revealed in house incident report dated 9/29/23 notes the incident as described by staff above.
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 with Nicole Anguiano and a copy of this report was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Mary G Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2025
LIC9099 (FAS) - (06/04)
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