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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 12/18/2025
Date Signed: 12/18/2025 01:26:15 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
05/16/2024 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20240516103835
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: 86DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Nicole Anguiano, Office ManagerTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff are not addressing a scabies outbreak.
INVESTIGATION FINDINGS:
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On December 18, 2025, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegations and to deliver findings. The Department was met by Nicole Anguiano, Office Manager, and the purpose of the visit was explained.
Investigation consisted of the following:
On May 22, 2024, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegations mentioned above. During the visit, it was determined that the complaint required further investigation.
On December 18, 2025, the Department requested and obtain the following documents:
Staff schedule (dated: 12/18/25), client roster (dated 12/18/25) R1 Unusual Incident Report (UIR) dated 8/6/24 and 11/7/24, Dermatology visit notes (dated: 3/6/24), R1’s lab report (dated: 8/1/24), Physician Communication document (dated: 8/6/24), Medication order (dated: 8/2/24), Wound Care Progress notes (dated: 11/1/24), R1 Skilled Nursing Facility (SNF) admission document (dated: 7/25/24); R2 Physician visit and orders (dated: 6/5/24, 5/14/25), and R2 discharge document (dated; 5/22/24). The department conducted interviews with Administrator (A1), 5 staff (S1-S5).
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 3
Control Number 18-AS-20240516103835
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: 12/18/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff are not addressing a scabies outbreak.

The detail of the complaint alleges that multiple residents were covered in rashes and facility is not addressing the issue.

On December 18, 2025, at 10:18am, the Department interviewed Nicole Anguiano (A1) who stated that there have been no reports of residents having a diagnosis of Scabies. However, A1 went on to state that a resident’s (R1) family member had a concern about a rash R1 had. This rash was not a diagnosis of scabies. R1 was diagnosed with another condition for which she was sent to a Skilled Nursing Facility (SNF) for care and subsequently returned to the facility. Lastly, A1 stated that Riverside County Public Health department was notified in addition to Community Care Licensing via Incident Report.

Lastly, A1 stated that around the time of the complaint (May 2024) another resident (R2) was scratching, however when seen by a physician, the itching was a result of anxiety and not a diagnosis of Scabies; staff were instructed to treat with Neosporin.

On December 18, 2025, between 11:45am and 12:30pm, the Department interviewed 5 staff (S1-S5) regarding the allegation. Of those interviewed, 5 out of 5 denied the allegation stating the facility has never had an outbreak of Scabies since they have been with the company. 5 out of 5 knew the protocol for an infectious disease outbreak.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20240516103835
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: 12/18/2025
NARRATIVE
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On December 18, 2025, the Department made several attempts to interview the residents available in the memory care unit, however the Department was unable to interview residents due to their functioning level and their inability to understand the questions asked.

On December 18, 2025, the Department reviewed and evaluated the following documents: R1 Unusual Incident Report (UIR) dated 8/6/24 and 11/7/24, Dermatology visit notes (dated: 3/6/24), R1’s lab report (dated: 8/1/24), Physician Communication document (dated: 8/6/24), Medication order (dated: 8/2/24), Wound Care Progress notes (dated: 11/1/24), R1 Skilled Nursing Facility (SNF) admission document (dated: 7/25/24); R2 Physician visit and orders (dated: 6/5/24, 5/14/25), and R2 discharge document (dated; 5/22/24). The review of documents reveals there was no outbreak of Scabies as indicated in the complaint. Additionally, the documents revealed that the facility followed protocol and reporting requirements to handle an infectious disease.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

There were no deficiencies cited during today’s visit.

Exit interview conducted with Administrator and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3