331800223-6-30-2026-18-AS-APEZ-DVKNMF-20260701103505

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 06/30/2026
Date Signed: 06/30/2026 02:58:29 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
09/08/2025 and conducted by Evaluator Abdoulaye Zerbo

COMPLAINT CONTROL NUMBER: 18-AS-20250908101108

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: 90	DATE:	06/30/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Nicole Kalacas		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff did not provide medical attention to resident in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced subsequent visit to the facility to deliver findings for the above allegation. LPA was greeted and granted entrance by Business Office Manager Nicole Kalacas. LPA identified himself and discussed the purpose of the visit.
It was alleged that staff did not provide medical attention to resident in a timely manner. LPA Abdoulaye Zerbo interviewed Staff 1 (S1) regarding the above allegation. S1 reported that resident1 (R1) was on hospice services at the time of the reported concerns. S1 stated that the facility followed hospice protocols for both medical and non medical needs. S1 stated that the facility does not contact 911 for hospice residents unless directed to do so by hospice staff. Hospice residents must first be assessed by hospice, and 911 is called under hospice’s instruction or if the situation is life threatening, such as a head injury with active bleeding.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

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-20250908101108

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: 06/30/2026

NARRATIVE

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S1 clarified that procedures differ for non hospice residents. Concerning the reported change in condition observed on 08 29 25, S1 explained that staff contacted R1’s physician for further instruction but did not receive a return call until 08- 31 -25. When R1’s physician contacted the facility staff on 08-31-25, they instructed the facility to contact 911 for R1 to be transported for further evaluation.
On 06-09-26, LPA Zerbo attempted to interview R1; however, R1 did not respond to questions and was unable to provide any information regarding the allegation. LPA also attempted to contact R1’s physician but was unable to obtain an interview.
Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted, and a copy of this report was provided Business Office Manager Nicole Kalacas.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026

LIC9099 (FAS) - (06/04)

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