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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 06/30/2026
Date Signed: 06/30/2026 04:05:26 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
06/24/2026 and conducted by Evaluator Janette Romero
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20260624134541
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: 90DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Medication Technician Manager Bianey SandovalTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Staff 1 did not treat Resident 1 with dignity
INVESTIGATION FINDINGS:
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On 06/30/2026, Licensing Program Analysts (LPAs) Janette Romero and Seo Jeon conducted a joint visit at the facility. LPA Romero was delivering findings for the allegation listed above. LPA met with Medication Technician Manager (MTM) Bianey Sandoval and Business Office Manager Nicole Kalacas Anguiano who were informed of the purpose of the visit.

Regarding the allegation, “Staff 1 did not treat Resident 1 with dignity” it was alleged that Staff 1 (S1) stated to Resident 1 (R1), “Go sit down” using a rude and sharp tone. It was further alleged that S1 speaks to R1 as if they were R1’s parent. This reportedly occurs every time R1 is in the dining room. A review of R1’s admission agreement indicates R1 was admitted to the facility on 12/31/2025. A review of R1’s physician’s report dated 12/25/2025 indicates that R1 exhibits memory loss. R1 was interviewed and corroborated the allegation. R1 was unable to provide specific incident dates or additional details and was not aware of any witnesses.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
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)
Page: 1 of 2
Control Number 18-AS-20260624134541
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 was interviewed and reported the following information. R1 requests that staff retain possession of their cigarettes and provide them at R1’s request in order to regulate their cigarette use. However, during multiple occasions while S1 is dispensing medications for the residents, R1 approaches S1’s medication cart to request cigarettes. S1 informs R1 that they are currently dispensing medications for the residents and will provide R1 with their requested cigarettes when S1 finishes their task, but R1 remains in front of S1’s medication cart. To avoid any medication errors, S1 kindly asks R1 to go sit down and R1 has stated, “Okay” and made a comment calling S1 their parent. S1 reported that R1 requests one cigarette every ten minutes and S1 has tried to mitigate reoccurring incidents by asking R1 how many cigarettes they would like to be provided before they begin dispensing medications. S1 provides R1 their requested cigarette quantity and ten minutes into dispensing medications, but R1 will continuously request additional cigarettes. S1 reported the incidents have never occurred in the dining room and was unable to provide specific incident dates. S1 reported that based on their cultural background, their communication style may be perceived as “sharp”. However, S1 denied speaking to R1 or any other resident in a rude, condescending, or disrespectful manner and reported they only redirect R1 when necessary. LPA conducted witness interviews with R1’s responsible person and an additional visitor. R1’s responsible person reported that due to R1’s diagnosis, R1 makes repetitive requests and requires frequent redirection which may be misinterpreted as rude. R1’s responsible person and the additional visitor interviewed reported they have never witnessed facility staff use a rude or sharp tone when speaking with R1 or any other facility resident and have no concerns with the care and supervision R1 receives in the facility. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report and Confidential Names list (LIC 811) was provided to MTM Sandoval.
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
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)
Page: 2 of 2