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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 07/02/2026
Date Signed: 07/02/2026 03:05:46 PM

Substantiated


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
01/10/2023 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20230110153318
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: 88DATE:
07/02/2026
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Business Office Manager Nicole AnguianoTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff speak inappropriately to residents
INVESTIGATION FINDINGS:
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On 7/2/2026, Licensing Program Analyst’s (LPA’s) Valerie Flores and Seo Jeon conducted an unannounced visit to the facility for the purpose of delivering the complaint findings into the allegations listed above. LPA Flores met with Business Office Manager Nicole Anguiano and explained to Nicole the purpose of the visit. The investigation is summarized as follows:

On 1/10/2023, Community Care Licensing (CCL) received information alleging staff speak inappropriately to residents. An interview conducted with Staff #1 (S1) and Staff #5 (S5) reported that there was an incident involving Staff #6 (S6) where S6 was observed speaking to residents in an inappropriate tone. S5 reported observing S6 cursing at a resident but cannot recall what resident S6 was cursing at.

(Continuation from LIC9099)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026
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 6
Control Number 18-AS-20230110153318
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: 07/02/2026
NARRATIVE
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(Continuation from LIC9099)

S1 reports that S6 was known to have poor attendance and when an unknown staff reported the incident involving S6, S6 was terminated. LPA Flores requested S6 files, but the file was unavailable for review. An interview conducted with Staff #7 (S7) reports observing a time when Staff #8 (S8) spoke to a resident in an aggressive manner. A records review conducted of the Unusual Incident Reports (UIR) reports an incident dating 1/15/2025 detailing a time when two staff overheard Staff #9 (S9) cursing at a resident. S1 was noted to have conducted an internal investigation where S6 was terminated as a result of the investigation.
Therefore, the allegation of staff speak inappropriately to residents is deemed substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid as the preponderance of the evidence standard has been met. California Code of Regulations Title 22 is being cited on the attached LIC9099D.

An exit interview was conducted and a copy of the LIC9099, LIC9099C, LIC9099D, and appeal rights were provided to Business Office Manager Nicole Anguiano.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 18-AS-20230110153318
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/03/2026
Section Cited
CCR
87468.1(a)(1)
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(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met with evidence by (3) three out of (3) three residents were not
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Business Office Manager Nicole Anguiano agreed to hold an in-service training for staff pertaining to Section 87468.1 Resident Personal Rights. Proof of training completion will be submitted to LPA by Close of Business on 7/16/2026. Licensee shall forward an email informing the contents
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accorded dignity in their personal relationship with staff.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
01/10/2023 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20230110153318

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: 88DATE:
07/02/2026
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Business Office Manager Nicole AnguianoTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff are not properly transferring residents
Due to lack of supervision, resident hit resident
Staff members are consuming drugs and alcohol on the premises
INVESTIGATION FINDINGS:
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On 7/2/2026, Licensing Program Analyst’s (LPA’s) Valerie Flores and Seo Jeon conducted an unannounced visit to the facility for the purpose of delivering the complaint findings into the allegations listed above. LPA Flores met with Business Office Manager Nicole Anguiano and explained to Nicole the purpose of the visit. The investigation is summarized as follows:

On 1/10/2023, Community Care Licensing (CCL) received information alleging staff are not properly transferring Resident #1 (R1) and Resident #2 (R2) by dropping the residents on the floor several times. LPA Flores was unable to interview R1 as LPA learned of R1’s passing during the course of the investigation that is unrelated to the allegations. An interview with R2 denies the allegation of staff dropping R2 onto the floor during a transfer into their wheelchair. R2 reports that they have not experienced any falls nor sustained any injuries while residing at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 18-AS-20230110153318
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: 07/02/2026
NARRATIVE
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(Continuation from LIC9099A)

Interviews conducted with (5) five residents report that staff have not dropped them during a transfer to and from their wheelchair. The residents report that staff handle them with care during wheelchair transfers. Interviews conducted with (7) seven staff report that they have not observed a time when residents were dropped on the floor during wheelchair transfers. Interviews with Staff #1 (S1) reported that if a resident was dropped during a wheelchair transfer, facility staff are required to complete an incident report to which are reported to CCL. Records review conducted of the Unusual Incident Reports received by the facility do not detail any incidents of any matter involving R1 and R2 from January of 2022 through January of 2023.
Information received alleged that due to lack of supervision, Resident #3 (R3) was hit by Resident #4 (R4). Interviews conducted with (4) four staff report that they do not recall a specific incident involving R3 and R4. Staff further report that if a resident was involved in a verbal or physical altercation with another resident, staff will immediately intervene by redirecting the resident. Staff report that they will redirect the resident by offering the resident a snack and will elevate any concerns of change of behaviors to management so the resident can be properly assessed by their primary care physician. An interview was attempted with R3 but due to R3 cognitive ability, the interview was unsuccessful. LPA Flores conducted multiple interview attempts with R4 but R4 refused or was unresponsive to LPA Flores’ efforts. An interview conducted with S1 and S2 reported that R3 was known to have aggressive outburst towards staff but does not recall a specific incident involving R3 and R4. Records review conducted of the Unusual Incident Reports received by the facility do not detail any physical altercation between R3 and R4 from January of 2022 through January of 2023.
Information received alleged staff are consuming drug and alcohol on the premises. Interviews conducted with (8) eight staff report that they did not have any knowledge of staff consuming drug or alcohol on the premises. Interviews with conducted with (6) six residents also report that they do not have knowledge of staff consuming drug or alcohol on the premises. Interviews conducted with Staff #3 (S3) and Staff #4 (S4) reports that they are aware of staff vaping outside at the designated smoking areas. Interviews conducted with Resident #5 (R5) and Resident #6 (R6) reports that they have observed staff smoking outside but do not know what the staff are smoking.

(Continue to LIC9099AC2)
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 18-AS-20230110153318
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: 07/02/2026
NARRATIVE
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Continuation from LIC9099AC2)

Therefore, the allegations of staff are not properly transferring residents, due to lack of supervision resident hit resident, and staff members are consuming drugs and alcohol on the premises are deemed unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means 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 allegations are unsubstantiated at this time.

An exit interview was conducted, and a copy of this report was provided to Business Office Manager Nicole Anguiano.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6