331800223-4-22-2024-18-AS-RSTS-D52SUY-20240507141154

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 04/22/2024
Date Signed: 04/22/2024 02:43:09 PM

Unfounded

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
04/17/2024 and conducted by Evaluator Stephanie Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20240417082812

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:	04/22/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Teresa Mapilis, Administrator		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff did not ensure facility is kept free of bed bugs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into the above allegation. The LPA met with Administrator, Teresa Mapilis, and informed her of the purpose for her visit.

A report was received by the Department alleging there are residents in care who have rashes, all over their bodies, which appear to be bed bug bites for which the facility has not provided treatment. On this visit the LPA conducted staff and resident interviews, reviewed records and obtained copies of pertinent documentation. Nine resident interviews were conducted; of the nine, four residents reported they currently had a rash on their body. One of the four residents reported the facility is treating the rash; another resident reported the facility was not treating the rash; and the remaining two residents could not provide any information on whether their rash was being treated. According to Administrator, Teresa Mapilis, there are about seven residents in building B who currently have a rash. She reported there is only one resident, Resident Two (R2) who has been

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) -212-0616
LICENSING EVALUATOR NAME: Stephanie Martinez	TELEPHONE: (951) 204-5924
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024

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-20240417082812

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: 04/22/2024

NARRATIVE

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diagnosed with an infectious condition. According to the Administrator, infection control policies are being followed for R2, including environmental cleaning and frequent showers. Staff interviews confirmed environmental cleaning and frequent showers are being completed. Documentation, including medical records and discharge paperwork, revealed the remaining residents have not been diagnosed with the contagious disease and are currently receiving treatment for the rash they were diagnosed with. Additionally, an Attendance Log revealed care staff were provided with training relating to skin issues on 04/18/2024. No information was received to indicate there is a bed bug infestation at the facility. Therefore, based on interviews and records, this allegation is deemed UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted with Business Office Manager (BOM), Nicole Anguiano. This report was reviewed, and a copy was provided, along with the LIC 811.

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) -212-0616
LICENSING EVALUATOR NAME: Stephanie Martinez	TELEPHONE: (951) 204-5924
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2024

LIC9099 (FAS) - (06/04)

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