331800223-6-16-2026-18-AS-APEZ-DV6MQ8-20260618094820

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 06/16/2026
Date Signed: 06/16/2026 12:27:07 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
05/31/2022 and conducted by Evaluator Seo Jeon

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220531102055

FACILITY NAME:	YORKSHIRE VILLAGE		FACILITY NUMBER:	331800223
ADMINISTRATOR:	KNOOP, BENITA		FACILITY TYPE:	740
ADDRESS:	26933 CORNELL ST		TELEPHONE:	(951) 658-1068
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	100	CENSUS: 90	DATE:	06/16/2026
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Nicole Anguiano, Business Office Manager		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Staff did not ensure resident's bed was appropriately scaled resulting in resident falling out of bed

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Seo Jeon and Abdoulaye Zerbo conducted an unannounced joint visit to the facility. LPA Jeon delivered findings for the above allegation. Community Care Licensing staff met with Nicole Anguiano, Business Office Manager, and informed them of the purpose of the visit. The Department’s investigation involved interviews with staff and review of records.

On May 31, 2022, Community Care Licensing (The Department) received a complaint report with the following allegations.

It was alleged that staff did not ensure resident's bed was appropriately scaled resulting in resident falling out of bed. Information received indicated that Resident #2 (R2) fell from their bed because the bed was adjusted too high. It was also alleged Staff #2 (S2) lowered R2’s bed before paramedics arrived to avoid questions from medical staff. Continued on LIC9099-C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

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-20220531102055

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: 06/16/2026

NARRATIVE

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LPA conducted interviews with five (5) staff members, all of whom stated that any hospital beds can be adjusted quickly when providing care to the residents. Staff members then adjust the bed height back to normal when they are done with the residents. Staff members interviewed denied experiencing or witnessing any residents’ fall because of bed height. LPA conducted an interview with S2 who denied lowering R2’s or any residents’ beds to avoid being questioned by paramedics. LPA conducted interviews with 14 residents, none of whom expressed any concerns regarding height of their beds. LPA’s attempted interviews with seven (7) additional residents were unsuccessful due to their cognitive condition. LPA’s attempted interview with R2 was unsuccessful because R2 was no longer a resident of the facility and lacked available contact information. LPA's attempted records review regarding R2's fall was unsuccessful due to lack of available records. The evidence found during the investigation did not meet the preponderance of evidence standard. Therefore, this allegation is unsubstantiated.

A finding that the complaint is UNSUBSTANTIATED means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where a copy of this report was provided.

SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Seo Jeon
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

LIC9099 (FAS) - (06/04)

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