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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 06/17/2026
Date Signed: 06/17/2026 04:33:29 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
01/30/2024 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20240130090510
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:
06/17/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Business Office Manager Nicole AnguianoTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Resident sustained multiple unexplained bruises while in care
INVESTIGATION FINDINGS:
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On 6/17/2026, Licensing Program Analyst conducted an unannounced visit to the facility for the purpose of delivering the complaint findings into the allegation listed above. LPA Flores met with Business Office Manager Nicole Anguiano and explained the purpose of the visit. The investigation is summarized as follows:

Information received alleged Resident #1 (R1) sustained multiple unexplained bruises while in care. Witness #1 (W1) and Witness #2 (W2) report that bruises were observed on various extremities of R1’s body. Bruises were described as being at different stages of healing which sparked concerns of possible physical abuse. Interviews conducted with (8) eight facility staff reported that on 1/27/2024, R1 experienced an unwitnessed fall in R1’s private bathroom. During a routine check, Staff #1 (S1) entered R1’s bedroom and did not immediately observe R1.

(Continue to LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
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-20240130090510
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: 06/17/2026
NARRATIVE
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(Continuation from LIC9099)

S1 continued towards R1’s private bathroom where R1 was observed to be lying on the floor, flat on their back. S1 reportedly contacted S2 for additional assistance. Upon S2’s arrival, R1 was assessed and staff deemed it necessary to contact emergency personnel and R1’s responsible person. Interviews conducted with staff report that R1 did not sustain any visible bruising and were observed to have a minor lump to the back of the head. Interviews conducted with R1’s responsible person confirmed that they were contacted by facility staff to where staff informed R1’s responsible person that R1 was being transported to the hospital as R1 experienced an unwitnessed fall. R1’s responsible person provided photos to the Department of R1’s face. Photos received can be described as a 6-inch bruise on the left side of R1’s face. Interviews conducted with the (8) eight staff and Resident #2 (R2) report that R1 was not observed to have bruising until after R1 returned from the hospital after the fall incident. Records review conducted of R1’s Needs and Service Plan does not indicate R1 to be a fall risk. A review conducted of the facility’s Unusual Incident Reports did not reveal additional falls sustained by R1. A review conducted of R1 medication list revealed that R1 was receiving medication that would make R1 susceptible to bruising.

Therefore, the allegations of resident sustained multiple unexplained bruises while in care is 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: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2