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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800223
Report Date: 06/19/2026
Date Signed: 06/19/2026 03:03:19 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
03/19/2026 and conducted by Evaluator Abdoulaye Zerbo
COMPLAINT CONTROL NUMBER: 18-AS-20260319112840
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:
06/19/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Nicole KalacasTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff are refusing to take resident back into care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced subsequent visit to the facility to deliver findings for the above allegation. LPA was greeted and granted entrance by Business Office Manager Nicole Kalacas. LPA identified himself and discussed the purpose of the visit.
It was alleged that staff refused to take a resident back after a hospital stay. Confidential Witness 1 reported that the hospital could not reach the facility for discharge planning and later informed them that the Yorkshire Village had refused to accept the resident back. Confidential Witness 1 stated that the facility staff told them they did not have the appropriate level of care and that the hospital could locate a new placement faster. Confidential Witness 1 also reported that no facility staff came to the hospital to assist with assessment or discharge planning, and the resident remained hospitalized for approximately two weeks before being transferred to another facility.
Confidential Witness 2 confirmed that their facility received the referral through third party agencies while the resident was already hospitalized. Confidential Witness 2 reported that Yorkshire Village staff informed them directly that they would not accept the resident back due to elopement concerns and inadequate security.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
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 3
Control Number 18-AS-20260319112840
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: 06/19/2026
NARRATIVE
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Yorkshire Village staff acknowledged that the resident had eloped twice and stated they told the hospital they needed time to coordinate an in-person assessment. Facility staff reported the hospital misinterpreted this as a refusal. Yorkshire Village staff reported that they never went to the hospital to completed a reassessment with the receiving facility. Interview with receiving facility reported that their assessment of the resident was completed at the hospital on 03/25/2026 however, the receiving facility denied Yorkshire Village staff conducted the assessment jointly with them.

Based on LPA’s observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies are cited according to the California Code of Regulations Title 22.

An exit interview was conducted, and a copy of this report, the 9099-D and the appeal rights were provided.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20260319112840
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: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/20/2026
Section Cited
CCR
87224(a)(4)
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87224 Eviction Procedures
(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph(5)
(4) If, after admission, it is determined that the resident has a need not previously identified and a reappraisal has been conducted pursuant to Section 87463, and the licensee and the person who performs the reappraisal believe that the facility is not appropriate for the resident.
This requirement is not met as evidenced by:

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Licensee agreed to conduct a training on eviction procedure by an outside vendor and submit proof of completion by POC due date.
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Based on interviews and record reviews, the licensee did not comply with the section cited above. Licensee did not follow the eviction procedure, which posed a potential health, safety or personal rights risk to persons in care.
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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: Abdoulaye Zerbo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3