Inspection Reports for Sapphire Pacific Residential Care II
262 Silvercreek Glen, Escondido, CA 92029, United States, CA, 92029
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on November 1, 2024, which was clean and showed the facility to be well-maintained with proper staffing and safety measures. An isolated deficiency was cited during a complaint investigation on May 10, 2023, related to acceptance and retention limitations after a resident with behavioral issues caused harm to another resident. Several complaint investigations were unsubstantiated, indicating no evidence of lack of care or supervision. No fines, enforcement actions, or severe issues were reported in any inspection. The facility’s record shows improvement, with the latest reports consistently free of deficiencies.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Nov 1, 2024
Visit Reason
An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean and well-maintained with all required staff and resident records in order. Emergency preparedness and safety equipment were in place and operational. No deficiencies were cited during the inspection.
Report Facts
Staff present: 3
Resident files reviewed: 4
Fire drill date: Sep 28, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sara Martinez | Licensing Program Analyst | Conducted the inspection |
| Daphne Drapeau | Administrator | Facility administrator present during inspection |
| Imelda Santo | Caregiver | Met with Licensing Program Analyst during inspection |
| Ali Naghibi | Assisted Licensing Program Analyst with inspection |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Nov 16, 2023
Visit Reason
The visit was an unannounced required annual licensing inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.
Findings
The facility was found to be in compliance with all Title 22, Division 6 regulations with no violations observed or cited. The facility was clean, well-maintained, and equipped with required safety devices and postings. Staff and resident files were reviewed, and staff were attentive and engaged.
Report Facts
Staff count: 3
Resident files reviewed: 5
Staff files reviewed: 3
Staff interviews conducted: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Rivera | Administrator | Met with Licensing Program Analyst during the inspection |
| Venus Mixson | Licensing Program Analyst | Conducted the inspection visit |
| Jazmond D Harris | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
May 10, 2023
Visit Reason
The visit was an unannounced case management inspection conducted to address a deficiency observed during the investigation of complaint control number 18-AS-20230502105304.
Findings
The inspection found that Resident #1, diagnosed solely with paranoid schizophrenia, exhibited ongoing behavior incompatible with other residents, culminating in an unjustified physical assault on Resident #2, who is bedridden and non-verbal. This resulted in cited deficiencies related to acceptance and retention limitations per Title 22, Division 6 of the California Code of Regulations.
Complaint Details
The visit was triggered by complaint control number 18-AS-20230502105304. The deficiency was observed during the complaint investigation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Acceptance and Retention Limitations-(c) No resident shall be accepted or retained if any of the following apply: (3) The resident's primary need for care and supervision results from an ongoing behavior, caused by a mental disorder, that would upset the general resident group. This requirement was not met as evidenced by the licensee not following acceptance and retention limitations; Resident #1's behavior upset the resident group and included an unjustified assault on Resident #2 with a hairbrush. | Type B |
Report Facts
Capacity: 6
Census: 6
Plan of Correction Due Date: May 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tricia Danielson | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Jazmond D Harris | Licensing Program Manager | Supervisor overseeing the inspection |
| Ali Naghibi | Administrator | Facility administrator present during the inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
May 10, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation of lack of care and supervision resulting in a resident being injured.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred; therefore, the allegation was unsubstantiated. The facility was toured, staff and resident interviewed, and relevant documentation reviewed.
Complaint Details
The complaint alleged that Resident #1 was left unsupervised and hit Resident #2 with a hairbrush several times. Records indicated Resident #1 did not require direct supervision. The allegation was unsubstantiated due to lack of evidence.
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tricia Danielson | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Imelda Santos | Caregiver | Interviewed during investigation |
| Liz Rivera | Administrator | Notified and present during investigation |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Nov 29, 2021
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's implementation of infection control measures including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ali Naghibi | Administrator | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Kayla Hilario | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and facility evaluation. |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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