Inspection Reports for
Sapphire Pacific Residential Care II

262 Silvercreek Glen, Escondido, CA 92029, United States, CA, 92029

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 0.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

93% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2023
2024

Census

Latest occupancy rate 100% occupied

Based on a November 2024 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

0 3 6 9 12 Nov 2021 May 2023 Nov 2023 Nov 2024

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Sara MartinezLicensing Program AnalystConducted the inspection
Daphne DrapeauAdministratorFacility administrator present during inspection
Imelda SantoCaregiverMet with Licensing Program Analyst during inspection
Ali NaghibiAssisted Licensing Program Analyst with inspection

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Elizabeth RiveraAdministratorMet with Licensing Program Analyst during the inspection
Venus MixsonLicensing Program AnalystConducted the inspection visit
Jazmond D HarrisLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 1 Date: 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.

Complaint Details
The visit was triggered by complaint control number 18-AS-20230502105304. The deficiency was observed during the complaint investigation.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 6 Census: 6 Plan of Correction Due Date: May 31, 2023

Employees mentioned
NameTitleContext
Tricia DanielsonLicensing Program AnalystConducted the case management visit and authored the report
Jazmond D HarrisLicensing Program ManagerSupervisor overseeing the inspection
Ali NaghibiAdministratorFacility administrator present during the inspection

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Tricia DanielsonEvaluator / Licensing Program AnalystConducted the complaint investigation
Jazmond D HarrisLicensing Program ManagerOversaw the complaint investigation
Imelda SantosCaregiverInterviewed during investigation
Liz RiveraAdministratorNotified and present during investigation

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: May 10, 2023

Visit Reason
The visit was an unannounced complaint investigation into an allegation of lack of care and supervision resulting in a resident being injured.

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.
Findings
The investigation found no preponderance of evidence to prove the alleged violation occurred, and the allegation was unsubstantiated after interviews, facility tour, and record reviews.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Tricia DanielsonLicensing EvaluatorConducted the complaint investigation
Jazmond D HarrisSupervisorSupervisor overseeing the investigation
Ali NaghibiAdministratorFacility administrator
Imelda SantosCaregiverInterviewed during the investigation
Liz RiveraAdministratorNotified and present during the investigation

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Ali NaghibiAdministratorMet with Licensing Program Analyst during the inspection and participated in the exit interview.
Kayla HilarioLicensing Program AnalystConducted the unannounced Required 1-Year Visit and facility evaluation.
John RanteLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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 facility was found to be in compliance with infection control measures including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

Employees mentioned
NameTitleContext
Ali NaghibiAdministratorMet with Licensing Program Analyst during the inspection and participated in the exit interview.
Kayla HilarioLicensing Program AnalystConducted the unannounced Required 1-Year Visit and facility evaluation.
John RanteSupervisorSupervisor overseeing the licensing evaluation.

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