Inspection Reports for Sapphire Pacific Residential Care III

An unannounced 1-year required annual visit was conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be in compliance with no deficiencies cited. Observations included proper physical plant conditions, adequate supplies, safe medication storage, and appropriate staff and resident records.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 11/17/2022 regarding resident care concerns including leaving a resident on the ground for an extended period, untimely assistance, and refusal of medical equipment.

The investigation included interviews with the licensee, administrators, staff, and residents, as well as review of relevant documents and physical inspection. All allegations were denied by staff and residents, and evidence was insufficient to substantiate the claims. The complaint was determined to be unsubstantiated with no deficiencies cited.

The complaint involved three allegations: 1) Facility staff left a resident on the ground for an extended period after a fall; 2) Facility staff did not provide timely assistance to the resident; 3) Staff refused medical equipment for the resident. All allegations were denied by interviewed parties and residents, and no preponderance of evidence was found to substantiate the claims.

The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory requirements.

The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed records, including client, personnel, medication, and infection control, met the required standards.

Licensing Program Analyst Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review.

The facility was found to be in good condition with all required furnishings, safety features, and proper medication management. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time.

The inspection was an unannounced complaint investigation visit triggered by allegations that a resident developed pressure injuries due to neglect and that staff did not protect the resident from self-neglect.

The investigation found no preponderance of evidence to prove the alleged violations occurred. The resident was admitted with a pressure injury and was refusing care, including catheter care, with multiple agencies aware of the refusal and efforts to relocate the resident to prevent self-neglect.

The complaint alleged that a resident developed pressure injuries due to neglect and that staff failed to protect the resident from self-neglect. The allegations were unsubstantiated based on interviews, record reviews, and corroborating evidence.

An unannounced annual inspection was conducted focusing on infection control at the facility.

The facility was found to have adequate infection control measures including PPE supplies, hand hygiene supplies, and monitoring plans. However, a deficiency was cited for leaving a knife accessible to residents with dementia, posing an immediate health and safety risk.

An unannounced annual required licensing inspection was conducted to verify compliance with statutes, regulations, and infection control practices, including COVID-19 mitigation measures.

The facility was found to be in compliance with all relevant regulations and infection control practices, including COVID-19 mitigation. No deficiencies were observed during the visit.

An unannounced virtual complaint investigation visit was conducted due to allegations that a staff member verbally threatened a resident and withheld food during a private dispute in April 2020.

The investigation found no evidence to substantiate the allegations. Interviews with witnesses and outside sources confirmed no verbal threats, physical aggression, or withholding of food occurred. The allegation was determined to be unsubstantiated.

The complaint alleged that a staff member verbally threatened a resident, threatened physical assault, and withheld food. The investigation found no preponderance of evidence to prove the violation occurred, resulting in an unsubstantiated finding.