Inspection Reports for Sapphire Pacific Residential Care III
839 La Tierra Dr, San Marcos, CA 92078, United States, CA, 92078
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility consistently maintaining good conditions, proper medication management, and adequate infection control measures. Several complaint investigations were unsubstantiated, including allegations of neglect, verbal threats, and refusal of medical equipment. The only deficiency occurred on October 24, 2022, when a knife was left accessible to residents with dementia, posing an immediate safety risk; this was a serious but isolated issue. The most recent report from October 9, 2025, showed no deficiencies, indicating improvement since that 2022 finding. No fines, enforcement actions, or license suspensions were listed in the available reports.
Deficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Oct 9, 2025
Visit Reason
An unannounced 1-year required annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
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.
Report Facts
Perishable food supply days: 2
Non-perishable food supply days: 7
Bedrooms: 5
Bathrooms: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Valerie Flores | Licensing Program Analyst | Conducted the inspection visit |
| Daphne Drapeau | Administrator | Met with Licensing Program Analyst during inspection |
| Jomae David | Care Staff | Greeted Licensing Program Analyst upon arrival |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Sep 25, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Facility capacity: 6
Census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Antonine Richard | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Daphne Drapeau | Administrator | Interviewed during the investigation and recipient of the exit interview |
| Victoria Matic | Previous Administrator | Interviewed by phone during the investigation |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 9, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate the facility's compliance with regulatory requirements.
Findings
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.
Report Facts
Residents present: 6
Staff present: 3
Food supply: 1
Food supply: 2
Water temperature: 108
Smoke detectors: 12
Carbon monoxide detectors: 1
Fire extinguishers: 1
Fire extinguisher last charged date: Jun 1, 2024
Emergency fire drill date: Jul 31, 2024
Deficiencies observed: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yoradyl Daphne Drapeau | Administrator | Administrator present during inspection and named in report |
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the inspection |
| Jazmond D Harris | Licensing Program Manager | Named as Licensing Program Manager in report |
Inspection Report
Annual Inspection
Census: 3
Capacity: 6
Deficiencies: 0
Oct 9, 2023
Visit Reason
Licensing Program Analyst Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review.
Findings
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.
Report Facts
Clients present: 3
Staff present: 3
Hot water temperature: 113.7
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Rivera | Administrator | Administrator present during inspection and exit interview |
| Jacqueline Shaw Ross | Licensing Program Analyst | Conducted the inspection visit |
| May David | Caregiver | Greeted the Licensing Program Analyst at the start of the visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Mar 16, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Facility capacity: 6
Resident census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Victoria Matic | Administrator | Facility administrator interviewed during the investigation |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Oct 24, 2022
Visit Reason
An unannounced annual inspection was conducted focusing on infection control at the facility.
Findings
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.
Deficiencies (1)
| Description |
|---|
| Knife left on kitchen counter accessible to residents with dementia, posing an immediate health, safety, or personal rights risk. |
Report Facts
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Matic | Administrator | Named in relation to the deficiency finding and corrective action. |
| Ali Naghibi | Licensee | Present during inspection and involved in plan of correction. |
| Chinwe Nwogene | Licensing Program Analyst | Conducted the inspection. |
| Deborah Mullen | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 28, 2021
Visit Reason
An unannounced annual required licensing inspection was conducted to verify compliance with statutes, regulations, and infection control practices, including COVID-19 mitigation measures.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Matic | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Liliana Silveira | Licensing Program Analyst | Conducted the unannounced annual required licensing inspection. |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Jan 21, 2021
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Victoria Matic | Administrator | Met with during the complaint investigation visit |
| Raymond Wu | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rebecca Hedgecock | Licensing Program Manager | Named in the report as Licensing Program Manager |
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