Inspection Reports for
Sapphire Pacific Residential Care III

839 La Tierra Dr, San Marcos, CA 92078, United States, CA, 92078

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

90% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2021
2022
2023
2024
2025

Census

Latest occupancy rate 83% occupied

Based on a October 2025 inspection.

Occupancy over time

0 4 8 12 16 Jan 2021 Oct 2022 Oct 2023 Sep 2025 Oct 2025

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Valerie FloresLicensing Program AnalystConducted the inspection visit
Daphne DrapeauAdministratorMet with Licensing Program Analyst during inspection
Jomae DavidCare StaffGreeted Licensing Program Analyst upon arrival

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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 all licensing requirements. The physical plant, resident bedrooms, bathrooms, medication storage, kitchen, emergency plans, and staff and resident records were all observed to meet standards. No deficiencies were cited during the visit.

Report Facts
Bedrooms: 5 Bathrooms: 2 Perishable food supply days: 2 Non-perishable food supply days: 7

Employees mentioned
NameTitleContext
Daphne DrapeauAdministratorMet with Licensing Program Analyst during inspection and provided information about the facility
Valerie FloresLicensing Program AnalystConducted the inspection visit
Jomae DavidCare StaffGreeted Licensing Program Analyst upon arrival

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 6 Census: 4

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted the complaint investigation and authored the report
Daphne DrapeauAdministratorInterviewed during the investigation and recipient of the exit interview
Victoria MaticPrevious AdministratorInterviewed by phone during the investigation

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 0 Date: Sep 25, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2022-11-17 regarding resident care concerns at Sapphire Lake San Marcos facility.

Complaint Details
The complaint alleged that facility staff left a resident on the ground for an extended period, did not provide timely assistance, and refused medical equipment for the resident. After investigation, including interviews and document review, the allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation included interviews with administrators, staff, residents, and review of relevant documents. All allegations were denied by staff and residents, and evidence was insufficient to substantiate the complaints. Therefore, all allegations were found unsubstantiated and no deficiencies were cited.

Report Facts
Capacity: 6 Census: 4

Employees mentioned
NameTitleContext
Antonine RichardLicensing Program AnalystConducted complaint investigation and interviews
Daphne DrapeauAdministratorInterviewed during investigation
Victoria MaticPrevious AdministratorInterviewed by phone during investigation

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Yoradyl Daphne DrapeauAdministratorAdministrator present during inspection and named in report
Kathleen BanrasavongLicensing Program AnalystConducted the inspection
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager in report

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Oct 9, 2024

Visit Reason
The Licensing Program Analyst arrived unannounced to conduct an annual inspection of the facility.

Findings
The facility was found to be clean, well-maintained, and in compliance with regulations. No deficiencies were observed during the inspection.

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

Employees mentioned
NameTitleContext
Yoradyl Daphne DrapeauAdministratorAdministrator present during inspection and named in report
Kathleen BanrasavongLicensing Program AnalystLicensing evaluator who conducted the inspection
Jazmond D HarrisSupervisorSupervisor named in the report

Inspection Report

Annual Inspection
Census: 3 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Elizabeth RiveraAdministratorAdministrator present during inspection and exit interview
Jacqueline Shaw RossLicensing Program AnalystConducted the inspection visit
May DavidCaregiverGreeted the Licensing Program Analyst at the start of the visit

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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 during this inspection.

Report Facts
Hot water temperature: 113.7

Employees mentioned
NameTitleContext
Elizabeth RiveraAdministratorAdministrator present during inspection and recipient of report
Jacqueline Shaw RossLicensing Program AnalystConducted the inspection visit
May DavidCaregiverGreeted the Licensing Program Analyst at the facility

Inspection Report

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

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.
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.

Report Facts
Facility capacity: 6 Resident census: 6

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation and authored the report
Victoria MaticAdministratorFacility administrator interviewed during the investigation
John RanteLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Mar 16, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that a resident developed pressure injuries due to neglect and that staff did not protect the resident from self-neglect.

Complaint Details
The complaint alleged that a resident developed pressure injuries due to neglect and that staff did not protect the resident from self-neglect. The investigation included interviews, record reviews, and corroboration with outside sources. The allegations were found to be unsubstantiated.
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 care refusal. The allegations were determined to be unsubstantiated.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Iby StrongLicensing Program AnalystConducted the complaint investigation visit
Victoria MaticAdministratorFacility administrator interviewed during investigation
John RanteSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 1 Date: 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)
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
NameTitleContext
Victoria MaticAdministratorNamed in relation to the deficiency finding and corrective action.
Ali NaghibiLicenseePresent during inspection and involved in plan of correction.
Chinwe NwogeneLicensing Program AnalystConducted the inspection.
Deborah MullenLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 1 Date: Oct 24, 2022

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

Findings
The inspection found that the facility had adequate infection control measures in place, including PPE supplies and monitoring plans. However, a deficiency was cited due to a knife being left accessible to residents with dementia, posing a safety risk.

Deficiencies (1)
Knife left on kitchen counter accessible to residents with dementia, posing an immediate health and safety risk.
Report Facts
Deficiencies cited: 1

Employees mentioned
NameTitleContext
Victoria MaticAdministratorNamed in relation to locking up the knife and infection control observations
Ali NaghibiLicenseePresent during inspection and involved in plan of correction
Chinwe NwogeneLicensing Program AnalystConducted the inspection
Deborah MullenSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Victoria MaticAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview.
Liliana SilveiraLicensing Program AnalystConducted the unannounced annual required licensing inspection.
Denise PowellLicensing Program ManagerNamed in report as Licensing Program Manager.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
No deficiencies were observed during the visit. The facility was found to be in compliance with infection control practices and COVID-19 mitigation strategies as outlined in its Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808).

Employees mentioned
NameTitleContext
Victoria MaticAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview.
Liliana SilveiraLicensing Program AnalystConducted the unannounced annual required licensing inspection.
Denise PowellSupervisorSupervisor overseeing the inspection.

Inspection Report

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

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.
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.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Victoria MaticAdministratorMet with during the complaint investigation visit
Raymond WuLicensing Program AnalystConducted the complaint investigation visit
Rebecca HedgecockLicensing Program ManagerNamed in the report as Licensing Program Manager

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