Sapphire Chardonnay

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Type of visit: Required - 1 Year

On 10/16/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Daphne Drapeau who was informed of the purpose of the visit. Licensee, Ali Naghibi arrived to the facility during the visit as well. The facility has a fire clearance to serve six (6) non-ambulatory elderly residents of which one (1) may be bedridden. The facility also has an approved hospice waiver for six (6) and LPA was informed one (1) resident is currently receiving hospice services at the facility. During today's visit, there was two (2) staff and three (3) residents present. LPA toured the facility with Administrator Drapeau and observed the facility is made up of a one-story home with five (5) resident bedrooms, three (3) bathrooms, a kitchen, dining area, living room, laundry room, staff room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked hallway closet. The facility has additional linens and towels in various colors available for resident use. Administrator tested one (1) of the smoke alarms/carbon monoxide detectors and LPA found it to be operational. LPA also observed a charged fire extinguisher mounted near the garage, which was last serviced on 06/25/2025. The facility's certificate of liability insurance expires on 11/12/2025. Staff present have a criminal record clearance and are associated with the facility. Resident's digital files reviewed had updated physician's reports and Departmental required records. LPA reviewed the facility's Training Log noting their last fire drill was conducted on 09/30/2025. Long Term Care Ombudsman's contact information, residents' personal rights, complaint procedures, emergency disaster plan, and facility sketch are visibly posted near the front entrance and dining room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Drapeau.the state’s words, verbatim · CDSS document, Oct 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Administrator Daphne Drapeau who was informed of the purpose of today's visit. At the time of the visit there was three (3) staff and six (6) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. LPA observed outdoor furniture and shaded area for clients. Detergents, cleaning solutions, and sharp and dangerous objects were observed to be locked and inaccessible to residents. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed staff files and training. All staff have the required personnel records on file, health screening, criminal record clearance, and updated annual training. Four (4) resident files were reviewed and possessed all required paperwork which included Admissions Agreement, Needs and Service Plan, and updated Physician's Report. The listed administrator possesses a current administrator's certificate that expires in 2026. Resident medication was centrally stored and locked in a closet located in the hallway. LPA reviewed medications prescribed to three (3) residents and found all medication with required labeling found to be in place. LPA reviewed the facility's emergency and disaster plan and infection control plan. Facility conducts quarterly fire drills with the last fire drill being conducted on 09/28/2024. All facility exits were clear from obstructions. LPA observed emergency supplies in the garage, a charged fire extinguisher, and first aid kit with all required items. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator Drapeau.the state’s words, verbatim · CDSS document, Oct 16, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review. LPA was greeted by Felipa Arango, Caregiver and explained the purpose of the visit. Administrator Elizabeth Rivera joined shortly. A tour of the facility was conducted inside and out. At the time of visit, all six (6) residents were home and two (2) staff were present. The facility is approved for six (6) elderly residents ages 60 and over, non-ambulatory, of which 1 may be bedridden. There is a hospice waiver for six (6) residents. The facility is a six (6) bedroom three (3) bathroom one story home. Four (4) bedrooms are private, one (1) bedroom is shared, two to a room. One bedroom is reserved for overnight staff. During the tour the following was observed: Resident bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible to residents. Hot water was tested at 115 degrees Fahrenheit. The backyard area is free of obstructions. Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional. Care & Supervision: Facility has sufficient care staff employed. Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted quarterly. The last drill was 9/30/2023. Record Review and Client/Staff Files: LPA reviewed current staff and all staff have has Criminal Background Clearance, current CPR/First Aid certification, and trainings are current. Client records were reviewed and all contain required documents and are up to date. Medication Review: LPA reviewed medication and medication log. Residents' medications are being dispensed according to physician's orders. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted and a copy of this report was provided to Elizabeth Rivera, Administratorthe state’s words, verbatim · CDSS document, Oct 6, 2023