Sapphire Lake San Marcos

Allegation investigated: Staff are notbpreventing resident from being harrassed by other resident (s) while in care.

On May 11, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Antonine Richard, conducted a follow-up unannounced complaint visit. The LPA met with the Administrator (A1) Daphne Drapeau and explained the purpose of the visit. The investigation consisted of collecting records and touring the facility. On May 11, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated 04/01/26) and the Resident Roster (dated 04/01/26). The Department reviewed and collected documents for residents R1 and R2, including the Admission Agreement for R1 (dated 06/12/2023), the physician's report for R1 (dated 09/15/24), and the physician's report for R2 (dated 09/17/2025). The Department also obtained the facility note dated May 3, 2024, and the Unusual Incident Report (UIR) dated October 8, 2024. The Department interviewed the Administrator (A1), two staff members (S1-S2), and five Residents (R2-R6). The Department was unable to interview R1 because R1 moved out of the facility on May 31, 2025. Unsubstantiated Allegation: Staff are not preventing resident from being harassed by other resident (s) while in care. The complaint alleged that R1 had personal issues with R1's roommate at the facility. On May 11, 2026, the department interviewed the facility's administrator, A1, who denied the allegation. A1 stated that while residents sometimes argue, staff intervene by separating them. A1 also noted that after the incident was reported, the facility moved R1 from the shared room to a single room. On the same day, the department interviewed two staff members, S1 and S2, who also denied the allegation. They explained that as soon as R1 described the incident, the staff decided to move R1 to a single room. Both staff members emphasized that R1 and R2 were friends who often shared snacks, indicating a good relationship. They were unaware of any issues between them because they did not witness the incident. On May 11, 2026, five residents (R2-R6) were interviewed, and all expressed satisfaction with their lives at the facility and appreciation for the staff. During the department, a facility note review conducted on May 3, 2024, indicated that residents R1 and R2 were observed shouting at each other. Report continue on LIC9099C On October 15, 2024, a representative from the San Diego Regional Center visited the facility to interview residents R1 and R2; however, no report was provided to the facility on that day. Additionally, on May 11, 2026, the department reviewed the Unusual Incident Report (UIR) dated October 8, 2024, which had been submitted to Community Care Licensing (CCL) and other relevant agencies. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (S) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the administrator, Daphne Drapeau.the state’s words, verbatim · CDSS document, May 11, 2026 · control 18-AS-20241010105818

Type of visit: Required - 1 Year

On 10/9/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required annual visit. LPA was greeted by care staff, Jomae David, and was granted entry into the facility. LPA met with Administrator, Daphne Drapeau, and explained to Daphne the purpose of the visit. LPA conducted a tour of the facility and observed the following during the tour: The physical plant is a single story structure which consist of (5) five bedrooms and (2) two bathroom. LPA observed resident bedrooms to have the required bedding, furniture, seating, and functional lighting. Bathrooms were equipped with grab bars and skid resistant mats in the shower area. Indoor/Outdoor passageways were free from obstruction. Medications are kept centralized and inaccessible to residents. The kitchen area was observed to properly store food. LPA observed dishes/utensils to be in sufficient supply and in good repair. The facility maintained a (2) two day supply of perishable foods and (7) seven day supply of non-perishable foods. LPA observed knives and other sharp instruments locked in a cabinet located in the kitchen. Emergency exiting plans, telephone numbers and Ombudsman information and other required postings were placed on the walls throughout the facility. Emergency disaster drills are conducted quarterly and range from scenarios. The facility operates their own laundry services; washer and dryer were observed to be in good repair and operable. Additional linen and towels are available for residents and appear to be in good repair. LPA did not observe any pools or bodies of water. Per Administrator, Daphne Drapeau, there are no firearms or ammunition on the premises. Facility staff records review include but are not limited to criminal record clearance, health screenings, and First-aid/CPR training, and relevant training's to provide Assistance with Activities of Daily Living (ADL's). Resident records included but not limited to signed admission agreements, pre-admission assessments, reassignments, physician reports, and current ISP. No deficiencies are cited during today's visit. An exit interview was conducted and a copy of this report will be provided to Administrator, Daphne Drapeau.the state’s words, verbatim · CDSS document, Oct 9, 2025

Allegation investigated: Facility staff left resident on the ground for an extended period of time. Facility staff did not provide assistance to resident in a timely manner. Staff refused medical equipment for resident.

On September 25, 2025, Licensing Program Analyst (LPA) Antonine Richard conducted a complaint visit. LPA Richard met with the Administrator, Daphne Drapeau. The LPA also conducted a phone interview with the previous Administrator, Victoria Matic, and interviewed the Licensee over the phone, explaining the purpose of the visit. Investigation consisted of: On 09/25/2025, LPA interviews: Licensee, Administrator (A1), and Previous Administrator (A2). Staff interviews (S1-S3). Resident’s interviews (R2-R4). LPA obtained and reviewed the following Documents: Resident Roster dated 06/02/2025, Staff Roster dated 08/01/2025. LPA obtained resident R1, Admission Agreement dated 08/12/2020, Physician Report dated 04/20/2022, Needs of Services Plan dated 08/22/2022, and a copy of the Resident Incident Details Report dated 11/15/2022 and 11/17/2022. LPA reviewed and obtained staff training on Personal Rights (Residents' rights, Visitors, Transportation, Personal Belongings, and Elder Abuse dated: 05/28/24. And a Physical Inspection of all the rooms. Unsubstantiated Allegation #1: Facility staff left resident on the ground for an extended period of time. The complaint alleged the facility left R1 on the ground for several hours after a fall on 11/15/2025 and 11/17/2025, and that no immediate assistance was provided. On September 25, 2025, between 9:00 AM and 11:30 AM, the Licensee (LPA) conducted interviews regarding an allegation. The Licensee denied the allegation, stating that the residents did not fall but rather sat on the floor and refused to get up. During the same time frame, LPA interviewed the Administrator (A1), who also denied the allegation. A1 explained that the staff is trained to assist residents in the event of a fall and to call 911 if there are visible injuries or if a resident complains of pain. Additionally, LPA spoke with the previous Administrator (A2), who similarly denied the allegation. A2 mentioned that Resident 1 (R1) prefers sitting on the floor and often refuses assistance when the staff attempts to help R1 get up. A2 emphasized that the facility respects the rights of the residents. LPA also interviewed three staff members during this time. Each staff member denied the allegation, stating that their protocol is to first check if a resident is okay and not in pain if a fall occurs. LPA interviewed three residents (R2-R4), and all three denied the allegation. On September 23, 2025, LPA attempted to interview the reporting party (RP) but was unable to do so, as RP no longer worked there and did not provide further information. On September 25, 2025, LPA also attempted to reach the resident's responsible party, leaving messages but receiving no response. LPA reviewed the facility's Unusual Incident Reports dated November 22, 2022, which indicated that the resident had been sitting or sometimes lying on the ground and refused to get up until hospice staff arrived and assisted. During the inspection, LPA observed that each resident had a hospital bed in their room. LPA was unable to interview the resident R1 because R1 left the facility on December 5, 2022, for a skilled Nursing Facility, and R1 passed away on December 27, 2022. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. Allegation #2: The Facility did not provide assistance to resident in a timely manner. The complaint alleged that the facility left R1 on the ground until the hospice nurse arrived after a fall on 11/15/2025 and 11/17/2025. On 09/25/2025, between 9:00 am and 11:30 am, the LPA interviewed the Licensee, who denied the allegation and stated that the staff offered to help the residents get to bed, but R1 refused On the same day and time, the LPA interviewed the Administrator (A1), who also denied the allegation and stated that the staff are trained to assist residents and maintain timely manners regardless of the circumstances. Additionally, on 09/25/2025, during the same time frame, the LPA interviewed the previous Administrator (A2), who denied the allegation. On September 25, 2025, between 9:00 and 11:30 AM, the LPA interviewed three staff members (S1, S2, and S3). All three denied the allegations and stated that when residents press the bell for assistance, it only takes a few seconds for staff to respond and enter the residents' rooms. On the same date, the LPA also interviewed three residents (R2, R3, and R4). All three residents denied the allegations and confirmed that they pressed the bell when they needed help, and the staff came and helped them very fast. On September 23, 2025, the LPA attempted to interview the reporting party (RP); however, the interview could not be conducted as the RP is no longer employed there, and no additional information was provided. On 09/25/2025, LPA attempted to interview the resident R1 responsible party; LPA left a voice message. On 09/23/2025, LPA reviewed the staff training on Personal Rights (Residents' rights, Visitors, Transportation, Personal Belongings, and Elder Abuse dated: 05/28/24). LPA was not able to interview the resident R1 because R1 left the facility on December 5, 2022, for a skilled Nursing Facility, and R1 passed away on December 27, 2022. Allegation #3: Staff refused medical equipment for resident. The complaint alleged that the staff denied residents access to necessary medical equipment, including a hospital bed, a fall mat, and an alarm mat. On September 25, 2025, between 9:00 AM and 11:30 AM, the Licensing Program Analyst (LPA) interviewed the Licensee, who denied the allegation. During the same time frame, the LPA also interviewed the Administrator (A1), who similarly denied the claim. A1 stated that every resident has access to either a full or half hospital bed with bed rails. Additionally, A1 mentioned that the facility has a fall mat and an alarm mat stored in the garage for use if a resident requires them. On September 25, 2025, between 9:00 AM and 11:30 AM, the LPA interviewed the previous Administrator (A2), who denied the allegations. During the same time frame, the LPA also interviewed three staff members (S1-S3), all of whom denied the allegations and stated that the facility is small. They mentioned that if a fall mat or an alarm mat is needed, they will assist in placing it inside the rooms. Additionally, on September 25, 2025, the LPA interviewed three residents (R2-R4), and all three denied the allegation. On September 23, 2025, the LPA attempted to interview the reporting party (RP) but was unable to do so as the RP is no longer employed, and no further information was provided. The LPA also attempted to reach the responsible party for resident R1, leaving a voice message. On September 23, 2025, the LPA reviewed the staff training on Personal Rights (covering residents' rights, visitors, transportation, personal belongings, and elder abuse), dated May 28, 2024. The LPA could not interview resident R1 because R1 left the facility for a skilled nursing facility on December 5, 2022, and sadly passed away on December 27, 2022. On September 25, 2025, the LPA observed a floor mat and an alarm mat in the garage. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. No deficiencies cited. Exit interview conducted. A copy of this report was provided to the Administrator Daphne Drapeau.the state’s words, verbatim · CDSS document, Sep 25, 2025 · control 18-AS-20221117142428

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that six (6) residents live at this facility. There was three (3) staff members present. The Administrator, Yoradyl Daphne Drapeau was advised of the annual and came to conduct and completed the facility tour. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Six (6) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. Three (3) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Yoradyl Daphne Drapeau submitted her Administrator’s certificate on May 1st, 2024. The Department is in receipt of the Administrator application. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a location for sharps in the kitchen. Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 108.0 degrees F. Laundry is done in the laundry room. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the closet in the garage. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. LPA dialed the facility’s landline number, which rang and was operable. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There are zero (0) pools at the facility. There is one (1) secured gate that has a self-latching lock located on the northwest side of the house. LPA observed emergency supplies and two (2) first aid kits. The last emergency fire drill was conducted on 07/31/2024. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed twelve (12) dual smoke detectors and one (1) single carbon monoxide detector throughout the facility. There was one (1) fire extinguisher on site, date charged was 06/01/2024. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to Administrator, Yoradyl Daphne Drapeau .the state’s words, verbatim · CDSS document, Oct 9, 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 Caregiver, May David and explained the purpose of the visit. Administrator Elizabeth Rivera arrived shortly. A tour of the facility was conducted inside and out. At the time of visit, there were three (3) clients home and three (3) staff available. Administrator informed LPA that two of the clients were currently in day program. The facility is a five (5) bedroom two (2) bathroom one story home. Two bedrooms are private, two bedrooms are shared two to a room. One bedroom is reserved for live in staff. During the tour the following was observed: Clients 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 clients. Hot water was tested at 113.7 degrees Fahrenheit. Backyard area is free from 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 monthly. The last drill was 9/30/2023. The Administrator's certificate expires 6/9/2024. Record Review and Client/Staff Files: LPA reviewed current staff and all staff have Criminal Background Clearance, current CPR/First Aid certification, and trainings are current. Client records were reviewed, contained required documents and records are up to date. Medication Review: LPA reviewed medication and medication log. Client's 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 Administrator, Elizabeth Rivera.the state’s words, verbatim · CDSS document, Oct 9, 2023