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SAPPHIRE HC LLC

Company Details

Name: SAPPHIRE HC LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Oct 2012 (13 years ago)
Entity Number: 4311228
ZIP code: 11230
County: Westchester
Place of Formation: New York
Address: 1487 McDonlad Ave, BROOKLYN, NY, United States, 11230

Contact Details

Phone +1 914-941-5100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAPPHIRE, HC LLC 401(K) PLAN 2023 834227940 2024-07-23 SAPPHIRE HC, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s DBA name BRIARCLIFF MANOR CENTER FOR REHABILITATION AND NURSING
Plan sponsor’s address 620 SLEEPY HOLLOW ROAD, BRIARCLIFF MANOR, NY, 10510

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing AARON KAUFMAN
SAPPHIRE, HC LLC 401(K) PLAN 2022 834227940 2023-07-25 SAPPHIRE HC, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s DBA name BRIARCLIFF MANOR CENTER FOR REHABILITATION AND NURSING
Plan sponsor’s address 620 SLEEPY HOLLOW ROAD, BRIARCLIFF MANOR, NY, 10510

Signature of

Role Plan administrator
Date 2023-07-25
Name of individual signing AARON KAUFMAN
SAPPHIRE, HC LLC 401(K) PLAN 2021 834227940 2022-07-15 SAPPHIRE HC, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s DBA name BRIARCLIFF MANOR CENTER FOR REHABILITATION AND NURSING
Plan sponsor’s address 620 SLEEPY HOLLOW ROAD, BRIARCLIFF MANOR, NY, 10510

Signature of

Role Plan administrator
Date 2022-07-15
Name of individual signing AARON KAUFMAN
SAPPHIRE, HC LLC 401(K) PLAN 2020 834227940 2021-07-09 SAPPHIRE HC, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s DBA name BRIARCLIFF MANOR CENTER FOR REHABILITATION AND NURSING
Plan sponsor’s address 620 SLEEPY HOLLOW ROAD, BRIARCLIFF MANOR, NY, 10510

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing AARON KAUFMAN
SAPPHIRE, HC LLC 401(K) PLAN 2019 834227940 2020-06-09 SAPPHIRE HC, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 7187056740
Plan sponsor’s DBA name BRIARCLIFF MANOR CENTER FOR REHABILITATION AND NURSING
Plan sponsor’s address 620 SLEEPY HOLLOW ROAD, BRIARCLIFF MANOR, NY, 10510

Signature of

Role Plan administrator
Date 2020-06-09
Name of individual signing AARON KAUFMAN

DOS Process Agent

Name Role Address
SAPPHIRE HC LLC DOS Process Agent 1487 McDonlad Ave, BROOKLYN, NY, United States, 11230

History

Start date End date Type Value
2020-09-21 2024-10-08 Address 1463 66TH STREET, BROOKLYN, NY, 11219, USA (Type of address: Service of Process)
2018-03-26 2020-09-21 Address 39 BROADWAY, 25TH FLOOR, NEW YORK, NY, 10006, USA (Type of address: Service of Process)
2012-10-22 2018-03-26 Address HARRIS BEACH PLLC, 726 EXCHANGE STREET STE 1000, BUFFALO, NY, 14210, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241008003301 2024-10-08 BIENNIAL STATEMENT 2024-10-08
221026003578 2022-10-26 BIENNIAL STATEMENT 2022-10-01
201015060215 2020-10-15 BIENNIAL STATEMENT 2020-10-01
200921060126 2020-09-21 BIENNIAL STATEMENT 2018-10-01
190718002029 2019-07-18 BIENNIAL STATEMENT 2018-10-01
180326000118 2018-03-26 CERTIFICATE OF AMENDMENT 2018-03-26
140514000437 2014-05-14 CERTIFICATE OF PUBLICATION 2014-05-14
121022000452 2012-10-22 ARTICLES OF ORGANIZATION 2012-10-22

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345341101 0216000 2021-06-03 620 SLEEPY HOLLOW RD, BRIARCLIFF MANOR, NY, 10510
Inspection Type FollowUp
Scope Partial
Safety/Health Health
Close Conference 2021-06-03
Case Closed 2021-11-22

Related Activity

Type Inspection
Activity Nr 1487944
Health Yes
344879440 0216000 2020-08-13 620 SLEEPY HOLLOW RD, BRIARCLIFF MANOR, NY, 10510
Inspection Type Fat/Cat
Scope Complete
Safety/Health Health
Close Conference 2020-08-13
Case Closed 2022-04-22

Related Activity

Type Accident
Activity Nr 1643252

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100134 C01
Issuance Date 2020-10-09
Abatement Due Date 2020-11-05
Current Penalty 5000.0
Initial Penalty 12145.0
Contest Date 2020-11-04
Final Order 2021-02-15
Nr Instances 1
Nr Exposed 7
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(c)(1): A written respiratory protection program that included the provisions in 29 CFR 1910.134(c)(1)(i) - (ix) with worksite specific procedures was not established and implemented for required respirator use: a) Briarcliff Manor Center for Rehabilitation and Nursing, 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510: On or about April 9, 2020, and continuing thereafter, the employer did not establish and implement a written respiratory protection program for Licensed Practical Nurses and Certified Nursing Assistants who were required to wear KN95 filtering facepiece respirators when working with residents suspected or confirmed to be infected with COVID-19. NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM, FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1,000.00 AS PER 29 CFR 1903.19.
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100134 E01
Issuance Date 2020-10-09
Abatement Due Date 2020-11-05
Current Penalty 0.0
Initial Penalty 0.0
Contest Date 2020-11-04
Final Order 2021-02-15
Nr Instances 1
Nr Exposed 7
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employees ability to use a respirator, before the employee was fit tested or required to use the respirator in the workplace: a) Briarcliff Manor Center for Rehabilitation and Nursing, 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510: On or about April 5, 2020, and continuing thereafter, the employer required employees, including Licensed Practical Nurses and Certified Nursing Assistants, to wear KN95 filtering facepiece respirators when working with residents suspected or confirmed to be infected with COVID-19. The employer did not provide medical evaluations to the employees before they were required to use respirators. NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM, FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1,000.00 AS PER 29 CFR 1903.19.
Citation ID 01001C
Citaton Type Serious
Standard Cited 19100134 F02
Issuance Date 2020-10-09
Abatement Due Date 2020-11-05
Current Penalty 0.0
Initial Penalty 0.0
Contest Date 2020-11-04
Final Order 2021-02-15
Nr Instances 1
Nr Exposed 7
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit tested prior to initial use of the respirator and at least annually thereafter. a) Briarcliff Manor Center for Rehabilitation and Nursing, 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510: On or about April 5, 2020, and continuing thereafter, the employer did not fit test Licensed Practical Nurses and Certified Nursing Assistants who were required to wear KN95 filtering facepiece respirators when working with residents suspected or confirmed to be infected with COVID-19. NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM, FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1,000.00 AS PER 29 CFR 1903.19.
Citation ID 02001
Citaton Type Other
Standard Cited 19040039 A01
Issuance Date 2020-10-09
Current Penalty 0.0
Initial Penalty 8675.0
Contest Date 2020-11-04
Final Order 2021-02-15
Nr Instances 1
Nr Exposed 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1904.39(a)(1): The employer did not report within 8-hours the death of an employee resulting from a work-related incident a) Briarcliff Manor Center for Rehabilitation and Nursing, 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510: On or about May 8, 2020, the employer learned of the May 7, 2020 death of a Licensed Practical Nurse due to COVID-19 but then failed to report this death to OSHA within 8 hours. NOTE: BECAUSE ABATEMENT OF THIS VIOLATION IS ALREADY DOCUMENTED IN THE INSPECTION CASE FILE, THE EMPLOYER NEED NOT SUBMIT CERTIFICATION OF ABATEMENT FOR THIS VIOLATION AS NORMALLY REQUIRED BY 29 CFR 1903.19.

Date of last update: 26 Mar 2025

Sources: New York Secretary of State