Silvergate San Marcos Retirement Residence

On April 15, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Antonine Richard, conducted an unannounced follow-up complaint visit. The LPA met with the Administrator (A1), Joan Rink Carroll, and explained that the purpose of the visit was to correct the wording of the allegation on LIC9099, as stated in LIC802. The investigation consisted of collecting records and observing the facility. On April 7, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated 04/07/26), the Resident Roster (dated 04/07/26), the Registered Nursing License dated September 30, 2025, and the Living Nurse Certificates dated June 30, 2026. The department interviewed Administrator A1, an RN, a Licensed Vocational Nurse (LVN), and six residents (R1-R6). UnsubstantiatedRead the full finding— CDSS inspection report, April 15, 2026 · control 18-AS-20230413163957

On April 7, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced follow-up complaint visit. The LPA met with the Administrator (A1), Joan Rink Carrol, and Bardiago Evelina, Registered Nurse (RN). And explained the purpose of the visit was to investigate the allegation mentioned above. The investigation consisted of collecting records and observing the facility. The Department obtained various documents, including the Personnel Report LIC 500 (dated 04/07/26), the Resident Roster (dated 04/07/26), the Registered Nursing License dated September 30, 2025, and the Living Nurse Certificates dated June 30, 2026. The department interviewed Administrator A1, an RN, a Licensed Vocational Nurse (LVN), and six residents (R1-R6). UnsubstantiatedRead the full finding— CDSS inspection report, April 7, 2026 · control 18-AS-20230413163957

Licensing Program Analyst (LPA) Debbie Correia conducted a follow up visit to conclude a complaint investigation. The LPA identified herself and was greeted by Front Desk Receptionist Daisy Olvera and met with DRC Navarette and disclosed the purpose of the visit. The Department’s investigation consisted of facility and resident record reviews, interviews conducted with staff, residents and an outside source. It was alleged that Resident's 1 (R1’s) money was stolen while in care. A resident records review revealed R1 was admitted to the facility on August 10, 2019. Further review of R1’s facility records revealed the facility only covered theft or loss of personal belongings up to $200 and encouraged residents to seek personal insurance for any items that exceeded the property value covered by the facility. Resident records also revealed R1 declined to provide the facility with a list of their personal belongings. Interviews conducted with the Administrator and Staff 1 (S1) revealed R1Read the full finding— CDSS inspection report, August 14, 2024 · control 08-AS-20201204154620

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira met with Executive Director Joan Rink-Carroll and shared the findings. The Department’s investigation consisted of interviews and records review. On 10/05/21, it was alleged that staff financially abused a resident. Resident #1 (R1) reported money missing from their room. A records review and an interview with the Executive Director revealed that an internal investigation was conducted, and the incident was reported to the local Sheriff’s Department as required. The facility’s internal investigation consisted of staff and resident interviews, as well as a review of internal records. The investigation findings revealed that there were no witnesses and residents could not identify a suspected abuser. The review of internal records revealed inconsistencies with the documentation of staff access to room keys and staff presence in rRead the full finding— CDSS inspection report, October 28, 2022 · control 08-AS-20211005102024

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira met with Executive Director Joan Rink-Carroll and shared the findings. The Department’s investigation consisted of interviews, observations, and records review. On 08/31/2021, it was alleged that the facility was not servicing the elevator to maintain it operable. Between 08/23/21 to 08/28/21, and again on 08/31/21, the elevator was inoperable due to servicing. Records review demonstrated that the facility had a contract with an elevator servicing company and made plans with the company to fix the elevator issues. Interviews with staff, residents and outside sources revealed that staff was hired to fix the elevator. Records review and interviews with staff also demonstrated that the elevator was fixed and the facility made reasonable accommodations for residents to mitigate the impact. (continued on LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, September 30, 2022 · control 08-AS-20210831094514

Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira met with Executive Director Joan Rink-Carroll and shared the findings. The Department’s investigation consisted of interviews, observations, and records review. On 10/06/2021, it was alleged that the facility did not assist a resident with the arrangement of transportation services. Interviews with staff, residents and outside sources revealed that while changes were made to the transportation schedule effective 10/01/21, the facility continued to facilitate transportation services for the resident in question. Interviews also revealed that assistance with coordinating trips continued to be provided by facility staff. A review of records also demonstrated that transportation services were facilitated by the facility for the resident during this time. (continued on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, September 30, 2022 · control 08-AS-20211006113833