374600026-8-23-2024-08-AS-JLOT-D8KVGL-20240828162541

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600026
Report Date: 08/14/2024
Date Signed: 08/23/2024 06:56:33 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/04/2020 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20201204154620

FACILITY NAME:	SILVERGATE SAN MARCOS RETIREMENT RESIDENCE		FACILITY NUMBER:	374600026
ADMINISTRATOR:	JOAN RINK-CARROLL		FACILITY TYPE:	740
ADDRESS:	1550/1560 SECURITY PLACE		TELEPHONE:	(760) 744-4484
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	160	CENSUS: 92	DATE:	08/14/2024
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Director of Resident Care (DRC) Ada Navarrete		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Resident's money was stolen while in care.

INVESTIGATION FINDINGS:

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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 R1 had suspected Staff 2 (S2) had taken their money. The Administrator encouraged R1 to file a police report, notified the appropriate parties, and conducted an internal investigation. Interviews and facility records reviews revealed the internal investigation did not yield evidence to support the allegation. Interviews conducted with facility staff revealed S2 resigned from the facility approximately 2 years ago.

This is an amended version of the original report delivered on August 14, 2024.

[Continued on LIC 9099C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 380-3797
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20201204154620

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: SILVERGATE SAN MARCOS RETIREMENT RESIDENCE	FACILITY NUMBER: 374600026
	VISIT DATE: 08/12/2024

NARRATIVE

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[Continuation of LIC 9099]

Additional interviews conducted with Residents in care revealed no corroborating evidence.

On December 2, 2020, an outside source records review revealed R1 filed a police report indicating the theft of cash from their apartment at the facility occurred between November 18 and November 29, 2020. The records also revealed R1 admitted to leaving their apartment unlocked at times. An outside source interview revealed the investigation with the Sheriff Department was suspended due to having no leads, R1 would leave their apartment unlocked, there are no surveillance cameras, and approximately 81 staff members employed at the facility during the time of the alleged theft.

Due to lack of evidence the finding for the above-mentioned allegation was determined to be unsubstantiated. This finding means although the allegation may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violation occurred. (See LIC 811 for confidential names)

LPA Correia conducted an exit interview with DRC Naverrete. At the time of the exit was conducted with DRC Navarrete was notified a copy of the Complaint Investigation Reports (LIC 9099) and Licensee Rights (LIC9058 01-2016) will be provided at the conclusion of the visit. Signature on this report acknowledges receipt of the documents.

This is an amended version of the original report delivered on August 14, 2024.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 380-3797
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024

LIC9099 (FAS) - (06/04)

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