374601847-5-19-2026-18-AS-RORN-DUGUX2-20260527155737

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601847
Report Date: 05/19/2026
Date Signed: 05/19/2026 02:42:37 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/10/2024 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 18-AS-20240610130942

FACILITY NAME:	SECURE SENIORS		FACILITY NUMBER:	374601847
ADMINISTRATOR:	SANDY KRASOVEC		FACILITY TYPE:	740
ADDRESS:	836 EAGLES NEST GLEN		TELEPHONE:	(760) 746-5123
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	16	CENSUS: 15	DATE:	05/19/2026
		UNANNOUNCED	TIME BEGAN:	10:12 AM
MET WITH:	LJILJANA VUCKOVICH		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff physically assaulted Resident which resulted in a minor injury.
Staff spoke inappropriately to resident.
Staff did not meet resident's toileting needs.

INVESTIGATION FINDINGS:

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On May 19, 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), Ljiljana Vuckovich, and explained the purpose of the visit.

The investigation involved collecting records and touring the facility. On May 19, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated April 17, 2026) and the Client Roster (dated April 17, 2026). The Department reviewed and collected documents for four residents (R1-R4), which included the Admission Agreement, the Physician's Report, the Medical Assessment, the Medication Administration Records (MARs), and the Appraisal/Needs and Services Plan. Additionally, the Department reviewed the Unusual Incident/Injury Report dated June 7, 2024, and the Death Report dated December 16, 2025. On May 19, 2026 the Department interviewed the Licensee Administrator (A1) and four staff members (S1-S3). They also interviewed four residents (R2-R5) and the Responsible Party (RP).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

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

LIC9099 (FAS) - (06/04)

Page: 1 of 5

Control Number 18-AS-20240610130942

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SECURE SENIORS	FACILITY NUMBER: 374601847
	VISIT DATE: 05/19/2026

NARRATIVE

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Allegation: #1: Staff physically assaulted resident which resulted in a minor injury.

The complaint alleged that staff members physically harmed resident R1, causing a bruise on R1's forehead. On May 19, 2026, the department interviewed the licensee, who denied the allegation, asserting that the staff cares deeply for R1 and would never hurt any residents in their care. During the same visit, the department interviewed the Administrator (A1), who also denied the allegation. A1 stated that upon learning of the complaint, they conducted an investigation and determined that the did not hit the resident. A1 explained that R1 sometimes leaves their room at night to go to the bathroom and, on this particular night, R1 hit their head on the door.

Additionally, the department interviewed four staff members (S1-S4), all of whom denied ever hitting anyone. S1, S2, and S3 mentioned that they have been caring for R1 since R1 moved into the facility and would never consider abusing or physically harming R1.

The department also interviewed four other residents (R2-R5), all of whom denied ever being hit or assaulted by staff or other residents. Furthermore, the responsible party (RP) was interviewed and denied the allegation, stating that R1 is fortunate to be living at the facility and that the staff have gone above and beyond to assist R1. On May 19, 2026, the department reviewed the unusual Incident Report the facility sent to Community Care Licensing (CCL) on 06/07/2024, which indicated that R1 hit R1's forehead while going to the bathroom in the middle of the night.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 18-AS-20240610130942

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SECURE SENIORS	FACILITY NUMBER: 374601847
	VISIT DATE: 05/19/2026

NARRATIVE

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The forehead showed slight redness. Additionally, the responsible party (RP) was interviewed on May 19, 2026. The RP denied the allegation, stating that during visits, R1 would often get up quickly and try to do things independently without using a walker. However, staff always stayed within one or two feet of R1, as R1 could move without the walker. The RP also stated that R1 is very vocal and would have let RP know the staff refuses to assist R1.

The department's review of the R1 physician report dated 11/16/2023 indicated that R1 could be self cared and needs assistance.

The department was unable to interview a resident (R1) because R1 passed away on December 12, 2025.

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.

Allegation: #2: Staff spoke inappropriately to the resident.

The complaint alleged that staff spoke inappropriately to resident R1 after R1 requested assistance. On May 19, 2026, the department interviewed the licensee, who denied the allegation and asserted that staff would never speak inappropriately to residents. During the same visit, the department interviewed Administrator A1, who also denied the allegation and stated that residents were using inappropriate language toward staff members.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 18-AS-20240610130942

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SECURE SENIORS	FACILITY NUMBER: 374601847
	VISIT DATE: 05/19/2026

NARRATIVE

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The department interviewed four staff members (S1-S4), all of whom denied the allegation and stated that residents used offensive language when they were unhappy. Additionally, the department spoke with four residents (R2-R5), all of whom denied ever speaking inappropriately to by staff members. The responsible party (RP) was also interviewed and denied the allegation, stating that the staff did not use inappropriate language toward R1.

Unfortunately, the department was unable to interview resident R1, as R1 passed away on December 12, 2025.

Allegation: #3: Staff did not meet resident’s toileting needs.

The complaint alleged that the resident (R1) asked the staff to assist R1 to the bathroom, but the staff refused to take R1. On May 19, 2026, the department conducted interviews regarding an allegation against the licensee. The licensee denied the allegation, asserting that staff would never refuse to assist a resident wanted to use the bathroom. The department also interviewed the Administrator (A1), who similarly denied the allegation and stated that staff checks on residents every two hours and as needed, particularly at night.

During the same investigation, four staff members (S1-S4) were interviewed, all of whom denied the allegation and emphasized that they would never refuse assistance to a resident requiring help with the bathroom needs.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 18-AS-20240610130942

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SECURE SENIORS	FACILITY NUMBER: 374601847
	VISIT DATE: 05/19/2026

NARRATIVE

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They noted that some residents who can walk with a walker sometimes go to the bathroom on their own, but staff remain nearby to assist if needed. Resident R1 would ask for help even when it was not necessary.

The department also interviewed four other residents (R2-R5), all of whom denied the allegation and confirmed that staff assist them whenever they request help. Additionally, the responsible party (RP) was interviewed on May 19, 2026. The RP denied the allegation, stating that during visits, R1 would often get up quickly and try to do things independently without using a walker. However, staff always stayed within one or two feet of R1, as R1 could move without the walker. The RP also stated that R1 is very vocal and would have notified the RP that the staff refused to assist R1. The department was unable to interview a resident (R1) because R1 passed away on December 12, 2025.

No deficiencies were cited.

An exit interview was conducted. A copy of this report was provided to the Administrator Ljiljana Vuckovich.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

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