374604834-3-5-2026-08-AS-SJAB-DRZUYM-20260309160011

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604834
Report Date: 03/05/2026
Date Signed: 03/05/2026 01:14:07 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2026 and conducted by Evaluator Angelica Boyles

COMPLAINT CONTROL NUMBER: 08-AS-20260304125453

FACILITY NAME:	SUMMER PLACE		FACILITY NUMBER:	374604834
ADMINISTRATOR:	LEKOVIC, DRAGANA		FACILITY TYPE:	740
ADDRESS:	1739 SUMMER PLACE DR		TELEPHONE:	(760) 402-4282
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	10	CENSUS: 10	DATE:	03/05/2026
		UNANNOUNCED	TIME BEGAN:	08:27 AM
MET WITH:	Administrator Aleksandar Boskoski		TIME COMPLETED:	12:01 PM

ALLEGATION(S):

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Staff did not provide resident's records to resident's representative in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to initiate a complaint investigative regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Aleksandar Boskoski.

On March 4, 2026 the Department received this complaint which alleged staff did not provide Resident #1's (R1) records to R1's representative in a timely manner.
[See LIC811 Confidential Name List for a description of select person identifiers used in this report.] The Department’s investigation included a facility tour, record reviews, as well as interviews with staff.

(Continued on LIC9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

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-20260304125453

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SUMMER PLACE	FACILITY NUMBER: 374604834
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/05/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/20/2026 Section Cited CCR 87468.1(a)(9)	1 2 3 4 5 6 7	87468.1 Personal Rights of Residents in All Facilities (a) Residents...shall have all of the following personal rights: (9) To have communications to the licensee from their representatives answered promptly and appropriately.	1 2 3 4 5 6 7	Administrator stated that he will provide R1's representative with R1's complete files by POC due date and provide proof to LPA.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Records review and interview with staff reveal that the licensee did not respond to R1's communication promptly. This poses a personal rights risk to R1.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20260304125453

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SUMMER PLACE	FACILITY NUMBER: 374604834
	VISIT DATE: 03/05/2026

NARRATIVE

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(Continued from LIC9099)

Records reviewed revealed that R1's representative sent a letter dated December 15, 2025 to the facility requesting a copy of R1's records. R1's representative reported to LPA that they did not receive anything indicating that the mail sent out was undeliverable, nor was it returned back to sender. LPA confirmed with R1's representative that the request was sent to the correct facility mailing address. As of March 5, 2026 R1's representative reported still not receiving records or receiving any response from facility staff despite several follow up communication efforts via telephone.

LPA interviews with staff reported not provided R1's representative with a copy of R1's records and deny receiving any letter of request.

The Department has investigated the allegation that staff did not provide R1's records to R1's representative in a timely manner. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was met to support or corroborate this allegation and therefore deemed substantiated. One deficiency is being cited per Title 22 California Code of Regulations (please refer to 9099-D page). A Plan of Correction was jointly developed with the Administrator.

An exit interview was conducted with Administrator Aleksandar Boskoski, to whom a copy of this report, the LIC811, and the Licensee’s Rights (LIC9058 01/16) were provided at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

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