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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601847
Report Date: 09/15/2025
Date Signed: 09/15/2025 02:36:05 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
09/08/2025 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250908163112
FACILITY NAME:SECURE SENIORSFACILITY NUMBER:
374601847
ADMINISTRATOR:SANDY KRASOVECFACILITY TYPE:
740
ADDRESS:836 EAGLES NEST GLENTELEPHONE:
(760) 746-5123
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:16CENSUS: 15DATE:
09/15/2025
UNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:Sandy Krasovec, AdministratorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Resident sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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On 09/15/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation in regards to the allegation noted above. LPA met with administrator Sandy Krasovec, and explained the purpose of the visit and the elements of the allegation. The allegation was investigated and the investigation, consisted of observations, interviews and records review.

On 9/08/25 Community Care Licensing received a complaint alleging Resident #1 (R1) sustained unexplained injury while in care. It was further alleged that R1 had multiple bruises in various stages of healing and skin tears all over their person including (neck, back and arms). An interview conducted with administrator revealed that R1 had sustained a fall prior to leaving to an appointment on 09/07/25, this was corroborated by a records review of text message between administrator with R1s responisible party. Per a records review, an Unusual/Incident Injury report reporting R1 sustained a fall on 09/03/25 and 09/07/25, requiring for R1 to be sent out. LPA observed for there to be additional incident reports dating back to June 2024. Additionally per a review of the staff schedule there was a total of four (4) staff present at the time of
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
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 2
Control Number 18-AS-20250908163112
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: 09/15/2025
NARRATIVE
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the incident on 09/07/25, as the well the administrator. Per an interview conducted with R1, R1 stated that they could not remember what happened but could recall that they fell, and had some pain. LPA observed for R1 to have bruises under both eyes and on their right eyebrow, and temple. Per an interview with R1s responsible party revealed that R1 has a history of falls and there was no concerns with the care R1 is receiving. Based on observations, interviews and records review the allegation of resident sustained unexplained injury while in care is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where a copy of this report was reviewed and provided to Sandy Krasovec, administrator.
SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2