374604113-2-25-2026-08-AS-SMOA-DRSSD7-20260302124639

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604113
Report Date: 02/20/2026
Date Signed: 02/25/2026 10:16:57 AM

Unsubstantiated

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
04/09/2021 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 08-AS-20210409164946

FACILITY NAME:	LA COSTA VILLAS		FACILITY NUMBER:	374604113
ADMINISTRATOR:	LEKOVIC,DRAGANA		FACILITY TYPE:	740
ADDRESS:	7619 PRIMAVERA WAY		TELEPHONE:	(760) 521-0303
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92009
CAPACITY:	3	CENSUS: 3	DATE:	02/20/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator, Dragana Lekovic		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Absence of Supervison
Inadequate food service

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on a complaint investigation. LPA Hurt met with, Administrator, Dragana Lekovic, and explained the purpose of today’s visit.

On 11/23/2021, LPA conducted an unannounced visit to the facility and interviewed residents, staff, and the administrator. Residents interviewed, including Resident 1, Resident 2, and Resident 3, stated that staff are available when assistance is needed. Residents reported that they are able to call for help and that staff respond when called, including during nighttime hours. No resident reported being left alone without staff present.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

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-20210409164946

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: LA COSTA VILLAS	FACILITY NUMBER: 374604113
	VISIT DATE: 02/20/2026

NARRATIVE

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The facility administrator, stated that staff coverage is maintained at all times. Staff schedules were reviewed, and staff were identified as working during both daytime and nighttime hours. While it was alleged that the licensee’s father was present in the home, there was no evidence to support that residents were left without appropriate supervision. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Regarding the allegation inadequate food service. During the visit on 11/23/2021, LPA observed meals being prepared and served. Lunch served during the visit consisted of beets, a turkey sandwich with tomatoes and mayonnaise, and clam chowder. The administrator stated that meals are rotated weekly based on resident preferences and that residents may request alternative meals. Residents interviewed reported that the food was adequate and that they received enough to eat. Residents stated that they are able to request different food items if desired. One former resident (Resident 4 ), who moved out of the facility in May 2021, reportedly complained about food; however, no current residents corroborated concerns regarding inadequate food service. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

Exit interview conducted with Administrator, Dragana Lekovic, and copy of report provided.

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC9099 (FAS) - (06/04)

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