Golden Retreat

Type of visit: Required - 1 Year

On July 02, 2026, Licensing Program Analyst (LPA), Venus Mixson conducted an unannounced annual required visit. LPA was granted entry and met with Administrator Dragana Lekovic, who was informed of the purpose of the visit. At the time of the visit there was two staff and six residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. LPA observed outdoor furniture and shaded area for residents. Laundry detergents and cleaning solutions were locked in the garage. Sharp and dangerous objects were locked in a kitchen cabinet. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements and was recorded at 108 degrees F. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. The staff files reviewed have the required personnel records on file and criminal record clearance and updated training along with CPR/First Aid. Three (3) resident files were reviewed and possessed all required paperwork which included Admissions Agreement, Needs and Service Plan, and Physician's Report. The listed administrator possesses a current administrator's certificate. Resident medication was centrally stored and locked in a cabinet located near the staff room. LPA reviewed medications prescribed to the residents and found all medication with required labeling found to be in place. LPA reviewed the facility's emergency and disaster plan and infection control plan. Facility documents disaster drill training conducted quarterly with staff and participating residents. All facility exits were clear from obstructions. LPA observed emergency supplies locked in the garage and first aid kit with all required items. One fire extinguisher was fully charged and inspected. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator Lekovic.the state’s words, verbatim · CDSS document, Jul 2, 2026

Type of visit: Required - 1 Year

On July 03, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Dragana Lekovic. Facility file review conducted at the Regional Office and additional records were requested and reviewed on site. Facility is licensed for six Elderly Adults and is currently operating at 100% capacity! (740). LPA Mixson toured the facility along with the Administrator and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. The facility is a single-story home located at 1119 Warmlands Ave Vista, CA. 92084. Physical Plant: The facility phone number is (760) 295-7435 and it is operable. LPA Mixson observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations at. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the PUB 475. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit. Administrator informed LPA there were safety lights for night throughout the facility. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision/Administration: Adequate staff are present for the care and supervision of resident in care. "Personal rights," telephone numbers, and floor plans were observed posted throughout the facility currently. The listed Administrator possesses a current administrator’s certificate with an expiration date of 09/04/2026. Records Reviewed and Resident/Staff Files: LPA reviewed a sampling of personnel files and reviewed the facility's staff schedule. Personnel files reviewed had criminal clearance and updated training along with First Aid Certification. A sample of resident files was reviewed and possessed requested paperwork at the time of this annual. Disaster preparedness: LPA Mixson requested the facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill met the department standards, and was conducted by Administrator, Dragana Lekovic on 04/20/2025. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures. No TA deficiencies were observed or cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted where a copy of this report was discussed and given to Administrator, Dragana Lekovic.the state’s words, verbatim · CDSS document, Jul 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with Administrator Dragana Lekovic, who was informed of the purpose of the visit. At the time of the visit there was two (2) staff and four (4) residents present. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. LPA observed outdoor furniture and shaded area for residents. Laundry detergents and cleaning solutions were locked in the garage. Sharp and dangerous objects were locked in a kitchen cabinet. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements and was recorded at 108 degrees F. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed two (2) staff files and training. All staff have the required personnel records on file and criminal record clearance and updated training along with CPR/First Aid. Three (3) resident files were reviewed and possessed all required paperwork which included Admissions Agreement, Needs and Service Plan, and Physician's Report. The listed administrator possesses a current administrator's certificate. Resident medication was centrally stored and locked in a cabinet located near the staff room. LPA reviewed medications prescribed to the residents and found all medication with required labeling found to be in place. LPA reviewed the facility's emergency and disaster plan and infection control plan. Facility documents disaster drill training conducted quarterly with staff and participating residents. All facility exits were clear from obstructions. LPA observed emergency supplies located in the garage and first aid kit with all required items. One (1) fire extinguisher was fully charged and inspected. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Administrator Lekovic.the state’s words, verbatim · CDSS document, Jul 26, 2024

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Javina George made a case management deficiencies visit. The following deficiencies were observed during LPAs visit to the facility on 4/18/24: LPA conducted a review of the facility personnel roster and observed Staff #1 (S1) and Staff #2 (S2) to not have obtained proper fingerprint clearance, nor to be associated to the facility. Both staff both were escorted off the premises, an immediate $500 civil penalty is being assessed for both S1 and S2 totaling $1,000. LPA discussed with Administrator Dragana that both S1 and S2 have to be removed from the schedule until further notice of having the proper fingerprint clearance being obtained. Based on today's visit a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, appeal rights, LIC 811, LIC9098 and LIC 421BG was provided to Dragana Radjenovic Lekovic, Administrator.the state’s words, verbatim · CDSS document, Apr 18, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Apr 19, 2024

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 2 times as S1, S2 do not have proper fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 18, 2024

Plan of correction: The Licensee agrees to have S1, S2 obtain proper fingerprint clearance and associate them to the facility. S1 S2 will not work on grounds until proper clearance has been obtained. POC is to be submitted to the department by 5pm on the due date indicated.