Inspection Reports for North La Costa Assisted Living
7623 Primavera Way, Carlsbad, CA 92009, United States, CA, 92009
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jul 16, 2025
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the assisted living facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no immediate hazards. However, a deficiency was cited for expired food items found in the refrigerator, posing a potential health risk to residents. A plan of correction was developed with the licensee.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Expired food items were located in the refrigerator, posing a potential health risk to 6 of 6 persons in care. | Type B |
Report Facts
Capacity: 6
Census: 5
Deficiency count: 1
Plan of Correction Due Date: Aug 18, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Licensee | Named in relation to the inspection and plan of correction |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection and signed the report |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
May 17, 2024
Visit Reason
An unannounced Required Annual Inspection was conducted to review the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and documentation were present and in order.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager in report |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Jan 6, 2023
Visit Reason
An unannounced complaint investigation was conducted following allegations that a resident developed pressure injuries while in care, facility staff did not ensure adequate liquid intake, and staff did not seek timely medical attention.
Findings
The investigation found that although the incidents may have happened and are valid, there was not a preponderance of evidence to prove they occurred, and the allegations were therefore unsubstantiated. Facility staff identified the resident's medical issues and sought medical treatment promptly.
Complaint Details
The complaint alleged that Resident 1 developed pressure injuries, did not have adequate liquid intake, and did not receive timely medical attention. The investigation included record reviews, interviews, and inspections. The allegations were found unsubstantiated.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Administrator | Met with during investigation and named in findings |
| Daniel Pena | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Nov 29, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility did not inform emergency contacts that a resident passed away.
Findings
The investigation found that the facility's responsible party was notified by the hospital of the resident's death and subsequently informed the facility. The facility attempted to notify the resident's next of kin but was unable to reach them. The allegation was found to be unsubstantiated.
Complaint Details
The complaint alleged the facility failed to inform emergency contacts that the resident passed away. The allegation was investigated through observation, records review, and interviews, and was found to be unsubstantiated.
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Administrator | Met with Licensing Program Analyst during the complaint investigation |
| Ramon Serrano | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 11, 2022
Visit Reason
An annual required licensing inspection focused on infection control due to the COVID-19 pandemic was conducted.
Findings
The inspection verified compliance with infection control practices including symptom screening, visitor policies, PPE availability, and hygiene promotion. No deficiencies were observed during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Administrator | Administrator present during the inspection and participated in review of infection control plan. |
| Elizabeth Hamilton | Licensing Program Analyst | Conducted the annual required licensing inspection. |
| Dianna Cisneros | Caregiver | Accompanied the Licensing Program Analyst during the facility tour. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 30, 2021
Visit Reason
Licensing Program Analyst Marisela Garcia-Centeno conducted an unannounced Required 1-Year Visit to evaluate the facility's compliance and infection control measures.
Findings
No deficiencies were cited or observed during the inspection. The facility was found to be in compliance with infection control protocols including disinfection, testing surveillance, screening, and use of personal protective equipment.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Administrator | Met with Licensing Program Analyst during the inspection and discussed the purpose of the visit. |
| Marisela Garcia-Centeno | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and evaluation. |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 5
Capacity: 6
Deficiencies: 0
Mar 2, 2021
Visit Reason
An unannounced case management visit was conducted to perform a health and safety check and review the COVID-19 mitigation plan following notification of a new positive COVID-19 case at the facility.
Findings
During the virtual visit conducted via FaceTime, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dejan Boskoski | Administrator | Met with Licensing Program Analyst during the visit and notified Community Care Licensing of a new positive COVID-19 case. |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
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