Woodland Borden Care

Type of visit: Annual/Random

On 09/09/26, Licensing Program Analyst (LPA) Aziz Faizi made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Administrator George Vukovich who was informed of the purpose of the visit. The facility is a one-story home with six (6) bedrooms and four (4) bathrooms, including a garage. There are no pools or known firearms on the premises. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. LPA toured the kitchen and observed the facility has a two-day supply of perishable foods and more than a seven-day supply of non-perishable foods, which are stored in a safe and healthy manner. LPA observed sharp and dangerous objects were securely locked and inaccessible to residents. Laundry room and equipment was in good working condition. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 105.6°F. Fire extinguishers equipped throughout the building are maintained in accordance with the department's safety requirements expiring on 03/11/2027. Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate expiring 02/20/2027. Continued with 809C LPA reviewed files for three (3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Three (3) resident files were reviewed and contained all required documentation. All residents’ medications were securely locked in cabinets. LPA observed medications were checked and listed ensuring accuracy and proper documentation by the facility and staff. LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire/earthquake drill conducted on 06/23/2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.the state’s words, verbatim · CDSS document, Sep 9, 2026

Type of visit: Prelicensing

On 7/2/24 at 9:16am Licensing Program Analyst (LPA) Javina George made an announced visit to the facility for the purpose of conducting a prelicensing inspection-Change of Ownership (CHOW) with residents in care. The facility has requested a hospice waiver for four (4). There are currently two (2) residents receiving hospice care. LPA met with Administrator/Applicant George Vucovich who assisted in the tour of inside and outside of the facility and the evaluation. On 01/12/24 the San Marcos Fire Department approved the facility for 6 non-amubulatory persons. The facility is a single story home consisting of 6 bedrooms, 1 of which is for staff/live in caregiver, and four (4) bathrooms, 3 of which are for residents to use. In addition there is a living room, kitchen, backyard with a covered patio, garden, and a garage which is the staff area. There is also a shed that is being used for storage, and a built in smoker the backyard. The medications are locked inside a cabinet inside the kitchen. There are no pools or bodies of water or known guns or ammunition on the premises. The facility was observed to have the required postings, and operable smoke and carbon monoxide detectors, and fully charged fire extinguishers. The hot water was tested and found to be within regulatory limits. The facility utilizes pendants. Each resident is issued a pendant to wear around their neck upon admission to use in the event that assistance is needed. The facility was evaluated in accordance with the California Code of Regulation (CCR), Title 22 Chapter 6, Division 8. Based on the observations and evaluation of the facility this date, the facility’s ready for licensure. An exit interview was conducted, and a copy of this report (LIC809) was discussed and provided with Applicant/Administrator George Vucovich.the state’s words, verbatim · CDSS document, Jul 2, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Applicant/Administrator, George Vukovich & Applicant, Mirjana Vukovich Interview Method: Virtual interview (Teams) On 5/31/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 31, 2024