Senior Care Records.

Facility Evaluation Report

Country Club Manor, Escondido03/02/2026Licence 374602012

Capacity6
Date signed03/02/2026 11:51:35 AM
Name of licensing program analystKyle Wellington
Name of licensing program managerCarolyn Tuba
The inspector’s account

On 3/2/26, Licensing Program Analysts (LPAs) Kyle Wellington and Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPAs phoned Licensee, Mirjana Bujosevic, who informed LPAs the facility is still unoccupied as the home's renovations continue. Licensee arrived during the visit to meet with LPAs. Licensee said the facility renovations are almost complete and there have not been any structural changes to the facility. Licensee stated she is unsure if the facility will reopen at this location or if it will move to another one. The facility is licensed to serve six (6) non-ambulatory elderly residents and has an approved hospice waiver for two (2) residents.

LPAs toured the facility with Licensee and did not observe any residents in care or evidence to suggest the home is currently occupied. LPAs observed the facility has operating utilities along with a working refrigerator. The facility has the required furniture in all rooms, a charged fire extinguisher and operating smoke detectors. No bodies of water or pools were observed on the property. The facility's annual licensing fees have been paid. LPAs informed the Licensee to notify the Department when renovations have been completed and when they plan to admit new residents or if the Licensee plans on closing the facility and not accept new residents or if the Licensee wants to request a change in the facility's location.

During today's visit, no deficiencies were issued. An exit interview was conducted an a copy of this report was reviewed and provided to Licensee.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction