197608081-8-2-2024-31-AS-NMAN-D7UVRL-20240805164007

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608081
Report Date: 08/02/2024
Date Signed: 08/02/2024 04:42:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2024 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20240724165035

FACILITY NAME:	AVANTGARDE SENIOR LIVING OF TARZANA		FACILITY NUMBER:	197608081
ADMINISTRATOR:	CAROLINA GARCIA-TREJO		FACILITY TYPE:	740
ADDRESS:	5645 LINDLEY AVENUE		TELEPHONE:	(818) 881-0055
CITY:	TARZANA	STATE: CA	ZIP CODE:	91356
CAPACITY:	138	CENSUS: 135	DATE:	08/02/2024
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Joyce Martinez		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is overcharging a resident in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 1:10 p.m. on 08/01/24, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced, subsequent complaint visit. LPA met with the Marketing Director and disclosed the reason for the visit.

To investigate the allegations above, LPA interviewed Staff #1 (S1) at 2:30 p.m. today, Staff #2 (S2) at 2:45 p.m., Staff #3 (S3) at 3:00 p.m., and Resident #1 (R1) at 3:30 p.m., toured the facility at 3:25 p.m. and conducted a records review of records including but not limited to an admission agreement, identification form, and an invoice at 3:45 p.m.

Regarding the allegation "Facility is overcharging a resident in care" it was alleged R1 was being charged $75 per day for leaving their belongings in their previous room. Interview with S1 revealed R1 has not recently moved rooms and is not being charged for items left in an old room. Additionally, R1 did not pay their rent last month.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 31-AS-20240724165035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: AVANTGARDE SENIOR LIVING OF TARZANA	FACILITY NUMBER: 197608081
	VISIT DATE: 08/02/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Record review of R1's most recent invoice confirmed that R1 did not pay their rent on 07/01/24 and had and additional outstanding charge from 09/01/23. The invoice stated "late payments will be assessed a $75 late fee", however S1 stated they never charged R1 with a late fee or any other extra charges. Interview with S3 revealed R1 changed rooms on 02/03/24, but R1 was not being charged nor did they still have items in a previous room. Review of R1's identification form revealed they were responsible for paying their rent. Interview with R1 revealed no pertinent information. Based on interviews and record review, the facility did not overcharge R1. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Copy of report provided.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2