374604261-2-26-2025-08-AS-LTEZ-DEB4DF-20250227180042

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604261
Report Date: 02/25/2025
Date Signed: 02/26/2025 01:15:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2023 and conducted by Evaluator Sabel Martinez

COMPLAINT CONTROL NUMBER: 08-AS-20230821162518

FACILITY NAME:	AVANTGARDE SENIOR LIVING OF LA JOLLA		FACILITY NUMBER:	374604261
ADMINISTRATOR:	ESCOBAR, AGUSTIN		FACILITY TYPE:	740
ADDRESS:	6211 LA JOLLA HERMOSA AVE		TELEPHONE:	(818) 692-5284
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	45	CENSUS: 30	DATE:	02/25/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Adminitrator Susan Caccam		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff did not safeguard resident's personal belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced follow up complaint investigation visit. The LPA introduced himself and discussed the purpose of the visit to Activities Director Gabriela Ortiz.

Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents.

It was alleged staff did not safeguard a resident's personal belongings. On August 21st, 2023, it was reported to the Department the facility did notvreturn Resident # 1 (R1)’s belongings, after R1 moved out. Some of these belongings included personal clothing items, food, personal documents, and Ambulatory Assistive Devices (ADDs).

(See LIC 9099-C for continuation of report.)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20230821162518

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: AVANTGARDE SENIOR LIVING OF LA JOLLA	FACILITY NUMBER: 374604261
	VISIT DATE: 02/25/2025

NARRATIVE

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Interviews with several sources revealed facility staff inventoried R1’s belongings and delivered these belongings to R1. Internal and external sources confirmed R1 accepted these belongings but refused to acknowledge receipt by declining to sign the inventory sheet. A review of R1’s initial inventory sheet, and discharge inventory sheet did not note any of the reported missing items, except two (2) ADDs.

During a visit to the facility, the LPA witnessed the two ADDs in question. Staff confirmed the ADDs belonged to R1. During a subsequent visit, the LPA reviewed a record confirming staff had delivered the ADDs to R1 and R1 signed accepting receipt of such items. Multiple interviews with residents revealed they did not have any concerns with personal items no being safeguarded by staff.

An interview with the administrator confirmed R1’s personal belongings were packaged by staff, were delivered to R1, and R1 declined to acknowledge receipt of the belongings. The administrator did not have any knowledge of the additional missing items. There was not enough evidence to determine the facility did not safeguard R1 personal belongings, therefore, the allegation was unsubstantiated.

An exit interview was conducted with Administrator Susan Caccam, to whom a copy of this report, and Licensee Rights (LIC 9058), were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Sabel Martinez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

LIC9099 (FAS) - (06/04)

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