374604261-5-15-2024-08-AS-SJAB-D5HV2F-20240522160305

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604261
Report Date: 05/15/2024
Date Signed: 05/15/2024 04:51:13 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
05/22/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20230522144419

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: 37	DATE:	05/15/2024
		UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	Suzanne Caccam,Wellness Director		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

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Staff refused to help resident
Untrained staff
Staff failed to meet resident's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out a complaint. LPA identified herself, was granted entry, and stated the purpose of the visit to Suzanne Caccam,Wellness Director. During the investigation, LPA toured the facility, conducted interviews and conducted a records review.

It was alleged that staff refused to help resident. Interviews revealed that Resident 1 (R1) was having a difficult time breathing. Interviews revealed that R1 uses oxygen and when they sleep the oxygen canula falls out of their nose. R1s roommate noticed the oxygen canula falling out and watched R1 become very restless. R1 started to panic and so R1s roommate assited them with their breathing exercises and then called for staff. Interviews revealed that once staff was called and they came into the room, they called 911 for R1 and they went to the hospital. Staff acted promptly in getting assistance for R1 once they were made aware of the incident. Interviews did not reveal any evidence of staff refusing to help resident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

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-20230522144419

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: 05/15/2024

NARRATIVE

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It was alleged that there are untrained staff. Interviews with staff revealed that staff are trained at the time of hire and throughout the year on various topics. LPAs observations revealed proof of training's for the staff that are employed at the facility. Interviews did not reveal any evidence of the facility having untrained staff.

It was alleged that staff failed to meet resident's needs. Interviews with staff revealed that the staff conduct rounds and check on the residents. Interviews also revealed the staff meet the residents needs when the residents request help they assist them. The staff assist them with medications, meals, toileting and activities of daily living. Interviews with staff revealed them denying them failing to meet the residents needs. Interviews did not reveal any evidence of staff failed to meet resident's needs.

Based on the evidence obtained from the investigation, the above-mentioned allegations are unsubstantiated. An exit interview was conducted with Suzanne Caccam, Wellness Director and a copy of this report and Licensee Rights (LIC 9058 03/22) was provided at the end of the visit.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

LIC9099 (FAS) - (06/04)

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