374604261-2-26-2026-08-AS-JROO-DT48C9-20260412222334

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604261
Report Date: 02/26/2026
Date Signed: 02/26/2026 03:37:22 PM

Substantiated

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
09/26/2024 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20240926131110

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:	02/26/2026
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	Administrator Susan Caccam		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not follow reporting requirements.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to deliver findings regarding the above mentioned allegation. LPA identified themselves and met with Administrator Susan Caccam to discuss the purpose of the visit and elements of the complaint.

Regarding the allegation of staff did not follow reporting requirements, an incident was reported to a lead staff but was not reported to licensing.The incident was regarding a staff member(S1) that walked in on a resident (R1) doing something inappropriate with their roommate (R2). The department has not received any report regarding this incident and the facility is not able to provide a report stating that it was sent to Licensing.

Based on interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

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 6

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
09/26/2024 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20240926131110

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:	02/26/2026
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	Administrator Susan Caccam		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Neglect/ lack of supervision resulted in sexual abuse.
Staff did not follow COVID-19 protocols
Staff did not seek medical attention for resident
Staff did not keep the facility clean
Staff did not keep facility equipment clean
Staff did not provide adequate food service
Staff mismanaged a resident's medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to deliver findings regarding the above mentioned allegatiosn. LPA identified themselves and met with Administrator Susan Caccam to discuss the purpose of the visit and elements of the complaint.

Regarding the allegation of Neglect/ lack of supervision resulted in sexual abuse, Reporting party (RP) stated that staff (S1) walked in on a resident (R1) doing something inappropriate with the roommate (R2).

During the investigation, staff members were interviewed, and records were reviewed.

(Cont. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

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

LIC9099 (FAS) - (06/04)

Page: 3 of 6

Control Number 08-AS-20240926131110

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: 02/26/2026

NARRATIVE

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(Cont. from LIC-9099)

On the evening of August 26th, 2024, R1 was found lying next to R2 in R2s single bed. Interviews conducted with witnesses, S2 reported that S2 walked in on R2 and R1 without their briefs on, lying next to each other. S2 called caregiver, S1 for assistance. Staff, S1, S2, S3 revealed that R2 did not have the capacity to remove his/her own briefs, therefore, suspecting that it was R1 that removed it. However, other staff (S4 & S5) reported that R2 had a history of randomly removing his/her own briefs.

S1 & S2 denied they saw something happened between the residents. S1 and S2 reported the incident to the lead staff, S4. Interviews with S1, S2 and S4 confirmed that R1 was removed from sharing the same room with R2 to prevent another incident. All staff reported that R1 did not have a history of sexually assaulting R2 or other residents.

Furthermore, all staff interviews reported that, specifically for R1 and R2, checking on them every 30 minutes to bihourly suffices as there were no history of sexual or suspicious activity between the two.

R1 & R2 were also interviewed, and both could not recall the incident and could not provide relevant statements due to neurocognitive condition. Other residents R3 & R4 and both denied having experienced any sexual abuse from staff or residents. All residents reported feeling safe and did not express concerns about staff supervision.

For the allegation of staff did not follow COVID-19 protocols, RP was alleging that staff were forced to come to work even though, they were positive.

During the interviews, staff mentioned that any staff that tested positive is to isolate for 5 days or more depending on the symptoms. No staff was forced to work if they tested positive. S7 mentioned that agency caregivers were hired so that there is coverage in the facility.

(Cont. on LIC-9099-C pg, 1)

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20240926131110

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: 02/26/2026

NARRATIVE

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(Cont. from LIC 9099-C)

Regarding the allegation of staff did not seek medical attention for resident (R3), RP stated that R3 reported he/she was not feeling well and asked to go to the hospital, Administrator told R3 a mobile doctor would be coming in to check, but that did not happen.

Based on staff interviews, R3 did not request any transport to go to the hospital, nor any resident during this time.

It was alleged that Staff did not keep the facility clean, RP stated that facility floors are often dirty, housekeeping and maintenance do not work on the weekends.

Facility provided records showing that an outside agency is hired to keep the facility clean when there is no staff available. S6 stated that the facility is always kept clean.

For the allegation of Staff did not keep facility equipment clean, RP stated that the water container was not cleaned regularly.

Staff mentioned that kitchen staff regularly clean the equipment and puts fresh water every day.

Regarding the allegation of Staff did not provide adequate food service, RP stated that food provided to residents was not in the menu. The food would sometimes change from what was on the menu.

S6 stated that they try to stick as much as possible on the menu but if anything doesn't get delivered on time then they have to substitute. LPA reviewed the menu, and it showed a variety of dishes served. Also, annual visits done by the department show that the facility always has 2 days’ perishable and 7 days non-perishable food supply available.

(Cont. on LIC-9099-C pg. 2)

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

LIC9099 (FAS) - (06/04)

Page: 5 of 6

Control Number 08-AS-20240926131110

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: 02/26/2026

NARRATIVE

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(Cont. from LIC 9099-C pg. 1)

For the allegation of Staff mismanaged a resident's medication, RP stated that on multiple occasions medications was seen in R5s room.

According to staff members, all medications are centrally stored. There are no medications in residents bedrooms, and no concerns of staff mismanaging residents medication.

Based on interviews and records review, the department has determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator Susan Caccam, whose signature below confirms receipt of these rights.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

LIC9099 (FAS) - (06/04)

Page: 6 of 6

Control Number 08-AS-20240926131110

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/26/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/20/2026 Section Cited CCR 87211	1 2 3 4 5 6 7	(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to.. of a resident by staff or other residents, or unexplained absence of any resident. This was not met as evidenced by:	1 2 3 4 5 6 7	Licensee to submit proof of reporting requirments in-service training sign-in sheet with training topic clearly noted for all staff to LPA via email by 03/20/2026.
	8 9 10 11 12 13 14	Based on interviews and records review, Licensee did not submit any incident report regarding S1 walking in on R1 and doing something inappropriate with R2, which poses a potential Health, Safety, or Personal Rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026

LIC9099 (FAS) - (06/04)

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