374604261-4-12-2026-08-AS-APAO-DT7V2R-20260416160333

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604261
Report Date: 04/12/2026
Date Signed: 04/12/2026 01:08:02 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
07/07/2025 and conducted by Evaluator Alfonso Iniguez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250707092727

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:	04/12/2026
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Susan Caccam/Facility Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff do not provide activities to residents.

INVESTIGATION FINDINGS:

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On 4/12/2026, LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met with Susan Caccam/Facility Administrator. LPA Iniguez explained the purpose of this visit.

Investigation Consisted of: the department conducted the following interviews: Facility Administrator interview (A#1). The department gathered the following documents: copy of personnel schedule dated 4/6/26, copy of resident roster dated:4/6/26, and copy of facility activities calendar from November 2025 to April 2026 and copies of (15) residents's Medical Assessment for Residential Care Facilities for the Elderly or LIC 602A, various dates.

Evaluation Report continues LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2026

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-20250707092727

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: 04/12/2026

NARRATIVE

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Investigation Revealed the Following:

Allegation: Staff do not provide activities to residents.

The details of the complaint alleged that facility does not provide activities that offer cognitive stimulation for residents in care.

On April 12, 2026, at approximately 10:00 a.m., during the records review process, the Department reviewed copies of the facility’s activity calendars from November 2025 through April 2026. The review indicated that, while the calendars included routine social, recreational, and physical activities, they did not comply with all the elements required under Title 22, Section 87219. Specifically, the calendars did not show activities related to daily-living skills training, sensory-based programs, resident participation in the planning or evaluation of activities, utilization of community resources, or dedicated free-time periods that allow residents to choose activities independently. In addition, the department reviewed copies of the Medical Assessment for Residential Care Facilities for the Elderly or LIC 602A, dated variously, and noted that (15) has cognitive impairment. These missing activities are particularly significant as they are specifically designed to improve the quality of life of the (15) residents with cognitive impairment currently living at the facility, supporting their independence, engagement, and overall, well-being.

On April 11, 2026, during an interview with the facility administrator (A#1), (A#1) stated that that (15) residents at the facility have a cognitive impairment and are dependent on facility staff for all aspects of care, supervision, and stimulation.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250707092727

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: 04/12/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/27/2026 Section Cited CCR 87219(a)(b)(c)	1 2 3 4 5 6 7	87219 Planned Activities (a)(b)(c) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include… This requirement was not met as evidence by:	1 2 3 4 5 6 7	Licensee will adhere to Title 22 at all times. As a plan of correction, the licensee will add to the activities calendar the missing areas focused on increasing engagement with residents with cognitive impairments. Proof of correction will be emailed to LPA Iniguez before the POC due date.
	8 9 10 11 12 13 14	Based on observations, interviews, and record review, the licensee failed to ensure that the facility’s activity calendars from November 2025 through April 2026 included all required planned activities for the (15) residents with cognitive impairment. This poses a potential health and safety risk to residents in care.	8 9 10 11 12 13 14
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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: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20250707092727

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: 04/12/2026

NARRATIVE

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During this investigation, LPA found sufficient evidence to support the above-mentioned allegation.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED.

California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiency was observed, and citation issued (ref. LIC 9099D).

An exit interview was conducted, and a copy of the Complaint Report was given to Susan Caccam/Facility Administrator.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2026

LIC9099 (FAS) - (06/04)

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