Avantgarde Senior Living Of La Jolla

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not provide activities to residents.

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 Substantiatedthe state’s words, verbatim · CDSS document, Apr 12, 2026 · control 08-AS-20250707092727

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide a healthful accommodation to the residents

On 4/11/2026, at approximately 8:30 AM, LPA Alfonso Iniguez conducted an unannounced subsequent complaint visit. LPA Iniguez met with Susan Caccam/Facility Administrator. LPA Iniguez explained the purpose of this visit. Investigation Consisted of: conducting a health and safety check of the facility, including a random selection of ten (10) residents’ rooms. Evaluation Report continues LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2026 · control 08-AS-20250910102455

Allegation investigated: Neglect/lack of supervision resulting in a burn. Neglect resulting in a resident being drugged. Staff did not assist resident with medication. Staff did not treat resident with dignity. Staff did not provide food of good quality.

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to deliver findings regarding the above mentioned allegations. LPA identified themselves and met with Administrator Susan Caccam to discuss the purpose of the visit and elements of the complaint. On 07/11/2023, it was alleged that neglect/lack of supervision resulted in a burn, neglect resulted in a resident being drugged, staff did not assist resident with medication, staff did not treat resident with dignity, and staff did not provide food of good quality. The department's investigation consisted of interviews and records review. Regarding the allegation that neglect/lack of supervision resulted in a burn, the resident(R1), stated that they woke up to a burn on their nose. R1 stated that they did not feel anything throughout the night and reported it to staff. (Cont. on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 26, 2026 · control 08-AS-20230711162806

Allegation investigated: Staff did not follow reporting requirements.

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. Substantiatedthe state’s words, verbatim · CDSS document, Feb 26, 2026 · control 08-AS-20240926131110

Allegation investigated: Unlawful Eviction

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit for a complaint investigation and delivered findings regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Activities Director Gabriela Ortiz. Administrator Susan Caccam arrived later during the visit. On 10/08/2025, the Department received a complaint where it was alleged that the facility issued a 30-day notice to a resident, identified as R1, for the reason of failure to comply with house rules. Additionally, the complaint alleges the eviction also listed supplemental reasons for eviction as R1's inability to operate their wheelchair and leaving a hospital stay early. The Department’s investigation consisted of unannounced facility visits, records review, and interviews with staff, residents, and outside sources. [Continued on LIC 9099-C] Substantiatedthe state’s words, verbatim · CDSS document, Dec 4, 2025 · control 08-AS-20251008141157

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not assist resident with incontinence care

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of visit to Administrator Susan Caccam. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources, including staff and residents. It was alleged staff did not assist a resident with incontinence care. On September 19th, 2024, it was reported to the Department Resident #1 (R1) often had to wait thirty to forty minutes before being assisted with incontinence brief changes. During mealtimes, R1 was allegedly told R1 needed to wait until a staff was available. Review of R1’s records, including a physician’s report, preplacement appraisal, and Assisted Living Waiver (AWL) assessment, revealed R1 was diagnosed with bladder and bowel impairment. Substantiatedthe state’s words, verbatim · CDSS document, Feb 28, 2025 · control 08-AS-20240919132510

Allegation investigated: Staff did not safeguard resident's personal belongings

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.) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 25, 2025 · control 08-AS-20230821162518

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Wrongful Eviction.

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced complaint investigation visit to deliver findings. The LPA introduced himself and disclosed the purpose of the visit to Wellness Director Susan Caccam. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources. It was alleged the facility wrongfully evicted a resident. On 06/05/2024, it was reported to the Department Resident #1 (R1) was transported to a hospital and discharged from the facility. The facility’s Regional Executive Director indicated R1 was not evicted, that R1’s responsible party/ Durable Power of Attorney (DPOA) had agreed to transfer R1 to a hospital for more aggressive treatment, as R1 was receiving hospice services. (See LIC 9099-C for continuation of report.) Substantiatedthe state’s words, verbatim · CDSS document, Jun 28, 2024 · control 08-AS-20240605121327

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

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 notthe state’s words, verbatim · CDSS document, May 15, 2024 · control 08-AS-20230522144419

Allegation investigated: Staff did not meet resident’s dietary needs resulting in weight loss Resident was not assisted with getting in and out of bed Staff overmedicated resident Resident sustained an unexplained injury while in care Staff did not safe guard resident belongings

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings. LPA was allowed entry by Susan Caccam, Wellness Director. LPA identified herself and disclosed the purpose of the visit and elements of the findings to the Wellness Director. On October 17, 2023, the Department received a complaint regarding the following allegations: Staff did not meet resident's dietary needs resulting in weight loss, Resident was not assisted with getting in and out of bed, Staff overmedicated resident, Staff did not safeguard resident personal belongings, and Resident sustained an unexplained injury while in care. On October 19, 2023, the department conducted interviews with staff and residents, obtained records, and conducted a tour of the facility. Continuted on 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, May 15, 2024 · control 08-AS-20231017141017

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee did not provide resident records to resident's authrorized representative.

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to conduct an investigation into the above listed complaint allegation. LPA introduced herself, was granted entry into the facility, and met with Susan Caccam, Wellness Director, to whom LPA disclosed the reason for the visit. The facility's Regional Executive Administrator, Carolina Trejo, was contacted via telephone. It was alleged that a former resident’s, Resident 1 (R1) [LIC 811 Confidential Names List was provided to identity the resident], family requested copies of records maintained by the facility that relate to the resident; however, the licensee has not provided the requested records. Community Care Licensing (CCL) has investigated the above listed allegation. The investigation consisted of a tour of the facility, review of records, and interviews of facility staff. The investigation yielded that R1’s identified responsible party submitted a request, dated September 12, 2023, through a representativethe state’s words, verbatim · CDSS document, Dec 4, 2023 · control 08-AS-20231128125950