Inspection Reports for AvantGarde of La Jolla

An unannounced Case Management visit was conducted to review staff records and compliance with background clearance requirements.

Two Type A deficiencies were cited related to staff background clearances: one staff member working without an approved clearance and three staff members whose clearances were not transferred to the facility. Civil penalties totaling $1,900 were assessed for these zero tolerance violations.

An unannounced Case Management visit was conducted to follow up on an incident reported to Community Care Licensing involving a resident who fell and sustained a hip fracture.

No deficiencies were cited during the visit. The Licensing Program Analyst conducted interviews, file review, and a health and safety visit with the resident.

An unannounced Case Management visit was conducted to follow up on an incident report regarding a resident elopement from the facility.

One deficiency was cited for lack of secured perimeter resulting in resident elopement. The facility failed to ensure all exterior exit doors were secured and alarms activated, posing an immediate health and safety risk to all residents.

The visit was triggered by an incident report received on 09/17/2025 regarding Resident #1 eloping from the facility and being found outside by a passerby. The resident was taken to the hospital and returned the same night. Staff failed to hear the door alarm during the elopement.

An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements for Avantgarde Senior Living of La Jolla.

The facility was found to be clean, sanitary, and in good repair with no immediate hazards. However, a deficiency was cited for missing required health screenings and Tuberculosis testing in two staff files, posing a potential health and safety risk.

An unannounced complaint investigation visit was conducted following a complaint received on 09/19/2024 alleging that staff did not assist a resident with incontinence care.

The investigation substantiated that staff did not assist Resident #1 with incontinence care in a timely manner, with waits of up to forty minutes. The licensee failed to ensure the resident was kept clean and dry, posing a potential health, safety, and personal rights risk. A deficiency was cited and a plan of correction was formulated with the administrator.

The complaint was substantiated. It was reported that Resident #1 often had to wait thirty to forty minutes before being assisted with incontinence brief changes, including during mealtimes. Interviews and record reviews confirmed the allegation.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not safeguard a resident's personal belongings, specifically that the facility did not return Resident #1's belongings after moving out.

The investigation found that staff inventoried and delivered Resident #1's belongings, including two Ambulatory Assistive Devices (ADDs), which the resident accepted but declined to sign for. There was insufficient evidence to substantiate the allegation, and multiple interviews revealed no concerns about safeguarding personal items.

The complaint was unsubstantiated. The allegation was that staff did not safeguard Resident #1's personal belongings, but evidence showed belongings were delivered and accepted by the resident, though the resident declined to sign the inventory receipt.

The visit was a Case Management - Deficiencies inspection conducted as a complaint investigation to review staff background clearances.

The investigation revealed that two staff members (S1 and S2) did not have approved criminal background clearances prior to working at the facility, posing an immediate health, safety, and personal rights risk to 36 residents.

During a complaint investigation visit, it was confirmed that Staff #1 and Staff #2 lacked approved background clearances. A civil penalty of $1,000 was assessed and a Plan of Correction was formulated.

An unannounced complaint investigation visit was conducted following a complaint alleging wrongful eviction of a resident.

The investigation substantiated the allegation that the facility wrongfully evicted a resident without providing the required 30-day written notice, posing a potential health, safety, and personal rights risk. The facility was unable to produce records indicating the resident had a Durable Power of Attorney or that the responsible party agreed to the transfer to a hospital.

The complaint alleged wrongful eviction of a resident. The allegation was substantiated based on interviews and record reviews. A $1,000 civil penalty was assessed for a repeat violation within the last twelve months.

An unannounced complaint investigation visit was conducted to investigate allegations including staff refusing to help a resident, untrained staff, and staff failing to meet resident's needs.

The investigation found no evidence to substantiate the allegations. Staff responded promptly to a resident in distress, staff were properly trained, and residents' needs were met according to interviews and observations.

The complaint was unsubstantiated based on interviews, observations, and records review. Allegations included staff refusing to help a resident, untrained staff, and failure to meet residents' needs, all of which were found unsupported by evidence.

The inspection was conducted as an unannounced complaint investigation following allegations received on 10/17/2023 regarding dietary neglect, lack of assistance with bed mobility, overmedication, failure to safeguard resident belongings, and unexplained injury.

The investigation found all allegations unsubstantiated after interviews, record reviews, and facility tour. Residents and staff denied or explained the allegations, and evidence did not support violations.

The complaint included allegations that 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, and staff did not safeguard resident belongings. The findings were unsubstantiated.

An unannounced continuation annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.

The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All safety equipment and resident accommodations were in proper order.

Licensing Program Analyst Sabel Martinez conducted an unannounced visit to initiate a Required Annual Inspection of Avantgarde Senior Living of La Jolla.

During the visit, the analyst toured the facility and conducted several interviews. No deficiencies were cited during this visit, but a return visit is needed to complete the annual inspection due to time constraints.

An unannounced complaint investigation was conducted due to an allegation that the licensee did not provide resident records to the resident's authorized representative.

The investigation substantiated the allegation that the licensee failed to provide requested resident records to the responsible party despite receiving a written request and authorization. This deficiency was cited under California Code of Regulations, Title 22, Division 6, Chapter 8.

The complaint was substantiated. The allegation involved failure to provide resident records to the authorized representative despite a written request dated September 12, 2023, and an Authorization to Release Information dated August 30, 2023.

The inspection was an unannounced complaint investigation visit conducted to address allegations received on 2020-05-22 regarding safety measures, notification of illness, facility administration, and provision of hygienic care items.

The investigation found no evidence to substantiate the allegations. Staff used appropriate safety measures to prevent communicable disease spread, residents' authorized representatives were notified of illnesses, the facility had part-time administrators despite turnover, and hygienic care items were provided to residents.

The complaint included allegations that staff failed to use safety measures to prevent spread of communicable disease, did not notify resident’s authorized representative of resident’s illness, the facility lacked a director/administrator, and residents were not provided with hygienic care items. All allegations were found unsubstantiated.

An unannounced complaint investigation visit was conducted in response to a complaint received on 2020-06-17 regarding allegations of untimely medical care and failure to report an incident involving a resident.

The investigation found that staff initially observed a spider bite on Resident 1 and notified the Wellness Director. Medical care was provided after the bite became infected, including treatment by a wound care specialist. The responsible party was informed once medical attention was required. The allegations were unsubstantiated.

The complaint alleged staff did not obtain timely medical care for a resident and did not report the incident to the authorized representative. The investigation concluded these allegations were unsubstantiated.

An unannounced complaint investigation visit was conducted following a complaint alleging illegal eviction of a resident.

The investigation substantiated that the facility illegally evicted Resident #1 by not providing the required 30-day written notice, posing a potential health, safety, and personal rights risk to the resident.

The complaint alleged illegal eviction of Resident #1 who left the facility due to a medical emergency and was not allowed to return. The allegation was substantiated based on evidence including interviews, incident reports, and electronic communications indicating the resident's room was closed without written notice.

An unannounced complaint investigation was conducted due to an allegation that the facility was not mitigating an outbreak.

The investigation found that only one resident had a previous positive diagnosis of the disease, staff used PPE appropriately, and lab tests were negative. Therefore, the allegation was unsubstantiated.

The complaint alleged the facility did not mitigate an outbreak, with reports that one resident was admitted with a communicable disease and that three additional residents and two staff contracted the disease due to lack of mitigation. The allegation was found unsubstantiated.

An unannounced complaint investigation was conducted due to an allegation that the facility did not provide a responsible party a refund as required.

The allegation was substantiated. The facility failed to provide full written disclosure of preadmission fee charges and refund conditions and did not refund 100 percent of a preadmission fee to one resident, posing potential health, safety, and personal rights risks.

The complaint was substantiated. It was alleged that the facility did not provide a responsible party a refund for Resident #1's community fee as indicated during the admission process. Interviews and record reviews confirmed the refund was not processed timely, and the admission agreement lacked full disclosure of refund conditions.

An unannounced complaint investigation visit was conducted to investigate an allegation that staff mishandled a resident's medication while in care.

The investigation found evidence that staff did not administer medications in accordance with physician's orders for one resident, resulting in a substantiated allegation of medication mishandling. The facility agreed to conduct in-service training on medication management.

The complaint alleged staff mishandled resident's medication while in care. The allegation was substantiated based on interviews and records review.

An unannounced Required - 1 Year inspection was conducted to verify compliance with statutes, regulations, and infection control practices, including evaluation of the facility's COVID-19 Mitigation Plan.

The facility was found to be in compliance with infection control practices and COVID-19 mitigation requirements. No deficiencies were observed during the visit.