Inspection Report Summary
Most inspections found deficiencies related to staff background clearances, resident elopement risks, and some resident care issues such as incontinence assistance and eviction procedures. The most recent report from September 19, 2025, cited two serious deficiencies involving staff working without approved background clearances, resulting in civil penalties totaling $1,900. Earlier reports also noted a failure to secure the facility perimeter leading to a resident elopement and substantiated complaints about wrongful eviction and medication mishandling, while several other complaint investigations were unsubstantiated. There is a pattern of improvement in some areas, as the September 19, 2025 follow-up visit found no deficiencies related to a resident fall incident. Overall, the facility has faced repeated issues with staff clearance and resident safety but has addressed some concerns over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
82% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Census: 37
Capacity: 45
Deficiencies: 2
Date: Sep 19, 2025
Visit Reason
An unannounced Case Management visit was conducted to review staff records and compliance with background clearance requirements.
Findings
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.
Deficiencies (2)
Staff member working without an approved background clearance, posing an immediate health and safety risk to all 37 persons in care.
Three staff members did not have their criminal record clearances transferred to the facility, posing an immediate health, safety, and personal rights risk to all 37 persons in care.
Report Facts
Civil penalty amount: 1900
Number of deficiencies cited: 2
Number of persons in care affected: 37
Plan of Correction due date: Oct 10, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gabriela Ortiz | Activities Director | Met during the visit and involved in exit interview |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 37
Capacity: 45
Deficiencies: 0
Date: Sep 19, 2025
Visit Reason
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.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst conducted interviews, file review, and a health and safety visit with the resident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gabriela Ortiz | Activities Director | Met with during the visit and involved in consultation. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Agustin Escobar | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Follow-Up
Census: 37
Capacity: 45
Deficiencies: 1
Date: Sep 19, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident report regarding a resident elopement from the facility.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failure to ensure the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to residents at risk for elopement.
Report Facts
Persons in care at risk: 37
Deficiency count: 1
Plan of Correction due date: Oct 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gabriela Ortiz | Activities Director | Met with during inspection and involved in discussion of incident and corrective actions. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 30
Capacity: 45
Deficiencies: 1
Date: Apr 29, 2025
Visit Reason
An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements for Avantgarde Senior Living of La Jolla.
Findings
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.
Deficiencies (1)
Missing required health screenings and Tuberculosis testing for two staff members.
Report Facts
Residents in care: 30
Licensed capacity: 45
Hospice waiver capacity: 20
Staff files missing health screenings: 2
Plan of Correction due date: May 20, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Agustin Escobar | Administrator | Named as facility administrator during inspection |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection and authored the report |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
| Susan Caccam | Administrator | Facility administrator present during inspection and exit interview |
| Carolina Diaz | Office Manager | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 45
Deficiencies: 1
Date: Feb 28, 2025
Visit Reason
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.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Licensee did not ensure one incontinent resident was kept clean and dry, which posed a potential health, safety, and personal rights risk to 1 of 30 persons in care.
Report Facts
Residents requiring assistance with feeding during mealtimes: 6
Residents in care: 30
Total licensed capacity: 45
Plan of Correction due date: Mar 28, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager overseeing the investigation. |
| Susan Caccam | Administrator | Facility administrator involved in the investigation and plan of correction. |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 45
Deficiencies: 0
Date: Feb 25, 2025
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Capacity: 45
Census: 30
Estimated Days of Completion: 0
Number of Allegations: 1
Number of ADDs: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Susan Caccam | Administrator | Facility administrator interviewed during the investigation and exit interview |
| Gabriela Ortiz | Activities Director | Discussed the purpose of the visit with the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 36
Capacity: 45
Deficiencies: 1
Date: Sep 26, 2024
Visit Reason
The visit was a Case Management - Deficiencies inspection conducted as a complaint investigation to review staff background clearances.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failure to ensure staff had criminal background clearances prior to working at the facility.
Report Facts
Civil penalty amount: 1000
Residents at risk: 36
Facility capacity: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the Case Management - Deficiencies visit and authored the report. |
| Agustin Escobar | Administrator/Director | Facility administrator named in the report header. |
| Yasmin Perez | Front Desk Manager | Met during the visit and involved in formulating the Plan of Correction. |
| Gabriela Ortiz | Activities Director | Met during the visit and participated in the exit interview. |
| Lizzette Tellez | Licensing Program Manager | Supervisor overseeing the licensing evaluation. |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 45
Deficiencies: 1
Date: Jun 28, 2024
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint alleging wrongful eviction of a resident.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failure to provide a 30-day written eviction notice to a resident, violating eviction procedures under CCR 87224(a).
Report Facts
Civil penalty amount: 1000
Resident census: 38
Total capacity: 45
Plan of Correction due date: Due date July 26, 2024 for training completion.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Susan Caccam | Wellness Director | Facility representative involved in the investigation and plan of correction. |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 45
Deficiencies: 0
Date: May 15, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Capacity: 45
Census: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Suzanne Caccam | Wellness Director | Facility representative interviewed during investigation |
| Agustin Escobar | Administrator | Facility administrator named in report header |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 45
Deficiencies: 0
Date: May 15, 2024
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Capacity: 45
Census: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Renita Hall | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Susan Caccam | Wellness Director | Facility representative met during the investigation and exit interview |
| Agustin Escobar | Administrator | Facility Administrator named in the report |
Inspection Report
Annual Inspection
Census: 39
Capacity: 45
Deficiencies: 0
Date: May 2, 2024
Visit Reason
An unannounced continuation annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
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.
Report Facts
Licensed capacity: 45
Current census: 39
Hospice waiver capacity: 20
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the inspection |
| Susan Caccam | Wellness Director | Assisted during the inspection and participated in exit interview |
| Yasmin Perez | Office Manager | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 39
Capacity: 45
Deficiencies: 0
Date: Apr 30, 2024
Visit Reason
Licensing Program Analyst Sabel Martinez conducted an unannounced visit to initiate a Required Annual Inspection of Avantgarde Senior Living of La Jolla.
Findings
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Susan Caccam | Wellness Director | Met with the Licensing Program Analyst during the inspection and exit interview. |
| Agustin Escobar | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 35
Capacity: 45
Deficiencies: 1
Date: Dec 4, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the licensee did not provide resident records to the resident's authorized representative.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Licensee did not provide resident records to responsible party of 1 of 35 residents, posing a potential personal rights risk.
Report Facts
Capacity: 45
Census: 35
Deficiency count: 1
Plan of Correction Due Date: Dec 11, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Segura | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Caccam | Wellness Director | Facility staff member interviewed and present during exit interview |
| Lizzette Tellez | Licensing Program Manager | Named in report as Licensing Program Manager |
| Agustin Escobar | Administrator | Facility Administrator |
| Carolina Trejo | Regional Executive Administrator | Contacted via telephone during investigation |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 45
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Capacity: 45
Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Caccam | Wellness Director | Interviewed during the investigation and participated in exit interview |
| Agustin Escobar | Administrator | Named as facility administrator with part-time status |
| Simon Jacob | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 32
Capacity: 45
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
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.
Complaint Details
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.
Findings
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.
Report Facts
Complaint Control Number: 08-AS-20200617134433
Capacity: 45
Census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Susan Caccam | Wellness Director | Interviewed during investigation |
| Agustin Escobar | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 45
Deficiencies: 1
Date: Jul 20, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint alleging illegal eviction of a resident.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failure to provide Resident #1 a 30-day written eviction notice as required by CCR 87224(a).
Report Facts
Capacity: 45
Census: 30
Plan of Correction Due Date: Aug 18, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Lizzette Tellez | Licensing Program Manager | Oversaw the complaint investigation |
| Ana Navarro | Social Services Director | Involved in plan of correction formulation and exit interview |
| Susan Caccam | Wellness Director | Participated in exit interview |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 45
Deficiencies: 0
Date: Jun 13, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not mitigating an outbreak.
Complaint Details
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.
Findings
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.
Report Facts
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Denise Powell | Licensing Program Manager | Named in report as Licensing Program Manager |
| Carolina Trejo | Regional Executive Director | Met with during investigation and exit interview |
| Agustin Escobar | Administrator | Facility Administrator |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 45
Deficiencies: 1
Date: Jun 9, 2023
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility did not provide a responsible party a refund as required.
Complaint Details
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.
Findings
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.
Deficiencies (1)
Failure to provide full written disclosure of preadmission fee charges and refund conditions and failure to refund 100 percent of a preadmission fee.
Report Facts
Estimated Days of Completion: 90
Census: 30
Total Capacity: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Ivan Dave | Care Coordinator | Facility representative involved in the investigation and plan of correction. |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 45
Deficiencies: 1
Date: May 26, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate an allegation that staff mishandled a resident's medication while in care.
Complaint Details
The complaint alleged staff mishandled resident's medication while in care. The allegation was substantiated based on interviews and records review.
Findings
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.
Deficiencies (1)
Facility staff did not administer medications in accordance with physician’s orders for Resident 1, posing a potential health risk.
Report Facts
Capacity: 45
Census: 30
Persons in care affected: 1
Deficiency Type B: 1
Plan of Correction Due Date: Jun 7, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tiffany Holmes | Licensing Program Analyst | Conducted the complaint investigation |
| Lynn Torino | Assistant Administrator | Facility representative interviewed during investigation |
| Simon Jacob | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 16
Capacity: 45
Deficiencies: 0
Date: Apr 21, 2022
Visit Reason
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.
Findings
The facility was found to be in compliance with infection control practices and COVID-19 mitigation requirements. No deficiencies were observed during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Drusella Silva | Administrator | Met with Licensing Program Analyst during inspection and exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Required - 1 Year inspection. |
| Denise Powell | Licensing Program Manager | Named in report header. |
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