374604261-5-21-2026-08-AS-APAO-DV75MQ-20260618200507

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604261
Report Date: 05/21/2026
Date Signed: 05/21/2026 12:28:52 PM

Unsubstantiated

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
03/03/2026 and conducted by Evaluator Janet Ngallo

COMPLAINT CONTROL NUMBER: 08-AS-20260303103418

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: 39	DATE:	05/21/2026
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Administrator Susan Caccam		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Due to staff neglect, resident was left in wheelchair for an extended amount of time.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced subsequent 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.

On 03/03/2026, it was alleged that due to staff neglect, resident(R1) was left in wheelchair for an extended amount of time. The department's investigation consisted of interviews, records review, and LPA observations.

(Cont. on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

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-20260303103418

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: 05/21/2026

NARRATIVE

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(Cont. from LIC 9099)

Regarding the allegation, the reporting party stated that R1 was left in a wheelchair for what was believed to be an extended amount of time, however, the reporting party also acknowledged being unable to determine exactly how long R1 remained in the wheelchair. Interviews with staff and outside sources provided inconsistent information, with some interviews recalling R1 using a wheelchair temporarily and others reporting primarily assisting R1 with walking. No interviews reported that R1 was left in a wheelchair for a prolonged or inappropriate amount of time.

Interview with R1 reported having used a wheelchair only occasionally, and that they were always up and walking and did not stay in the wheelchair for long periods of time. During a facility visit, LPA observed R1 clean, well-groomed, and ambulating with standby assistance from a private caregiver.

Records reviewed showed that R1 experienced changes in mobility status over time. R1's initial appraisal dated 11/17/2025 documented slow gait, and the ability to sit in a wheelchair without support, while also noting R1 walked well alone with some balance support. R1's medical assessment dated 08/24/2025 listed R1 as ambulatory. A reappraisal dated 03/18/2026 showed a documented change of condition, indicating R1 had become non-ambulatory, used a wheelchair, and required full assistance with mobility due to weakness.

Based on interviews, records review, and LPA observation, the preponderance of evidence standard has not been met, therefore the above allegation is found to be unsubstantiated. An exit interview was conducted with Administrator Susan Caccam and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided. Their signature confirms receipts of these documents.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Janet Ngallo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026

LIC9099 (FAS) - (06/04)

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