AVANTGARDE SENIOR LIVING OF LA JOLLA

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidence by: Based on observations and interview, the licensee failed to ensure resident’s rooms are clean and sanitary, the department observed stains on carpeting and trash on it. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee will adhere to Title 22 at all times. As plan of correction, the licensee will increase housekeeping rounds in the residents rooms until they change the carpet for vinyl floors. A proof of correction will be sent to LPA Iniguez via email before POC due date.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87219(a)(b)(c)

Regulation authority

CCR

What the official deficiency says

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: 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.

Official plan of correction

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.

Deadline recorded: Apr 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87304(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services... This requirement was not met as evidence by: Based on observations and interview, the licensee failed to ensure resident’s rooms are clean and sanitary, the department observed stains on carpeting and trash on it. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee will adhere to Title 22 at all times. As plan of correction, the licensee will increase housekeeping rounds in the residents rooms until they change the carpet for vinyl floors. A proof of correction will be sent to LPA Iniguez via email before POC due date.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211

Regulation authority

CCR

What the official deficiency says

(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to.. of a resident by staff or other residents, or unexplained absence of any resident. This was not met as evidenced by: Based on interviews and records review, Licensee did not submit any incident report regarding S1 walking in on R1 and doing something inappropriate with R2, which poses a potential Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Licensee to submit proof of reporting requirments in-service training sign-in sheet with training topic clearly noted for all staff to LPA via email by 03/20/2026.

Deadline recorded: Mar 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224(a): " The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5).Thirty (30) days written notice to the resident is required [...] " This requirement was not met as evidenced by: Based on records review and interviews the licensee did not comply with the section cited above as R1 was not issued a lawful eviction notice which posed a potential personal rights risk to one (1) out of thirty-seven (37) residents in care.

Official plan of correction

Licensee agreed to conduct training/review with staff on eviction procedures and submit proof to LPA by POC due date.

Deadline recorded: Dec 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

87705(d): " The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement [...] " This requirement is not met as evidenced by: Based on LPA observations and interview, the licensee did not comply with the section cited above in ensuring all exterior exit doors were secured and alarms were activated, which poses an immediatel health and safety risk to 37 out of 37 persons in care.

Official plan of correction

Licensee will conduct an inservice training for staff on wandering and sundowning behaviors, as well as maintaining a secured perimeter and submit proof to LPA by POC due date.

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) " All individuals subject to a criminal record review [...] shall prior to working, residing or volunteering in a licensed facility: (2)Obtain a California clearance or a criminal record exemption as required by the Department " This requirement is not met as evidenced by: Based on LPA file review and interview, the licensee did not comply with the section cited above in ensuring that all staff, prior to employment, have obtained a criminal background check which poses an immediate health and safety risk to 37 out of 37 persons in care.

Official plan of correction

Licensee was informed of S1 being unable to work or be present at the facility until their criminal records clearance letter from the Department is recieved. Once obtained, Licensee will submit a copy to LPA by POC due date.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) " All individuals subject to a criminal record review [...] shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) " This requirment is not met as evidenced by: Based on LPA file review and interview, the licensee did not comply with the section cited above in ensuring that 3 staff did not have their clearances transfered, which poses an immediate health, safety, and personal rights risk to 37 out of 37 persons in care.

Official plan of correction

Licensee will submit proof of S2, S3, and S4 having been associated to the facility to LPA by POC due date.

Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87411(f)

Regulation authority

CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on file review and interview the licensee did not comply in obtaining completed health screenings and Tuberculosis testing staff members, which poses a potential health and safety risk to30 out of 30 persons in care.

Official plan of correction

POC Due Date: 05/20/2025 Plan of Correction Licensee will submit proof of completed health screenings and Tuberculosis testing for indicated staff members by POC due date.

Official classification

Type B

Official code

87425b(3)

Regulation authority

CCR

What the official deficiency says

87425 (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met as evidenced by: Based on review of records, the 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.

Official plan of correction

Administrator agreed to train all staff on managed incontinence and submit proof to the LPA by 3/28/2025.

Deadline recorded: Feb 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement was not met as evidenced by: Based on review of records, the Department's Background Guardian system, and interviews, the Licensee did not ensure S1 and S2 had criminal background clearances prior to working at the facility, which posed an immediate health, safety, and personal rights risk to 36 residents in care.

Official plan of correction

Front desk Manager and Actitvies DIrector agreed to not have S1 and S2 work at the facility until S1 and S2 obtained California background clearances.

Deadline recorded: Sep 26, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5). This requirement was not met as evidenced by: Based of interviews and review of records, the licensee did not ensure R1 was provided a 30 day written notice, which posed a potential health, safety, and personal rights risk to 1 of 38 residnets in care.

Official plan of correction

Wellness Director agreed to have facility management staff trained in eviction procedures. This training wiill be provided by an outside vendor and documentation of training and participants will be sent to the LPA, by July 26, 2024.

Deadline recorded: Jun 28, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87506(c)(1)

Regulation authority

CCR

What the official deficiency says

The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This req't was not met as evidenced by: Based on interviews and records review, licensee did not provide resident records to responsible party of 1 of 35 residents, which poses a potential personal rights risk to persons in care.

Official plan of correction

Wellness Director offered to ensure that all requested records that are maintained by the facility and are responsive to the request are provided to R1's responsible party/representative by the POC due date. Proof of correction will be provided to Community Care Licensing by the POC due date of 12/11/2023.

Deadline recorded: Dec 11, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

87224 Eviction Procedures (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5). This requirement was not met as evidenced by: Based on review of records and interviews, the licensee did not ensure R1 was provided a 30 day written notice, which posed a potential helath, safety, and personal rights risk to 1 of 30 residents in care.

Official plan of correction

Social Services Director agreed to provide all staff in services training regarding eviction procedures, by 8/18/23. Social Services Director agreed to submit documentation confirming date of training and staff who attended, by 8/18/23.

Deadline recorded: Jul 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507g5E1.b.

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements (g) Admission agreements shall specify the following:(5) Refund conditions.(E) Preadmission fees shall be refunded according to the following conditions: (1.)A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if:(b.) b. The licensee fails to provide full written disclosure of preadmission fee charges and refund conditions.This requirement was not met as evidenced by: Based on interviews and review of records the, the Licensee did not ,refund 100 percent of a preadmission fee, which posed a potential health, safety and personal rights risks to 1 of 30 residents in care.

Official plan of correction

The LPA received documetns confirming the Responsible party received a check for the refund amount, today 6/9/23. POC cleared on today's date.

Deadline recorded: Jun 9, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(C)(2)

Regulation authority

CCR

What the official deficiency says

87465(C)(2) Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidence by: Based on interviews and records review, facility staff did not administer medications in accordance with physician’s orders for R1, which posed a potential health risk to 1 of 17 persons in care.

Official plan of correction

Licensee agreed to conduct in service training on medication management to all med techs by an outside source called Polaris Pharmacy. Documentation of completion of training should be submitted to CCL by POC date of 06/07/2023. Licensee will submit training materials & signatures of staff signin sheet to CCL by POC date of 06/07/2023.

Deadline recorded: Jun 7, 2023. A deadline is not proof that correction was completed.