Avantgarde Senior Living of La Jolla

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.

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.

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.

(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.

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 andinterviews 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.

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.

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.

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.

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.

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.

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 orThis 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.

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.

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.

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.

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.

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.