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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604261
Report Date: 09/24/2026
Date Signed: 09/24/2026 03:04:01 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
09/16/2026 and conducted by Evaluator Janet Ngallo
COMPLAINT CONTROL NUMBER: 08-AS-20260916094657
FACILITY NAME:AVANTGARDE SENIOR LIVING OF LA JOLLAFACILITY NUMBER:
374604261
ADMINISTRATOR:CACCAM, SUSANFACILITY TYPE:
740
ADDRESS:6211 LA JOLLA HERMOSA AVETELEPHONE:
(818) 692-5284
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:45CENSUS: 36DATE:
09/24/2026
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Administrator Susan CaccamTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Staff does not ensure facility is kept free of pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegation. LPA was greeted, introduced themselves, and discussed the purpose of the visit with Administrator Susan Caccam.

On 09/16/2026, it was alleged that staff does not ensure the facility is kept free of pests. 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: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20260916094657
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: 09/24/2026
NARRATIVE
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[Cont. from LIC 9099]

Regarding the allegation, a resident(R1) developed skin irritation issues at the beginning of 2026, that is believed to be attributed to bed bugs. Staff interviews consistently reported no known issues with bed bugs within the facility. Staff stated that R1 had been intermittently in and out of the facility for an extended period due to family arrangements and medical concerns, and was officially moved out by September 1st, 2026. Staff described observing intermittent skin irritation on R1, which appeared consistent with dermatitis, allergies, or reactions to medications, and not indicative of bed bugs. Staff noted that symptoms improved with prescribed creams or lotions, and that episodes worsened when R1 scratched the affected areas. Staff reported regularly cleaning and checking R1's room and stated no bed bugs were found. Staff confirmed that pest control services were consistently used for routine prevention or as needed, with the most recent treatment in March of 2026. Staff reported that they are awaiting a reinstatement of a new contract with their pest control services for continuation of preventative treatment.

Resident interviews reported no issues related to bed bugs. Some residents reported occasional ants in the past, which were treated. Residents stated they had not observed bed bugs and expressed satisfaction with their living conditions and cleanliness.

Records review showed multiple prescriptions and diagnoses for R1, including atopic dermatitis and scattered skin lesions, with treatments such as permethrin, hydrocortisone, ivermectin, and other topical medications prescribed over several months. Records reflected ongoing assessments of the resident’s skin condition and documentation diagnosing atopic dermatitis multiple times. Pest control invoices showed routine monthly treatment in 2025, inspections and estimates for services in 2026, and one preventive treatment for bed bugs in a separate room earlier in the year. Review of administrative email correspondence indicated ongoing attempts to renew pest control contracts as of last month.

LPA observations revealed several rooms free of hazards and no visible pests. Residents observed during the visit appeared clean, well-groomed.

Based on interviews, records reviewed, and observations, 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: 09/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2