306003905-9-30-2026-22-AS-AORZ-DYFKHX-20261001075545

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003905
Report Date: 09/24/2026
Date Signed: 09/30/2026 08:56:53 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/26/2026 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20260626170713

FACILITY NAME:	AEGIS ASSISTED LIVING OF LAGUNA NIGUEL		FACILITY NUMBER:	306003905
ADMINISTRATOR:	KURT KNAUER		FACILITY TYPE:	740
ADDRESS:	32170 NIGUEL ROAD		TELEPHONE:	(949) 496-8080
CITY:	LAGUNA NIGUEL	STATE: CA	ZIP CODE:	92677
CAPACITY:	96	CENSUS: 78	DATE:	09/24/2026
		UNANNOUNCED	TIME BEGAN:	02:31 PM
MET WITH:	Farid Subhani		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility charging for services not provided

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced complaint visit to deliver findings on the above allegations. LPAs were greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPAs toured the facility and interviewed staff and witness as well as reviewed and obtained pertinent documentation such as admission agreement. Regarding the allegation that facility charging for services not provided, the investigation revealed the following: Resident representative for Resident 1(R1) signed the admission agreement on 12/29/2023. Per appendix A of the admission agreement, ointment administration is an extra charge under "Temporary Service Plan" and was signed by resident representative. When the resident returned from skilled nursing, facility requested a care companion for resident. Three out of three staff stated recommending the facility's preferred provider but that families are free to choose who they want. Per service plan dated 06/04/2026, R1 is charged for transfers including a two person assist. CONTINUED ON LIC 9099C DATED 09/24/2026

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
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)

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Control Number 22-AS-20260626170713

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: AEGIS ASSISTED LIVING OF LAGUNA NIGUEL	FACILITY NUMBER: 306003905
	VISIT DATE: 09/24/2026

NARRATIVE

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Per department regulations, care companions are prohibited from providing any kind of care including transfers and therefore are unable to assist with this process. LPA reviewed billing statements and did not observe any charges for assisting with appointments. LPA observed facility documentation showing that the resident is no longer being charged for escorting as the care companion will escort resident to dining room.

Based on interviews conducted and records reviewed, the department is unable to corroborate the allegation. Therefore the allegation is deemed Unsubstantiated, meaning that although the allegation may have happened or is valid there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.

*This is an amended report.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
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)

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