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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003905
Report Date: 09/30/2026
Date Signed: 09/30/2026 09:00:34 AM

Substantiated


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 NIGUELFACILITY NUMBER:
306003905
ADMINISTRATOR:KURT KNAUERFACILITY TYPE:
740
ADDRESS:32170 NIGUEL ROADTELEPHONE:
(949) 496-8080
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:96CENSUS: 74DATE:
09/30/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Farid SubhaniTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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Facility charging extra fees for items which should be provided under basic services
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver revised findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA 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 extra fees for items which should be provided under basic services, the investigation revealed the following: Resident 1 (R1) admitted to Hospice on 05/08/2026 and is providing bathing services for the resident. Individualized Service Plan (ISP) dated 06/04/2026 indicates R1 is receiving bathing from Hospice however is being charged for bathing services. Staff state the reason for the extra charge is if hospice is unable to provide assistance. LPA reviewed facility documentation and there is no documentation showing that the facility had provided any bathing services once the resident admitted into hospice care. LPA did not observe any documentation showing bathing charges on an "As needed" basis either. CONTINUED ON LIC 9099C DATED 09/30/2026
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
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 3
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: 09/30/2026
NARRATIVE
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Facility admission agreement notates showering as a fee under "Temporary Service Plan" and does not identify in the admission agreement what is an included basic service as required by Tile 22 regulations. Based on the evidence gathered through interviews and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report along with citations and Appeal Rights (LIC 9058 01/16) was provided to facility representative,
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2026
Section Cited
CCR
87464(f)(4)
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Basic services shall at a minimum include: Personal assistance and care as needed by the resident.., with those activities of daily living such as dressing, eating, bathing and assistance.. This req is not met as evidenced by:
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Licensee to review billing practices and refund as necessary. Licensee to forward proof to LPA by POC due date.
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Based on interviews conducted and record review, Licensee failed to ensure R1 was provided the basic service of bathing. Licensee is charging for the basic service of bathing and not providing the service which poses a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3