306003905-10-17-2024-22-AS-SSAS-DA72EY-20241018172044

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003905
Report Date: 10/17/2024
Date Signed: 10/17/2024 04:20:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
08/12/2024 and conducted by Evaluator Kevin Saborit-Guasch

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240812111855

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: 64	DATE:	10/17/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Francisco Delgado, Wellness Director Kurt Knauer, General Manager (via phone)		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility staff is violating resident’s personal rights by not allowing visitors to see the resident.

Staff member was engaged in a verbal altercation in the presence of the residents

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting a follow-up investigation visit and delivering findings regarding the two allegations listed above. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. Wellness Director Francisco Delgado was present and assisted with the visit as General Manager Kurt Knauer was out accompanying a resident to a medical appointment.

An initial complaint investigation visit took place on August 16, 2024. During that first visit, LPA requested the current facility census as well as resident records for four currently admitted residents and reviewed their admission agreements, individual needs and services plans as well as physician reports on file. LPA conducted resident and staff interviews. Witness interviews also conducted via telephone at a later time.
During the present visit, LPA requested the facility's staff schedule and conducted six additional staff interviews.
CONTINUED ON FORM LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch	TELEPHONE: (714) 497-8754
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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-20240812111855

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: AEGIS ASSISTED LIVING OF LAGUNA NIGUEL	FACILITY NUMBER: 306003905
	VISIT DATE: 10/17/2024

NARRATIVE

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CONTINUED FROM FORM LIC9099
Regarding the allegation that Facility staff is violating resident’s personal rights by not allowing visitors to see the resident, the following has been concluded: Based on records reviewed and interviews conducted, resident R1 as well as staff members and witnesses interviewed deny any interference from facility staff into R1's ability to receive visitors as he pleases. R1 stated that he is fully able to receive visits from whoever he would like. A review of resident records for R1 additionally allowed LPA to verify the identity of R1's responsible party and attorney-in-fact. A signed letter from the resident's stated primary care physician dated February 29, 2024 indicates that "Due to [R1's] age and chronic medical conditions, I request that his life not be disturbed at this time by visits from other family than his daughter who has been instrumental in acting in his behalf to help him recover from recent physical trauma and hospitalization and securing an appropriate series of care facilities that meet his physical and emotional needs." The letter further states that "[R1] was seen in my office on 02/26/24 where I thoroughly interviewed him and found him physically improved and mentally competent to understand his life situation and make informed decisions as to his preference to not be unduly disturbed or manipulated."

Regarding the allegation that Staff member was engaged in a verbal altercation in the presence of the residents, the following has been concluded: Based on witness, staff and resident interviews conducted, no instances of staff engaging in loud arguments, altercations or talking inappropriately to visitors could be corroborated. Multiple statements to the opposite were however made, emphasizing how nice and welcoming the facility feels overall.

As a result of this investigation, both allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred.

An exit interview was conducted with General Manager Kurt Knauer who authorized facility staff to sign on his behalf and a copy of this report was provided to a facility representative.

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch	TELEPHONE: (714) 497-8754
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

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