Aegis Assisted Living Of Laguna Niguel

Allegation investigated: Staff stole resident’s personal belongings.

Licensing Program Analyst (LPA) Joseph Alejandre made an announced visit to continue the investigation into the allegation listed above. LPA met with Executive Director Kurt Knauer and Care Director Gina Pakpahan and explained the reason for the visit. During the visit LPA and staff toured the facility. The investigation into the allegation, staff stole resident's personal belongings, revealed the following. It was reported that between the hours of 9:30 pm on June 28 and 10:00 am on June 29, Resident 1's (R1's) three rings went missing. Witness 1 (W1) reported to the facility that R1's rings were missing. Law Enforcement was contacted and they began their investigation. Their investigation has not been completed. A review of the facility schedule shows 9 staff members were present at the facility from 9:00pm and 10:00am. Video surveillance showed 10 individuals went into the room, 2 hospice staff, 7 facility staff and 1 visitor for R1. LPA viewed the video surveillance with the Executthe state’s words, verbatim · CDSS document, Oct 9, 2025 · control 22-AS-20250729154116

Allegation investigated: Resident sustained stage 4 pressure injury while in care due to neglect Resident sustained fracture while in care due to lack of care and supervision

Licensing Program Analyst (LPA) Rose Ruppert conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by the Concierge and explained the purpose of the visit. During the course of the investigation, the Department interviewed staff and witnesses; and subpoenaed and reviewed medical records from Kaiser Permanente and Home Health Services. The investigation revealed the following: Resident #1 (R1) was admitted to the facility on November 24, 2022, and resided in Memory Care. Per Physician report dated October 31, 2024, R1 had a diagnosis of Hydronephrosis with renal and ureteral calculous obstruction, sepsis and Mild Cognitive Impairment. Physician report further assessed R1 was non-ambulatory and a maximum assist for all self-care needs and activities of daily living. (Continued on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 25, 2025 · control 22-AS-20250218081943

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff physically abused resident in care. Resident sustained injuries while in care. Facility does not have adequate staffing to meet resident's needs.

LPA Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Executive Director Kurt Knauer and explained the reason for the visit. During the course of the investigation, Department staff inspected the facility, interviewed witnesses, and staff, and obtained and reviewed records, including Resident 1’s (R1) physician’s report dated April 16, 2021, R1’s facility assessment\care plan dated April 21, 2021. R1’s Admission Agreement dated April 21, 2021. R1’s Medication Administration Record (MAR) for September 2021, R1’s medication list for September 2021. R1's emergency contact information sheet. Staff roster and schedule for September 2021. The investigation into the allegation, staff physically abused resident in care, revealed the following, on September 21, 2021, at or around 6:30 pm Resident 1 (R1) was walking down the hall toward their room and had a bowel movement. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 24, 2025 · control 22-AS-20210927111109

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: 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

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 requestedthe state’s words, verbatim · CDSS document, Oct 17, 2024 · control 22-AS-20240812111855

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.