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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003905
Report Date: 10/09/2025
Date Signed: 10/09/2025 02:43:05 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
07/29/2025 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250729154116
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: 71DATE:
10/09/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Kurt Knauer, Gina PakpahanTIME COMPLETED:
03:01 PM
ALLEGATION(S):
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Staff stole resident’s personal belongings.
INVESTIGATION FINDINGS:
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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 Executive Director. LPA did not observe anyone taking anything from R1 but the video is not clear enough see all the details of the room or individuals in the room. 9 out of 9 witnesses interviewed who went into R1's room during the time in question denied the allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
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 22-AS-20250729154116
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: 10/09/2025
NARRATIVE
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 9 out of 9 witnesses interviewed reported they had no knowledge of any of R1's belongings being stolen. W1 did not respond to LPAs request for an interview. The Executive Director reported that staff looked for R1's rings but could not find them. The Care Director reported that their internal investigation could not determine what happened to the rings. A review of R1's file shows R1 did not have an inventory list completed at the time of move in. R1 passed away on July 31, 2025. None of the evidence gathered supports 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.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2