Deficiencies (last 3 years)
Deficiencies (over 3 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
45% occupied
Based on a December 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 61
Capacity: 135
Deficiencies: 1
Date: Dec 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/10/2024 regarding staff not ensuring residents took medication as prescribed, did not ensure meals were consumed, and did not protect a resident from financial exploitation.
Complaint Details
The complaint investigation involved three allegations: staff did not ensure resident took medication as prescribed (substantiated), staff did not ensure resident's meals were consumed (unsubstantiated), and staff did not protect resident from financial exploitation (unsubstantiated). The resident moved out and subsequently passed away; responsible parties and family members did not respond to interview requests.
Findings
The investigation substantiated the allegation that staff did not ensure a resident took prescribed medications for 12 days, missing multiple routine medications on March 8, 2024. The allegations that staff did not ensure meals were consumed and did not protect the resident from financial exploitation were deemed unsubstantiated due to lack of preponderance of evidence.
Deficiencies (1)
Failure to ensure resident received prescribed medications on March 8, 2024, missing four routine medications during the 9:00 am medication pass.
Report Facts
Resident census: 61
Facility capacity: 135
Missed medication days: 12
Missed medications: 4
Plan of Correction due date: Jan 9, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Johnny Ortiz | Executive Director | Met with Licensing Program Analyst during investigation |
| Christopher Tharp | Administrator | Former Administrator mentioned in relation to financial exploitation allegation |
Inspection Report
Annual Inspection
Census: 58
Capacity: 135
Deficiencies: 0
Date: Aug 25, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced required annual inspection of the Watermark Laguna Niguel assisted living and memory care facility.
Findings
The facility was toured and inspected including memory care and assisted living areas, kitchen, medication storage, resident rooms, and safety systems. No deficiencies were noted during the inspection per Title 22 Division 6 of the California Code of Regulations.
Report Facts
Licensed capacity: 135
Hospice waiver capacity: 25
Resident rooms: 78
Resident rooms: 38
Water temperature range (degrees F): 115.7-118.5
Resident files reviewed: 6
Staff files reviewed: 5
Last fire safety testing date: Jul 25, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Davidson | Resident Care Director | Met with Licensing Program Analysts during the inspection and toured the facility. |
| Ruth Martinez | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Garlli Tat | Licensing Program Analyst | Conducted the inspection. |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 58
Capacity: 135
Deficiencies: 0
Date: Aug 25, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to assess compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies noted. The physical plant, resident rooms, medication storage, staff files, and safety systems were all inspected and found satisfactory.
Report Facts
Licensed capacity: 135
Current census: 58
Water temperature range: 115.7-118.5
Memory care resident rooms: 38
Assisted living resident rooms: 78
Hospice waiver: 25
Fire safety testing date: Jul 25, 2025
Resident files reviewed: 6
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Davidson | Resident Care Director | Met with Licensing Program Analysts during inspection and toured facility |
| Ruth Martinez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Garlli Tat | Licensing Program Analyst | Conducted the inspection |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 42
Capacity: 135
Deficiencies: 0
Date: Aug 12, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre conducted an unannounced visit to perform the required annual inspection of the facility.
Findings
The facility was toured and inspected, including memory care and assisted living areas. No deficiencies or discrepancies were observed in resident rooms, medication management, staff files, or facility conditions. All safety and operational requirements were met.
Report Facts
Resident medications reviewed: 4
Resident files reviewed: 5
Staff files reviewed: 5
Facility capacity: 135
Current census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lee Kaufmann | Managing Director | Met with LPA during the inspection and toured the facility |
Inspection Report
Annual Inspection
Census: 42
Capacity: 135
Deficiencies: 0
Date: Aug 12, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of the facility.
Findings
No deficiencies were observed during the inspection. The facility was found to be clean, organized, and compliant with all requirements including secured memory care, operational smoke detectors, proper food storage, and staff training.
Report Facts
Resident rooms: 78
Resident rooms: 38
Emergency drill date: Jul 9, 2024
Resident medications reviewed: 4
Resident files reviewed: 5
Staff files reviewed: 5
Hot water temperature: 112
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual inspection and made observations |
| Lee Kaufmann | Managing Director | Met with Licensing Program Analyst during the inspection and toured the facility |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 135
Deficiencies: 1
Date: Oct 6, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff did not issue a refund to a resident.
Complaint Details
The complaint alleged that staff did not issue a refund to Resident 1 for their reservation fee. The allegation was substantiated based on interviews and document review.
Findings
The investigation found that Resident 1 did not receive a refund of $2500 for their reservation fee despite a pre-appraisal and a facility document showing the refund was processed but not issued. The allegation was substantiated.
Deficiencies (1)
A refund of at least 80 percent of the preadmission fee in excess of $500 shall be provided if the applicant does not enter the facility after a preadmission appraisal is conducted, or the resident leaves the facility for any reason during the first month of residency. This requirement was not met.
Report Facts
Refund amount: 2500
Capacity: 135
Census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| Christopher Tharp | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 3
Capacity: 135
Deficiencies: 1
Date: Oct 6, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2023-10-04 regarding the facility's failure to issue a refund to a resident.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. Resident 1 did not receive the refund they were entitled to despite the facility processing it. The allegation was substantiated.
Findings
The investigation substantiated that Resident 1 did not receive a refund of $2500 for their reservation fee despite a pre-appraisal and the resident being informed they would receive a full refund. Facility documents showed the refund was processed but not issued at the time of the visit.
Deficiencies (1)
A refund of at least 80 percent of the preadmission fee in excess of $500 shall be provided if the applicant does not enter the facility after a preadmission appraisal is conducted, or the resident leaves the facility during the first month of residency. This requirement was not met as a refund was not issued to Resident 1 for their reservation fee.
Report Facts
Refund amount: 2500
Capacity: 135
Census: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Christopher Tharp | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
The Licensing Program Analyst conducted an announced pre-licensing inspection to evaluate the facility's readiness for operation as a Residential Care Facility for Elderly with a capacity of 135 residents.
Findings
The facility was found to have appropriate accommodations including furnished model apartments, secured storage for toxins and medications, operational fire extinguishers, approved fire clearance, working plumbing and hot water, posted emergency information, sufficient food supply, operational smoke and carbon monoxide detectors, and functional kitchen and laundry appliances.
Report Facts
Facility capacity: 135
Application received date: Application received on 05/30/2023
Fire extinguisher last service date: Last serviced on January 6, 2023
Food supply duration: 7
Hot water temperature range: Measured between 105 and 120 degrees Fahrenheit
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Tharpe | Administrator | Facility Administrator present during inspection |
| Dwayne Mason Jr. | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Armando J Lucero | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Date: Aug 9, 2023
Visit Reason
The visit was an announced pre-licensing inspection conducted to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly with a capacity of 135 residents.
Findings
The facility was found to have appropriate accommodations including furnished apartments, secured storage for toxins and medications, operational fire extinguishers, approved fire clearance, working plumbing and hot water, posted emergency plans, sufficient food supply, operational smoke detectors and appliances. No deficiencies were noted in the report.
Report Facts
Facility capacity: 135
Fire extinguisher service date: Jan 6, 2023
Fire clearance date: Jul 28, 2023
Hot water temperature range: Measured between 105 and 120 degrees Fahrenheit
Non-perishable food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Tharp | Administrator | Greeted Licensing Program Analyst and participated in inspection |
| Dwayne Mason Jr. | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager in report |
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Date: Jul 26, 2023
Visit Reason
The visit was an initial licensing evaluation for the Residential Care Facility for the Elderly to assess pre-licensing readiness and compliance with California Code Title 22 regulations.
Findings
The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness during a telephone interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Tharp | Administrator | Applicant/administrator participating in COMP II interview and confirming understanding of regulations. |
| Michael Hughes | Participant in COMP II interview with applicant/administrator. | |
| Bethany Hunter | Licensing Evaluator | Conducted the licensing evaluation. |
| Jude De La Concepcion | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Date: Jul 26, 2023
Visit Reason
The visit was an initial licensing evaluation conducted via telephone interview to verify the applicant/administrator's understanding of California Code Title 22 regulations and readiness for licensing.
Findings
The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. No clients were in care at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Tharp | Administrator | Applicant/administrator who participated in the licensing evaluation and interview. |
| Michael Hughes | Participant in the COMP II telephone interview. | |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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