Senior Care Records.

Facility Evaluation Report

Belmont Village la Jolla, La Jolla10/08/2025Licence 374604562

Capacity220
Census182
Date signed10/08/2025 04:02:45 PM
Name of licensing program analystArian Golbakhsh
Name of licensing program managerSabel Martinez
The inspector’s account

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to offer an Amended Report for a complaint visit conducted on 8/8/2025. LPA met with Executive Director (ED) James Arp and Assistant Executive Director Donnie Johnson and informed them of the purpose of LPA's visit.

During today's visit, LPA obtained Executive Director Arp's signature on the amended report LIC 9099 (10/8/2025). ED Arp was also provided a copy of the amended report.

An exit interview was conducted with Executive Director Arp to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction