Inspection Reports for
Belmont Village Senior Living La Jolla
3880 Nobel Dr, La Jolla, CA 92122, United States, CA, 92122
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
89% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 195
Capacity: 220
Deficiencies: 1
Date: Mar 18, 2026
Visit Reason
The visit was an unannounced case management inspection conducted in response to self-reported incident reports involving medication errors on 12/20/2025, 01/17/2026, and 03/09/2026.
Complaint Details
The visit was triggered by self-reported incident reports involving medication errors. No adverse reactions were observed or reported. One deficiency was cited.
Findings
The facility was found to have medication administration errors where residents were given a second dose of the same medication within the same day without proper documentation. No adverse reactions were reported. One Type B deficiency was cited related to medication administration procedures.
Deficiencies (1)
Failure to ensure medications were given according to physician's directions, resulting in medication errors for 2 out of 195 residents.
Report Facts
Deficiencies cited: 1
Residents involved: 2
Incident report dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Tomboc | Director of Resident Care | Met during inspection and exit interview |
| Janet Ngallo | Licensing Program Analyst | Conducted the inspection visit |
| Lizzette Tellez | Licensing Program Manager | Named in report |
Inspection Report
Complaint Investigation
Census: 193
Capacity: 220
Deficiencies: 0
Date: Feb 25, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-04-04 regarding neglect resulting in a resident sustaining unexplained injuries and staff overdosing a resident.
Complaint Details
The complaint alleged neglect causing unexplained injuries to a resident and staff overdosing a resident. The investigation was unannounced and included interviews and records review. The allegations were found to be unsubstantiated based on the evidence.
Findings
The investigation found no evidence to substantiate the allegations. Interviews and records review indicated that the resident's injuries were consistent with their medical condition, behaviors, and fall history, and medication administration was appropriate under hospice orders.
Report Facts
Capacity: 220
Census: 193
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Janet Ngallo | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| James Arp | Executive Director | Met with Licensing Program Analyst during the investigation and received report |
Inspection Report
Follow-Up
Census: 181
Capacity: 220
Deficiencies: 0
Date: Jan 6, 2026
Visit Reason
The visit was an unannounced case management follow-up related to the death of a resident, conducted to review the incident reported to Community Care Licensing.
Findings
The facility acted appropriately and complied with applicable regulations regarding the resident's death. No deficiencies were cited during this visit.
Report Facts
Resident age: 89
Date of resident assessment: Mar 26, 2025
Date of resident fall: Dec 26, 2025
Date of resident death: Dec 30, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during visit |
| Catherine Tomboc | Director of Resident Care | Met with Licensing Program Analyst during visit and received report copy |
| Renita Hall | Licensing Program Analyst | Conducted the unannounced case management visit |
| Sabel Martinez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 187
Capacity: 220
Deficiencies: 2
Date: Dec 18, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident where Resident #1 eloped from the facility during the night, resulting in injury and hospitalization.
Complaint Details
The visit was triggered by a complaint incident report received on 2025-12-05 regarding Resident #1 eloping from the facility, sustaining a head laceration treated at the hospital. The complaint was substantiated with a Type A deficiency cited.
Findings
The facility failed to ensure Resident #1 was unable to leave unassisted, resulting in elopement and injury, constituting a Type A deficiency. A Technical Violation was also cited for an accessible body of water posing a risk to residents requiring supervision.
Deficiencies (2)
Facility failed to meet the needs of Resident #1 to ensure they did not leave the facility unassisted, resulting in elopement causing serious bodily injury.
Technical Violation due to an accessible body of water in the outdoor patio area posing risks to residents requiring additional supervision.
Report Facts
Civil Penalty: 500
Residents in care: 187
Facility capacity: 220
Deficiencies cited: 1
Technical Violations: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Named in relation to the incident report and exit interview. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 187
Capacity: 220
Deficiencies: 1
Date: Dec 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by a complaint alleging lack of supervision resulting in a resident elopement.
Complaint Details
The complaint alleged that resident R1, who required 1:1 supervision, eloped from the facility due to lack of supervision. The investigation included an unannounced visit, records review, and interviews. The allegation was substantiated. A Zero Tolerance Violation civil penalty of $500 was assessed.
Findings
The investigation substantiated the allegation that a resident (R1) eloped due to lack of required supervision, posing an immediate health and safety risk. The facility failed to ensure R1 was supervised as needed, resulting in a Zero Tolerance Violation and a civil penalty.
Deficiencies (1)
Licensee did not ensure R1 was supervised as needed, resulting in elopement and posing an immediate health and safety risk to 1 out of 187 residents.
Report Facts
Civil Penalty Amount: 500
Resident Census: 187
Total Capacity: 220
Deficiency Count: 1
Plan of Correction Due Date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during investigation and participated in exit interview. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Sabel Martinez | Supervisor | Named as supervisor overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 186
Capacity: 220
Deficiencies: 0
Date: Nov 21, 2025
Visit Reason
An unannounced complaint investigation was conducted following allegations that staff did not respond timely to residents' calls for assistance, failed to meet residents' incontinence needs, did not prevent a resident from developing pressure injuries, and unlawfully evicted a resident.
Complaint Details
The complaint involved allegations regarding delayed staff response to calls, unmet incontinence needs, failure to prevent pressure injuries, and unlawful eviction of resident R1. The investigation included interviews, records review, and unannounced visits. The allegations were found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. The facility followed proper eviction procedures, and staff assisted with pressure injury care. While some delays in call response were noted, they were generally brief and corroborated by staff and outside sources. The allegations were determined to be unsubstantiated.
Report Facts
Resident call button usage: 10
Resident call button usage: 15
Call response time: 25
Call response time: 2
Facility capacity: 220
Facility census: 186
Staff statements: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met during investigation and named in eviction and complaint findings |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the complaint investigation |
| Sabel Martinez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 182
Capacity: 220
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
Licensing Program Analyst conducted an unannounced Case Management visit to offer an Amended Report for a complaint visit conducted on 2025-08-08.
Findings
During the visit, the Licensing Program Analyst obtained the Executive Director's signature on the amended report and provided a copy of the amended report. An exit interview was conducted and the Licensee/Appeal Rights were provided.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during the visit and signed the amended report. |
| Donetta Johnson | Assistant Executive Director | Met with Licensing Program Analyst during the visit. |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Sabel Martinez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 182
Capacity: 220
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
The inspection was an unannounced Case Management visit to follow up on an incident reported to Community Care Licensing involving a resident fall with injuries.
Complaint Details
The visit was triggered by an incident report received on 2025-08-06 regarding a resident fall on 2025-07-20 resulting in multiple fractures and hospitalization. The facility notified the resident's Responsible Party and Primary Care Physician and responded appropriately.
Findings
No deficiencies were cited during the visit as the facility responded accordingly and appropriately to the incident. The resident involved had since passed away, so a health and safety visit with the resident could not be conducted.
Report Facts
Incident report date: Aug 6, 2025
Incident date: Jul 20, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during the visit and involved in consultation |
| Donetta Johnson | Assistant Executive Director | Met with Licensing Program Analyst during the visit |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Sabel Martinez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 171
Capacity: 220
Deficiencies: 0
Date: Jul 25, 2025
Visit Reason
An unannounced, required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All safety measures, equipment, and resident care practices were compliant with regulations.
Report Facts
Hot water temperature readings: 106.6
Hot water temperature readings: 105.2
Hot water temperature readings: 105
Hot water temperature readings: 105
Hot water temperature readings: 108.6
Hot water temperature readings: 105.2
Hot water temperature readings: 106.5
Perishable food supply: 2
Non-perishable food supply: 7
Facility capacity: 220
Resident census: 171
Fire extinguisher service interval: 12
Most recent emergency drill date: Jun 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Donetta Johnson | Associate Executive Director | Met with during inspection and exit interview |
| John Miller | Building Manager | Accompanied LPA during inspection and interviewed |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 166
Capacity: 220
Deficiencies: 1
Date: May 22, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident reported to Community Care Licensing involving a medication error where a resident was given another resident's medications.
Complaint Details
The visit was triggered by a complaint regarding a medication error where Staff #1 administered another resident's medications to Resident #1. The incident was substantiated as a deficiency.
Findings
A deficiency was cited for failure to ensure proper medication administration procedures, resulting in a medication error posing a potential health and safety risk to one resident. The resident was assessed and cleared by medical personnel after the incident.
Deficiencies (1)
Licensee did not ensure proper medication administration procedures, resulting in a medication error posing a potential health and safety risk to 1 out of 166 residents in care.
Report Facts
Residents in care: 166
Total capacity: 220
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during inspection and named in consultation |
| Donetta Johnson | Assistant Executive Director | Met with Licensing Program Analyst during inspection and named in consultation |
| Arian Golbakhsh | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 155
Capacity: 220
Deficiencies: 0
Date: Mar 13, 2025
Visit Reason
Licensing Program Analyst conducted a case management visit to obtain signatures and deliver an amended 9099D form.
Findings
During the visit, signatures were secured and an amended 9099D form was delivered. An exit interview was conducted and relevant documents were provided via email.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met during the visit and participated in the exit interview. |
| Donnie Johnson | Assistant Executive Director | Met during the visit and participated in the exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the case management visit and secured signatures. |
Inspection Report
Complaint Investigation
Census: 153
Capacity: 220
Deficiencies: 1
Date: Feb 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not provide one-on-one care as agreed, neglect resulting in serious bodily injury, delayed medical care, and failure to meet resident toileting needs.
Complaint Details
The complaint investigation was substantiated for failure to provide one-on-one care as agreed. Other allegations including neglect causing serious bodily injury, delayed medical care, and failure to meet toileting needs were unsubstantiated. The resident involved was a 100-year-old male who declined further medical evaluation despite staff and EMS recommendations.
Findings
The investigation substantiated that the facility did not ensure one-on-one care was provided as agreed, posing potential health and safety risks. However, allegations of neglect resulting in serious bodily injury, delayed medical care, and unmet toileting needs were unsubstantiated based on evidence and interviews. A plan of correction was formulated with the Executive Director.
Deficiencies (1)
Failure to ensure one on one care was provided to residents as agreed, posing a potential health, safety, and personal rights risk.
Report Facts
Capacity: 220
Census: 153
Deficiencies cited: 1
Plan of Correction Due Date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Named in relation to findings and plan of correction |
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Lizzette Tellez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 153
Capacity: 220
Deficiencies: 0
Date: Jan 29, 2025
Visit Reason
The visit was conducted in response to an LIC624A Death Report self-submitted by the licensee to the CCLD San Diego Regional Office on 2025-01-28.
Complaint Details
The visit was triggered by a death report involving Resident #1. The licensing analyst conducted a facility tour, interviews, and collected records including a death certificate. No deficiencies were found.
Findings
No immediate health and safety concerns were observed during the visit, and no deficiencies were cited.
Report Facts
Capacity: 220
Census: 153
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with during the visit and discussed the purpose of the visit |
| Cat Tomboc | Nursing Director | Assisted the Licensing Program Analyst during the visit |
| Donnie Johnson | Assistant Executive Director | Assisted the Licensing Program Analyst during the visit and participated in the exit interview |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Annual Inspection
Census: 130
Capacity: 220
Deficiencies: 0
Date: Jul 31, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited during the inspection. Resident rooms and safety systems were operational, and adequate supplies and food storage were confirmed.
Report Facts
Licensed capacity: 220
Current census: 130
Bedridden resident allowance: 100
Hospice waiver capacity: 20
Perishable food supply: 2
Non-perishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cat Tomboc | Director of Resident Care Services | Met with during inspection and exit interview |
| Sabel Martinez | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Capacity: 220
Deficiencies: 0
Date: Feb 5, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to the licensee’s self-reported death of Resident #1 and related incident reports received by the licensing office.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst conducted a brief facility tour, welfare checks on remaining residents, reviewed pertinent records, and interviewed staff with no safety concerns found.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Cat Tomboc | Resident Service Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Census: 105
Capacity: 220
Deficiencies: 0
Date: Aug 30, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a client who eloped from the facility on 08/24/2023 and returned unharmed the same day.
Findings
No deficiencies were cited or observed during the visit. Staff followed the written Absentee Notification Plan for the client, and the client was determined by a physician to be unable to safely leave the facility unassisted.
Report Facts
Facility capacity: 220
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Executive Director | Met with Licensing Program Analyst during the visit |
| Cat Tomboc | Director of Resident Care | Interviewed during the visit and received exit interview |
| Alyssa Ramirez | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 220
Deficiencies: 0
Date: Apr 21, 2023
Visit Reason
The visit was conducted in response to an LIC624 Unusual Incident/Injury Report involving Resident #1, which was self-submitted by the licensee to the CCLD San Diego Regional Office on 12/08/2023.
Complaint Details
The visit was complaint-related, triggered by an unusual incident/injury report involving Resident #1. No deficiencies were found during the investigation.
Findings
During the unannounced Case Management visit, no deficiencies were identified or cited. The Licensing Program Analyst toured the facility, interviewed the resident and relevant staff, and collected pertinent records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Zachary Striplin | Director of Resident Care Services | Met with Licensing Program Analyst and participated in exit interview. |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 220
Deficiencies: 0
Date: Apr 21, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report and an LIC624A Death Report involving Resident #1, related to an unwitnessed fall and subsequent death.
Complaint Details
The visit was complaint-related, triggered by incident and death reports submitted by the licensee. The complaint was not substantiated as no deficiencies were found.
Findings
The investigation found that Resident #1's cause of death was hypertensive and atherosclerotic cardiovascular disease, with no indication that the fall contributed to the death. Staff responded timely and arranged medical care appropriately. No deficiencies were identified or cited.
Report Facts
Facility capacity: 220
Census: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Zachary Striplin | Director of Resident Care Services | Met with Licensing Program Analyst and participated in exit interview |
Inspection Report
Original Licensing
Census: 51
Capacity: 220
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
An unannounced Post-Licensing Visit was conducted to review the facility file, tour the facility, observe residents, and evaluate the implementation of the COVID-19 Mitigation Plan including disinfection, testing, vaccination, screening protocols, and PPE use.
Findings
No deficiencies were cited during this visit. Technical assistance was provided regarding infection control measures and COVID-19 protocols.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Zachary Stripling | Director of Residential Care Services | Met with Licensing Program Analyst during the visit and participated in exit interview. |
| Sabel Martinez | Licensing Program Analyst | Conducted the unannounced Post-Licensing Visit and evaluation. |
Inspection Report
Original Licensing
Capacity: 220
Deficiencies: 0
Date: Jul 21, 2022
Visit Reason
A scheduled pre-licensing inspection was conducted to observe the physical plant for compliance and conduct a Component III inspection, including verification of compliance with statutes, regulations, and infection control practices.
Findings
The facility was found to be compliant with physical plant requirements, infection control practices, and safety measures. Medication rooms, medication carts, and pool area were locked and inaccessible to residents. The facility is ready to be licensed pending management approval.
Report Facts
Total licensed capacity: 220
Non-ambulatory residents allowed: 120
Bedridden residents allowed: 100
Current census: 0
Food supply: 2
Food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Senior Executive Director | Met during inspection and discussed continuing operation requirements |
| Douglas Armstrong | Senior Vice President | Met during inspection and discussed continuing operation requirements |
| Zachary Striplin | Director of Resident Care Services | Met during inspection |
| John Miller | Building Engineer | Met during inspection |
| Sabel Martinez | Licensing Program Analyst | Conducted the pre-licensing inspection |
Inspection Report
Original Licensing
Capacity: 220
Deficiencies: 0
Date: Apr 20, 2022
Visit Reason
Initial licensing evaluation for a new construction Residential Care Facility for the Elderly to assess readiness and compliance with California Code Title 22 regulations.
Findings
The applicant and administrator participated in a telephone interview confirming understanding of licensing requirements, policies, staffing, emergency preparedness, and complaint reporting. No clients were in care at the time of the evaluation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Arp | Administrator | Applicant/administrator participating in licensing evaluation and interview. |
| Robert Douglas Armstrong | Participant in licensing evaluation interview. | |
| Bethany Hunter | Licensing Evaluator | Conducted licensing evaluation. |
| Jude De La Concepcion | Supervisor | Supervisor overseeing licensing evaluation. |
Report
August 6, 2025
Report
September 5, 2024
Report
July 11, 2024
Report
May 17, 2024
Report
March 8, 2024
Report
January 5, 2024
Report
August 25, 2023
Report
June 2, 2023
Report
May 22, 2023
Report
March 29, 2023
Report
February 19, 2023
Report
February 14, 2019
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