Colorful collages line the hallways of Best Start Birth Center in San Diego, the squishy faces of hundreds of newborns carefully cut out and framed. A picture of Executive Director Karen Roslie’s son, born in 2003, hangs among the smiling, crying, and squinting babies.
Thirty years ago, Roslie’s mother, Roberta Frank, opened Best Start after training to become a certified nurse midwife. Since that time, state agencies and national organizations have recognized the birth center as a model for alternative birth practices. The Canadian health ministry even visited in the 1990s as it developed plans to fund midwifery services, Roslie says.
But in March, Best Start closed its doors, unable to keep up with escalating costs. TRICARE, a major military insurer and Best Start’s biggest contractor, wouldn’t pay for licensed midwives—only nurses, who can make much more money in a hospital. In a community where the Navy is a prominent employer, it was a debilitating blow to the birth center. The photos Roslie meticulously framed over the years will most likely have to be destroyed to avoid any medical privacy violations—evidence of more than 5,600 births shredded.
(Left to right) Executive Director Karen Rosalie and Founder Roberta Frank at the Best Start Birthing Center in San Diego. | Photo Credit: Ariana Drehsler for CalMatters
“It feels like I’m mourning a death,” Roslie says, gazing at the pictures. Best Start was the first licensed and accredited birth center in California, and even those credentials couldn’t save it. In fact, they may have hindered the birth center’s survival, requiring expensive renovations that many midwives say aren’t relevant to the care they provide or the safety of their practice. Its closure was one of at least 19 recent birth center shutdowns and reductions in service in the past four years, according to the California chapter of the American Association of Birth Centers (AABC).
Those closures deepen a crisis of declining women’s health services across California. More than 50 labor and delivery wards have closed in California hospitals in the past decade, creating maternity care deserts in rural communities and overburdening the remaining labor wards in cities and suburbs.
Sally K. (left) thirty-eight weeks pregnant, talks to midwife Andrea Bergleen (right), during a check-up. | Photo Credit: Ariana Drehsler for CalMatters
Consumer health and policy experts have pointed to birth centers as a way to expand capacity in communities where hospitals are no longer delivering babies. The midwife-run clinics deliver low-risk births and direct higher-risk pregnancies to hospitals.
But California has some of the toughest licensing requirements in the country, AABC says, and facilities like Best Start have long argued that California’s onerous regulations and an uncooperative Public Health Department prevent them from succeeding.
Only six operating birth centers are licensed in California. Another 26 are unlicensed. Licensure isn’t required, but it enables practices to work with insurance plans and helps them serve lower-income families who can’t cover birthing costs out of pocket.
Increasingly, only wealthy families who pay cash can afford to have a midwife or give birth outside of a hospital.
“The system is just a mess. It’s flawed. It’s set up to prevent providers that can provide really good care from even getting started,” says Best Start founder Frank.
Photo Credit: Ariana Drehsler for CalMatters
While most births in California take place in hospitals, birth centers serve a small but growing number of families. The number of planned out-of-hospital births attended by midwives has doubled over the past decade, even as birth rates overall declined, according to data from the Medical Board of California. And a statewide survey conducted in 2018 by the California Health Care Foundation indicated that more than one-third of pregnant people would be interested in having a midwife for a future birth.
Frequently, those who seek the services of midwives and birth centers cite the desire for more personalized care or poor experiences with previous hospital births. Studies show that for low-risk pregnancies, midwife-led deliveries at birth centers are safe and lead to fewer interventions such as cesarean sections.
“Women deserve this,” Frank says. “Every human deserves to find their own strength, find their place, [and] exercise their initiative.”
But even as demand for out-of-hospital births increases, birth centers across the state are shutting their doors, unable to withstand the joint battering ram of financial and regulatory challenges.
California’s health system was too unfriendly to make ends meet. Another Sacramento birth center is also on the verge of closure because it cannot get a state license. In September, Monterey Birth and Wellness Center will close, citing high costs and poor insurance reimbursement.
The California Department of Public Health refused multiple requests for an interview about the licensure process, responding only to emailed questions. The licensing process sets “minimum standards” for patient care, which include regulations around proper equipment and staff competency, the department said in an unsigned statement.
“We cannot speculate or comment on any reason why providers chose to close these facilities [or] aren’t seeking licensure for new [birth centers], or what could be done to improve the process,” the department statement added.
Executive Director Karen Rosalie | Photo by Ariana Drehsler for CalMatters
Licensing Can Take Years
Nancy Myrick, a co-founder of the San Francisco Birth Center, says it took four-and-a-half years of back-and-forth with the state health department to obtain a license. At one point, Myrick asked for a list of items that an inspector would check and was referred to regulations that had not yet been written.
“In the process of opening, the state bureaucracy was like the Great Wall of China. It was such a horrible barrier,” Myrick says.
It wasn’t until Myrick called her local assemblymember’s office to complain about the inability to get licensed and see Medi-Cal patients that the application was approved, she adds. The birth center was licensed in 2020.
“It literally took calling in the political dogs to get it done,” Myrick says.
Many providers noticed that getting a license became much more difficult after the state centralized the process with the public health department in 2018. Since then, nearly all birth center applications have been rejected, according to data provided by the department.
The department said in a statement the change was necessary to improve “standardization and consistency” in the licensure process for multiple kinds of facilities. Previously, the department’s 14 regional offices processed applications and approved most of them.
Yet midwives and advocates say multiple issues continue to plague the process. It’s slow, often taking years; it’s expensive, costing tens of thousands to retrofit buildings and maintain a license; and the standards are frequently at odds with midwives’ scope of practice. What results is a “de facto ban” on birth center licensure in California, says Sandra Poole, a lobbyist with the Western Center on Law and Poverty.
Without licensing reform, more birth centers will close, warns Bethany Sasaki, president of the state chapter of the American Association of Birth Centers.
A key problem, Sasaki continues, is that birth centers are expected to comply with building standards designed for hospitals. Requirements include negative pressure rooms for infection control and cast-iron plumbing for water supply and drainage.
Many midwives argue the standards don’t make sense because their patients are legally required to be healthy, with low-risk pregnancies. Any condition that would require the additional medical intervention the standards are meant to accommodate, such as surgery, would force the patient to be transferred to a doctor or hospital, Sasaki says.
“There’s no reason to hold a birth center to the same standards as a hospital, because it’s not a hospital, and that’s the whole point,” Sasaki adds.
Photo Credit: Ariana Drehsler for CalMatters
According to the Department of Health Care Access and Information, which sets building codes for health facilities, it would take legislative changes to make exceptions for birth centers. Poole and a number of groups representing midwives and Black maternal health advocates tried to introduce a bill earlier this year that would ease licensing requirements, but they were unable to find a legislator willing to carry it.
Sasaki’s licensure application for Midtown Nurse Midwives in Sacramento was denied in 2020. The holdup is the ventilation system in her building, which doesn’t meet hospital building code.
In March, Sasaki requested an appeal and emergency license after TRICARE, the same insurer that Best Start relied on, stopped contracting with unlicensed facilities. As of mid-July, she has not received a response from the state, though the department told CalMattersit was past the deadline for her to file an appeal.
Sasaki says that, without the TRICARE contract, which made up about 30 percent of her clients, the birth center will close by November.
“We’ve had to turn away so many people that we stopped answering our phone, because I don’t want to listen to another person cry,” Sasaki says.
Birth Centers Must Get Licensed to Accept Medi-Cal
Why is licensure such a stumbling block for birth centers? Medi-Cal, the state’s public insurance program for low- income families, pays for half of all births in the state, and it requires birth centers to be licensed.
“The single biggest thing that will help with sustainability is if birth centers can take Medi-Cal and if Medi-Cal can actually reimburse appropriately,” Sasaki says.
The majority of Medi-Cal births—more than 80 percent—are babies of color. A statewide survey also indicates that people of color, particularly Black women, want alternative birth support such as midwives and doulas the most. White women and those with private insurance were the highest users of midwives, the survey shows, while those who wanted a midwife but didn’t use one most commonly cited lack of insurance coverage as a barrier.
Caroline Cusenza, a midwife and the owner of the Monterey Birth and Wellness Center, says accepting insurance allowed her to serve a more diverse population in the working-class Latino enclave where the birth center is located. She wanted to take Medi-Cal patients but couldn’t. Though Cusenza applied for licensure twice, she was also rejected because the building didn’t meet ventilation standards.
The birth center will close in September after seven years.
“It was a hard decision to walk away, but we really just could see no path forward,” Cusenza says.
Executive Director Karen Rosalie hugs Kendra Wyatt, while Founder Roberta Frank hugs Jolene Wyatt. | Photo Credit: Ariana Drehsler for CalMatters
The Western Center for Law and Poverty has pointed to accreditation as a possible alternative to licensure. The Commission for the Accreditation of Birth Centers is the national organization that sets standards for birth center quality and safety. California regulators have used accreditation to help license other kinds of health facilities, but health department officials see no need to provide birth centers with alternate options. They argue that very few have tried to get a license in the first place. Only 23 birth centers have applied in the past decade.
Holly Smith, a certified nurse midwife and co-lead of Midwifery Access California, contends that the low number of applicants reflects the difficulty of the process. Midwives know licensure is nearly impossible, so they don’t bother applying, Smith argues.
“If [the Department of Public Health] can be much more involved in figuring out solutions to help birth centers exist and be licensed, should they want to be, then we would see a greater proliferation of applications,” Smith says.
Midwifery Access California is working with another state agency to improve access for low-income patients, Smith adds. They hope to convince the Department of Health Care Services to increase Medi-Cal payments to midwives. Right now, a licensed birth center gets about $1,300 per birth, while the midwife gets $400.
Some birth centers say that, at those rates, even Medi-Cal wouldn’t be enough to save them.
“If our birth center were to accept Medi-Cal, we would go bankrupt,” says Trisha Wimbs, owner of the California Birth Center in Rocklin.
Licensed in 2023, Wimbs’ facility was one of only three birth centers to achieve licensure since the public health department took over and tightened building codes. Wimbs says it cost $1 million to build the “hospital-grade facility” to code, including $80,000 to move a fire hydrant two feet closer to the building. The birth center does not take Medi-Cal because it pays too little to recoup expenses. Instead, the birth center caters to cash-pay and commercially insured clients in the affluent Sacramento suburb.
To sustain birth centers, Medi-Cal needs to pay around $8,000 per birth, Smith says. At that price point, delivering at a birth center would still cost less than half as much as a hospital delivery.
Saying Goodbye to Best Start
Eighteen years ago, Ellary Alonso was born at Best Start Birth Center when her mom, a former labor and delivery nurse, sought a more personalized birth experience. Alonso, who was 21 weeks along in March, wanted to deliver her son in the same place, surrounded by midwives she knew, maybe even in a bath. She wanted the emotional support of the team, she says, because her husband is a Marine, and there’s no guarantee he’ll be able to make it to the birth.
But a week before her first prenatal appointment at Best Start, Alonso got a call that the center was closing permanently. There are no other birth centers in Southern California that take her insurance, TRICARE.
“In this time when everything is about choice, you can choose not to have a baby, but you can’t choose how to have your baby,” Alonso says. “Hospitals are the only option.”
Compared to a hospital room, Best Start offered a homey atmosphere and the promise that the midwife attending each birth was familiar to the laboring client. The birthing rooms came with queen-sized beds, floral duvets, and white porcelain tubs for water births. A marble-topped “crash cart” sat in each room. With the doors closed, the cart looked like an end table, matching the décor. Inside, it was filled with medical supplies for conducting emergency resuscitations or stitching up lacerations.
Photo Credit: Ariana Drehsler for CalMatters
Though cozy, the rooms bore the hallmarks of a by-the-book clinic: boxes of nitrile gloves in each room, hazardous waste bins mounted discreetly to the wall. Best Start was the only birth center in the state to have a licensed clinical laboratory to confirm water breakage.
They never lost a mother or baby, Roslie says. Their transfer rate for cesarean sections was 20 percent less than the state average in 2022. In the past five years, they performed no episiotomies, perineum incisions intended to enlarge the vaginal opening during birth. And 96 percent of newborns were exclusively breastfed before leaving Best Start, compared to the statewide hospital rate of 69 percent.
Despite the center’s recognized success, keeping it running was always a labor of love, Roslie says.
“It’s never been a thriving business,” she adds. “Roberta’s gone without pay. I’ve gone with reduced pay. That’s what it takes to run a birth center.”
When Roberta Frank, Roslie’s mother, graduated from UC San Diego with her nursing midwifery degree in 1981, she was told, “San Diego will never accept midwives.”
Kristen Hwang is a reporter for CalMatters covering health care. Prior to joining CalMatters, Kristen earned a master’s degree in journalism from UC Berkeley’s Graduate School of Journalism and a master of public health degree from Berkeley’s School of Public Health.
Music drifts across the fairway. Someone’s in flip flops. The Pacific flashes in the distance. Sun peeks onto shoulders through the palm trees. It’s spring, technically, but the air reads suspiciously like summer. At the par-3 course at Liberty Station, the longest hole barely stretches past 120 yards, and no one looks particularly interested in becoming the next PGA legend.
“I got dragged to a par-3 course in 2019 —The Loma Club—and it was way more my jam,” says Ronan Galvin, CEO and co-founder of Sunday Golf, a company that makes lightweight golf bags for players who’d rather carry less and laugh more. “It was a lot different than the stereotypical ideas you have about golf where it’s kind of long, uptight, and exclusive.”
Galvin spent over a decade in the golf industry working in product development, sourcing and manufacturing. But he didn’t grow up swinging clubs. Basketball and football were more his speed. What clicked for him was a simpler, more relaxed kind of play: shorter rounds and weekend games built for fun rather than formality. The kind of golf that resonated for him felt accessible, effortless, and surprisingly his lifestyle.
Courtesy of Sunday Golf
He noticed something else, too.
On a course where five clubs do the job, players were still lugging 14. So Galvin built something smaller. Lighter. A bag designed specifically for par-3 rounds, the Loma Bag is sleek, functional, and refreshingly unfussy. It’s practical minimalism in a sport known for excess.
Sunday Golf was slated to launch in January 2020. Then, COVID hit. Shipments stalled; lost at sea. The future felt shaky. But the series of catastrophes for the young company turned out to be anything but: By the time inventory arrived that August, golf had become one of the few activities people could safely do.
“It introduced and brought so many people back to the game,” Galvin says. “It created a habit for a lot of people, which is a big reason golf is on its growth trajectory.”
It turns out Americans can’t get enough of golf. Forty-eight million of them swung clubs last year, a 41 percent jump since 2019, and the National Golf Foundation says the total could top 50 million by the end of 2026.
The brand rode this unlikely momentum. Since 2021, Sunday Golf has expanded into larger lightweight bags and continues evolving from there. A major reason for the company’s success is its approachability, a value so central that it’s literally written on the office walls in the form of the company’s guiding mission: “Get 500,000 golfers having more fun by 2027.” This goal is measured, fittingly, by golf bags sold.
Sunday Golf has already passed 300,000 bags sold.
But the numbers aren’t the point.
Courtesy of Sunday Golf
“To remind the world that life is meant to be enjoyed,” Galvin says of the brand’s why. In an era dominated by screens, golf offers something analog. “People are outside, touching grass with their friends. A golf bag is a golf bag, but our products are vehicles to help support that.”
Unlike legacy golf giants promising proximity to Rory McIlroy-level greatness, Sunday Golf leans into what Galvin jokingly calls “diet golf” or “golf light”—weekend rounds, driving range sessions, company scrambles. The bags are built for the casual golfer, and the fit feels obvious.
That philosophy resonates across Southern California, where year-round sunshine means golf courses never really hibernate for winter. As Galvin puts it, “the laid-back lifestyle of San Diego kind of seeps into everyone’s veins.”
Sometimes the validation arrives via email: a 76-year-old customer is able to walk the course again because their golf bag is lighter. Parents are able to take their children out with Sunday Golf’s kids line.
For Galvin, that’s the real win. Not perfection. Not prestige. Just more people outside, enjoying themselves. In San Diego, that might be the most natural mission of all.
Isabella Dallas is a freelance writer for San Diego Magazine and the Arts and Culture Editor at The Daily Aztec in her final year at San Diego State University. She previously worked as an editorial intern for SDM, but when she’s not writing, you can find her trying the best coffee spots in SD, devouring the latest rom-coms, and indulging in anything and everything pop culture.
The initial project will be a landmark September edition of San Diego Magazine—fully dedicated to the people, ideas, and identities of the city’s creative community. After its release, those stories and more will extend across six months of integrated digital, social, and multi-platform coverage. Art & Design District and SDFC Playmakers will serve as co-publishers of the expanded editorial vision.
The Art & Design District is evolving into San Diego’s first home for the performing arts at iconic downtown venues like the Civic Theatre and Jacobs Music Center alongside research and development programs focused on artist live/work spaces, galleries, studios, and New School of Architecture & Design.
“[The Art & Design District initiative] is a long-term investment in San Diego’s creative life and the creative workforce that powers our cultural experiences and creative industries here at home and across the world,” says Jonathan Glus, Prebys Senior Fellow for Art & Design in Residence at Downtown San Diego Partnership. “But infrastructure alone is not enough. The public needs to see, understand, and participate in what’s being built and why. Joining as co-publisher of this issue means helping ensure that the story of San Diego’s creative community—its artists, its institutions, its future—gets told at the level of ambition the moment requires.”
San Diego has entered a defining chapter in how the region invests in its creative community, with civic and philanthropic leaders working alongside artists, brands, institutions, and people to chart a new model of public-private support for arts and culture.
As digital co-publishers of San Diego Magazine‘s arts and culture coverage, SDFC’s Playmakers partnership will include a six-month integrated collaboration designed to sustain the visibility of San Diego’s creative community well beyond a single issue.
“The Playmakers program was built on the belief that the creative community is essential to what makes San Diego, San Diego,” says Sebastian, San Diego FC’s SVP of Brand and Innovation. “Investing in local media that tells those stories—and reaches the audiences who need to hear them—is one of the most direct ways we can support the artists, organizations, and cultural leaders shaping this city’s future. We’re proud to step in as digital co-publishers of San Diego Magazine‘s arts and culture coverage and the founding partner of this new editorial program.”
Under the partnerships:
The Art & Design District joins as Co-Publisher of the September 2026 Arts & Culture Issue, undwriting San Diego Magazine‘s most ambitious editorial event of the year.
SDFC Playmakers joins as Digital Co-Publisher of San Diego Magazine‘s arts and culture coverage, founding a six-month integrated partnership that includes co-publisher presence in the September issue.
The partnership represents a new model for regional media: civic and cultural institutions providing the resources required for sustained, ambitious, local editorial media focused on the neighborhoods it serves.
“For 78 years, the magazine has told the story of arts and culture here,” says Claire Johnson, CEO of San Diego Magazine. “But the fragmentation of traditional media has made it harder than ever to cover this community at the depth and scale it deserves. SDFC Playmakers and the Art & Design District have recognized something critical: Media is not separate from the civic conversation, it’s the stage for the conversation.”
San Diego Magazine retains full editorial control over all reporting, features, and original content produced under both partnerships.
“Our role in this ecosystem is to tell the story of San Diego’s culture and provide context for our readers.” says Johnson. “These partnerships give us the resources to do justice to that responsibility—and to extend that commitment well beyond a single issue. Our readers also deserve to know exactly how this work was funded. I’m grateful to our partners, and to the arts and culture community in San Diego for letting us tell this story.”
The September Arts & Culture Issue will be released early September 2026, with digital, social, video, and podcast coverage rolling out through early 2027.
ABOUT SAN DIEGO MAGAZINE For 78 years, San Diego Magazine has been the region’s leading lifestyle and culture publication, reaching approximately 6 million readers monthly across print, digital, newsletter, and social platforms. Owned and operated locally, the magazine has been the connective tissue of San Diego’s cultural conversation since 1948.
ABOUT SDFC PLAYMAKERS The Playmakers program is an ongoing initiative that seeks to identify and showcase the talent of San Diego creatives who are contributing to the culture, substance, and flow of our community. We want to bring the San Diego community together by marrying football and creativity to provide a platform for these Playmakers who are positively impacting our culture by pushing the boundaries through innovative ideas. The goal is to create a program that consistently provides growth and exposure opportunities for San Diego creatives, while shaping an authentic direction for San Diego FC’s brand and community-building process. Through this program we hope to contribute to the creative fabric of our city by providing paid jobs, projects, collaborations, as well as networking opportunities for Playmakers.
ABOUT THE ART & DESIGN DISTRICT The Art & Design District is a Downtown San Diego Partnership initiative, supported by the Prebys Foundation, working to shape a connected, vibrant arts and design district in downtown San Diego. Led by Art and Culture Expert Fellow Jonathan Glus, the initiative convenes artists, cultural leaders, civic stakeholders, and residents in service of a downtown that reflects the creativity, identity, and diversity of the region. Learn more at downtownsandiego.org.
Golf doesn’t have to mean stiff collars, pleated khakis, whisper-talking on the green, or pretending your sand trap fails aren’t actually hilarious. Around San Diego, a handful of rebel courses are quietly rewriting the rules of an afternoon round, making them more relaxed, more social, and yes, more dog-friendly. These are the fairways where leashed pups pad alongside their people; where a suspenseful search for a golf ball in the bushes or—no!no!no!no!no!—in the water hazards are part of the fun; where every polite golf clap comes with a smiling, panting audience. If your ideal golf day includes a walk, a drink, and your dog riding shotgun, this is your teeing ground.
For proof that a golf course can be approachable without being boring, look no further than Emerald Isle Golf Course in Oceanside. The executive course delivers consistently beautiful greens, rolling elevations, and just enough challenge to keep you engaged, not stressed—unless your pup breaks free and runs for the rolling elevations, in which case you’ll be very engaged and maybe a little stressed. Locals love holes like the canal carry on No. 3 and the wildlife-dotted pond on No. 16, while golden-hour sunsets steal the show most evenings. Dogs are genuinely welcome here, not an afterthought. Grab them a slice of watermelon from the clubhouse, pose in the cart for Instagram cameos with an Emerald Isle scarf (it doubles as an adorable bandana for your four-legged friend), or introduce them to the course’s resident pups like Bogey, the assistant director of instruction, and shop dogs Karl and Frank. Affordable, friendly, and no-frills, Emerald Isle feels like golf you and doggo can’t wait to play.
660 S El Camino Real, Oceanside
Courtesy of The Loma Club
The Loma Club, Point Loma
The Loma Club is where golf goes social. Set in Liberty Station, this historic 9-hole par-3 course trades country club stiffness for an easy, neighborhood energy that feels distinctly San Diego. The course is walkable and unintimidating, with skyline and harbor views doing most of the heavy lifting. The Loma Club is just dipping its paws into the dog-friendly trend, and welcomes them on the mini course and off the fairways. Though your pup is the epicenter of your world, the patio at Loma Club is the real star, hosting live music, trivia (even the smartest dogs are stumped), and cocktails that rival golf itself. You don’t even need clubs to enjoy it. Show up with your dog, wander the course, grab something from the clubhouse, and stay for hours. You’ll feel like you’re exactly where you’re supposed to be.
Calling Goat Hill Park a golf course almost undersells it. Known as the “People’s Park,” this historic Oceanside staple operates more like a community space where golf happens. Expect dogs strolling alongside the players, music streaming from magnetic speakers attached to golf carts, beginners smacking balls alongside serious talent, and locals and tourists sharing the same teeing grounds with a few four-legged besties trotting alongside. Saved from redevelopment in 2014, Goat Hill embraces a raw, unpolished look that’s both intentional and refreshing. With ocean views, a “19th-hole” fire-pit, and zero pretense, it’s golf at its most human…because: dogs.
2323 Goat Hill Dr, Oceanside
Courtesy of Omni La Costa Resort
The Club at Omni La Costa
Ready to add your pup’s name to the illustrious list of golf greats? Same. At the iconic The Club at Omni La Costa, the vibe is equal parts championship-caliber and casually fabulous. Emerald fairways so perfect you’ll hesitate to step on them, palm-lined paths practically begging for a golden-hour strut, and rolling greens that ripple in the sun. And just when you thought it couldn’t get any better, your four-legged plus-one enters the chat: For members and overnight guests, the La Costa lifestyle rolls out the (very chic) welcome mat for your (leashed) pup, turning tee times into a social affair of breezy, citrus-kissed luxury and leisurely strolls. Really—what are you waiting for? Even your dog’s got a standing invite.
Isabella Dallas is a freelance writer for San Diego Magazine and the Arts and Culture Editor at The Daily Aztec in her final year at San Diego State University. She previously worked as an editorial intern for SDM, but when she’s not writing, you can find her trying the best coffee spots in SD, devouring the latest rom-coms, and indulging in anything and everything pop culture.
Kelly H. Harfouche, founder of KQ Aesthetic Society, knows firsthand that cosmetic treatments like fillers, neurotoxins, and microneedling, can not only enhance a person’s appearance and restore confidence, they have the power to truly change a person’s life. An expert injector has the ability to tailor treatments to each individual patient’s anatomy and goals for personalized results. Harfouche, a board-certified nurse practitioner, has spent nearly a decade perfecting her craft as an aesthetic injector and integrating her multifaceted artistic skills with precision patient care. Her commitment to continual education and training, plus a passion for helping people look—and feel—their best, set KQ Aesthetic Society apart in a sea of local medspas.
For many people considering nonsurgical treatments, the intent is to look refreshed and refined. KQ Aesthetic Society’s philosophy eschews a cookie cutter approach that bases treatments around units, instead working to understand each person’s unique goals, then curating a treatment plan to fit that vision. Harfouche focuses on “inclusive luxury,” the belief that everyone deserves access to aesthetic treatments, respective of budget restrictions. She develops long-standing trusted relationships with her patients, and works with each one to achieve their aesthetic objectives and address the underlying causes of their concerns.
“For me, forming an honest and open relationship with every patient who walks through the door is essential. This means understanding them on a deeper level and meeting them where they are to define and achieve their individual goals,” she says.
Drawing on her artistic background, which inspired her transition into medical aesthetics, Harfouche sees each client as a “unique canvas.” Rather than relying on standardized procedures, the practitioner’s distinctive approach combines her profound understanding of the physiological and anatomical changes associated with aging with an unwavering commitment to ongoing education about the newest products and their mechanisms of action. Her goal is to make each patient feel beautiful in their own skin and to embrace their individuality.
She has also pioneered a way to combine her talent for aesthetic artistry with her philanthropic nature. Harfouche is one of only a handful of providers using dermal fillers to treat patients with lip asymmetry and scarring resulting from cleft lip surgery. Patients travel from around the country for this transformative treatment, noting increased confidence and a restored identity. She hopes to eventually launch a training program to help fill the void in this space.
“My passion has always been connecting with people and giving back in any capacity that I can,” she says. In the rapidly advancing landscape of aesthetic medicine, you can place your confidence in Harfouche and KQ Aesthetic Society to deliver exceptional care. To learn more or book a consultation, please visit kqaestheticsociety.com.
Charitable gatherings, downtown music festivals and theater premieres—of both the heartwarming and thought-provoking variety—are among San Diego’s standout events this weekend. You can’t spell fundraising without ‘fun,’ and both elements are central at Poway OnStage’s Taste of the Towne and the Switchfoot Bro-Am. Listeners of blues, reggae rock and silky smooth jazz can check out the East Village Blues Fest, Field of Dreamz and the San Diego Smooth Jazz Festival, respectively. As for the city’s thespian community, new shows include Cygnet Theatre’s production of Broadway favorite The Spongebob Musical and the world premiere of the OnWord Theatre show Marti Gobel’s Adult Storytime: A Caregiver’s Guide To The Blues.
The tasteful appetizer to Switchfoot Bro-Am’s annual Beach Fest is the laid-back Benefit Party, returning this Thursday from 6-10 p.m. at Viasat. Guests will be treated to a curated dining menu, a performance by Switchfoot with special guests, and the chance to bid on live and silent auction items, including local excursions, apparel packages, and deluxe arts experiences. Individual ticket options include general admission ($300) and reserved seating ($450); the money raised will go towards youth-centered programming at six local nonprofits.
6155 El Camino Real, Carlsbad
Taste of Our Towne at Poway Center for the Performing Arts
June 13
Patrons of Poway OnStage are invited to Taste of Our Towne, the organization’s annual culinary fundraiser, this Saturday at 5 p.m. at Poway Center for the Performing Arts. The evening will begin with auctions, plus bites and libations from over a dozen local vendors before magician Chris Funk, aka The Wonderist, takes the stage for an interactive comedy show.General admission is $115 for Taste of Our Towne; proceeds from this event will benefit Poway OnStage’s Professional Performance Series and Arts in Education Initiative.
Rod Stewart at North Island Credit Union Amphitheatre
June 12
Before (potentially) riding off into the sunset, British rocker Rod Stewart is strutting his stuff stateside with the unconventional voice and unquestionable verve that’s propelled his nearly six decade-long solo career. Though the “Da Ya Think I’m Sexy?” artist’s days on the road may be dwindling, that’s even more reason to give him his flowers in the present. Stewart’s upcoming show this Friday at 7:30 p.m. at North Island Credit Union Amphitheatre will feature prolific singer-songwriter Richard Marx as the opening act. Tickets start at $40.
2050 Entertainment Circle, Chula Vista
Switchfoot Bro-Am Beach Fest
June 13
Following Thursday’s Benefit Party, the 22nd annual Switchfoot Bro-Am will switch (get it?) from its fundraiser to a free day at Moonlight Beach for Saturday’s all-day Beach Fest. From 7 a.m. to 3 p.m. there will be surf competitions—including surf jousting—and from noon to 5 p.m., Sun Room, Telephone Friends, Kimiko, a handful of special guests and, of course, Switchfoot will perform for attendees. Additionally, throughout the day, there will be a variety of vendors and brand activations to explore. Admission is free with RSVP, while VIP pit tickets are $195.
As the mysterious saying goes, ‘If you build it, they will come,’ but instead of Iowa cornfields, this time the message is coming from inside SD’s home ballpark. This Saturday, Ocean Beach natives Slightly Stoopid will headline the first-ever Field of Dreamz Festival, and they’ve brought along a handful of ska, reggae and island-inspired rock acts for the ride. Doors will open at 3 p.m., and fans can see sets by Stephen Marley, Pepper, Sublime—whose first album with frontman Jakob Nowell drops Friday—and more. Ticket options include standard admission ($125), floor tickets ($188), plus All-Star VIP ($244) and Hall of Fame VIP ($610) passes.
Ryan Hardison is a freelance arts and entertainment writer and recent graduate of San Diego State. When he's not staring at his laptop, he's likely eating an adobada burrito or getting sunburnt at the beach.
We love a mega-fancy tasting menu, but let’s be honest—we’re not all blessed with unlimited Wagyu funds. So we picked some of the breakout dishes of the last year (or couple of years) from the best chefs in the city, reverse-engineered their chief charms (salty, smoky, caramelized?) in the test lab of our mouths, and found some budget-friendly alternatives that hit some of the same notes with an everyday price tag.
Where do delicately plucked marigold blossoms adorn Deer Isle scallops, or ingredients like fermented raspberry precede roasted coffee oil, shiro miso caramel, or bronze fennel in a parade of hit-after-hit dishes? Lilo in Carlsbad, of course. San Diego’s newest Michelin star changes its menu with the seasons, but one stalwart dish has kept tongues wagging since opening day last April: the caviar ice cream. A boat-shaped sliver of orgeat ice cream, smoked celery root bushi, and freshly pressed almond oil are topped with a generous heap of caviar. It’s a dish so good and defining that chef Eric Bost will tire of talking about it for a very long time.
Price: $265 for the tasting menu (before tax, tip, and drinks)
Low: S’mores Ice Cream at Stella Jean’s
There’s a reason Stella Jean’s s’mores ice cream is part of the local scoop shop’s “always available” menu. Made with fire-roasted marshmallows and coconut ash ice cream mixed with dark chocolate-covered graham crackers and mini marshmallows, its strangely ashen hue dabbled with flecks of tawny brown is a far cry from the wildly vibrant ube and pandesal toffee flavor seemingly made for Instagram reels. But it’s a sensation in your mouth—smoky, toasty, torched, creamy, marshmallowy, coconutty, ashy, and bitter from the dark chocolate. Pro tip: If you really want to DIY Lilo’s ultra-luxe treat, bring your own caviar.
There’s no question what comes first at Lucien. It’s the egg. Chef and co-owner Elijah Arizmendi’s 12-course tasting menu begins with welcome bites under the calamansi tree before moving inside to start the Journey (the actual name of this section of the menu). The first step is one of the most astounding—a perfectly intact, upright, ochre-hued eggshell containing his take on Japanese chawanmushi (egg custard), topped with a dollop of caviar. The accompanying ingredients have ranged from sweet corn and huitlacoche to banana and buckwheat, but each one has precisely demonstrated Arizmendi’s commitment to French technique with California experimentation and global influence.
Price: $260 for the chef’s tasting menu (before tax, tip, and drinks)
Low: Chawanmushi at Sushi Ota
The biggest difference (besides price) is that while Lucien’s dish changes with the season, Sushi Ota is comfortably predictable. A San Diego staple since 1990, the legendary Sushi Ota has been one of those if you know, you know joints that locals try to keep off the radar. (It hasn’t worked at all.) Known for ultra-fresh fish and ultra-traditional service, the small Pacific Beach restaurant also serves Japanese comfort foods like udon noodle soup alongside sashimi, nigiri, and rolls. But it’s the savory steamed egg custard, called chawanmushi, that really gives you the warm and fuzzies. Add a side of salmon roe (ikura) for a few bucks more, and this dupe is about as good as it gets.
Price: $12 for chawanmushi, $11 for ikura
Courtesy of Chick & Hawk
High: The Birdman Sandwich at Chick & Hawk
Enough ink—and tears, I’m sure—has been spilled over Chick & Hawk’s long and arduous journey to opening its doors. But now that the Encinitas eatery is in full swing, chef Andrew Bachelier’s tightly curated menu of fried chicken sandwiches, fries, and bowls command lines of hungry locals and skate-culture loyalists. The Birdman, the signature hot chicken sandwich named for partner and skateboarding legend Tony Hawk, is piled with cabbage slaw and pickles and slathered with a tangy kimchi comeback sauce on a soft brioche bun. Although this Nashville meets California meets Mississippi meets Korea sando doesn’t command a triple-digit price tag, the fact that it’s nearly a $20 chicken sandwich (sans side) has been a topic of conversation. Bachelier—who worked at Addison before opening Jeune et Jolie, then launched SDM’s 2024 “Best New Restaurant,” Atelier Manna—and his team earned that price tag.
Low: 5-Piece Korean Fried Wings at Cross Street Chicken & Beer
It’s hard to beat Koreans at the chicken game. Korean fried wings are defined by a double-fry technique—first at a low temperature to ensure the chicken is cooked through, then at a high temperature to ensure the famed extra-crispy, ear-splittingly crunchrageous magic. At Cross Street, they follow a similar fusion ethos as Chick & Hawk, using inspiration from the American South as well as Thailand, Korea, Vietnam, and more, with flavors like “Seoul Spicy” or “Honey Butter” for whatever you’re feeling that day. Pair it with a cold beer to go full chimaek (a popular Korean combination of pairing fried chicken and beer). Now that’s a combo—and price tag—that’s hard to beat.
Price: $8.75 for five wings
Courtesy of Trust Restaurant Group
High: Steak Frites at À L’ouest
PB&J. Captain & Tennille. Brad Wise and steak. Steak frites ranks among the iconic global duos. And when the holy union of prime cuts and twice-fried carbs comes from Wise and the meat-loving masters at Trust Restaurant Group, it’s a pretty safe bet. À L’ouest—the group’s newest fancy, but not fussy, drippy plant dreamscape of a French steakhouse on the prime corner of 30th and University in North Park—gives guests a choice: 12-ounce New York strip, 8-ounce filet mignon, or 8-ounce Wagyu hanger, topped with sauce au poivre (the classic French pan sauce—peppercorns, shallots, heavy cream, brandy) and served with a heaping pile of 24-hour salt-brined fries and a watercress salad. One bite acts as a transport to a Parisian brasserie, so if you think about the cost in terms of time-space travel, it’s a pretty great deal.
Price: starts at $48
Low: Shepherd’s Pie at The Shakespeare Pub & Grille
To satisfy the same urge for meat and potatoes, feel at least moderately European while doing so, and save a couple quid, a trip to The Shakespeare in Mission Hills ticks all the boxes. The classic British shepherd’s pie arrives in a piping hot oval au gratin dish, smothered with a thick layer of mashed potatoes. Beneath it lies a hefty portion of marinated ground beef and vegetables in the pub’s secret sauce, and while there are a few choices of sides, the correct order is peas and “proper” chips (a.k.a. chunky, thick-cut fries versus the typically thinner American “French” fries). It’s more tickety-boo than très bien, but it’s immensely satisfying in any language.
Beth Demmon is an award-winning writer and podcaster whose work regularly appears in national outlets and San Diego Magazine. Her first book, The Beer Lover's Guide to Cider, is now available. Find out more on bethdemmon.com.
AVRP Studios’ tradition for Design Excellence and Innovation began in 1976 with Doug Austin, FAIA, in Solana Beach, California. The firm has since grown to complete major projects throughout the United States and Canada. We think of ourselves as a family and we care deeply about people. We want to inspire, help make their lives richer and more complete through our efforts. We believe that architecture is one of the most important art forms because of the impact it can have on the lives of those it touches. We’re delighted to have been recognized with over 150 awards for design excellence.
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