370802757-6-5-2024-08-AS-LTEZ-D6NQMV-20240628121809

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802757
Report Date: 06/05/2024
Date Signed: 06/05/2024 11:49:14 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2024 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20240528163730

FACILITY NAME:	VOA-CARLTON G. LUHMAN CENTER FOR SUPPORTIVE LIVING		FACILITY NUMBER:	370802757
ADMINISTRATOR:	MURRY, DAYLIN		FACILITY TYPE:	735
ADDRESS:	290 S. MAGNOLIA		TELEPHONE:	(619) 447-2428
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	39	CENSUS: 38	DATE:	06/05/2024
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Melchor Diaz Mental Health Coordinator.		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Staff did not ensure that facility was free of bed bugs infestation

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced visit to open a complaint and deliver findings regarding the above-mentioned allegation LPA was allowed entry by Melchor Diaz Mental Health Coordinator. LPA identified herself and disclosed the purpose of the visit and elements of the findings to the Mental Health Coordinator.

On May 28, 2024, a complaint was submitted to the Department with the following allegation: Staff did not ensure that the facility was free of bed bug infestation. On June 5, 2024, the Department conducted interviews with staff and residents and a tour of the facility.

Staff were interviewed and stated that the bedbugs were reported a couple of weeks ago and only a couple of residents had reported the bedbugs. The process that staff have taken is to change bedding and do their treatment until pest control can come to the facility to treat the rooms. There is a scheduled visit from pest control to come out to treat the rooms on June 11, 2024, last day of treatment was May 8, 2024.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Renita Hall	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20240528163730

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: VOA-CARLTON G. LUHMAN CENTER FOR SUPPORTIVE LIVING	FACILITY NUMBER: 370802757
	VISIT DATE: 06/05/2024

NARRATIVE

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The pest control records were reviewed, and it was found that regular pest control measures are being taken. Resident 1 (R1) interviewed stated that the bedbugs just started a couple of weeks ago and there had not been any bedbugs for a while. Resident 2 (R2) interviewed stated that the bedbugs have recently come back and that staff have sprayed for them.

Based on the investigation findings, the allegation made against the facility is unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Melchor Diaz Mental Health Coordinator. His signature on this form confirms receipt of the documents.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Renita Hall	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

LIC9099 (FAS) - (06/04)

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