374604759-10-6-2025-08-AS-SJAB-DP2SZZ-20251204131954

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604759
Report Date: 10/06/2025
Date Signed: 10/06/2025 11:36:45 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
09/29/2025 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20250929143710

FACILITY NAME:	CARLTON G LUHMAN RESIDENTIAL CARE CENTER		FACILITY NUMBER:	374604759
ADMINISTRATOR:	CURTIS, PHILIP		FACILITY TYPE:	735
ADDRESS:	290 S. MAGNOLIA AVE		TELEPHONE:	(619) 447-2428
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	47	CENSUS: 45	DATE:	10/06/2025
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Karl Diaz, Administrator		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Facility staff are not properly assisting resident with personal hygiene
Facility did not seek timely medical attention for resident in care
Facility staff leave resident in soiled clothing for extended periods

INVESTIGATION FINDINGS:

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On October 6, 2025, Licensing Program Analyst (LPA) conducted an unannounced complaint visit to the facility to investigate the above allegations and deliver findings. The Administrator allowed LPA entry. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Administrator.

During the course of the investigation, LPA conducted interviews with the Reporting Party (RP), staff, and residents. LPA also conducted observations of the facility environment and reviewed documentation.

LPA spoke with R1, who stated that they did not notify staff that their jaw was hurting until several days later, when it became swollen, at which point R1 was transported to the hospital. R1 stated that they shower regularly, do not currently have lice, and that staff assist with washing their clothes. R2 stated that they did not have lice, but confirmed that R1 had them previously. R2 stated that R1 does shower and that there were no odor issues. R2 believed that the lice may have come from a chair in the courtyard frequently used by another resident (R3), who refuses to shower.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025

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-20250929143710

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: CARLTON G LUHMAN RESIDENTIAL CARE CENTER	FACILITY NUMBER: 374604759
	VISIT DATE: 10/06/2025

NARRATIVE

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S1, the Administrator, stated that R1 did not report any pain until staff observed swelling on R1’s jaw. S1 contacted non-emergency services, and R1 was transported to the hospital for evaluation. S1 stated that R1 wears a helmet due to a traumatic brain injury (TBI) and is frequently out in the community, making it unclear where R1 may have contracted the lice. S1 directed housekeeping to clean R1’s helmet weekly to help prevent lice. S1 stated that R1 lacks awareness to maintain hygiene independently, and staff provide reminders and assistance with showers and laundry. S1 also reported that R3 has delusions that aliens are in the shower and refuses to bathe. R3 has been given a 30-day eviction notice, and the case manager is assisting with alternate placement.

S2 stated that additional support wa provided to help R1 keep their helmet clean. S2 confirmed that R3 continues to refuse showers despite repeated staff attempts to assist.

LPA observed R1 resting in bed with clean linens, clean clothing, and a visible haircut. No lice or odors were detected. R1’s helmet was on the floor near the bed. No health or safety concerns were noted. LPA attempted to interview R3; however, R3 refused to speak with LPA.

The RP stated that there was no delay in care that they could recall. RP stated R1 was treated for lice and cellulitis during hospitalization and discharged on 09/29/2029. RP also confirmed that R1 was compliant with showering and was provided with new clothing before discharge. The RP further stated that they had no concerns about the facility and that staff are generally attentive and responsive. No deficiencies cited.

Based on the information obtained through interviews, observations, and record review, there is insufficient evidence to support the allegations that the facility failed to provide adequate care resulting in lice infestation, untreated medical needs, or that R1 was in soiled clothing are unsubstantiated. Although the allegations may have occurred or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with the Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator, and his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025

LIC9099 (FAS) - (06/04)

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