374604759-12-16-2025-08-AS-SMAZ-DQTNHU-20260130092919

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604759
Report Date: 12/16/2025
Date Signed: 12/16/2025 10:53:45 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
11/14/2025 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20251114114619

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: 47	DATE:	12/16/2025
		UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Karl Diaz, Administrator		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

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Staff do not ensure resident is bathed
Staff abandoned resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to 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.

On 11/14/2025, the Reporting Party (RP) contacted LPA stating that the facility would not accept R1 back due to an eviction; however, RP also stated that the hospital had not discharged R1 at that time. LPA asked RP if they had spoken with the facility prior to filing the complaint. RP stated they had, and were informed by the facility that R1 would not be accepted back. On 11/14/2025, the facility accepted R1 back from the hospital and subsequently assisted in finding a new placement for R1. The eviction issued to R1’s responsible party was related to ongoing hygiene concerns, as R1 refused to shower and was assessed as requiring a higher level of care than the facility is licensed to provide.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

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-20251114114619

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: 12/16/2025

NARRATIVE

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The facility is licensed as a Board and Care for adults with mental disabilities, and staff can only encourage regular hygiene practices; they cannot provide personal care beyond the facility’s license scope. Records review of court order dated January 22, 2025, R1 is conserved to a closed (locked) treatment facility.

LPA observed construction is currently being done on the facility for upgrades. R1's room was clean. No one was in the room at the time of the visit. Staff stated Resident R1 was not prescribed any pill-form medications for their diagnosis. Resident received injections from their primary care physician every six months, the last injection was administered in July 2025. Staff reported that resident would often refuse to shower unless provided with a cigarette, or staff would have to contact the resident’s family to encourage compliance. Even with incentives, the resident would frequently refuse to shower altogether.

According to staff, the hospital asked if the resident could be placed at the board and care due to needing the space at the hospital on December 23, 2024; the facility took the resident as a courtesy. However, the Hospital did not notify the conservator that R1 was sent to the facility. R1 was admitted on November 11, 2025, into the hospital due to body lice. R1 was admitted into a Behavioral Health facility and is expected to be discharged to a skilled nursing facility (SNF). All of the resident’s belongings were packed as of November 18, 2025, and the resident will not be returning to the facility.

On November 25, 2025, LPA contacted the County of San Diego Conservator’s Office regarding R1. LPA was informed that the previously assigned conservator no longer works for the department. The new conservator was not available; however, LPA spoke with a representative who stated that R1 was still at the Behavioral Health Facility and there is no discharge date at this time.

Based on interviews and record review, the allegations are unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred. 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 her signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

LIC9099 (FAS) - (06/04)

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