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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134602407
Report Date: 12/31/2024
Date Signed: 12/31/2024 01:59:03 PM

Document Has Been Signed on 12/31/2024 01:59 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:BAIRD BOARD AND CARE #1FACILITY NUMBER:
134602407
ADMINISTRATOR/
DIRECTOR:
BAIRD, KEITHFACILITY TYPE:
735
ADDRESS:1937 MOUNT SIGNAL AVETELEPHONE:
(442) 229-9088
CITY:SEELEYSTATE: CAZIP CODE:
92273
CAPACITY: 4CENSUS: 4DATE:
12/31/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Keith BairdTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit and it identified no complaints in the past 3 years, it was recorded that firearms and ammo are stored in the home. LPA D. Roman was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee, Keith Baird. According to the facility’s license, the facility has a maximum capacity of 4 clients, of whom all may be ambulatory.

LPA D. Roman toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities.

Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked area. Water temperature was measured at around 110 degrees F.

No pools or bodies of water on the premises. Per Licensee, Keith Baird, yes firearms and ammunition are kept at the facility, stored according to title 22, LPA D. Roman observed a state of CA approved safe. Carbon monoxide detectors, fire alarms, and facility telephone were all working. Fire extinguisher was present with receipt dated 10/15/24. First aid kits were complete and readily accessible.

Resident records reviewed had required documentation. Staff records reviewed had required documentation, First Aid Certificate valid until 10/25.

An exit interview was conducted with Licensee, Keith Baird, to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: David Roman
LICENSING EVALUATOR SIGNATURE: DATE: 12/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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