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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006395
Report Date: 09/15/2025
Date Signed: 09/15/2025 08:06:48 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2024 and conducted by Evaluator Kimberly Lyman
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240716092616
FACILITY NAME:BAKER HOMEFACILITY NUMBER:
306006395
ADMINISTRATOR:SAN DIEGO, CATHERINEFACILITY TYPE:
735
ADDRESS:624 W BAKER AVENUETELEPHONE:
(714) 270-9866
CITY:FULLERTONSTATE: CAZIP CODE:
92832
CAPACITY:4CENSUS: 4DATE:
09/15/2025
UNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Michael San DiegoTIME COMPLETED:
08:30 AM
ALLEGATION(S):
1
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9
Staff inappropriately touched resident
Staff did not allow resident to attend medical appointments
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff and clients as well as reviewed and obtained pertinent documentation such as facility notes. Regarding the allegations that staff did not allow resident to attend medical appointments and staff inappropriately touched resident, the investigation revealed the following: Per facility documentation, Client 1(C1) is diagnosed with Borderline Intellectual Functioning, Psychiatric Disorder, Generalized Anxiety Disorder, Schizophrenia and Paranoia. Per Individual Program Plan dated 05/21/2024, C1 has a history of false statements and accusations. Four out of four staff deny inappropriately touching the resident and two out of two clients deny being touched inappropriately or witnessing such. Two out of two clients verbalized satisfaction and safety at the facility. Facility documentation as well as interviews conducted show client has been attending medical appointments as well as appointments at the social security office. CONTINUED ON LIC 9099C DATED 09/15/2025
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20240716092616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BAKER HOME
FACILITY NUMBER: 306006395
VISIT DATE: 09/15/2025
NARRATIVE
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Based on interviews conducted and record review, LPA is unable to corroborate the allegations. Therefore, the allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2