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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370803020
Report Date: 07/15/2025
Date Signed: 07/15/2025 10:33:08 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
07/08/2025 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20250708140709
FACILITY NAME:BAUM FAMILY CARE HOMEFACILITY NUMBER:
370803020
ADMINISTRATOR:BAUM, RONALD&CHERYLFACILITY TYPE:
735
ADDRESS:9627 RANCHO MIRAGE LANETELEPHONE:
(619) 390-8978
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:6CENSUS: 5DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Ron Baum - LicenseeTIME COMPLETED:
10:32 AM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in resident-on-resident altercation.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegation. LPA identified herself, explained the purpose of the visit and nature of the complaint to Ron Baum Licensee.

On July 8, 2025 the Department received this complaint which alleged on July 6, 2025 staff did not provide adequate supervision resulting in resident-on-resident altercation. It was alleged that Resident #1 (R1) rushed towards Resident #2 (R2) and started hitting him. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] The Department’s investigation included a facility tour, record reviews, as well as interviews with residents, staff, and an outside source.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 08-AS-20250708140709
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: BAUM FAMILY CARE HOME
FACILITY NUMBER: 370803020
VISIT DATE: 07/15/2025
NARRATIVE
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(Continued from LIC9099)

Per interviews with residents who witnessed this event, it was R2 who rushed towards R1 and initiated the altercation. It was reported by residents that this altercation happened in front staff, who promptly broke it up and redirected R2. An interview with R1 also reported that R2 was the one who attacked them unprompted while they were engaged in conversation with facility staff. Interviews with staff corroborate this version of events. Further, The Department received a description documenting this in a Special Incident Report submitted by the facility on July 7, 2025.

An interview with Outside Source #1 (OS1) who is familiar with the facility and residents reported not having concerns regarding lack of supervision. OS1 also reported being aware of recent behaviors exhibited by R2.

The Department has investigated the allegations that staff restrained resident and staff handles resident in a rough manor. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated.

An exit interview was conducted with Ron Baum, Licensee, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
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