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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370803020
Report Date: 07/24/2025
Date Signed: 07/24/2025 02:30:33 PM

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
07/07/2025 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20250707085928
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:
07/24/2025
UNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Licensee Cheryl Baum and House Manager Carrie BaumTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff offered unprescribed medication to resident.
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 allegations. LPA identified herself, explained the purpose of the visit and nature of the complaint to Licensee Cheryl Baum and House Manager Carrie Baum.

On July 7, 2025 the Department received this complaint which alleged that staff offered unprescribed medication to Resident #1 (R1). [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: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
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-20250707085928
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: 07/24/2025
NARRATIVE
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(Continued from LIC9099)

Records reviewed revealed that the Medications Administration Record (MAR) for R1 was up to date and accurate. An interview with Outside Source #1 (OS1) who is familiar with the facility and residents reported never having medication issues with facility staff. OS1 does not believe staff would do anything but administer medications as prescribed. Interviews with residents did not report witnessing staff offering unprescribed medication to R1, nor having staff approach them and offering unprescribed medications. An interview with the staff alleged to have offered unprescribed medication denied that this event took place and reported following physician’s orders for resident medications.

The Department has investigated the above mentioned allegation and based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate this allegation and therefore deemed unsubstantiated.

An exit interview was conducted with Licensee Cheryl Baum and House Manager Carrie Baum 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: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2