Senior Care Records.

Facility Evaluation Report

San Luis House, Novato06/19/2025Licence 216800881

Capacity6
Census6
Date signed06/20/2025 07:19:09 AM
Name of licensing program analystShannan Hansen
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct annual inspection of facility and was welcome by staff Veronica Samuel. Administrator Kayla Hotchkiss was contacted by telephone and arrived during visit. The facility is a single story five-bedroom, two bathrooms with a fire clearance for 6 Ambulatory clients. Clients were at the facility as it was a holiday but left shortly after to another community house to shower as new water heater has malfunctioning part, repair company is waiting on. There are 6 clients at the facility.

LPA toured the facility on 6/19/2025 at 9:30 AM with Staff Veronica Samuel; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Gate in kitchen adjacent to back sliding glass door exit has been removed. Fire Extinguisher was found to be last charged on 5/1/2025 at the time of the visit. Smoke detectors were found to be operational along with carbon monoxide detector. Hot water temperature measured 91.9 degrees F not within Title 22 acceptable regulation of 105 to 120 degrees F in 2 of 2 client’s bathrooms while touring facility on 6/19/2025 (see LIC809-D). LPA was informed water heater was replaced approximately 3 weeks ago, on 6/14/2025 hot water heater stopped working, repair/replacement company was called and came out on 6/16/2025 identifying a part malfunctioned and replacement has been ordered. At end of annual LPA was informed replacement part just arrived, and repair/plumbing company will be out 6/20/2025 at 10am. Facility’s clients are showering at sister community house during this time. Dishes are being washed with heated water from stove & microwave. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins and cleaning supplies are stored in locked cabinet inside the laundry/garage. Dangerous items were stored inaccessible to develop disabled clients.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction