Senior Care Records.

Facility Evaluation Report

Shalamo Home, Novato01/27/2026Licence 216803917

Capacity4
Census4
Date signed01/27/2026 01:20:26 PM
Name of licensing program analystAnthony Loera
Name of licensing program managerKimberley Mota
The inspector’s account

01/27/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently four clients in care. Facility approved/cleared for four ambulatory. Facility has delayed egress approved. During arrival, three clients were present and one client was attending day program. LPA was greeted by staff member. Administrator, Jasmin Gongora arrived shortly after.

LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Emergency food supplies are located in the garage.

All rooms were furnished per regulation. Extra hygiene products and linens were available. Water temperature in sinks were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected November 2025. Facility has smoke/carbon monoxide detectors located throughout the facility that were tested and operational. Cabinets containing cleaning supplies were locked. Sharps were kept in a locked box located in a locked drawer in the kitchen. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record.

LPA conducted a review of three client records. One out of three clients are missing a physicians report, per conversation with administrator they have an appointment next week and will receive the required physicians form. LPA conducted review of three staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file.

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