Bluffs At Hamilton Hill, The is a residential care home for the elderly (RCFE) in Novato, Marin County, California — state license #216804066, licensed for 95 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 44 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated July 7, 2026 — published below in full, verbatim and unscored.
No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.
Since 2022, the state has visited this home 48 times and filed 44 documents. The most recent is a facility evaluation report, dated July 7, 2026.
The state's published file for this home includes 11 documents with transcribed findings, dated April 7, 2023 to November 4, 2025. 11 of the 11 carry the state's recorded outcome word: “Substantiated” (6), “Unsubstantiated” (5). 11 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 11 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
What the state’s words mean
Jul 7, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 28, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 6, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Mar 19, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 19, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 19, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Feb 11, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 7, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Dec 30, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Dec 11, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Dec 11, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Dec 11, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 24, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 18, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 18, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 18, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 18, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 4, 2025Substantiated
Allegation investigated: Staff are not able to answer call buttons in a timely manner
On 11/04/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Executive Director, Jose Acumabig. During the investigation, LPA conducted interviews, reviewed documents and made observations. During the course of the investigation, Document review of R1s alarm response report shows on 06/30/2025, R1 called for assistance at 4:24AM and didn’t get answered until 4:43AM, a total of 19 minutes. On 08/26/2025, R1 called for assistance at 5:05AM and didn’t receive assistance until 5:44AM, a total of 39 minutes. On 09/16/2025, R1 called for assistance at 5:27AM and didn’t receive assistance until 6:20AM, a total of 53 minutes. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation are found to be SUBSTANTIATED. California Code of Regulations, Division 6, Cthe state’s words, verbatim · CDSS document, Nov 4, 2025 · control 21-AS-20250909154224
Sep 10, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 3, 2025Unsubstantiated
Allegation investigated: Reporting Requirements
Licensing Program Analyst (LPA) Loera arrived unannounced and met with Karina Vasquez, Business Manager and Sean Bannister, Memory Care Director to deliver findings of a complaint investigation. During the course of this investigation, documents were reviewed, observations made, and interviews conducted. Complaint alleges reporting requirements. Allegation, reporting requirements,that the facility did not report a fall to the POA (Power of Attorney)/responsible party. Record review show that R1 had a fall in the bathroom on 07/16/2025 and was sent out to kaiser to be evaluated. The fall was reported to R1s spouse who is also R1s responsible party. R1s spouse contacted R1s POA to notify them of the incident. Interviews conducted reveal the facility contacted the POA/responsible party on 07/16/2025. continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 3, 2025 · control 21-AS-20250707082501
Sep 3, 2025Substantiated
Allegation investigated: Staff do not ensure resident's incontinence needs are being met Staff do not ensure that resident has clean bedding
Licensing Program Analyst (LPA) Loera arrived unannounced and met with Karina Vasquez, Business Manager and Sean Bannister, Memory Care Director to deliver findings of a complaint investigation. During the course of this investigation, documents were reviewed, observations made, and interviews conducted. Complaint alleges staff do not ensure resident's incontinence needs are being met and staff do not ensure that resident has clean bedding. Allegation, staff do not ensure resident’s incontinence needs are being met. During the investigation, documentation, statements were reviewed, interviews conducted, and observations made. Review of residents (R1) Needs and Service Plan dated 01/21/2025 show R1 has incontinence episodes, wears briefs, needs total assistance with help on the toilet, and assistance with brief changes. R1s care notes show R1 spends most of their day with their spouse on the assisted living side of the facility. continued on LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Sep 3, 2025 · control 21-AS-20250707082501
Aug 26, 2025Unsubstantiated
Allegation investigated: Due to lack of supervision, resident has had multiple falls
On 08/26/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Business Manager, Karina Vasquez. During the investigation, LPA conducted interviews, reviewed documents and made observations. Compliant alleges, Due to lack of supervision, resident has had multiple falls. Based upon review of resident’s (R1) Needs and Service Plan dated (02/03/2025), R1 is to use a walker/cane when ambulating, needs total assistance for ambulation, and walks independently with staff assisting R1 to meals and activities. R1 is encouraged to use their cane, per R1s Needs and Service Plan. Record reviews show R1 has had a total of 8 falls since the beginning of 2025; 01/09/2025, 04/03/2025, 06/18/2025, two on 07/01/2025, 07/11/2025, 07/12/2025, and 07/25/2025. continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2025 · control 21-AS-20250714113825
Jul 2, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 8, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 8, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 6, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 10, 2025Unsubstantiated
Allegation investigated: Residents wandered away from the facility due to lack of supervision. Staff do not follow infection control practices.
On 04/10/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating a complaint investigation regarding the above complaint and delivering complaint findings. LPA arrived and met with Karina Vasquez, Business Director. During the investigation, LPA reviewed records, conducted interviews and made observations. Compliant alleges, Residents wandered away from the facility due to lack of supervision and staff do not follow infection control practices. Based upon department interviews with staff, information provided was contradicting with a lack of corroborating evidence to support the allegation. The allegation, residents wandered away from the facility due to lack of supervision. During the investigation LPA was provided with call service logs from the Novato Police Department and show no records of any communication between the facility and the police department relating to a missing resident. continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 10, 2025 · control 21-AS-20250402083248
Apr 10, 2025Substantiated
Allegation investigated: Staff do not respond to residents' call for assistance in a timely manner.
On 04/10/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating a complaint investigation regarding the above complaint and delivering complaint findings. LPA arrived and met with Karina Vasquez, Business Director. During the investigation, LPA reviewed records and made observations. Compliant alleges, on 03/31/2025 residents pull alarm was going off for over an hour before staff were able to respond. Based on record review, staff did not respond to residents call in a timely manner. Review of alarm response records show it took staff 1 hour and 20 minutes to respond to residents call. Therefore, this allegation is Substantiated. A finding that the Complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. continued on LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Apr 10, 2025 · control 21-AS-20250402083248
Apr 10, 2025Unsubstantiated
Allegation investigated: Staff are not adequately addressing resident's fall risk.
On 04/10/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating a complaint investigation regarding the above complaint and delivering complaint findings. LPA arrived and met with Karina Vasquez, Business Director. During the investigation, LPA reviewed records, conducted interviews and made observations. Compliant alleges, Staff are not adequately addressing resident's fall risk. Based upon department interviews, information provided was contradicting with a lack of corroborating evidence to support the allegation. Per interviews conducted, facility has caregivers assiting with Resident's (R1) care as checking on R1 every hour and explored options for one-to-one care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 10, 2025 · control 21-AS-20250407170351
Mar 13, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Dec 3, 2024Unsubstantiated
Allegation investigated: Facility did not use proper Infection Control Protocols Licensee did not provide sufficient staffing
At approximately 09:45AM, Licensing Program Analyst (LPA) Loera arrived at this facility unannounced, to conduct an investigation into the above allegation (Facility did not use proper infection control protocols) and deliever findings. LPA met with Executive Director, Lisa Lomeli and Business Director, Karina Vasquez. LPA interviewed staff, requested, and reviewed documents. Complaint alleges staff did not use proper infection control protocols. Based on a review of facility’s infection control plan and public health guidelines, as well as Interviews with staff and living director, LPA was unable to find that facility staff did not follow proper protocol for care to COVID positive residents. LPA was unable to discover that facility did not use proper Infection Control Protocols per Title 22 Regulations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsuthe state’s words, verbatim · CDSS document, Dec 3, 2024 · control 21-AS-20240913164459
Oct 3, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 4, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 3, 2024Substantiated
Allegation investigated: Facility failed to report incident(s) as required per regulation
Licensing Program Analyst Leibert arrived unannounced to deliver findings on this complaint. Complainant alleges R1 fell numerous times while in care and was sent out to emergency care on 4/22/2024 and that Responsible Person (RP) was not notified. The following determinations are based on documents reviewed and statements taken: Two incident report were obtained, dated 5/7 and 5/20/2024 indicating R1 fell and that the RP was notified; An E-mail chain was obtained, dated 5/14 and 5/17, 2024, between the RP and the prior Executive Director (ED); The E-mail chain documents the claim that R1 went out for emergency medical care on 4/22/204 and that the staff did not notify the Responsible Person; The prior ED apologized to the RP for the situation and indicated that additional training was given to the staff as a result. Based upon the documents reviewed, the preponderance of evidence standard has been met. Therefore, the complaint is SUBSTANTIATED. The following deficiencies were observedthe state’s words, verbatim · CDSS document, Sep 3, 2024 · control 21-AS-20240711152524
Jul 16, 2024Substantiated
Allegation investigated: Facility staff does not administer resident's medication as prescribed. Staff left residents in soiled clothing for an extended period of time. Facility staff are not ensuring that residents needs are met.
Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 1:30PM to deliver findings regarding the above allegations. LPA and Regional Director of Sales and Operations, Lori Spencer discussed the purpose of the visit. Throughout the course of the investigation, LPA conducted interviews, made observations, and reviewed documents. Complaint alleges that facility staff does not administer resident's medication as prescribed. Per document review, facility was notified by their pharmacy that they were unable to refill a medication as the facility had requested a refill 10 days early, evidencing that medication(s) were being administered more frequently than prescribed. Interviews conducted revealed that staff members have witnessed medications being administered not as prescribed. Substantiatedthe state’s words, verbatim · CDSS document, Jul 16, 2024 · control 21-AS-20240521145945
Apr 5, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Jan 11, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Nov 22, 2023Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Oct 17, 2023Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 7, 2023Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Aug 21, 2023Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Aug 15, 2023Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Year-by-year trend
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Is Bluffs At Hamilton Hill, The licensed?
Yes — Bluffs At Hamilton Hill, The is a licensed residential care home for the elderly (RCFE) in Novato (Marin County): California license #216804066, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 95 residents. State records list 44 inspection and complaint documents since 2022; the most recent, a facility evaluation report dated July 7, 2026, appears in the inspection record on this page.
Can Bluffs At Hamilton Hill, The care for dementia, hospice, bedridden, or non-ambulatory residents?
From the CDSS license record, checked August 2, 2026.
The CDSS license record checked August 2, 2026 lists Bluffs At Hamilton Hill, The with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly on a tour.
From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.
What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. 95 NON-AMBULATORY OF WHICH 14 MAY BE BEDRIDDEN ROOMS GROUND FLOORS: 170,171,172,153,154: SECOND FLOOR: 270,271,272,253,254. HOSPICE WAIVER APPROVED FOR 10. SUNRISE SR LIVING MANAGEMENT INC EFFECTIVE 5/27/26.
How much does Bluffs At Hamilton Hill, The cost?
California's public licensing record does not include Bluffs At Hamilton Hill, The's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Marin County typically runs $6,000–$9,000/mo and small board-and-care homes $5,000–$8,000/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.
Does Bluffs At Hamilton Hill, The accept Medi-Cal or the Assisted Living Waiver?
Bluffs At Hamilton Hill, The is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.
Assisted living on Medi-Cal in California →See the DHCS list →
81 of 95 beds occupied (85%) when the state visited on November 4, 2025. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Bluffs At Hamilton Hill, The?
Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.
The CDSS state record checked August 2, 2026 lists 48 state visits and 44 dated documents since 2022 for Bluffs At Hamilton Hill, The; 11 complaint-investigation narratives are transcribed verbatim below. The most recent, dated November 4, 2025, records an allegation the state marked “Substantiated”. Open any entry to read the state's full finding, word for word.
Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.
2025
2024
2023
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 48 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.
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(415) 889-8026Resident reviews, the exact monthly price, and the languages staff speak aren't part of California's public licensing record, so we don't show them here. Ask the home directly — the tour questions above are a good start.
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