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ICF/DD-H (Habilitative)License activeMedi-Cal certified

STONEHAVEN

ICF/DD-H (Habilitative) · 6 licensed beds · Novato, CA

Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.

Address

STONEHAVEN2 STONEHAVEN CTNovato, CA 94947 · Marin County

Phone: (415) 686-9643

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
LIFEHOUSE, INC. · Nonprofit Corp
Administrator
AGUILAR, ANNE
CDPH facility ID
010001031
License number
010000407
Current license
Nov 10, 2025 to Nov 9, 2026
CDPH district office
Santa Rosa

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
05G903
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 27, 1995
Last certification survey
July 24, 2024
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (non-profit)
Certified beds (CMS)
6
Staffing reported to CMS
RN 0.15 · LVN/LPN 0 · direct care 8 · all employees 8.15

State citations and penalties (CDPH)

2 penalties, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Jan 16, 2014 · Penalty #110013592 · Survey LQFN11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Sep 13, 2002 – Oct 10, 2002 · Penalty #010002012

    Status: Closed · Not appealed

    $750

Federal inspections (CMS-2567)

24 surveys since 2018 · CMS data through Oct 12, 2026

CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Recertification

    Event 22BE69-L1 · 4 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 22BE69-H1 · no deficiencies cited

    Official 2567 ↗
  3. · Complaint

    Event 8CN311 · 1 deficiency

    Official 2567 ↗
  4. · Recertification

    Event 4GAQ21 · 1 deficiency

    Official 2567 ↗
  5. · Complaint, Recertification

    Event 4GAQ11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event XW3N11 · no deficiencies cited

    Official 2567 ↗
  7. · Complaint

    Event 1SLT11 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event CLDX11 · 1 deficiency

    Official 2567 ↗
  9. · Complaint

    Event S79U11 · no deficiencies cited

    Official 2567 ↗
  10. · Complaint

    Event 4KKJ11 · no deficiencies cited

    Official 2567 ↗
  11. · Complaint

    Event O1R611 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event PP5S11 · no deficiencies cited

    Official 2567 ↗

From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

26 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  2. ReportFederal survey (recertification): no deficiencies(state record)

    See this survey →
  3. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →
  4. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  5. ReportFederal survey (complaint, recertification): no deficiencies(state record)

    See this survey →
  6. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  7. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  8. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →
  9. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.