Valley's Best Homecare

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 11:43 AM. LPA met with facility staff who contacted the facility Administrator Gamlet Kuyumchyan and facility Designee Liana Atabekyan. The Administrator arrived to the facility at 11:45 AM and the Designee arrived shortly after. Entrance interview conducted and the reason for the visit was explained. Beginning at 11:46 AM the LPA, along with facility Administrator and facility Designee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a fire extinguisher mounted on the wall to be purchased on 04/27/2026. The kitchen contained a locked under sink cabinet which contained chemicals. BEDROOMS: There are four (4) bedrooms in the facility; three (3) are dual occupancy resident rooms and one (1) is a staff room. LPA, and the facility Designee toured all four (4) bedrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #1 contained a direct exit to the outdoors of the facility. Continued on LIC 809C. COMMON AREAS: This includes the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained a television, activities for resident use, and a camera. LPA confirmed with the facility Designee that audio is not recorded. The hallway was observed to contain a locked medication cart which contained resident medications, the facility’s complete first aid kit, and a secured drawer which contained knives and other sharp objects. Additionally, the hallway contained a storage closet which contained extra linens for resident use. The dining area was observed to be equipped with adequate seating for resident use. All furniture throughout the facility was observed to be clean and in good repair. The facility’s combination fire and carbon monoxide alarms were tested at 12:20 PM and functioned properly at the time of the visit. All exits in the facility were observed to contain functioning auditory alarms. BATHROOMS: There are three (3) bathrooms at the facility. One (1) designated as a private resident bathroom, one (1) is designated as a shared/common resident bathroom, and one (1) is a staff bathroom. All resident bathrooms were observed to be clean and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured to be between 113.2 and 115.5 degrees Fahrenheit, which is in compliance with regulation. OUTDOOR SPACE: The facility has two (2) emergency exit gates located on either side of the facility; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed cameras located throughout the outdoor areas of the facility. LPA observed a closet located on the outside of the facility which contained the facility’s washer and dryer. LPA observed a secured outdoor cabinet which contained cleaning and laundry chemicals, resident grooming supplies, and household chemicals. STORAGE/ADMINISTRATOR OFFICE: LPA observed the Administrators office to be inaccessible to clients in care. The Storage room contained an extra freezer and an extra refrigerator. Additionally, the storage contained adequate emergency food/water supplies and extra care supplies. Continued on LIC 809C. RECORD REVIEW: Record review began at 12:28 PM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. Six (6) staff files were reviewed. LPA observed one (1) staff file for staff #1 (S1), which contained documentation of completed trainings amounting to forty eight (48) hours of training which was signed as completed on 04/01/2026. LPA asked the Designee why forty eight (48) hours of training was documented as being completed on the same day. The Designee stated that the trainings were completed across multiple days and the Designee had signed S1’s starting date on the training logs. LPA informed the Administrator and Designee that the logs of completed trainings need to accurately reflect the date of attendance. The Administrator and Designee expressed understanding and agreed to submit a true and accurate record of trainings for the identified staff member to CCLD. Five (5) resident files were reviewed. All resident files contained all required documentation and signatures. MEDICATION REVIEW: Medication review began at 01:50 PM. Medications for three (3) of three (3) residents were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 04/10/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed one (1) resident. The resident interviewed stated that the staff treat them well and are attentive to their needs. The resident had no concerns with the facility. LPA interviewed one (1) staff member with the assistance of telephonic translation services. The staff member interviewed was knowledgeable on their role and responsibilities, and the appropriate reporting procedures for suspected abuse but had to be prompted to appropriately identify the resident’s rights and the different forms of abuse. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, emergency disaster plan, and current liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, May 27, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Trevor Byrne conducted an initial complaint visit for the above allegation. LPA arrived to the facility at 09:57 AM. LPA met with the facility staff who contacted the Administrator Gamlet Kuyumchyan. The facility Designee Liana Atabekyan arrived to the facility at 10:16 AM and the Administrator arrived shortly after. Entrance interview conducted and the reason for the visit was explained. During today’s visit, the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards, interviewed the Designee, conducted a file review for five (5) residents and collected copies of pertinent documents between 10:16 AM. and 12:43 PM. During the visit LPA was informed by the facility Designee that resident #1 (R1) was recently hospitalized on 08/26/2025. LPA reviewed the facility file and did not observe an incident report submitted for the hospitalization of R1. LPA interviewed the Designee and asked why an incident report was not submitted. The Designee informed LPA that they were working on completing the incident report but have not had a chance to submit the report to Community Care Licensing Division (CCLD) yet. LPA informed the Designee that any incident which threatens the welfare, safety or health of any resident must be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence of the event. The Designee expressed understanding and agreed to submit the incident report to CCLD as soon as possible. Continued on LIC 809C. During the visit LPA was informed by the Designee that R1 is a recipient of home health services. LPA reviewed R1’s file and did not observe any record of R1 being enrolled in or receiving home health services. LPA interviewed the Designee and asked why there was no record of R1 being enrolled in home health stored in their file. The Designee informed LPA that home health would not release the documents to the facility without consent from R1 or R1’s responsible party (RP). LPA asked if the facility had requested consent from R1 or R1’s RP. The Designee stated that they had not asked previously. LPA informed the Designee that home health may only be utilized if the licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical conditions. Additionally, the written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. The Designee expressed understanding and obtained consent from R1’s RP to release the home health documents to the facility at the time of the visit. During file review LPA observed Resident #2’s (R2) file. LPA observed R2’s file to be missing a completed physician’s report. LPA interviewed the Designee who stated that R2 was recently admitted to the facility yesterday (09/03/2025). The Designee stated that they were waiting on R2’s family to complete their physician report and the facility currently does not have a completed physician report for R2. LPA informed the Designee that prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year. The Designee expressed understanding and agreed to obtain a completed medical assessment and send proof of the completed assessment to CCLD as soon as possible. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 4, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Sep 18, 2025

87211 Reporting Requirements (a) ...licensee shall furnish...such reports... (1) A written report shall be submitted... within seven days of the occurrence... (D) Any incident which threatens the welfare, safety or health of any resident... This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as R1 was recently hospitalized on 08/26/2025 and no incident report was submitted to CCLD which poses a potential health, safety, or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Sep 4, 2025

Plan of correction: Facility Designee agreed to submit the incident report for R1's hospitalization to CCLD no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87458(a) · Plan of correction due date: Sep 18, 2025

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment... made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as R2's file did not contain a completed medical assessment which poses a potential health risk to clients in care.the state’s words, verbatim · CDSS document, Sep 4, 2025

Plan of correction: Facility Designee agreed to obtain a completed medical assessment for R2 and to submit the document to CCLD no later than POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87609(b)(4)(C) · Plan of correction due date: Sep 18, 2025

(b) ..medical care may be provided... through a licensed home health agency... (4) ...licensee and home health...agree in writing... (C)The written agreement shall be... in the resident’s file. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as R1's file did not contain documentation of the written agreement between the licensee and Home Health which poses a potential health or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Sep 4, 2025

Plan of correction: Designee obtained consent from the family of R1 at the time of the visit to obtain R1's home health paperwork.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 10:04 AM. LPA met with facility staff who contacted the facility Administrator Gamlet Kuyumchyan and facility Designee Liana Atabekyan. The Administrator and Designee arrived to the facility at 10:25 AM. Entrance interview conducted and the reason for the visit was explained. Beginning at 10:26 AM the LPA, along with facility Administrator and facility Designee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a fire extinguisher mounted on the wall to be purchased on 05/07/2025. The kitchen contained a locked under sink cabinet. BEDROOMS: There are four (4) bedrooms in the facility; three (3) are dual occupancy resident rooms and one (1) is a staff room. LPA, facility Administrator, and facility Designee toured all four (4) bedrooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #1 contains a direct exit to the outdoors of the facility. Continued on LIC 809C. COMMON AREAS: This includes the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains a television, activities for resident use, and a camera. LPA confirmed with the facility Designee that audio is not recorded. The hallway was observed to contain a locked medication cart that contained resident medications, the facility first aid kit, and a secured drawer that contained knives and other sharp objects. Additionally, the hallway contained a storage closet which contained extra linens for resident use. The dining area was observed to be equipped with adequate seating for resident use. All furniture throughout the facility was observed to be clean and in good repair. The facility’s combination fire and carbon monoxide alarms were tested at 10:47 AM and were functional at the time of the visit. All exits in the facility were observed to contain functioning auditory alarms. BATHROOMS: There are two (2) bathrooms at the facility. One (1) designated as a private resident bathroom, and one (1) is designated as a shared/common resident bathroom. All resident bathrooms were observed to be clean and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured to be between 109.0 and 112.3 degrees Fahrenheit, which is in compliance with regulation. OUTDOOR SPACE: The facility has two (2) emergency exit gates located on either side of the facility; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed cameras located throughout the outdoor areas of the facility. LPA observed a closet located on the outside of the facility to contain the facility’s washer and dryer. LPA observed a secured outdoor cabinet to contain cleaning and laundry chemicals, resident grooming supplies, and household tools/chemicals. STORAGE/ADMINISTRATOR OFFICE: LPA observed the Administrators office to be inaccessible to clients in care. The Storage room contained an extra freezer and an extra refrigerator. Additionally, the storage contained adequate emergency food/water supplies and extra care supplies. Continued on LIC 809C. RECORD REVIEW: Record review began at 11:02 AM. Staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, consent forms, and personal rights. Five (5) staff files were reviewed. All staff files contained all required documents and trainings. One (1) staff file reviewed, staff #1 (S1), revealed that S1 was not associated to the facility. LPA asked the Designee why S1 was not associated. The Designee informed LPA that S1 has worked for licensed facilities previously and is fingerprint cleared. LPA informed Designee that they must request a transfer of a criminal record clearance for S1 prior to S1 working, residing or volunteering in a licensed facility. LPA confirmed that S1 has worked for the facility since 01/01/2025. LPA informed the Administrator and Designee that failure to request the transfer of the criminal record clearance for S1 would result in the assessment of an immediate civil penalty on today’s date (05/20/2025). The civil penalty will be assessed in the amount of $500, calculated as the number of days S1 has worked for the facility without being associated at $100/day x 5 days (Maximum of 5 days for the first violation) for a total of $500. S1 was associated to the facility on Guardian at the time of the visit. Five (5) resident files were reviewed. All resident files contained all required documentation and signatures. MEDICATION REVIEW: Medication review began at 12:50 PM. Medications for three (3) of five (5) residents were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 04/04/2025. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator and/or Designee. Continued on LIC 809C. INTERVIEWS: LPA interviewed two (2) residents. Both residents interviewed stated that the staff treat them well and are attentive to their needs. No residents interviewed had concerns with the facility. LPA interviewed one (1) staff member with the assistance of the Designee acting as a translator. The staff member interviewed was knowledgeable on their role and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s LIC 500, resident roster, and current liability insurance. Pursuant to Title 22 of the CA Code of Regulations, the following deficiency and civil penalty was cited (refer to LIC 809-D): Exit interview conducted and copy of the report was issued and appeal rights provided.the state’s words, verbatim · CDSS document, May 20, 2025

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility at 9:06 a.m. to conduct a Pre-Licensing Inspection. The LPA met with Administrator Gamlet Kuyumchyan and Caregiver Liana Atabekyan. This is a change of location for currently licensed facility Valley’s Best HomeCare #197608599. Hospice waiver was granted for four (4) residents on 04/18/24. There are currently no residents being served at the facility. A Fire Clearance was granted on 02/22/2024 for a total of six (6) residents of which four (4) maybe ambulatory, one (1) non-ambulatory and one (1) maybe bedridden. The proposed physical plant is a one (1) story single family dwelling located in a residential neighborhood of Van Nuys, CA. At 9:23 a.m. tour of the physical plant was conducted and the following observed: Bedrooms: The facility has three (3) shared bedrooms designated for resident use only. Bedroom #1 and is designated for one (1) non-ambulatory and one (1) bedridden resident and rooms # two (2) and three (3) are designated for two (2) ambulatory residents each. There is one (1) staff room with two (2) beds for staff use only. All bedrooms were equipped and supplied with appropriate furniture, bedding, and linens. LPA observed a flashlight inside a drawer in each nightstand tables in every room. There were no visible hazards or discrepancies observed. Bathrooms: There are two (2) bathrooms, one at the end of the hallway for residents and staff use and one (1) inside the master bedroom (room #3). LPA observed grab bars for each toilet, and shower used by resident. All bathrooms were supplied with appropriate paper and hygiene products. At approximately 9:27 a.m., water temperatures measured within the required range of 105 degrees F to 120 degrees F at the time of the visit. Continued on LIC 809-C Continued from LIC 809 Common Areas: These include the Family Room and Dining Room. The common areas were furnished to accommodate a maximum capacity of six (6) residents. Floor surfaces were clean and in good repair. There were no immediate hazards observed. Fire extinguisher was observed in the kitchen; LPA observed it to be fully charged and last serviced 05/01/2024. At 10:00 a.m., hardwired combination carbon monoxide/smoke detectors were tested and were functional at the time of the visit. LPA didn’t observe a fireplace at the time of the visit. There are cameras with out audio in all common areas. Posters were observed all throughout the facility including personal rights notice, ombudsman, and information about how to report a compliant to CCL. Kitchen: Appliances and fixtures appeared clean and functional. There was sufficient dining and cook ware to accommodate a maximum capacity of six (6) residents. Facility doesn’t have many perishable items nor fresh fruit because there are no residents at the time of the visit. Knives and other sharps will be stored in locked safe box inside a kitchen drawer on the left side of the kitchen counter. Cleaning supplies soaps and detergents are locked under-sink cabinets and shall be stored in areas separated from food supplies. There were no visible immediate hazards observed. Community phone and internet access is provided by the administrator to the residents. Laundry Area: It is adjacent to the bathroom at the end of the hallway. Laundry room will be always locked and inaccessible to residents, staff will assist clients with all laundry needs. Entrance is only from the outside of building. Backhouse/Staff room/Office: There is a backhouse detached from the main construction. Clients are not allowed into that space. Administrator and caregiver explained that nobody will be living there, space will be utilized as an office when need it. There is a bathroom for staff only. Sufficient amount of emergency water and non-perishable food was observed to accommodate a maximum capacity of 6 Clients for (seven) 7 days. There is second floor with a small door accessible with a ladder only that will take you to the attic. That space is insulated and only for ducts for the back house HVAC system. Continued on LIC 809-C Continued from LIC 809-C Surrounding Grounds: The front yard includes a driveway, paved walkways, and landscaped areas. The backyard is fenced and includes both paved and landscaped areas, a covered patio, furniture appropriate for outdoor use. There are two (2) side gate doors with self-latching mechanisms. All outdoor and indoor passageways were observed free of obstruction at the time of the visit. LPA observed all ramps and open porches to be equipped with sturdy hand railings and well-lighted. All window screens were cleaned and maintained in good repair. Backyard: There is a locked storage in the backyard that holds cleaning supplies, disinfectant, and laundry detergent. Cleaning supplies and detergents were observed locked and inaccessible to residents. There is a garage door that will remain locked. There is sufficient space for outdoor activities, a large furnished area to all residents to relax and entertain friends and family. Medical Area: Medications are stored in a locked medication cart, right outside the staff room. There is a complete first aid kit on top of the medication cart which it will be properly supervised by staff at all times. Staff will be using LIC 622 (Centrally Stored Medication and Destruction Record) once facility receives first resident. The following needs to be completed/Photos sent to LPAs prior to licensure:  Fix hole inside closet ceiling in bedroom #2.  New facility sketch showing laundry room, back house, and covered patio. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. A copy of the Licensing Report was issued.the state’s words, verbatim · CDSS document, May 6, 2024