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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602949
Report Date: 07/17/2026
Date Signed: 07/17/2026 05:10:03 PM

Document Has Been Signed on 07/17/2026 05:10 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:VALLEY CARE LLCFACILITY NUMBER:
198602949
ADMINISTRATOR/
DIRECTOR:
RECTO CECILEFACILITY TYPE:
735
ADDRESS:2220 N LAMER STREETTELEPHONE:
(818) 263-4222
CITY:BURBANKSTATE: CAZIP CODE:
91504
CAPACITY: 4CENSUS: 3DATE:
07/17/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Cecile Recto - AdministratorTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. LPA met with Administrator - Cecile Recto and explained the purpose of the visit. The Adult Residential Facility (ARF) is licensed for 4 ambulatory adults, ages 18 through 59; current census is three (3) ambulatory clients. The program is vendorized through the Frank D. Lanterman Regional Center. During the visit Delmy Fernandez Quality Assurance Specialist from Lanterman Regional Center was present.

At 10:30 AM, LPA toured the facility with the Administrator and observed the following:

The physical plant appeared clean, sanitary and comfortable with no visible immediate hazards. Required postings were observed in the garage. The front entry is the main exit door and the secondary exit door is located near bedroom #3, leading to the backyard. There are two fully charged fire extinguishers, one in the kitchen and one in the garage, both purchased on 10/24/2025. Facility conducts quarterly safety drills. The last fire drill and earth quake drills were conducted together on 05/13/26. The smoke and carbon monoxide detectors are hardwired and interconnected. At 11:20 AM the smoke/carbon monoxide detectors were tested and observed to function properly.


Common Areas: Include a living room and a dining area, upon entry to the house. The common areas were properly furnished with ample sitting/tables for appropriate number of clients. Television set and activity/gaming areas were observed in the living room. There is a linen closet in the hallway. The medication cabinet is located in the living room and was observed to be locked.

(Continued on 809C)
Mary G Flores
Nadia Shahbazian
DATE: 07/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: VALLEY CARE LLC
FACILITY NUMBER: 198602949
VISIT DATE: 07/17/2026
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Kitchen: The kitchen appliances consisted of a refrigerator, stove, dishwasher, toaster oven and microwave; all the fixtures were observed to be functional. Knives and sharp kitchen objects are stored in locked kitchen cabinets. The cleaning supplies/chemicals were locked in a cabinet underneath the sink. LPA found a sufficient supply of perishable foods (2 days) and non-perishable food (7 days) supplies, with sufficient amount of dishes for the census of four residents and staff.

Bedrooms: There are four (4) private bedrooms designated for clients' use. All of the bedrooms were properly furnished with appropriate chairs, beddings, linens with sufficient lighting. Facility also has three (3) additional bedrooms designated for staff use, the middle room is currently used as staff break room/exercise room. There is a live-in staff at the house but there is always an awake staff all the time. The third staff room is used currently for storing bedding and supplies.

Bathrooms: There are three (3) bathrooms in the house. Staff bedroom #7 has it's own private bathroom. but both bathroom and the bedroom is currently being used as storage. The other two bathrooms are designated for client and staff use. All toilets and sinks are maintained in sanitary, operating condition. LPA observed proper grab bars and non-skid mats in bathrooms. Hot water temperature was measured at 113.5 and 114.8 degrees Fahrenheit. Administrator stated that they want to add one of the bathrooms for staff use only. LPA advised that they need to submit a request, along with the new facility sketch, to be reviewed and approved the the Community Care Licensing Division (CCLD), but meanwhile both bathrooms are to be shared with the clients and staff.

LPA reviewed the facility's Infection Control Plan and the Emergency and Disaster Plan. Facility does not handle P&I and does not have a facility van. Liability insurance has expiration date of 04/01/2027. Administrator Certificate#: 7032629735 with expiration date of 06/25/2027.

Due to time constraints, LPA will return to complete the annual report at a different time. LPA will review the staff and client records at a later time.

Today's report will require a needs further. Exit Interview Conducted / A Copy of the Report provided
NAME OF LICENSING PROGRAM MANAGER: Mary G Flores
NAME OF LICENSING PROGRAM ANALYST: Nadia Shahbazian
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026
LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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