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

ARCHWOOD CARE

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

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

Address

ARCHWOOD CARE13245 ARCHWOOD STREETVan Nuys, CA 91401 · Los Angeles County

Phone: (818) 770-1065

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
ARCHWOOD CARE, LLC · Limited Liability Company
Administrator
DARBINYAN, NARINE
CDPH facility ID
630016654
License number
550004058
First licensed
December 15, 2017
Current license
Dec 15, 2025 to Dec 14, 2026
CDPH district office
La Icf/Dd/Clinics

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G772
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
September 10, 2018
Last certification survey
February 12, 2026
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 1 · LVN/LPN 0 · direct care 4 · all employees 5

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 AOther

    Citation - A · Violations: 483.480(a)(5) · Violation Aug 4, 2025 · Penalty #960022509 · Survey 6CH011

    Status: Closed

  • Class BPatient Care

    Citation - B · Violations: 483.420(a)(5), T22 DIV5 CH8.5 ART3-76875(a)(2) · Violation Aug 4, 2025 · Penalty #960022501 · Survey 6CH011

    Status: Closed

Federal inspections (CMS-2567)

12 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. · Complaint

    Event 6CH011 · 2 deficiencies

    Official 2567 ↗
  2. · Recertification

    Event 7DL121 · no deficiencies cited

    Official 2567 ↗
  3. · Recertification

    Event 7DL111 · 3 deficiencies

    Official 2567 ↗
  4. · Recertification

    Event KQLF21 · 5 deficiencies

    Official 2567 ↗
  5. · Recertification

    Event KQLF11 · 6 deficiencies

    Official 2567 ↗
  6. · Recertification

    Event LNNS21 · 7 deficiencies

    Official 2567 ↗
  7. · Recertification

    Event LNNS11 · 16 deficiencies (2 condition-level)

    Official 2567 ↗
  8. · Complaint

    Event 9UO611 · 1 deficiency

    Official 2567 ↗
  9. · Complaint

    Event GQNF11 · 1 deficiency

    Official 2567 ↗
  10. · Initial Certification

    Event F5TP21 · 10 deficiencies

    Official 2567 ↗
  11. · Initial Certification

    Event F5TP11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event T6DR11 · 1 deficiency

    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

15 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. ReportState Class A citation ($4,000)(state record)

  2. ReportState Class B citation ($2,000)(state record)

  3. ReportFederal survey (complaint): 2 deficiencies(state record)

  4. ReportFederal survey (recertification): no deficiencies(state record)

  5. ReportFederal survey (recertification): 3 deficiencies(state record)

  6. ReportFederal survey (recertification): 5 deficiencies(state record)

  7. ReportFederal survey (recertification): 6 deficiencies(state record)

  8. ReportFederal survey (recertification): 7 deficiencies(state record)

  9. ReportFederal survey (recertification): 16 deficiencies, 2 condition-level(state record)

  10. ReportFederal survey (complaint): 1 deficiency(state record)

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.