About Lia Smith
From CNA to CEO, from one agency to a 27-location franchise, Lia Smith has lived the entrepreneurial journey — and now she's dedicated to guiding others through theirs.
27
Franchise Locations
The Story Behind the Mission
Lia Smith began her career as a Certified Nursing Assistant at just 22 years old. What started as a calling to serve others quickly evolved into a vision for something bigger. In 2000, she founded A Better Solution in Home Care (ABS) — and over the next two decades, grew it into one of San Diego's largest and most respected home care agencies, with over 275 caregivers and nurses serving the community.
In 2017, Lia expanded ABS with a Medicare-certified Home Health division, creating a true continuum of care. By 2015, after building the agency to over five million dollars in billable hours, she franchised the ABS brand — extending its reach to over 27 locations nationwide. She is a current board member of CAHSAH and serves as Chair of the San Diego Regional Home Care Council, advocating for senior issues at both the state and local level.
A published author, Lia wrote "Aging with Dignity" to help seniors navigate the complex world of aging. Today, she channels everything she has built, learned, and overcome into her consulting practice — working closely with CEOs and entrepreneurs who are ready to turn their own dreams into reality.
2000
Founded ABS
275+
Caregivers & Nurses
27
Franchise Locations
$5M+
In Billable Hours Built
"I started with nothing but a vision and a willingness to work. That's exactly the kind of leader I love to coach."
— Lia Smith, Founder & CEO, A Better Solution Inc.
The Foundation
01
Lia built a multi-million dollar enterprise from the ground up. She helps you cut through the noise, identify your true competitive advantage, and build a roadmap that aligns your vision with real-world results.
02
Having led hundreds of employees and navigated the full arc of business growth, Lia coaches the mental resilience, emotional intelligence, and decision-making clarity that separates good CEOs from exceptional ones.
03
Mental, spiritual, and financial wellbeing are the foundation of sustainable success. Lia coaches the whole person so your capabilities — and your business — are fully and powerfully utilized.
The Process
A deep-dive consultation to understand your business, your goals, your challenges, and your vision. No assumptions — just honest, focused conversation.
Together, we build a clear, actionable plan — whether that's a full business plan, a coaching roadmap, or an operational overhaul. Every strategy is custom-built for you.
Lia works alongside you through implementation — providing accountability, adjusting the plan as needed, and ensuring you stay on track toward your goals.
The goal isn't just to fix what's broken — it's to build something stronger, more resilient, and more aligned with the leader you're becoming.
The first step is a conversation. Let's talk about where you are, where you want to be, and how we get there together.
Book a Consultation