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JACKIE'S HIDEAWAY A

5925 DONNA AVE, Tarzana CA 91356

Facility 197609340 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 17, 2025Licensed

Additional info
Licensee
NORMANDY HOME INC
Administrator
TAL, TALY
Contact
TAL, TALY
License first date
Sep 18, 2017
License effective date
Sep 18, 2017
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 2 Type A deficiencies for this facility.

Most recent inspection
Sep 17, 2025
Most recent deficiency
May 17, 2022

3 later reports, from Sep 20, 2022 through Sep 17, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
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
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 3 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 2 Type A and 0 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
3

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
2

More than the typical 1

0 in the last 12 months

Type A deficiencies
2

Most this size have none

0 in the last 12 months

Type B deficiencies
0

Most this size also have none

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint
All report typesInspectionComplaintLicensing record
Complaint
Basic services and supervisionType A
Official classification
Type A
Official code
87464
Regulation authority
CCR

What the official deficiency says

Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based on information obtained during the course of the IB investigation the licensee did not comply with the section cited above, as R1 suffered a broken bone unknown to staff, which posed an immediate health, safety or personal rights risk to R1.

Official plan of correction

Licensee/Administrator will schedule vendorized training related to the cited section Verification of scheduled training with the trainers credentials will need to e submitted by 5/19/2022 and completed by 6/2/2022. Submit Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87464

Deadline recorded: May 19, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline May 19, 2022
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(1)(2)
Regulation authority
CCR

What the official deficiency says

(1) The licensee shall arrange, or assist in arranging, for medical … care appropriate to the conditions and needs of residents. (2) The licensee shall provide assistance in meeting necessary medical … needs. This includes transportation which may be limited to the nearest available medical … facility which will meet the resident's need… This requirement was not met as evidenced by: Based on information obtained during the course of the IB investigation the licensee did not comply with the section cited by not obtaining medical care when staff observed R1 in pain and recommended by nurse practitioner which posed an immediate health, safety or personal rights risk to R1.

Official plan of correction

Licensee/Administrator will schedule vendorized training related to the cited section Verification of scheduled training with the trainers credentials will need to e submitted by 5/19/2022 and completed by 6/2/2022. Submit Statement of Understanding, detailing how the facility will maintain compliance of Regulation 87465

Deadline recorded: May 19, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline May 19, 2022
Correction not verified in available records
View official report
View official source

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology