COZY MANOR

3399 BARDICK RD, Anderson CA 96007

Facility 455002680 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 29, 2025Licensed

Additional info
Licensee
DAVIS, GEMMA
Administrator
DAVIS, GEMMA
Contact
DAVIS, GEMMA
License first date
Nov 28, 2018
License effective date
Nov 28, 2018
District office
SACRAMENTO NORTH ASC · (916) 263-4700
Regional office
59
Clients served
935 - ELDERLY

Summary

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

Most recent inspection
Oct 29, 2025
Most recent deficiency
Oct 29, 2025

No later report is available, so the records do not show what happened afterward.

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 28 Shasta County facilities licensed for 6 or fewer beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

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

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

Official inspections
5

Fewer than the typical 7

1 in the last 12 months

Recorded deficiencies
2

Fewer than the typical 3

1 in the last 12 months

Type A deficiencies
0

Fewer than the typical 1

0 in the last 12 months

Type B deficiencies
2

Fewer than the typical 3

1 in the last 12 months

Substantiated complaints
0

Fewer than the typical 1

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.

Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87470(a)(1)(B)
Regulation authority
CCR

What the official deficiency says

(a) A licensee shall ensure that infection control practices are maintained as follows: (1) All staff and volunteers shall perform hand hygiene. (B) Hand hygiene shall be conducted as follows: 3. Before and after assisting with medications. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in staff did not wash their hands when administering a clients medication which poses/posed a potential health, safety or personal rights violation.

Official plan of correction

POC Due Date: 11/29/2025 Plan of Correction Staff will have a training for infection control requirements. Administrator will notify LPA when training is completed.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above as the last drill was performed and recorded on 2-20-22 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2024 Plan of Correction The facility will have drills at least quarterly and record date, type of emergency, the names of staff participating in the drill. The staff will notify LPA when the drill has been completed.

Plan of correction recorded
Correction not verified in available records
View official report

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