Addie's Cottage Senior Living

Type of visit: Required - 1 Year

On March 17, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator Robert Tramison arrived shortly after and was available to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents of which one (1) may be bedridden, with approved hospice waiver for four (4) residents. Currently, there are one (1) Hospice resident present during today’s visit. This is a single story home with attached garage facility located in a Residential neighborhood. The facility has six bedrooms and three bathrooms. LPA conducted a tour of the physical plant accompanied by Administrator Robert Tramison, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens and bath towels were available during the visit. Bathrooms were operational with water temperature measured between 110.3 to 117.2 degrees F. A comfortable temperature of 76 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for cleaning toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. CONTINUED ON 809C Facility has one fire extinguisher which was mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. During the visit, LPA observed the facility's infection control practices. LPA observed the facility has supply of Personal Protective Equipment (PPE). Mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working land line phone was operational. The last fire drill was conducted on January 21, 2026. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 4/19/2025 – 4/19/2026. A review of four residents (R1-R4) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Robert Tramison # 7010476740 - Expiration 07/14/2027. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Robert Tramison, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Mar 17, 2026

Type of visit: Required - 1 Year

On September 25, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Robert Tramison about the visit. For this visit, there are two staff members on duty, all of which are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located by the kitchen. LPA confirmed the Administrator's Certificate for Robert Tramison has been renewed and has an expiration date of July 14, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, five of which may be non-ambulatory, one may be bedridden, and four may be on hospice. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of five non-ambulatory residents in care, two are on hospice, and none are bedridden. The facility is a single-story home. There are a total of six bedrooms, six of which are private resident rooms. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two full bathrooms and one half bath, all of which are for residents and staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 108.6 and 113.5 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in the kitchen and inaccessible to residents in care. Fire extinguishers were charged, mounted and located in the kitchen and the garage. Fire extinguishers were dated and tagged on January 14, 2025. LPA observed the emergency disaster and evacuation plan, which is posted in the dining room. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a cabinet next to the garage. Toxins were also observed to be locked in a pantry in the hallway, inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are three self-latching gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. Three out of five resident files and two out of nine staff files were reviewed. Resident #1 did not have proof of a negative TB test, however, AD was able to confirm a negative test has been completed on January 12, 2022 with hospice nurse and Power of Attorney (POA). Based on today's observations, there are no deficiencies being cited per Title 22 of the California Code of Regulations, but a Technical Advisory. An exit interview was conducted with Robert Tramison. This report was reviewed with the administrator and a copy was provided at the end of the visit.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by DSP Diana Valencia. Administrator Robert James Tramison joined the inspection approximately ten minutes after LPA's arrival. The facility is a one-story home with six bedrooms, three bathrooms, kitchen, dining room, living room, backyard and attached 2-car garage. Facility appears clean, safe and sanitary. LPA noted residents were eating lunch at the time of inspection. All resident rooms had required elements, including bed, chair, closet space and ample lighting. Two resident rooms have recliners instead of beds in order to satisfy the preference of the residents. Facility has extra linens for clients in the hallway closet. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured at 106.3, 106.8 and 107.3 degrees Fahrenheit in the three bathrooms. LPA observed facility has emergency food and water supply. LPA observed the fire extinguisher was last serviced in February of 2023. AD stated the facility is getting the extinguishers and fire blanket serviced within the same week of the inspection. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets in the kitchen, hallway and the garage. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a closet near the garage. The backyard has four sitting/lounging areas. AD stated some of the umbrellas are in storage due to recent high winds. Exit gates are unlocked and self latching. LPA observed exit gates to be unobstructed. LPA reviewed two client files and medication as well as three staff files. During record review, LPA noted the facility's Infection Control Plan is written on an LIC9283 for Day Programs. LPA advised AD to transfer information on LIC9283 to LIC9282. Facility was unable to produce proof of drills completed during the inspection. A deficiency was issued on this day. Based on today's inspection one deficiency was issued. An exit interview was conducted and a copy of this report, appeal rights and LIC9282 was provided to the facility.the state’s words, verbatim · CDSS document, Mar 28, 2024