The Freedom Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Lucena Er-Er. Administrator (AD) Myla Mach arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA observed the facility administrator (AD) certificate for Myla Mach which expires on November 18, 2026. LPA observed that the PUB475 "See Something, Say Something" poster was posted in the hallway by the entryway. LPA Ramirez toured the interior and exterior portions of the facility with AD Mach. The facility is a two-story structure and is licensed for six non-ambulatory residents, of which two may be on hospice and one bedridden. There are a total of eight bedrooms of which six are for residents and two for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of three restrooms, two of which are for residents' use. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 108.1-112.8 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged and located by the kitchen. CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is located by dining room/kitchen. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. The medications are locked in a cabinet by the dining room/hallway. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Mach. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Jul 22, 2026

Allegation investigated: -Staff are not changing residents diaper timely -Staff yell at residents in care -Staff are not turning resident timely -Staff cannot meet resident needs

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation to the above identified complaint allegations. LPA arrived at the facility and was greeted at the door and granted entry. LPA spoke with Myla Mach, Administrator and explained the purpose of the visit. Findings are based upon this investigation which included tour of the facility, facility file review, resident file review and interviews conducted. It is alleged that staff are not changing residents’ diaper timely. An interview with 3 of 3 staff stated that staff change the residents as often as needed. Staff check on the residents that wear diapers often and do various checks hourly. An interview with 6 of residents stated that staff check on them often and if Continued on LIC9099-C Unsubstantiated diapers need to be changed, they change it. Residents stated they don’t think they are left soiled and have no issues to report. It is alleged that staff yell at residents in care. An interview with 6 of 6 residents stated that staff are very good to them, are patient with them and have not seen any staff yell at any residents. There are residents that are hard of hearing and sometimes staff raise their voice so residents can hear but yell no we have not seen. An interview with 3 of 3 staff stated that they have not received any complaints from residents that staff yell at them or have seen any of their coworkers’ yell at the residents. It is alleged that staff are not turning resident timely. The interview with 3 of 3 staff stated that it is a general rule that is followed for staff to turn residents that need to be rotated every 2 hours. An interview with 6 of 6 residents stated that they have observed residents getting rotated but are unsure of the time frame or how often because they don’t look at the time. It is alleged that staff cannot meet residents’ needs. LPA conducted a facility visit on January 15, 2022, and the census was 6 residents. An interview with 3 of 3 staff stated that generally there is 2-3 staff per shift to assist with residents. There hasn’t been an issue with being able to assist or meet the needs of the residents. Staff are very capable of meeting the needs of the residents. An interview with 6 of 6 residents stated that they get their needs met by staff all the time and don’t have an issue to report. The staff is very good at assisting them when it is needed. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Sep 17, 2025 · control 22-AS-20220207091659

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. For this visit, there are 5 residents in care, of which 2 are on hospice. For this visit, LPA Rodriguez met with facility administrator (AD) - Myla Mach. LPA Rodriguez observed the facility administrator (AD) certificate for Myla Mach which expires on 11/18/2026. LPA Rodriguez observed that the PUB475 "See Something, Say Something" poster was posted in the hallway off the facility. The facility has a total of eight bedrooms of which six are designated for residents and two rooms designated for staff. Facility is a two-level structure, of which the first floor is designated only for resident use, and it was verified that the second level is only designated for staff. LPA Rodriguez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Facility was observed to have 2 bathrooms on the first floor and 1 on the second. Bathrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Hot water was measured at 113.3 degrees Fahrenheit. LPA Rodriguez observed that the facility had a two-day supply of perishables and a seven-day supply of non-perishable food. LPA Rodriguez observed hallways were free of obstructions. For the exterior portion, LPA Rodriguez observed patio furniture under shading, and the grounds were free of any hazards. There is 2 gate in the backyard, which is self-closing and self-latching. No bodies of water were observed. LPA Rodriguez observed that the facility has fire extinguishers that were charged, mounted and located in the kitchen with a maintenance tag dated for 2025. Sharp items, and medications were observed to be locked and inaccessible to residents in care. Cleaning supplies were observed to be locked in the garage and in the cabinets. LPA Rodriguez observed the Emergency and Disaster Plan posted in the kitchen. Facility has emergency supplies located in the garage. LPA Rodriguez reviewed all five resident files. LPA Rodriguez reviewed staff files, and observed that current staff members are cleared and associated to the facility. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with AD Mach. A copy of this report was explained and provided during the visit.the state’s words, verbatim · CDSS document, Jul 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Lucena Er-Er. Administrator (AD) Myla Mach arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA Ramirez toured the interior and exterior portions of the facility with AD Mach. The facility is a two-story structure and is licensed for six non-ambulatory residents, of which two may be on hospice and one bedridden. There are a total of eight bedrooms of which six are for residents and two for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 107.6-109.0 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was located by the kitchen. LPA Ramirez observed the emergency disaster and evacuation plan, which is located by dining room/kitchen. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. CONTINUED ON LIC809-C.. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Mach. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Jul 25, 2024