198320301-9-25-2025-11-AS-SCIS-DRESLG-20260218125810

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320301
Report Date: 09/25/2025
Date Signed: 09/25/2025 04:48:29 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/22/2025 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250722134621

FACILITY NAME:	BENTLEY MANOR		FACILITY NUMBER:	198320301
ADMINISTRATOR:	ALCARAZ, MONA M		FACILITY TYPE:	740
ADDRESS:	3425 MCLAUGHLIN AVENUE		TELEPHONE:	(213) 478-0460
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90066
CAPACITY:	27	CENSUS: 25	DATE:	09/25/2025
		UNANNOUNCED	TIME BEGAN:	10:09 AM
MET WITH:	MONA ALCARAZ - ADMINISTRATOR		TIME COMPLETED:	04:48 PM

ALLEGATION(S):

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Staff did not provide resident medication as prescribed.
Staff restrained resident in a chair.

INVESTIGATION FINDINGS:

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On 09/25/2025 Licensing Program Analyst (LPA) Troy Watson made a subsequent unannounced complaint visit to the above-listed facility. LPA Watson was greeted by the Administrator Mona Alcaraz and explained the purpose of this visit is to investigate the allegations listed above. LPA was granted entry into the facility.

The investigation consisted of the following:
On 08/01/2025 Licensing Program Analyst (LPA) Watson requested, reviewed, and obtained copies of the Staff Roster, Client Roster, and Physician Report. On 09/25/2025 LPA Watson requested and obtained the following: Centrally Stored Medication Record (CSMDR). On 09/25/2025 LPA conducted interviews with Staff #1 - Staff #5 (S1-S5) and Resident #2- Resident #4 (R2-R4) An attempt to interview Resident #1 was made but they were not present at time of visit. LPA toured the facility with Administrator Mona Alcaraz. LPA found the facility to be clean and in good repair.

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250722134621

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: BENTLEY MANOR	FACILITY NUMBER: 198320301
	VISIT DATE: 09/25/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Staff did not provide resident medication as prescribed

On 09/25/2025 LPA Watson conducted interviews with Residents #2- Residents #4 (R2-R4). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff provided them with their medication as prescribed by their physician. Of those interviewed, 4 out of 4 residents denied the above allegation.On 09/25/2025 LPA Watson interviewed Staff #1- Staff #5 (S1-S5). LPA Watson asked the staff if they assisted residents with their medication as prescribed by their physician. Of those interviewed,5 out of 5 staff denied the above allegation. On 09/25/2025 LPA Watson reviewed the (CSDMR’s) and it showed that all residents interviewed received their medication as prescribed by their physicians. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Staff restrained a resident in a chair.

On 09/25/2025 LPA Watson conducted interviews with Residents #2- Residents #4 (R2-R4). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff ever restrained them or a resident in a chair. Of those interviewed, 4 out of 4 residents denied the above allegation.On 09/25/2025 LPA Watson interviewed Staff #1- Staff #5 (S1-S5). LPA Watson asked the staff if they restrained residents in a chair at the facility. Of those interviewed, 5 out of 5 staff denied the above allegation. On 09/25/2025 LPA Watson reviewed Physicians Reports, and it showed that no resident residing in the facility needed to be restrained. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with the Administrator Mona Alcaraz and a copy of this report was given.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

LIC9099 (FAS) - (06/04)

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