198320301-2-11-2026-11-AS-SCIS-DRESLE-20260218125809

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320301
Report Date: 02/11/2026
Date Signed: 02/11/2026 11:07:57 AM

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:	02/11/2026
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	ADMINISTRATOR - MONA ALCARAZ		TIME COMPLETED:	11:07 AM

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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**This report does not supersede the previous report dated 11/21/25 but is used to clarify findings. **
On 02/11/2026 at approximately 09:40 AM Licensing Program Analyst (LPA) Troy Watson made a subsequent unannounced visit to the above, listed facility to deliver findings. The LPA was greeted by the Administrator Mona Alcaraz and explained the purpose of the visit. LPA was granted entry into the facility.

The investigation consisted of the following:

On 08/01/2025 between 04:36 PM – 05:00 PM, the department requested, reviewed, and obtained copies of the Staff Roster, Client Roster, and Physician’s Reports. On 09/25/2025 between 10:09 AM – 04:48 PM, the department requested and obtained the Centrally Stored Medication Destruction Records (CSMDR).

CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

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: 02/11/2026

NARRATIVE

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On 11/21/2025, the department obtained an Unusual Incident Report dated 07/16/2025. On 09/25/2025, the department conducted interviews with Staff #1 – #5 (S1–S5) and Residents #2 – #4 (R2–R4). An attempt to interview Resident #1 (R1) was made, but R1 was unavailable because they had passed away prior to the initial visit. LPA toured the facility with Administrator Mona Alcaraz and found the facility to be clean and in good repair.

The investigation revealed the following:

Allegation: Staff did not provide resident medication as prescribed

It was alleged that staff did not provide resident medication as prescribed. On 09/25/2025 between 10:09 AM – 04:48 PM, the department conducted interviews with Residents #2 – #4 (R2–R4). An attempt to interview Resident #1 (R1) was made, but R1 was not present because R1 moved out of the facility on 07/20/2025 prior to the visit. The department asked the residents if staff provided them with their medication as prescribed by their physician. Of those interviewed, 3 out of 3 residents denied the allegation.
On 11/21/2025 at approximately 03:20 PM, the department conducted an interview with the Administrator (A1). A1 was asked if staff provided residents with medication as prescribed. A1 stated, “We don’t give any medication without a prescription; it must be prescribed by their doctors.”
On 09/25/2025 between 10:09 AM – 04:48 PM, the department conducted interviews with Staff #1 – #5 (S1–S5). The department asked staff if they assisted residents with their medication as prescribed by their physician. Of those interviewed, 5 out of 5 staff denied the allegation.
On 09/25/2025 between 10:09 AM – 04:48 PM, the department obtained and reviewed the Centrally Stored Medication Destruction Records (CSMDR), which showed that all residents interviewed received their medication as prescribed by their physicians. The department requested Medication Administration Records (MAR), but the Administrator informed the department that the facility only documents medication administered to residents via the CSMDR. A thorough review of the CSMDR showed that the dates and times of distribution for each resident were current at the time of the visit.
Based on the information gathered, interviews conducted, and review of records, the department found no evidence to support the allegation. 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.
CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

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: 02/11/2026

NARRATIVE

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Allegation: Staff restrained a resident in a chair

It was alleged that staff restrained a resident in a chair using a band of some sort to keep the resident from falling out of the chair. On 09/25/2025 between 10:09 AM – 04:48 PM, LPA Watson conducted interviews with Residents #2 – #4 (R2–R4). Per Administrator Mona Alcaraz, the facility was informed on 07/20/2025 that R1 would not be returning.
On 11/21/2025 at approximately 03:20 PM, LPA Watson conducted an interview with the Administrator Mona Alcaraz (A1). A1 was asked about the allegation regarding staff restraining a resident in a chair. A1 stated that this practice does not occur in the facility and staff have not received in-service training in restraining residents.
On 09/25/2025 LPA Watson interviewed Resident#2-Resident#4 (R2-R4) and asked them if staff ever restrained them or another resident in a chair using a band of some sort to keep them from falling out of the chair. Of those interviewed, 3 out of 3 residents denied the allegation.
On 09/25/2025 between 10:09 AM – 04:48 PM, the department conducted interviews with Staff #1 – #5 (S1–S5). The department asked staff if they restrained a resident in a chair at the facility. Of those interviewed, 5 out of 5 staff denied the allegation.
On 09/25/2025 between 10:09 AM – 04:48 PM, LPA Watson obtained and reviewed R1’s Physician’s Report, which showed that no resident residing in the facility is required to be restrained. The department toured the facility with Administrator Mona Alcaraz and found no evidence of restraining devices that could have been used as restraints to secure residents in chairs.

Based on the information gathered, interviews conducted, and review of records, the department found no evidence to support the allegation. 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.

No deficiencies were cited.

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

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2026

LIC9099 (FAS) - (06/04)

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