Inspection Report Summary
Most inspections of Bentley Manor found no deficiencies, including the most recent annual inspection on September 18, 2025, which was clean and showed compliance with sanitation, medication storage, and safety requirements. Earlier complaint investigations from 2023 and 2024 were unsubstantiated, with no evidence supporting allegations related to resident care or facility conditions. The facility had a serious issue with lacking required liability insurance coverage between August and December 2022, which posed an immediate safety risk, but this was resolved by the time of later inspections. Initial licensing inspections in 2022 identified several environmental and safety deficiencies, such as pests, water temperature problems, and unsecured toxins, which were addressed in follow-up visits. Overall, the facility’s record shows improvement over time, with recent reports free of deficiencies and substantiated complaints.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
89% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 24
Capacity: 27
Deficiencies: 0
Date: Sep 18, 2025
Visit Reason
An unannounced annual required visit was conducted to Bentley Manor to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no deficiencies cited. Resident and staff records were complete, medication storage was proper, and infection control practices were observed. Safety equipment and emergency preparedness were current and compliant.
Report Facts
Resident records reviewed: 10
Staff records reviewed: 6
Licensed capacity: 27
Current census: 24
Hospice waiver beds: 8
Fire extinguisher last serviced: Jan 23, 2025
Last fire/emergency drill: Jul 14, 2025
Administrator certificate valid from: Jun 5, 2024
Administrator certificate valid to: Jun 4, 2026
Liability insurance valid from: Aug 26, 2025
Liability insurance valid to: Aug 26, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Perry Scott | Licensing Program Analyst | Conducted the inspection visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 24
Capacity: 27
Deficiencies: 0
Date: Aug 19, 2024
Visit Reason
The inspection was an unannounced required 1-year visit to Bentley Manor to evaluate compliance with licensing regulations.
Findings
The inspection was not completed due to time restraints. The facility serves non-ambulatory residents, some with dementia and hospice care, and does not handle residents' money.
Report Facts
Residents bedridden: 3
Hospice waiver residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Director/Administrator | Met with Licensing Program Analyst during inspection |
| Troy Watson | Licensing Program Analyst | Conducted the unannounced inspection visit |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 27
Deficiencies: 0
Date: Aug 9, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted to address allegations that staff did not ensure residents' incontinence needs were met, did not maintain the facility clean and sanitary at all times, and were not addressing a rodent problem.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' incontinence needs, failure to maintain cleanliness and sanitation, and failure to address a rodent problem. Investigators observed the facility, interviewed residents and staff, and reviewed records. No evidence was found to support the allegations, and no deficiencies were cited.
Findings
The investigation found no evidence to support the allegations. Observations, interviews with residents and staff, and record reviews indicated that residents' incontinence needs were met, the facility was clean and sanitary, and there was no rodent problem. All allegations were unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 27
Census: 24
Resident interviews: 10
Staff interviews: 7
Complaint control number: 11-AS-20230828142032
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Met with Licensing Program Analyst during investigation and provided information on facility operations |
| Regina Cloyd | Licensing Program Analyst | Conducted the complaint investigation visit on 08/09/2024 |
| Pamela Bunker | Licensing Program Analyst | Conducted an earlier unannounced complaint visit on 09/07/2023 |
| Mashelia Aungan | Assistant Administrator | Met with Licensing Program Analyst during earlier complaint visit |
Inspection Report
Complaint Investigation
Census: 26
Capacity: 27
Deficiencies: 1
Date: Aug 24, 2023
Visit Reason
This unannounced complaint investigation was conducted due to concerns that the licensee had liability insurance that did not include required coverage for resident injuries and that the licensee had no current liability insurance.
Complaint Details
The complaint was substantiated regarding the lack of required liability insurance coverage between 08/26/2022 and 12/06/2022. The allegation that the licensee had no current liability insurance was unsubstantiated.
Findings
The investigation substantiated that between 08/26/2022 and 12/06/2022, the licensee did not have the required liability insurance coverage, posing an immediate safety risk to residents. However, the allegation that the licensee currently has no liability insurance was changed to unsubstantiated after further review.
Deficiencies (1)
Licensee did not have required liability insurance coverage from 08/26/2022 to 12/06/2022 as required by Health & Safety Code 1569.605.
Report Facts
Capacity: 27
Census: 26
Deficiencies cited: 1
Plan of Correction Due Date: Aug 25, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Met with Licensing Program Analysts during inspection and involved in findings |
| Ernand Dabuet | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Janae Hammond | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Annual Inspection
Census: 26
Capacity: 27
Deficiencies: 0
Date: Aug 11, 2023
Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations for a facility serving non-ambulatory elderly adults.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies were observed and no citations were issued during the inspection.
Report Facts
Residents' service files reviewed: 4
Staff personnel files reviewed: 4
Rooms inspected: 6
Licensed capacity: 27
Current census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 27
Deficiencies: 0
Date: Jul 7, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including questionable death, illegal drugs on the premises, and uncleared adult on the premises at Bentley Manor.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included questionable death, illegal drugs on the premises, and uncleared adult on the premises. Evidence and interviews did not support these allegations.
Findings
The investigation found no evidence to support any of the allegations. Interviews with staff, witnesses, and residents, as well as record reviews, indicated that the alleged violations did not occur. Therefore, all allegations were unsubstantiated.
Report Facts
Capacity: 27
Census: 25
Staff interviewed: 7
Residents interviewed: 3
Witnesses interviewed: 2
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mario Leon | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Mona Alcaraz | Chief Health Administrator | Facility administrator met during investigation |
| MaSheila Auingan | Met during exit interview and investigation |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 27
Deficiencies: 1
Date: May 17, 2023
Visit Reason
This unannounced complaint investigation was conducted due to allegations that the licensee had liability insurance that did not include required coverage for resident injuries and that the licensee had no current liability insurance.
Complaint Details
The complaint investigation was substantiated regarding the lack of required liability insurance coverage from 08/26/2022 to present. The allegation that the licensee misrepresented having liability insurance was unsubstantiated.
Findings
The investigation found that between 08/26/2022 and 12/06/2022, the facility did not have its own compliant liability insurance coverage due to policy exclusions and shared policies with other facilities. The licensee currently has no liability insurance, which poses an immediate safety risk to residents. Another allegation that the licensee misrepresented having liability insurance was found unsubstantiated.
Deficiencies (1)
Failure to maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars per occurrence and three million dollars in the total annual aggregate, caused by negligent acts or omissions of the licensee or its employees.
Report Facts
Capacity: 27
Census: 22
Deficiency due date: May 24, 2023
Insurance coverage limits: 1000000
Insurance coverage limits: 3000000
Persons at risk: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Met during inspection and involved in investigation findings |
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 27
Deficiencies: 0
Date: May 2, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that a resident sustained injury due to staff neglect and that staff did not notify the resident's authorized representatives of the incident.
Complaint Details
The complaint involved two allegations: 1) Resident sustained injury due to staff neglect, and 2) Staff did not notify resident's authorized representatives of incident. After interviews with residents, staff, collateral witnesses, and review of records, the department found no evidence to support the allegations and classified them as unsubstantiated.
Findings
The investigation found no sufficient evidence to support the allegations. The resident's injury was determined to be self-inflicted, and staff denied any physical abuse or failure to notify authorized representatives. The allegations were deemed unsubstantiated.
Report Facts
Facility capacity: 27
Census: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Interviewed regarding allegations and denied failure to notify authorized representatives |
| Jeremiah Randle | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Cifuentes | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 27
Deficiencies: 0
Date: Mar 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff physically abused a resident in care.
Complaint Details
The complaint alleged that staff physically abused a resident. Interviews with the resident, other residents, staff, and the administrator indicated the injury was self-inflicted by the resident scratching their own face. No staff abuse was witnessed or reported. The allegation was found to be unsubstantiated.
Findings
The investigation included interviews with residents, staff, and the administrator, as well as review of relevant records. The allegation of staff physically abusing a resident was found to be unsubstantiated based on the preponderance of evidence.
Report Facts
Capacity: 27
Census: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Met with during investigation and provided information regarding the complaint |
| Jose Calderon | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
Inspection Report
Original Licensing
Census: 25
Capacity: 27
Deficiencies: 2
Date: Dec 13, 2022
Visit Reason
An unannounced post licensing visit was conducted to evaluate compliance with licensing requirements for Bentley Manor, a facility licensed to operate for elderly non-ambulatory adults including hospice residents.
Findings
The inspection found deficiencies related to staff lacking Criminal Background Clearance Transfers and the administrator failing to adhere to Title 22 regulations, resulting in multiple citations and an immediate civil penalty.
Deficiencies (2)
Staff #2 through #10 did not have a Criminal Clearance Background Clearance Transfer associated at this facility.
Administrator failed to adhere to Title 22 regulations, resulting in multiple citations.
Report Facts
Number of staff without clearance: 9
Capacity: 27
Census: 25
Hospice residents: 3
POC Due Date: Dec 14, 2022
POC Due Date: Dec 27, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Auingan | Assistant Administrator | Met during inspection and exit interview. |
| Mona M Alcaraz | Administrator | Named in deficiency related to failure to adhere to Title 22 regulations. |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Janae Hammond | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Follow-Up
Census: 21
Capacity: 27
Deficiencies: 0
Date: Aug 11, 2022
Visit Reason
An unannounced follow-up inspection was conducted to verify the plan of correction issued during the change of ownership pre-licensing evaluation completed on 2022-07-22.
Findings
No pests were found in the facility kitchen and all plans of correction have been cleared.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the unannounced follow-up inspection. |
| Mona Alcaraz | Administrator | Met during the inspection and participated in the exit interview. |
Inspection Report
Follow-Up
Census: 23
Capacity: 27
Deficiencies: 1
Date: Aug 3, 2022
Visit Reason
An unannounced follow-up inspection was conducted to verify correction of deficiencies identified during the change of ownership pre-licensing evaluation completed on 7/22/2022.
Findings
Live pests were observed in the kitchen at 1:30 PM, preventing completion of the pre-licensing process until the deficiency is cleared. A plan of correction due date was set for 8/17/2022.
Deficiencies (1)
Live pests observed in the kitchen
Report Facts
Plan of Correction due date: Aug 17, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the unannounced follow-up inspection and observed deficiencies |
| Ma Sheila Auingan | Administrator | Met during inspection and participated in exit interview |
Inspection Report
Follow-Up
Census: 21
Capacity: 27
Deficiencies: 4
Date: Jul 26, 2022
Visit Reason
Unannounced follow-up inspection conducted to verify the plan of correction issued during the change of ownership pre-licensing evaluation completed on 7/22/2022.
Findings
The facility added a bed to reach the requested capacity of 27, water temperatures in most bathrooms were under 105F, and repairs were made to several rooms. However, pests were still found in the kitchen on 7/22 and 7/26/2022.
Deficiencies (4)
Water temperature in 14 of the bathrooms is under 105F
No locks on kitchen cabinets or drawers for sharps or toxins; toxins found in cabinet and knives in drawer
Several rooms in need of repairs such as new screens in windows, small holes in bathroom wall, overhead lights not working
Pests found in kitchen on 7/22/2022 and 7/26/2022
Report Facts
Bed capacity: 27
Bathrooms with water temperature under 105F: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the unannounced follow-up inspection |
| Mona Alcaraz | Administrator | Facility administrator present during inspection and exit interview |
Inspection Report
Original Licensing
Census: 23
Capacity: 27
Deficiencies: 7
Date: Jul 22, 2022
Visit Reason
The inspection was conducted as a pre-licensing evaluation for a change of ownership application submitted on 2022-04-23 for a Residential Care for the Elderly facility.
Findings
The facility was found to be substantially compliant but several corrections were required before licensure, including water temperature issues, lack of locks on kitchen cabinets for sharps and toxins, needed repairs in several rooms, insufficient storage in one room, presence of pests in kitchen and resident rooms, and an improperly enclosed outside activity area.
Deficiencies (7)
Only 26 beds were found while the requested capacity is 27.
Water temperature in 14 of the bathrooms is under 105F.
No locks on kitchen cabinets or drawers for sharps or toxins; toxins found in cabinet and knives in drawer.
Several rooms need repairs such as new screens in windows, small holes in bathroom walls, and overhead lights not working.
Room 3 has insufficient storage space.
Pests were found in the kitchen and two of the residents' rooms.
Outside activity area is not properly enclosed with self-closing latches.
Report Facts
Beds found: 26
Bathrooms with water temperature under 105F: 14
Fire clearance approval date: Fire clearance was approved on 2022-06-17 for 5 bedridden and 22 non-ambulatory clients.
Requested capacity: 27
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Administrator | Licensee/administrator who accompanied the inspection. |
| Stephanie Cifuentes | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Perry Scott | Licensing Program Analyst | Conducted the inspection. |
| Eva M Alvarez | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Original Licensing
Census: 23
Capacity: 27
Deficiencies: 0
Date: Jul 18, 2022
Visit Reason
The visit was conducted as a Component II evaluation by the Community Care Licensing Division (CAB) to assess the applicant and administrator's understanding of licensing requirements and facility operation for initial licensing of the facility.
Findings
The applicant and administrator successfully completed the Component II evaluation, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and compliance requirements. No deficiencies or noncompliance issues were noted in the report.
Report Facts
Capacity: 27
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mona Alcaraz | Applicant and Administrator | Participated in Component II evaluation and confirmed understanding of licensing requirements |
| Robin Aquino | Administrator | Participated in Component II evaluation |
| Julia Kim | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Thai Doan | Licensing Program Analyst | Named as Licensing Program Analyst on the report |
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