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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320349
Report Date: 06/27/2025
Date Signed: 06/27/2025 10:36:10 AM

Substantiated


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
01/13/2025 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250113155753
FACILITY NAME:CLEAR BEHAVIORAL HEALTHFACILITY NUMBER:
198320349
ADMINISTRATOR:LINDSEY RAE ACKERMANFACILITY TYPE:
772
ADDRESS:1208 HIGHVIEW AVETELEPHONE:
(877) 799-1985
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:6CENSUS: 4DATE:
06/27/2025
UNANNOUNCEDTIME BEGAN:
08:42 AM
MET WITH:Brandon MartinTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Conduct Inimical.
INVESTIGATION FINDINGS:
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On 06/27/25, Licensing Program Analyst (LPA) Regina Cloyd conducted a subsequent complaint visit, the purpose of the visit is to deliver findings on the allegation listed above. LPA Cloyd met with Brandon Martin and the purpose of the visit was explained.

The investigation consisted of the following:

On 01/10/2025, Community Care Licensing (CCLD) staff interviewed Client #1 (C1). On 01/21/2025, CCLD staff interviewed staff S3 and S4. On 01/27/2025, CCLD Staff reviewed CCLD records regarding the facility. On 02/04/2025, CCLD staff interviewed staff S1 and S5. On 02/13/25, CCLD Staff reviewed staff S2’s records. On 02/26/25 CCLD Staff interviewed staff S6 and S7. On 02/27/25, CCLD Staff interviewed staff S8. On 02/27/25, 02/28/25, and 03/18/25, CCLD Staff attempted to interview staff S2, S2 did not respond.

Continue to LIC9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 11-AS-20250113155753
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: CLEAR BEHAVIORAL HEALTH
FACILITY NUMBER: 198320349
VISIT DATE: 06/27/2025
NARRATIVE
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The investigation revealed the following:

Regarding the allegation "Conduct inimical,” it is being alleged that staff participated in a romantic relationship with a client while in care. Record reviews indicate that Clear Behavioral Health a Social Rehabilitation Facility has a Conflict-of-Interest Policy that prohibits staff from engaging in romantic relationships with clients during admission and 6 months after discharged from care. Title 22 Regulations defines that a Social Rehabilitation Facility" means any facility which provides 24-hour-a-day nonmedical care and supervision in a group setting to adults recovering from mental illness who temporarily need assistance, guidance, or counseling. Interviews revealed the following: C1 was a client at the facility on three separate occasions; from November 2023 to December 2023, from January 2024 to February 2024, and from December 2024 to January 2025. 5 out of 7 staff agreed with the allegation. Staff S6 indicated that S2 would designate himself as the primary support staff to assist C1 during times of crisis, S2 gave C1 gifts while in care, and spent a lot of time with C1 behind closed doors while at the facility. S8 indicated seeing C1 nude inside S2’s private home around August 01, 2024. S9 indicated S2 resigned from the facility in March of 2024. Client C1 agreed with the allegation and indicated that S2 threatened to withhold services to C1 if staff got in trouble because of C1 and S2’s relationship Regarding the allegation “Conduct Inimical,” based on interviews, the preponderance of evidence has been met therefore the allegation is Substantiated.

Deficiencies are being cited based on the findings of CCLD Staff in accordance with the California Code of Regulations, Title 22, see LIC9099-D.



An exit interview was conducted and plans of correction developed. A copy of this report, and appeals rights was reviewed and left with Compliance Coordinator Brandon Martin.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20250113155753
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: CLEAR BEHAVIORAL HEALTH
FACILITY NUMBER: 198320349
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2025
Section Cited
CCR
81072(a)(3)
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Personal Rights. Each client shall have personal rights which include... To be free from... coercion, threat, mental abuse...

This requirement was not met as evidenced by:
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The licensee agreed to create a plan indicating specific steps the staff would take to ensure that clients are to be free from coercion and mental abuse. Proof of correction will be submitted to LPA Cloyd via email at regina.cloyd@dss.ca.gov.
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Based on interviews conducted the licensee failed to ensure that C1 was free from coercion and mental abuse. S2 participated in a romantic relationship with C1 while in care which poses a potential health, safety and personal rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
01/13/2025 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250113155753

FACILITY NAME:CLEAR BEHAVIORAL HEALTHFACILITY NUMBER:
198320349
ADMINISTRATOR:LINDSEY RAE ACKERMANFACILITY TYPE:
772
ADDRESS:1208 HIGHVIEW AVETELEPHONE:
(877) 799-1985
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:6CENSUS: DATE:
06/27/2025
UNANNOUNCEDTIME BEGAN:
08:42 AM
MET WITH:TIME COMPLETED:
10:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff maintained an inappropriate relationship with client.



INVESTIGATION FINDINGS:
1
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3
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5
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On 06/27/25, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced subsequent complaint investigation to deliver findings on th allegation listed above. LPA Cloyd met with Compliance Coordinator Brandon Martin and the purpose of the visit was explained.

On 01/10/2025, Community Care Licensing (CCLD) staff interviewed Client #1 (C1). On 01/21/2025, CCLD staff interviewed staff S3 and S4. On 01/27/2025, CCLD Staff reviewed CCLD records regarding the facility. On 02/04/2025, CCLD staff interviewed staff S1 and S5. On 02/13/25, CCLD Staff reviewed staff S2’s records. On 02/26/25 CCLD Staff interviewed staff S6 and S7. On 02/27/25, CCLD Staff interviewed staff S8. On 02/27/25, 02/28/25, and 03/18/25, CCLD Staff attempted to interview staff S2, S2 did not respond.

Continue to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20250113155753
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: CLEAR BEHAVIORAL HEALTH
FACILITY NUMBER: 198320349
VISIT DATE: 06/27/2025
NARRATIVE
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The investigation revealed the following:

Regarding the allegation "Facility staff maintained inappropriate relationship with client,” it is being alleged that a staff had a sexual relationship with a client while in care. Interviews revealed the following: C1 was a client at the facility on three separate occasions; from November 2023 to December 2023, from January 2024 to February 2024, and from December 2024 to January 2025. C1 denied the allegation. Five out of seven staff interviewed (S1, S3, S4, S5, S7) indicated they did not witness a sexual relationship between S2 and C1 while C1 was residing in the facility.

Regarding the allegation “Facility staff maintained inappropriate relationship with client," based on interviews, the Department 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, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

An exit interview was conducted, and a copy of this report was reviewed and left with the Compliance Coordinator Brandon Martin.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5