198320349-4-9-2026-11-AS-UCOL-DT8TT2-20260417150001

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320349
Report Date: 04/09/2026
Date Signed: 04/09/2026 02:58:36 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
04/08/2026 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260408100554

FACILITY NAME:	CLEAR BEHAVIORAL HEALTH		FACILITY NUMBER:	198320349
ADMINISTRATOR:	LINDSEY RAE ACKERMAN		FACILITY TYPE:	772
ADDRESS:	1208 HIGHVIEW AVE		TELEPHONE:	(213) 723-2273
CITY:	MANHATTAN BEACH	STATE: CA	ZIP CODE:	90266
CAPACITY:	6	CENSUS: 2	DATE:	04/09/2026
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Nancy Cuevas		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff did not follow admissions agreement.

INVESTIGATION FINDINGS:

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On 04/09/2026, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit to gather information regarding the above allegation. LPA met with Compliance & Privacy Manager Nancy Cuevas and the purpose of the visit was explained.

Investigation consisted of the following: On 04/09/2026, LPA obtained Staff Schedule, Register of Clients (March 2026), Program Schedule, House Rules, and Client #1 - #5 Records (Physician’s Report, Treatment Plan, Admission Agreement, and Facesheet). LPA interviewed Staff #1 – 6 and Clients #2 – 3. Note: Client #1 is no longer at the facility.

Investigation revealed the following:
Allegation: Staff did not follow admissions agreement.
Continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

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 3

Control Number 11-AS-20260408100554

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: 04/09/2026

NARRATIVE

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It is alleged Client 1 (C1) was left alone throughout the majority of C1’s first 48 hours at the facility. It is alleged a nurse only checked on C1 once per day. Record review of C1’s Admission Agreement revealed individual counseling, group counseling, mental health education and treatment, vocational services, social and recreational activities, and meditation and exercise services will be provided. Clients have the right to have visitors, including family members and advocacy representatives, visit privately during waking hours. Staff encourage weekly visits from family on Saturdays and Sundays. Review of Program Schedule (M – F) revealed Group Sessions occurred from 9:00am – 12:00pm, lunch 12:00pm – 12:30pm, travel home (12:30pm – 1:00pm), Rest and Relaxation (1:00pm – 1:30pm), Chores (1:30 – 2:30pm) Snack (2:30pm – 3:00pm), Hobby Time (3:00pm – 4:00pm), Mindfulness Walk (4:00pm – 5:00pm), Rest and Relaxation (5:00pm – 5:30pm), Dinner and Socialize (6:00pm – 6:30pm), Clean Up (6:30pm – 7:00pm), Group Session (7:00pm – 8:00pm), Clean Up (8:00pm – 8:30pm), Night Time Meds and Rounds (9:00pm – 9:30pm) Sleep Hygiene (9:30pm – 10:00pm), Lights out (10:00pm – 10:30pm), and Rounds (10:30pm – 11:00pm). Review of Program Schedule (Saturday) revealed Outings (9:00am – 11:00am), Rest and Relaxation (11:30am – 12:00pm), Family Visiting House & Lunch or Soundbath (12:00pm – 1:30pm), Rest and Relaxation (2:00pm – 2:30pm), Group Session (2:30pm – 3:30pm), Snack (3:30pm – 4:00), Group Session (4:00pm – 5:00pm), Chores (5:00pm – 5:30pm), Dinner & Socialize (6:00pm – 6:30pm), Group Session (7:00pm – 8:00pm), Clean Up (8:00pm – 8:30pm), Night Time Meds and Rounds (8:30pm – 9:30pm), Sleep Hygiene (9:30pm – 10:00pm), Lights out (10:00pm – 10:30pm), and Rounds (10:30pm – 10:00pm). Review of Program Schedule (Sunday) revealed Group Session (9:00am – 10:00am), Clean and Rest and Relaxation (10:00am – 11:00am), Group Session (11:00am – 12:00pm), Family Visiting House & Lunch or Soundbath (12:00pm – 2:00pm), Rest and Relaxation (2:00pm – 2:30pm), Quiet Time/Hobby Time (2:30pm – 3:30pm), Snack (3:30pm – 4:00), Group Session (4:00pm – 5:00pm), Chores (5:00pm – 5:30pm), Dinner & Socialize (5:30pm – 6:30pm), Chores (6:30pm – 7:00pm), Group Session (7:00pm – 8:00pm), Clean Up (8:00pm – 8:30pm), Night Time Meds and Rounds (8:30pm – 9:30pm), Sleep Hygiene (9:30pm – 10:00pm), Lights out (10:00pm – 10:30pm), and Rounds (10:30pm – 11:00pm). Review of C1’s Physician’s Report (03/27/26) revealed C1 is ambulatory and able to leave the facility unassisted.

Two out of two client interviews (C2 – C3) indicated there is adequate supervision and staff checks in on them. C2 indicated C1 participated in group sessions and they went on a walk together to the beach and attended Saturday’s group outing. C2 indicated C1 would spend time outside to smoke. Continue to LIC9099-C.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260408100554

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: 04/09/2026

NARRATIVE

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Five out of five staff interviews (S2 – S6) indicated staff check on clients every 30 minutes and ever 15 minutes for new clients and those with unsafe behaviors. S3 – S5 indicated C1 participated in group sessions and was never left alone. S4 indicated C1 walked out of the last session. S5 indicated C1 was outside smoking and reading for about one hour and staff would peak their heads around the corner. C1 also came inside within that hour for a cigarette. S5 indicated going to the Pier with C1. S6 indicated C1 attended the group sessions.

Regarding the allegation, "Staff did not follow admissions agreement," 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.

An exit interview was conducted, and a copy of this report was reviewed and left with Compliance & Privacy Manager Nancy Cuevas.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

LIC9099 (FAS) - (06/04)

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