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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320602
Report Date: 07/01/2026
Date Signed: 07/01/2026 11:27:18 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
04/17/2026 and conducted by Evaluator Elvira Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260417083834
FACILITY NAME:LEONARD ON BEVERLY A CLEARWATER COMMUNITY, THEFACILITY NUMBER:
198320602
ADMINISTRATOR:FLAHERTY, TRACYFACILITY TYPE:
740
ADDRESS:8070 BEVERLY BLVDTELEPHONE:
(213) 808-0170
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY:124CENSUS: 34DATE:
07/01/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Tracy FlahertyTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not refund deposit.
Staff did not provide a copy of the admission agreement.
INVESTIGATION FINDINGS:
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On 07/01/26, the department conducted an unannounced subsequent complaint visit at the above named facility to further investigate the allegations listed above and deliver findings. The department met with Executive Director, Tracy Flaherty, and explained the purpose of the visit. The department was granted access to the facility.

The investigation consisted of the following: On 04/23/26, the department received the following documents: staff roster, resident roster, Community Fee Receipt, and a Wells Fargo Bank personal check #102, made out to the facility from potential resident #1 (PR1). Additionally, the department conducted interviews with staff #1-#2 (S1-S2), and PR1. On 06/29/26, the department received a copy of the facility’s blank Admission Agreement, Resident Summary Ledger, and a Community Fee Receipt via email. Additionally, the department attempted to interview PR1.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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-20260417083834
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: LEONARD ON BEVERLY A CLEARWATER COMMUNITY, THE
FACILITY NUMBER: 198320602
VISIT DATE: 07/01/2026
NARRATIVE
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The investigation revealed the following:

For the allegation: “Staff did not refund deposit.” It was alleged that a prospective resident paid a deposit to the facility to reserve a placement. The prospective resident reportedly notified facility staff on 03/05/26 that they no longer wished to move into the facility and requested a refund of the deposit. It was further alleged that, after not receiving the refund, the prospective resident followed up with the facility on 04/06/26 regarding the status of the refund. On 04/23/26, the department conducted interviews with S1-S2. Of those interviewed, 2 out of 2 staff denied the allegation. Interviews with S1 and S2 revealed that PR1 changed their decision about moving into the facility multiple times. S1 and S2 stated that PR1 made the final decision not to move into the facility on 04/06/26. According to S1 and S2, the facility initiated the refund process on that date and informed PR1 that the deposit would be refunded within 30 days. S1 further stated that PR1 received the refund by check on 04/24/26.

On 04/23/26, the department conducted an interview with PR1, who stated that there was considerable back and forth between them and the facility regarding their decision to move in. PR1 acknowledged that they were unsure of the exact dates but believed they informed the facility on 03/05/26 that they no longer wished to move into the facility and requested a refund of their deposit. PR1 stated that they simply wanted their deposit returned. On 07/01/26, the Department attempted to conduct a follow-up interview with PR1 by telephone; however, PR1 was unavailable.

On 07/01/26, the department reviewed the facility's Admission Agreement. On page 16, under Section D. Refund Policy, subsection 2. Refund of Unused Portion of Monthly Fee, the agreement states: "You or your estate will receive any refund that is due within thirty (30) days following the effective termination date."

The Department also reviewed the Community Fee Receipt, dated 01/29/26, which documented that PR1 paid a $20,000.00 deposit to secure placement at the facility. The receipt further states that the deposit is fully refundable.

Additionally, the Department reviewed the Resident Summary Ledger, which documented that the facility received PR1's $20,000.00 deposit via check #102 on 01/30/26. The ledger further documented that a refund in the amount of $20,000.00 was issued to PR1 on 04/24/26 via check #125.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260417083834
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: LEONARD ON BEVERLY A CLEARWATER COMMUNITY, THE
FACILITY NUMBER: 198320602
VISIT DATE: 07/01/2026
NARRATIVE
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Based on the records reviewed, and interviews conducted, there is insufficient evidence to support the allegation. Although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

For the allegation: “Staff did not provide a copy of the admission agreement,” it is being alleged that the resident may have signed an admission agreement but can't recall and does not have a copy of it. On 04/23/26, the department conducted interviews with S1-S2. Of those interviewed, 2 out of 2 staff denied the allegation. S1-S2 stated that an admission agreement was never signed by PR1 as they never moved in to the facility.

An interview conducted with PR1 on 04/23/26 revealed that they were not sure if they did not didn’t sign an admission agreement.

Based on the records reviewed, and interviews conducted, there is insufficient evidence to support the allegation. Although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.

No deficiencies were cited during this investigation.

An exit interview was conducted and a copy of this report was provided to Tracy Flaherty.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3