We have been round and round with this as well. Most likely it is from the user having just created an account, and with no other activity left a good review for your business. When we have people leave reviews for clients on Yelp, we always ask that they go out and leave a few for places they like before leaving a review. This helps the account to be seen as more "realistic".
I remember a case where companies began suing people that left reviews.
And I'll just leave this here:
Link
"John may sound paranoid, but he's got company. During interviews with dozens of business owners over a span of several months, six people told this newspaper that Yelp sales representatives promised to move or remove negative reviews if their business would advertise. In another six instances, positive reviews disappeared — or negative ones appeared — after owners declined to advertise."
In my opinion, get people to leave reviews for your business on Google places. Yelp's review system and business practices seem to be driven more towards monetary gain.
*edit BTW, I would not advertise on Yelp. We have tried it many times, using different techniques and it never pays for itself. The truth about Yelp ads is: unless people are seaching on Yelp for your services, they won't find you. It's true that your Yelp profile might come up in organic Google search results, but paying for ads on Yelp wont help that any. Most are going to search on Google, and I would dedicate my focus to improving your position in those results.