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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700722
Report Date: 07/02/2025
Date Signed: 07/02/2025 03:24:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/25/2024 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20241125084615
FACILITY NAME:WELLQUEST OF ELK GROVEFACILITY NUMBER:
342700722
ADMINISTRATOR:CUEVAS, ELANAFACILITY TYPE:
740
ADDRESS:8871 E STOCKTON BLVDTELEPHONE:
(916) 689-1000
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:170CENSUS: 112DATE:
07/02/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Elena CuevasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not ensure that resident's grooming needs were met
INVESTIGATION FINDINGS:
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On 7/2/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived at this facility unannounced to conduct a follow up complaint visit regarding the allegation noted above. LPA met with Executive Director/Administrator Elena Cuevas and stated the purpose of the visit.

The investigation into the above allegation consisted of interviews and record reviews. Specifically, it was alleged that R1's toe nails were not appropriately managed. Based on review of records, resident R1 demonstrated the ability to follow instructions, communicate needs and had the capacity for self-care, including bathing, dressing, grooming, feeding, toileting, and managing own medication. Record reviews further confirm that R1 was independent in these areas and required no personal help prior to being in hospice care. Additonally, according to R1's Podiatry Agreement dated 4/21/23, R1 opted out of this service that was offered by the facility upon admission. 5

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
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 2
Control Number 27-AS-20241125084615
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: WELLQUEST OF ELK GROVE
FACILITY NUMBER: 342700722
VISIT DATE: 07/02/2025
NARRATIVE
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Records also showed that facility offers regular grooming services, including manicures and pedicures every Tuesday and hair salon services every Friday, as stated in the facility’s December 2024 newsletter. Podiatry and ENT services are also made available upon request. A screenshot of a text message dated October 29, 2024, confirmed that staff attempted to schedule a pedicure appointment for R1 with the facility’s nail technician (S2). S2 replied that the earliest available appointment was November 19, 2024.

Per interview with staff S1, facility staff are not permitted to clip toenails per policy. However, once R1 was placed on hospice care on November 8, 2024, and could no longer leave the facility, staff took the initiative to arrange grooming services on R1's behalf. S1 stated that prior to hospice enrollment, R1’s grooming and self-care were fully independent.

Given the information gathered, this allegation was UNSUBSTANTIATED. Note that a finding of unsubstantiated means that the allegation may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation occurred.



No deficiencies are being cited.

Exit interview was conducted with Elena Cuevas and a copy of this report and appeal rights were provided.



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SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2