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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700722
Report Date: 07/28/2025
Date Signed: 07/28/2025 04:02:25 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
05/28/2025 and conducted by Evaluator Arielle Pascua
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250528094210
FACILITY NAME:WELLQUEST OF ELK GROVEFACILITY NUMBER:
342700722
ADMINISTRATOR:ELENA CUEVASFACILITY TYPE:
740
ADDRESS:8871 E STOCKTON BLVDTELEPHONE:
(916) 689-1000
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:170CENSUS: 103DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elena Cuevas TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not properly safeguard the outdoor patio area of the facility for the residents
INVESTIGATION FINDINGS:
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On 07/28/2025, Licensing Program Analysts (LPAs) Arielle Pascua and Arvin Villanueva arrived unnanounced to this facility to conduct a complaint visit. LPAs met with Facility Designated Administrator (FDA), Elena Cuevas and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above.

Current Census was 108. A brief interview with FDA Cuevas was conducted.

It was alleged that facility staff failed to properly safeguard the outdoor patio areas for residents. During the investigation, the department conducted observations, toured the facility, and interviewed residents and family members.On 05/29/2025, LPA Vincent Moleski toured the facility's patio areas and observed that the patio furniture was in good repair.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
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-20250528094210
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: 07/28/2025
NARRATIVE
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On 07/28/2025, LPAs Arielle Pascua and Arvin Villanueva conducted another tour of the outdoor areas. The facility was found to have two patio areas, one designated for residents in the memory care unit and another for those in assisted living and independent cottages. LPAs observed two large black patio tables surrounded by several black and blue chairs. LPAs sat on the furniture for five minutes and applied pressure to the tables, confirming the furniture was sturdy and in good condition. In the memory care patio, two additional round tables were observed. While the furniture had edges, they were not found to be sharp enough to pose a safety hazard.Furthermore, interviews with residents and family members did not support the allegation; all reported that the patio areas were adequately safeguarded for resident use.
As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time.
An exit interview was conducted and a copy of this report were provided to the facility at the end of this visit.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2