342700722-2-26-2025-27-AS-SRIN-DEBSDE-20250228124700

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700722
Report Date: 02/26/2025
Date Signed: 02/26/2025 03:20:02 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
02/21/2025 and conducted by Evaluator Arvin Villanueva

COMPLAINT CONTROL NUMBER: 27-AS-20250221093149

FACILITY NAME:	WELLQUEST OF ELK GROVE		FACILITY NUMBER:	342700722
ADMINISTRATOR:	ELENA CUEVAS		FACILITY TYPE:	740
ADDRESS:	8871 E STOCKTON BLVD		TELEPHONE:	(916) 689-1000
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY:	170	CENSUS: 107	DATE:	02/26/2025
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Elena Cuevas		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Facility staff are not awake when residents require overnight assistance.

INVESTIGATION FINDINGS:

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On 2/26/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to conduct the initial complaint visit regarding the allegations noted above. LPA met with the facility Executive Director/Administrator Elena Cuevas (AD) and stated the purpose of this visit.

The investigation into the above allegations consisted of interviews and record reviews.
Through interviews with staff_1 (S1), explained that S1 and the Memory Care Director regularly perform random night checks to ensure that staff are awake and attentive. S1 confirmed that S1 conducted a random check the night prior to this visit. Additionally, S1 mentioned that they conduct random phone calls to the facility as another means of checking on staff performance during overnight shifts.
Regarding call light/pendant responses, S1 clarified that the ideal response time is within 5 to 10 minutes. Staff members receive signals through their phones, which allow them to identify which resident requires assistance.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250221093149

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: 02/26/2025

NARRATIVE

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Executive Director/Administrator, Elena Cuevas (AD), also addressed the call light response times, stating that the average response time for call lights is currently at approximately 8.5 minutes. AD confirmed there have been no issues with staffing shortages during the night (NOC) shifts. The facility ensures adequate staffing by utilizing outside agency personnel when necessary, such as in cases of call-ins or when other staff members are unavailable.

Further corroborating this, a review of call light/pendant response records for January and February 2025 indicated that the average time to take an alert was approximately 7 to 9 minutes. The response times for staff to reach residents ranged from 9 to 11 minutes, with an average of around 7 minutes spent with residents. The types of assistance provided during these interactions ranged from toileting and transferring to emotional support, medication administration, and addressing falls, among other needs.

Additionally, a review of the facility’s staffing schedule for the night (NOC) shifts in both the Assisted Living (AL) and Memory Care (MC) areas confirmed that at least two care staff members in the MC area and two care staff in the AL are scheduled during each NOC shift, along with a med tech on duty.

Based on the interviews and record reviews, there is no preponderance of evidence to substantiate the allegation that facility staff are not awake or unavailable during overnight hours when residents require assistance. The facility has measures in place to ensure staff are attentive during the night. Therefore, the above allegation was deemed UNSUBSTANTIATED.

Exit interview was conducted 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: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

LIC9099 (FAS) - (06/04)

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