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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881106
Report Date: 11/10/2022
Date Signed: 11/14/2022 09:23:15 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/01/2022 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221101152039
FACILITY NAME:WELLQUEST OF MENIFEE LAKESFACILITY NUMBER:
331881106
ADMINISTRATOR:EADS, JONETTAFACILITY TYPE:
740
ADDRESS:29914 ANTELOPE RDTELEPHONE:
(951) 550-0500
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY:140CENSUS: 132DATE:
11/10/2022
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Executive Director, Jonetta EadsTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
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9
Facility staff did not provide activities for resident
Facility staff did not post accurate information regarding reporting a complaint or emergency for residents
INVESTIGATION FINDINGS:
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2
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12
13
Licensing Program Analyst (LPA) Janira Arreola, made an unannounced visit to the facility in order to initate an investigation into the above allegations. LPA met with Executive Director, Jonetta Eads who was informed of the purpose of the visit.

LPA conducted interviews and collected documentation as it pertained to the allegations above. Regarding allegation #1 "Facility staff did not provide activities for resident ", LPA conducted interviews and collected documentation that supported the fact that the resident, Resident 1 (R1) had activities to participate in. Therefore the allegation is unsubstantiated.

Regarding allegation #2 "Facility staff did not post accurate information regarding reporting a complaint or emergency for residents ", based on observation of the facility on the unannounced visit, LPA observed that the Ombudsemn poster was posted in the facility lobby. LPA took a photo of this. LPA also called the phone number listed and found that it was operational and the correct phone number. LPA also observed the CCLD posting to "Let us No" on issuing complaints to the deapartment. LPA took a photo of these as well. Therefore the allegation is also unsubstantiated. ***CONTINUED ON lic9099-D PAGE**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022
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 18-AS-20221101152039
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WELLQUEST OF MENIFEE LAKES
FACILITY NUMBER: 331881106
VISIT DATE: 11/10/2022
NARRATIVE
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A finding of unsubstantiated means that although the allegation is valid, the preponderance of the evidence standard has not been met.

An exit interview was conducted and a copy of this report was reviewed and provided to executive director, Jonetta Eads.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3