342700722-7-28-2025-27-AS-LRIS-DKATUG-20250806150220

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700722
Report Date: 07/28/2025
Date Signed: 07/28/2025 03:58:27 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
07/11/2025 and conducted by Evaluator Arvin Villanueva

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250711100631

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: 103	DATE:	07/28/2025
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Elena Cuevas		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff did not ensure reporting requirements were met for resident in care.

INVESTIGATION FINDINGS:

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On 7/28/2025, Licensing Program Analysts Arielle Pascua and Arvin Villanueva (LPAs) arrived unannounced at this facility to conduct a follow up complaint visit regarding the allegation noted above.
LPAs met with Executive Director/Administrator Elena Cuevas (S1) and stated the purpose of the visit.

The investigation into the above allegation included interviews with staff members and a review of facility records related to the incident.

During the interview, Executive Director/Administrator, Elena Cuevas (S1), identified the incident in question as involving resident (R1). S1 explained that on the day of the incident, she and Health and Wellness Director (S3) were providing direct care to R1, who is fully dependent on two staff members for all transfers and requires a Hoyer lift for mobility, as documented in R1’s Service Care Plan dated 7/16/2025.

Unsubstantiated

Estimated Days of Completion:

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

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Control Number 27-AS-20250711100631

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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According to S1, while attempting to assist R1 to the toilet, S1 and S3 had some difficulties with properly positioning the Hoyer lift sling. During this time, R1 soiled themselves. To properly clean R1, staff guided R1 to the bathroom floor using the Hoyer lift. S1 emphasized that there was no fall, no injury occurred, and no medical attention or hospitalization was necessary. As such, S1 stated that the situation did not meet the requirement for reporting to Department (CCLD).

Interview with S3 confirmed the account, stating that R1 did not fall and was instead carefully lowered to the floor for safety and cleaning. S3 reiterated that R1 was not injured, and that the Hoyer lift was used throughout the transfer process.

Interview with staff (S4) indicated that S4 entered R1’s room and observed S1 and S3 assisting R1 in the bathroom. S4 did not witness any fall incident but mentioned observing discoloration on R1 a day or two later, which was documented. However, this observation could not be confirm if it is linked to a specific incident.

Additionally, LPA reviewed documentation showing that staff received Hoyer lift training on July 8, 2025, indicating that proper equipment usage procedures had been addressed.

Based on the interviews conducted and records reviewed, there is insufficient evidence to support the allegation that staff did not meet reporting requirements. There was no indication that R1 experienced a fall or sustained any injury requiring notification to CCLD. Therefore, the allegation is UNSUBSTANTIATED.

A finding of unsubstantiated means that although the allegation may have happened the preponderance of evidence does not prove it.

No deficiencies were cited as a result of this visit. An exit interview was conducted, and a copy of this report was provided.

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

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