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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 04:02:06 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
05/15/2025 and conducted by Evaluator Arielle Pascua
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250515162057
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: 108DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elena Cuevas TIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was injured by motorized cart while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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 the resident was injured by the motorized cart while in care. During the course of this investigation, it was denied by the resident that they were injured by a motorized cart that was driven by another resident. It was stated that the resident would often drive fast, however was never hurt at the time. Based on the information gathered, there is not sufficient evidence to prove that the resident was injured by the motorized cart while in care. 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.
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)
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