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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317004933
Report Date: 03/24/2025
Date Signed: 03/25/2025 10:02:11 AM

Document Has Been Signed on 03/25/2025 10:02 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:OUTLOOK SENIOR CARE LLCFACILITY NUMBER:
317004933
ADMINISTRATOR/
DIRECTOR:
MIHALAS, DORICAFACILITY TYPE:
740
ADDRESS:805 MO COURTTELEPHONE:
(916) 541-7789
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY: 6CENSUS: 6DATE:
03/24/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Calin MihalasTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 3/24/2025 LPA Tryon visited the facility to do an annual visit. LPA met with Administrator Calin Mihalas.
The facility currently has 6 residents.
LPA toured the house with Mr. Mihalas including common areas, kitchen, bedrooms, bathrooms, hallways, laundry, yard, garage, The home is very clean, in good condition, very nicely furnished. Bedrooms have appropriate furnishings. Food supplies are plentiful and meet the requirement of 2 days perishable and 7 days non-perishable food. Potentially hazardous items are secured. Medications are centrally stored and locked. Smoke detectors/carbon monoxide detectors present and functioning, fire extinguishers present and charged.

LPA reviewed the CARE Tool with Administrator.
LPA reviewed 2 of 6 resident files; 2 of 4 staff files.

At this time the facility appears to be in substantial compliance with the regulations. No deficiencies were noted.

LPA requested copies of most recent Administrator Certificates and Liability Insurance.

No deficiencies were cited at this visit.

Exit interview conducted.
NAME OF LICENSING PROGRAM MANAGER: Troy Ordonez
NAME OF LICENSING PROGRAM ANALYST: Todd Tryon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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