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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317004933
Report Date: 11/29/2021
Date Signed: 11/29/2021 04:27:10 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/24/2021 and conducted by Evaluator Todd Tryon
COMPLAINT CONTROL NUMBER: 25-AS-20210824100746
FACILITY NAME:OUTLOOK SENIOR CARE LLCFACILITY NUMBER:
317004933
ADMINISTRATOR:MIHALAS, DORICAFACILITY TYPE:
740
ADDRESS:805 MO COURTTELEPHONE:
(916) 541-7789
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:6CENSUS: DATE:
11/29/2021
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:TIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility failed to issue a refund.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/29/21 LPA visited the facility to complete the complaint. LPA met with Administrator Calin Mihalas.
During the course of the investigation, LPA spoke with witness, administrator, and reviewed records.
During the investigation, a small claims court proceeding was held to decide the matter of refund/money owed. Court was held on October 7, 2021. The judgement was that since the licensee had given a refund to the other party already, that no more money was owed by either party.

Therefore, the allegation that facility failed to issue a refund is UNFOUNDED. A finding of unfounded means that the complaint is false, could not have happened and/or is without a reasonable basis.

Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 208-7709
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2021
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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