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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009672
Report Date: 10/10/2024
Date Signed: 10/10/2024 04:50:14 PM


Document Has Been Signed on 10/10/2024 04:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:BOCCALEONI, CINDY FCCHFACILITY NUMBER:
493009672
ADMINISTRATOR:BOCCALEONI, CINDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 235-8904
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY:14CENSUS: 9DATE:
10/10/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:37 PM
MET WITH:Cindy BoccaleoniTIME COMPLETED:
03:39 PM
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A case management visit to the facility was made today by Licensing Program Analyst (LPA) Y. Yang at the request of the licensee, Cindy Boccaleoni to inspect and approve a previously off limits area for child care use. The licensee is requesting approval to utilize the converted garage and attached bathroom for child care use. The room will be labeled as the "Preschool Room" on the floor sketch submitted by the licensee. The facility sketch shall be updated to reflect the addition of the new on limits, child care room. The preschool room has a second, lockable door that leads to an adjoining storage and laundry room. This room remains off-limits. Licensee stated that she understands that this storage and laundry room shall be made inaccessible at all times during child care hours. The preschool room also has a sliding glass door that leads to a side yard that is also now on limits. There are no other changes to the facility's floor sketch. The LPA inspected and approved this room for childcare use.

A notice of site visit was given and must remain posted for 30 days. This report was reviewed with the licensee, Cindy Boccaleoni. There were no Title 22 regulations cited during today's inspection.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024
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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