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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009721
Report Date: 02/28/2025
Date Signed: 02/28/2025 04:13:46 PM

Document Has Been Signed on 02/28/2025 04:13 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:CABELLO, MICAELA FCCHFACILITY NUMBER:
493009721
ADMINISTRATOR/
DIRECTOR:		CABELLO, MICAELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 228-6021
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
02/28/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Micaela CabelloTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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An unannounced Case Management was conducted by Licensing Program Analyst (LPA), Leticia Rosales-Meza for the purpose of obtaining signatures and delivery an amended report of the original report dated 02/18/25. LPA met with Micaela Canello, Licensee.
Leslie LeporiTELEPHONE: (707) 588-5060
Leticia RosalesTELEPHONE: (707) 588-5061
DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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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