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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801587
Report Date: 09/25/2024
Date Signed: 09/25/2024 11:23:04 AM

Document Has Been Signed on 09/25/2024 11:23 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:STORYLAND DAY CARE CENTERFACILITY NUMBER:
103801587
ADMINISTRATOR/
DIRECTOR:		PHYLICIA DANYELLE BANUELOSFACILITY TYPE:
850
ADDRESS:2025 E. GETTYSBURGTELEPHONE:
(559) 222-1032
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 10DATE:
09/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Phylicia Danyelle BanuelosTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 9/25/2024, Licensing Program Analysts (LPAs), Valentin Hernandez and Anita Tristan met with Director, Phylicia Danyelle Banuelos for an unannounced case management incident inspection. LPAs toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 8/28/2024, where child #1 hit the back of his head on a nail that was lifted on the floor. Metal stripping and nails were removed the same day of incident, staff provided first aid and contacted family.

Based on the information obtained, this appears to be an isolated incident and staff took appropriate measures to address the incident and followed appropriate reporting requirements.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted with Director, Phylicia Danyelle Banuelos. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valentin Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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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