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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015307
Report Date: 08/18/2026
Date Signed: 08/18/2026 12:31:46 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/30/2026 and conducted by Evaluator Monique Jessica Ayala
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20260730080459
FACILITY NAME:COLONIAL HOUSE PRESCHOOLFACILITY NUMBER:
198015307
ADMINISTRATOR:JOANNA HAWKINSFACILITY TYPE:
850
ADDRESS:1124 MISSION STREETTELEPHONE:
(626) 403-6554
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY:60CENSUS: 27DATE:
08/18/2026
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Sara Garrido, Office AdministratorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Personal Rights: Staff did not provide adequate food service to a daycare child.
INVESTIGATION FINDINGS:
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On August 18, 2026, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced complaint investigation for the above allegation. LPA met with Office Administrator, Sara Garrido who guided LPA on a tour of the facility. LPA observed 27 children in care with 3 staff members.

During the investigation LPA obtained a current facility roster for children enrolled, interviewed Staff #1 (S1) to Staff #2 (S2) and Parent #1 (P1). LPA interviewed the Reporting Party (RP) as RP. LPA did not interview children.

RP alleged, " Staff did not provide adequate food service to a daycare child". Per RP, Child #1 (C1) was given a donut at the facility and C1 has a known peanut and egg allergy. LPA interviewed S1 to S2 who stated they knew C1 has an peanut and egg allergy.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 33-CC-20260730080459
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: COLONIAL HOUSE PRESCHOOL
FACILITY NUMBER: 198015307
VISIT DATE: 08/18/2026
NARRATIVE
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Per S1-S2, the staff member who gave C1 is no longer employed at the facility. Per S2, the day of the incident there was carelessness when the donuts were being passed out. Per S1-S2, C1 did not have an allergic reaction at the facility, C1 was taken to seek medical attention by C1's parents after pick up. S1-S2 stated there is an allergy list for children who have allergies. P1 stated their child does have medication at the facility and stated the facility has always been very cautious with allergies. Per P1, there has never been an incident where the child was given any food they are allergic to.

Based on interviews conducted, C1 was given a donut at the facility and facility staff admitted that they knew C1 has a peanut and egg allergy. The above allegation is deemed SUBSTANTIATED. A finding of Substantiated means that the preponderance of evidence standard has been met.

An exit interview was conducted and a copy of this report was provided to Office Administrator, Sara Garrido. A Notice of Site Visit was provided.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20260730080459
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: COLONIAL HOUSE PRESCHOOL
FACILITY NUMBER: 198015307
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2026
Section Cited
CCR
101223(a)(2)
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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful... This requirement was not as evidence by. Based on interviews conducted, S1-S2 stated C1 was given a donut and all staff knew C1 has a peanut and egg allergy.
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The licensee has written up all staff, the facility has implemented a pocket list that lists all of the children's allergies.
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C1 did not have an allergic reaction. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3