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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021489
Report Date: 07/23/2026
Date Signed: 07/23/2026 04:59:41 PM

Document Has Been Signed on 07/23/2026 04:59 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BRELLA PASADENAFACILITY NUMBER:
198021489
ADMINISTRATOR/
DIRECTOR:		WILLIAMS, DARIENFACILITY TYPE:
860
ADDRESS:475 S. LAKE AVE.TELEPHONE:
(213) 300-5962
CITY:PASADENASTATE: CAZIP CODE:
91101
CAPACITY: 102TOTAL ENROLLED CHILDREN: 150CENSUS: 48DATE:
07/23/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Director TIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On 7/23/26 at 2:15pm, Licensing Program (LPA) Stephanie Li conducted an unannounced annual inspection. Facility is located on the top floor of shopping plaza next to Erwhon and TJ Max. Front door can be accessed from the top floor parking structure. If parking on 1st floor, must take elevator up from parking structure. Upon arrival, LPA met assistant director Lisa Cheyno and new director Sara Ponce, who led LPA on a tour of the facility. This is a single license facility servicing infant, toddler and preschool age. There are currently 150 children enrolled. Census was taken. There were 48 children and 16 staff. Hours of operation are Monday-Friday from 8:00am-6:00pm.

All areas identified on the Facility Sketch were inspected. The facility consists of 5 classrooms, 3 children’s bathroom, 3 staff bathroom, kitchen, office, 1 playground. The following was observed: Rose room (0-12mths) had 4 infants and 3 teachers, Peach room (12-18mths) had 7 children and 3 staff, Coral room (18-24mths) had 7 children and 4 teachers, Lilac room (2-3yrs) had 10 children and 3 teachers, prek/Green room (3-5yrs) had 11 children and 2 staff. All rooms are located assessable front main hallway. Teacher-child ratios were observed to be in accordance with Title 22 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. All children were observed to be under active/visual supervision of a teacher during the tour.

Licensing staff observed disinfectants, cleaning solutions, medication and other items that are dangerous to children were not accessible to children. Classroom furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. Storage for children's belongings were inspected. All toilets and washing facilities were inspected for safe and sanitary operating conditions. LPA observed a personal portable hanging urinal in the lilac room a parent requested used for their child. Per directors, the lilac room is all potty training. LPA observed urine in the urinal and advised director to make sure staff are emptying urine after each use. Page 1 of 4

Christina Gabelman
Stephanie Li
DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRELLA PASADENA
FACILITY NUMBER: 198021489
VISIT DATE: 07/23/2026
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Licensing staff observed all required forms/publications to be posted on the parent board in hallway. First Aid supplies are available and complete. There is an isolation area in the office for an ill child to rest. Drinking water is available and provided through filtered fountains in the hallway.

Cribs, mats and napping equipment were observed in all classrooms. The infant nap area is in a completely separated room and a teacher was observed in there with infants while they were napping. LPA observed portable cribs that meet Consumer Product Safety Commission safety standards. Cribs were observed to be free of loose items. Mats were available for infants who can climb out of a crib. Per director, linens are provided and washed on site by staff. Washer and dryer was observed in the staff kitchen room. Mats and bedding in Lilac room were observed to be stacked on and side by side of each other, causing children's bedding and linens to touch another child's bedding and linens. Per director, she has told the owner about this issue and the owner has purchased mat storage carts for both preschool classes to store bedding properly. Diaper changing tables were inspected and observed to be within an arms reach of a sink with proper padding. Proper disinfecting was observed. There is at least one sink for every 15 children and 2 working toilets.

Per director, parents bring children’s bottles from home pre-prepped and bottles are sent home for washing. Parents pack all meals and snacks for children and facility stores food accordingly as needed with proper labeling. Facility carries extra snacks in fridge as back up when more food is needed. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects, and rodents.

Licensing staff observed a 2A10BC fire extinguisher last serviced on 6/16/26. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Facility has a hard wired carbon monoxide and smoke detector that meets statutory requirements and unable to test. LPA did not observe any bodies of water on the premises. Per school log, the last disaster drill was conducted on 02/25/26.

Licensing staff observed the outdoor play area. Children have staggered play schedules and outdoor yard schedule is posted on parent board. The playgrounds equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is adequate shade in the play yard. Drinking water is readily available outdoors. When children need the bathroom or a diaper change, director or assistant director will step in ratio so staff may tend to children. Page 2 of 4

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC809 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRELLA PASADENA
FACILITY NUMBER: 198021489
VISIT DATE: 07/23/2026
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Sign in and out is conducted on the Brella app and signatures were verified. Staff and children’s records were reviewed and documented on LIC857 and LIC859. Several teachers have current CPR/First aid. Exp 7/2028. One of out six have mandated reporter certificates. 4 children in attendance have epi-pens on site. Expiration for epi-pens were checked. 4 out of 4 children do not have IMS plans for the epi-pens. 4 out of 4 children do not have emergency anaphylaxis care plans on file. A deficiency is being issued, see page lic809D.

Incidental Medical Services (IMS) is currently being provided. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

During previous annual visit, LPA reviewed IMS policy and Emergency Care plan form with facility and advised all emergency care (anaphylaxis, seizures, diabetes care, or asthma) that need medication shall require a form completed by the physician and signed by parents to be kept in the child’s file and a copy kept with the medication to reference in time of emergency. Sample form and best way to fill out form was reviewed with Administrator Marisa Guest. During today's visit, LPA emailed assistant director updated 2025 and 2026 PINS with anaphylaxis law and epinephrine requirements. Per assistant director, administrator had emailed forms to parents and assistant director will follow up and obtained required documents and place with children's medication.

Facility was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRELLA PASADENA
FACILITY NUMBER: 198021489
VISIT DATE: 07/23/2026
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Per assistant director, Lisa, the facility was re-gutted in 2023 and lead testing is not required.

Teacher was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on Licensing staff observations, interview and record review, defiencies are being issued in accordance with California Code of Regulations Title 22. Deficiencies that are being issued need to be cleared to protect the children’s health and safety.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview conducted, report was reviewed, and appeal rights were given to Assistant Director Lisa Cheyno.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 07/23/2026 04:59 PM - It Cannot Be Edited


Created By: Stephanie Li On 07/23/2026 at 04:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRELLA PASADENA
FACILITY NUMBER: 198021489

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 6 teachers was missing renewal of mandateed reporter certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/27/2026
Plan of Correction
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Per assistant director, she will have staff complete renewal training for mandated reporter tomorrow and email certificate to LPA S Li by Monday 7/27/26.
Type B
Section Cited
CCR
101221(b)(10)
Child's Records
(b) Each record shall contain information including, but not limited to, the following: (10) Record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/24/2026
Plan of Correction
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Per assistant director, she will obtain completed emergency anaphylaxis care plan forms for all children with epi-pens and email them to LPA S Li by 8/24/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Christina Gabelman
NAME OF LICENSING PROGRAM MANAGER:
Stephanie Li
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2026


LIC809 (FAS) - (06/04)
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