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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016235
Report Date: 04/21/2026
Date Signed: 04/21/2026 03:36:37 PM

Document Has Been Signed on 04/21/2026 03:36 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:ARROW MONTESSORI SCHOOL - SAN DIMASFACILITY NUMBER:
198016235
ADMINISTRATOR/
DIRECTOR:		CAROLINA DEVILLA-CRELENCIAFACILITY TYPE:
850
ADDRESS:818 WEST GLADSTONE STREETTELEPHONE:
(909) 599-0025
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY: 48TOTAL ENROLLED CHILDREN: 32CENSUS: 30DATE:
04/21/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Caroline De Villa-Crelencia, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
NARRATIVE
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On 04/21/26, Licensing Program Analyst (LPA) Diana Ortiz, conducted an unannounced Case Management-Incident Report visit. LPA met with Director Carolina De Villa-Crelencia who guided LPA on a tour of the facility. LPA observed 30 children and four (4) staff present during this visit. The department received an unusual incident report on 04/17/26 via email for an incident that occurred on 04/16/26. Per Title 22 Regulations the report was reported in a timely manner.

During today’s visit, LPA conducted interviews with two (2) staff members, and conducted staff file reviews. LPA observed the classroom where the expired food was stored, as well as a box of expired Graham crackers with expiration date of 10/17/2021 that was kept for observation by facility representative (pictures were taken).

Staff #1 (S#1) reported that on 04/16/26, at approximately 4:30–5:00 PM, a parent brought a graham cracker to her office and requested she smell it. Per S#1, the item had an unusual odor and was reportedly given to the child by staff. S#1 located the original packaging from classroom B, and observed the graham crackers were expired (expiration date of October 2021). S#1 contacted the parent later that evening to follow up and no symptoms were reported at that time, and no further updates have been received. Staff #2 (S#2) reported that during outdoor playtime, the child requested crackers at pickup. S#2 stated that none were available but the child directed her to classroom B, to a cabinet where a box of crackers was found. S#2 asked the father for permission, which he granted, and S#2 provided the child with crackers without checking the expiration date. Shortly after, the parent returned, reported the crackers smelled spoiled, and questioned S#2. S#2 acknowledged providing the snack, apologized, and stated she was unaware of the origin of the crackers and that they were not typically stored there.


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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2026
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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Document Has Been Signed on 04/21/2026 03:36 PM - It Cannot Be Edited


Created By: Diana Ortiz On 04/21/2026 at 01:45 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: ARROW MONTESSORI SCHOOL - SAN DIMAS
FACILITY NUMBER: 198016235

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/22/2026
Section Cited
CCR
101227(a)(1)

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101227(a)(1) food services
In child care centers providing meals to children, the following shall apply: (1) All food shall be safe and of the quality... necessary to meet the needs of the children... All food shall be selected, stored... in a safe and healthful manner
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Per Director, all food has been removed from all classrooms and began reinforcing centralized food storage procedures. A memo will be sent out to all staff for reminder and will provide a copy to LPA by POC due date.
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This regulation was not met as evidenced by:

Staff gave expired food such as graham crackers, to child in care with an expiration date of 10/17/2021.
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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.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Diana Ortiz
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/21/2026


LIC809 (FAS) - (06/04)
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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: ARROW MONTESSORI SCHOOL - SAN DIMAS
FACILITY NUMBER: 198016235
VISIT DATE: 04/21/2026
NARRATIVE
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 Both statements confirm that expired food was inadvertently provided to a child by staff. The food item was stored in a classroom cabinet contrary to proper storage practices, and the expiration date was not verified prior to serving. Facility took immediate corrective action by removing all classroom food and reinforcing centralized food storage procedures. No illness has been reported to date.

Based on observation, information, and interviews conducted, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

LPA informed facility representative, Carolina De Villa-Crelencia that this report dated 04/21/26 document(s) one (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA informed the facility representative, Carolina De Villa-Crelencia to provide a copy of this licensing report dated 04/21/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report reviewed with Director Carolina De Villa-Crelencia.

A notice of site visit was provided, and appeal rights were provided and discussed.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC809 (FAS) - (06/04)
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