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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010437
Report Date: 06/25/2025
Date Signed: 06/25/2025 01:27:44 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/18/2025 and conducted by Evaluator Melinda Mohr
COMPLAINT CONTROL NUMBER: 01-CC-20250618085235
FACILITY NAME:FAIRFIELD MONTESSORIFACILITY NUMBER:
483010437
ADMINISTRATOR:DEDENU H PANNIPITI ARACHCHFACILITY TYPE:
850
ADDRESS:1101 UTAH STREETTELEPHONE:
(707) 427-1442
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:34CENSUS: 23DATE:
06/25/2025
UNANNOUNCEDTIME BEGAN:
08:29 AM
MET WITH:Dedenu PannipitiTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility was operating out of ratio.
INVESTIGATION FINDINGS:
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An unannounced complaint investigation visit was made to the facility by Licensing Program Analyst (LPA), Mindy Mohr to investigate the allegation filed against the facility. LPA met with Director Dedenu Pannipiti (D1) and Licensee Monika Verma (L1) today to discuss the allegation. It is alleged the facility is operating out of ratio. LPA toured the facility and received documents pertaining to the investigation. Interviews were conducted with Licensee, Director and one staff member.

LPA arrived at the facility at 8:31 am and observed 14 children in care with one fully qualified teacher (S2) and one unqualified aide (S1). Four more children arrived at the facility. Upon D1’s arrival at 8:54 am there were 18 children being supervised by one fully qualified teacher and one unqualified aide with zero early childhood units.
Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
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 4
Control Number 01-CC-20250618085235
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: FAIRFIELD MONTESSORI
FACILITY NUMBER: 483010437
VISIT DATE: 06/25/2025
NARRATIVE
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Staff interview (S1) stated upon her arrival to the facility at 8:30 am there were 14 children in care, being supervised by one staff member. At 9:28 am LPA observed one teacher (S2) with 23 students in a main classroom called the language room, while D1 went outside to the back of the facility to conduct other business for approximately 2 minutes until LPA requested D1 to return to the classroom. At 11:43 am LPA observed 24 children outside with one fully qualified (S2) teacher and one unqualified aide (S1).

Based on the investigation, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. The following violations of the Health and Safety Code section 1596.895; see LIC 9099D. Appeal rights were provided.

Exit interview was conducted, and report reviewed with Licensee Monika Verma.



A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 01-CC-20250618085235
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: FAIRFIELD MONTESSORI
FACILITY NUMBER: 483010437
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/26/2025
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

The following has not been met as evidenced by:
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Licensee stated she will educate the staff on keeping the ratio at 1 teacher to 12 children. L1 will email LPA a staff schedule to Melinda.mohr@dss.ca.gov
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Based on observations made, and interview conducted, on one or more occasions there was one staff member supervising 14-23 children alone which poses/posed a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4