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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010437
Report Date: 08/21/2025
Date Signed: 08/21/2025 11:38:43 AM

Unsubstantiated


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 Sebastian Phouthavong
PUBLIC
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: 18DATE:
08/21/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Monika VermaTIME COMPLETED:
09:40 AM
ALLEGATION(S):
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Staff left day care child in wet diaper for extended period of time
Staff did not provide adequate supervision to day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sebastian Phouthavong made an unannounced complaint investigation visit today and met with Licensee Monika Verma for the purpose of delivering findings for the above allegations. LPA, Mindy Mohr previously met with Licensee on 06/25/2025 to open the complaint. A subsequent visit was made on 07/21/2025 to further investigate the complaint.

During the course of the investigation, LPA Mohr conducted interviews and received documents pertaining to the investigation. From 06/25/2025 through 07/30/2025, interviews were conducted with Licensee (L1), Director (D1), two staff (S1 & S2), one adult (A1), staff and adult interviews were attempted.
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
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 2
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: 08/21/2025
NARRATIVE
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Continued on LIC9099-C

Licensee denied the allegations stating the children are supervised at all times and children are never left in wet or soiled diapers. L1 stated she makes sure there are always 2 or 3 qualified teachers along with 1 aide, however staff cannot give 100% to the child as they are not nannies. L1 further stated when the children are outside the teachers situate themselves in different areas of the yard so the entire yard can be seen. L1 stated there is a diaper changing schedule; however they will change the children’s diapers as needed.

According to staff interviews D1 stated there are 3 classrooms and always a teacher in each classroom when children are present, if numbers are low, they will close a classroom. D1 stated there are 3–4 teachers in the morning, 3 teachers at naptime and 2-3 teachers in the evening. D1 further stated when the children are outside each teacher has a specific area they stand to supervise the children, which is located throughout the outdoor play area and if attendance is low staff will close off part of the yard. D1 stated there are 4 children in diapers, all staff change diapers before going outside and then check the children every 2 hours. Furthermore, D1 stated they will not train the children to use the toilet but will assist the children if needed. S1 stated part of their job is to make sure the children are never alone and always supervised. S1 stated children have their diapers changed three times in the morning and three times in the afternoon. In addition, S1 stated if a child is potty training they check the child’s diaper every 30-40 minutes and either change the child or take the child to the restroom.

On 06/25/2025 LPA observed two children arrive with their guardians, walk into the kitchen alone and put their lunch boxes in their cubbies. The children immediately walked out of the kitchen back into the classroom with the staff and other children. The kitchen is located off of the main classroom with a gate in the doorway. LPA observed the gate to be open. Upon arrival on 07/21/2025 LPA observed 14 children outside with 2 staff. One staff member was helping 3 children on the monkey bars while the other staff member was facing the red shed holding a child. LPA observed the other children running around the outdoor play area. One adult interview revealed they did not have any concerns with the facility.

Based on the information gathered during this investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred and therefore is determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with Licensee Monika Verma. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2