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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010798
Report Date: 01/23/2026
Date Signed: 01/23/2026 06:00:25 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC 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
11/06/2025 and conducted by Evaluator Amy Strother
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20251106124816
FACILITY NAME:FAIRFIELD PRESCHOOL & CHILDCAREFACILITY NUMBER:
483010798
ADMINISTRATOR:OLDANI, SABRINAFACILITY TYPE:
860
ADDRESS:1004 UTAH STREETTELEPHONE:
(901) 240-7791
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:44CENSUS: 4DATE:
01/23/2026
UNANNOUNCEDTIME BEGAN:
03:12 PM
MET WITH:Monika VermaTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff did not meet the child's diapering care needs

Staff did not provide adequate supervision of children in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Amy Strother and Jessica Gaumann made a subsequent complaint investigation inspection, for the purpose of conducting additional interviews to complete the investigation. LPAs met with Licensee Monika Verma (L1). It has been alleged that Staff did not meet the child's diapering care needs. It has also been alleged that staff did not provide adequate supervision of children in care.

During the initial investigation inspection on 11/10/25, LPA Phouthvong toured the facility, made observations, and met with Licensee (L1). During the investigation, LPA Strother interviewed two former staff, D1 & S1 and 6 Adults, all parents of currently or formerly enrolled children (A1-A6) between 11/06/25 and 01/21/26.

Staff interviewed did not report personal concerns about children’s diapering needs being met. D1 and S1 both stated that the diapering routine was to change diapers every two hours or as needed.
Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
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 6
Control Number 01-CC-20251106124816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: FAIRFIELD PRESCHOOL & CHILDCARE
FACILITY NUMBER: 483010798
VISIT DATE: 01/23/2026
NARRATIVE
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PAGE 2

One staff (S1) reported a concern about supervision, stating that on or around 11/12/25, they were not certain of the date, L1 had one infant in her care, while they had two preschool age children in their care. S1 stated that infant (C1) entered into the neighbor’s yard through a loose fence board on the preschool yard and was returned by the neighbor to L1 at the fence. S1 reported that the neighbor (A7) was in her backyard with their dog at the time of the incident.

Three out of the six parents interviewed shared that they had experienced their child having a full diaper at pick-up time. One parent stated that on 11/03/25 they picked their child up at 12:30pm because L1 requested early pick up due to the child being fussy. At pick up the parent recalled that their child was the only child awake in the play area, with two staff present. The parent reported that when they got to the car, they saw that their child had a poopy diaper. The parent reported that they had to give their child a bath when we got home due to the messy diaper, stating that the child’s skin was raw. Two other parents interviewed stated that they could think of at least one time that their child had a full diaper at pick up. One parent reported that the staff person did offer to change the infant’s diaper, but it was a new staff person that the parent and child were not familiar with so the parent declined, stating they would change the child themselves, because the infant appeared uncomfortable.

Of the six parents interviewed, only one parent reported concerns about supervision. The parent reported that on 11/03/25 or 11/04/25 they had to come pick their infant up early observing L1 in the kitchen and an “older lady” in the infant room holding a baby, and two infants in the office area that is next to the infant room without supervision. The parent reported that they said to L1, “Did you know you have little people in the office?” and L1 responded, “Oh no”, and then went into the office to get the infants.

Based on the S1’s report of infant C1 entering neighbor A7’s backyard, LPAs Strother and Gaumann conducted an interview with A7 on 01/23/26 at 9:30am. A7 reported that on a sunny day in November, sometime before Thanksgiving, she was in her backyard with her dog, a Shih Tzu, when she looked over and saw a toddler in her backyard. A7 reported that the child entered through a loose fence board. A7 reported picking the toddler up and then approaching the fence to the neighboring preschool. A7 stated that as she approached the fence, she observed the individual she referred to as “the owner” (L1) also approaching the fence.
Continue on LIC9099-C
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 01-CC-20251106124816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: FAIRFIELD PRESCHOOL & CHILDCARE
FACILITY NUMBER: 483010798
VISIT DATE: 01/23/2026
NARRATIVE
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PAGE 3

A7 stated she was not sure how long C1 had been in her yard. A7 told LPAs that she asked L1 if she would like her to deliver the child to the front door, but L1 said to just "push her back through". A7 recalled hearing another staff in the yard state, “Oh my gosh”, in response to L1’s request.

LPA's observed a fence board in A7's yard had been repaired from A7's side of the fence, during the time of the interview on today's date, 01/23/26.

During today’s 01/23/26 visit, beginning at 11:38am LPA Strother interviewed L1 about the allegations. L1 denied both allegations. L1 stated that diapers are checked every 30 minutes but changed every 1.5 or 2 hours or as needed. L1 stated that a log of diaper changes is kept in the infant room, recording the time of the diaper change and if it was #1 or #2. L1 reported that all staff, including themselves, are responsible for diaper changes and that they always send children home in clean diapers, stating that if a parent arrives and they notice the diaper is not clean, they ask them to wait while they change it. L1 was not able to produce an example of a diapering log when asked.

L1 stated that the children have always been supervised and that she can not recall ever being told that an infant was in the office unsupervised. L1 stated that she didn’t have any knowledge of a loose fence board in the play yard, and that no one had ever brought it to her attention that there was a loose fence board. L1 then stated that she did remember a teacher telling her about a loose fence board and then asked her husband to fix it and he did, but that she herself never observed it, stating she is unaware of which board it was. L1 denied having any knowledge of a child entering into the neighbor’s yard at any time.

Based on LPA’s observations and interviews conducted, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 is cited on the attached LIC9099-D. An immediate civil penalty is being assessed on LIC421IM in the amount of $500.

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.
Continue on LIC9099-C
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 01-CC-20251106124816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: FAIRFIELD PRESCHOOL & CHILDCARE
FACILITY NUMBER: 483010798
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2026
Section Cited
CCR
101223(a)(2)
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(a)The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:
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L1 stated that she will submit a sample diaper changing log, and train staff to use the log and to go over diapering changing procedures, submitting training notes with staff signatures.

Submit to LPA Strother by email: amy.strother@dss.ca.gov
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Based on interview 3 out of 6 parents reported their child having a full diaper at the time of pick up, which poses 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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 01-CC-20251106124816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: FAIRFIELD PRESCHOOL & CHILDCARE
FACILITY NUMBER: 483010798
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
01/24/2026
Section Cited
HSC
1596.99(c)(3)
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(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation, for any of the following serious violations: (3) Absence of supervision, including, but not limited to, a child left unattended...

This requirement is not met as evidenced by:
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L1 stated that she will make sure the environment is safe for the children and train staff on how to prepare the environment and submit a written procedure or checklist of what needs to be done.

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Based on interviews with S1 and A7, infant C1 left the preschool yard without staff supervision on an unknown date in November 2025, entering the neighbor’s yard, where the neighbor and their dog were present, which poses an immediate health, safety or personal rights risk to persons in care.
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L1 will complete a training with staff on Active Supervision, using the "Active Supervision at-a-glance" and toolkit handouts provided by LPA Strother to discuss supervision with staff.

Proof of procedures and training signed by staff will be submitted to LPA Strother: amy.strother@dss.ca.gov
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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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 01-CC-20251106124816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: FAIRFIELD PRESCHOOL & CHILDCARE
FACILITY NUMBER: 483010798
VISIT DATE: 01/23/2026
NARRATIVE
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PAGE 4

LPA Strother informed licensee Monika Verma that this report dated 01/23/26 documents one Type A citation 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 Strother informed the licensee to provide a copy of this licensing report dated 01/23/26 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.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6