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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409394
Report Date: 12/11/2024
Date Signed: 12/11/2024 12:50:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20241018152622
FACILITY NAME:RYBICKI, LAURENFACILITY NUMBER:
073409394
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/11/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:LAUREN RYBICKITIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS- Licnsee intimidates children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/11/24 Licensing Program Analyst (LPA) Tasha Alexander met with licensee Lauren Rybicki to deliver the findings to the above complaint allegation.

Upon arrival, along with licensee and her assistant Jessica, there are 6 preschool age children in care (2 year olds). On this analyst's last visit, an interview was conducted with the licensee and assistant, and a facility roster was requested and received via text message. Furhter investigation has been conducted.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with licensee, Lauren Rybicki
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20241018152622

FACILITY NAME:RYBICKI, LAURENFACILITY NUMBER:
073409394
ADMINISTRATOR:LAUREN RYBICKIFACILITY TYPE:
810
ADDRESS:951 GETOUN DRTELEPHONE:
(518) 522-0515
CITY:CONCORDSTATE: CAZIP CODE:
94518
CAPACITY:8CENSUS: 6DATE:
12/11/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:LAUREN RYBICKITIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS- Licensee yells at children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/11/24 Licensing Program Analyst (LPA) Tasha Alexander met with licensee Lauren Rybicki to deliver the findings to the above complaint allegation.

Upon arrival, along with licensee and her assistant Jessica, there are 6 preschool age children in care (2 year olds). On this analyst's last visit, an interview was conducted with the licensee and assistant, and a facility roster was requested and received via text message. Furhter investigation has been conducted.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with licensee, Lauren Rybicki
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2