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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102172
Report Date: 07/24/2026
Date Signed: 07/24/2026 01:58:05 PM

Document Has Been Signed on 07/24/2026 01:58 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TOBYA, ROVINA FAMILY CHILD CAREFACILITY NUMBER:
376102172
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
07/24/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:07 AM
MET WITH:Licensee, Rovina TobyaTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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On 07/24/2026 at 09:07 am Licensing Program Analyst (LPA) Evelyn Reyes conducted an unannounced annual and Capacity Increase inspection with the Licensee, Rovina Tobya. LPA identified self, disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Present in the home were the Licensee, Rovina Tobya, Fadi Polus (who left at approx….9:45 am), two of her minor children, and 2 day care children (school age). The 1 story home was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee accompanied LPA inside and out of the facility during this inspection.
Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living room, kitchen, second bedroom, second bathroom, and backyard. Off limits areas include garage, master bedroom, third bedroom, and first bathroom and are inaccessible through use of doorknob covers/latches/high latches. The licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. Emergency drill was last conducted on 07/07/26.The fire extinguisher, smoke detector, fire alarm and carbon monoxide detector meet requirements and are operational.
All hazardous items were latched/locked and secured out of reach of children. There is no fireplace. There is a body of water on the property which is missing requirements of AB2866. LPA observed life ring with an approximate minimum exterior diameter of 18 inches without the label as approved by United States Coast Guard. Licensee, Rovina Tobya, stated she would obtain a life ring with a minimum of 17 inches exterior diameter in length and with a label that states it is approved by the United States Coast Guard and would inform LPA once she has obtained it on or before 8/24/26. LPA observed fixed rescue pole with a body hook at an approximate in length of 7 ft 2 ". Licensee, Rovina Tobya, stated she would obtain a fixed rescue pole with a body hook that measures at least 12 feet in length and would inform LPA once she has obtained it on or before 8/24/26. Licensee, Rovina Tobya, stated she does not have a drowning prevention safety feature & safety equipment log. Licensee, Rovina Tobya, created a log during visit 07/24/26 and will be checking and logging the drowning prevention equipment before children arrive into care each day.Continue on page 2.
Keturah Lane
Evelyn Reyes
DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2026
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TOBYA, ROVINA FAMILY CHILD CARE
FACILITY NUMBER: 376102172
VISIT DATE: 07/24/2026
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LPA observed charcoal lighter fluid brand “KingsFord” with charcoal fluid in it accessible to children in the backyard on the floor. LPA observed Licensee, Rovina Tobya, remove it and secured it under the grill cabinet where the gas tank of the grill is stored which was also accessible to children. LPA observed Licensee, Rovina Tobya, made the lower gas grill cabinet inaccessible to children. Children in care were inside the house napping.

Licensee states that there are no weapons in the home. First Aid and CPR certifications expired on AUG 2025. Licensee, Rovina Tobya, stated she and would inform LPA once she has completed it on or before 8/24/26. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 09/30/2024. Children’s and Staff records were reviewed and found to be in order.

Licensee is purchasing the home.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.

LPA discussed the safe sleep regulations with Licensee, Rovina Tobya, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Continue on page 3.
NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TOBYA, ROVINA FAMILY CHILD CARE
FACILITY NUMBER: 376102172
VISIT DATE: 07/24/2026
NARRATIVE
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Licensee, Rovina Tobya, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee states is registered to receive Provider Information Notices (PINs). LPA discussed and provided Licensee with the following: child care advocates-email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Continue on page 4.
NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TOBYA, ROVINA FAMILY CHILD CARE
FACILITY NUMBER: 376102172
VISIT DATE: 07/24/2026
NARRATIVE
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The home has two exits to accommodate a large license. Before a Capacity Increase to 14 can be granted the following corrections are needed:

· Pool life ring with an approximate minimum exterior diameter of 18 inches with the label stating it is approved by United States Coast Guard. Licensee, Rovina Tobya, stated she would obtain a life ring with a minimum of 17 inches exterior diameter in length and with a label that states it is approved by the United States Coast Guard and would inform LPA once she has obtained it on or before 8/24/26.

· Pool fixed rescue pole with a body hook that measures at least 12 feet in length. Licensee, Rovina Tobya, stated she would obtain a fixed rescue pole with a body hook that measures at least 12 feet in length and would inform LPA once she has obtained it on or before 8/24/26.

· CPR PED FIRST AID EXPIRED AUG 2025 for Rovina Tobya. Licensee, Rovina Tobya, stated she and would inform LPA once she has completed it on or before 8/24/26 .

See LIC809D for deficiencies cited.

Exit interview was conducted and report was reviewed with the Licensee, Rovina Tobya.

A notice of site visit was given and must remain posted for 30 days.

During the exit interview, the Licensee, Rovina Tobya, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026
LIC809 (FAS) - (06/04)
Page: 5 of 9
Document Has Been Signed on 07/24/2026 01:58 PM - It Cannot Be Edited


Created By: Evelyn Reyes On 07/24/2026 at 01:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TOBYA, ROVINA FAMILY CHILD CARE
FACILITY NUMBER: 376102172

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(2)(A)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (2) The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: (A) A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and interview, the licensee did not comply with the section cited above in 1out of 1 life ring not labeled as approved by the United States Coast Guard which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/24/2026
Plan of Correction
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Licensee, Rovina Tobya, stated she would obtain a life ring with a minimum pf 17 inches exterior diameter in length and with a label that states it is approved by the United States Coast Guard and would inform LPA once she has obtained it on or before 8/24/26.

Type B
Section Cited
HSC
1596.814(a)(2)(B)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (2) The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: (B) A rescue pole with a body hook and a minimum fixed length of 12 feet.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and interview, the licensee did not comply with the section cited above in 1 out of 1 rescue pole with a body hook at a minimum fixed length of 12 feet which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/24/2026
Plan of Correction
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Licensee, Rovina Tobya, stated she would obtain a fixed rescue pole with a body hook that measures at least 12 feet in length and would inform LPA once she has obtained it on or before 8/24/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Keturah Lane
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Reyes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/24/2026 01:58 PM - It Cannot Be Edited


Created By: Evelyn Reyes On 07/24/2026 at 01:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: TOBYA, ROVINA FAMILY CHILD CARE
FACILITY NUMBER: 376102172

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1out of 1 CPR PED FIRST AID EXPIRED AUG 2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/24/2026
Plan of Correction
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Licensee, Rovina Tobya, stated she and would inform LPA once she has completed it on or before 8/24/26.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Keturah Lane
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Reyes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2026


LIC809 (FAS) - (06/04)
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