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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202518
Report Date: 02/27/2023
Date Signed: 02/27/2023 12:28:44 PM

Document Has Been Signed on 02/27/2023 12:28 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:NANKIL ENTERPRISES INC. DBA RIVERLAKES #2FACILITY NUMBER:
157202518
ADMINISTRATOR:NANKIL, PATRICKFACILITY TYPE:
735
ADDRESS:6500 KELVIN GROVETELEPHONE:
(661) 829-6260
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 4DATE:
02/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:18 AM
MET WITH:Patrick Nankil
Gina Catimbang		TIME COMPLETED:
11:53 AM
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On 2/27/23, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Infection Control Inspection. LPA met with Licensee, Patrick Nankil and House Manager, Gina Catimbang and stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point.

Facility appeared cleaned with no obstruction or fire clearance issues. Fire extinguisher present with a service date of 10/31/22. Carbon monoxide detector present and observed operational. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. All bedrooms are private.

LPA checked residents’ medications and observed a 30-day supply. Food supply was checked and observed to be adequate for residents in care. Facility has adequate supply of PPE supplies available. Facility staff was observed with mask on.

Administrator to submit updated LIC 308, LIC 500, LIC 610 and copy of Administrator Certificate to Fresno CCL no later than 3/10/23.

No deficiencies were observed.

Exit interview conducted with House Manager. A copy of this report provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
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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