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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202518
Report Date: 02/07/2024
Date Signed: 02/07/2024 12:14:57 PM


Document Has Been Signed on 02/07/2024 12:14 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:
02/07/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:56 AM
MET WITH:Patrick NankilTIME COMPLETED:
12:20 PM
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On 2/7/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA allowed entrance by Direct Care Staff. Patrick Nankil serves as facility Administrator, Certificate #6013464735, expires 3/17/2024. CPR/First Aid expires 10/09/2025.

One (1) resident present during today's inspection. Residents observed to be interacting in a educational setting with staff. Facility tour conduced with Administrator. Facility was observed at a comfortable temperature, clean, and in good repair. Resident rooms toured and observed to be adequately furnished with bed, dresser, and adequate lightning. Kitchen toured, LPA observed facility to have a 2-day supply of perishable food and a 7-day supply of non-perishable food available. Bathrooms were properly equipped and fixtures operational. Hot water was tested at 111 degrees F. Common areas have sufficient seating available for residents in care. All medications observed to be locked and stored in cabinet in dining room. Medications reviewed and observed to have original labels and be administered as prescribed.

Fire extinguisher was observed with a purchase date of 10/23/2023. Carbon monoxide and smoke detectors were tested and observed to be operational during inspection. Facility is equipped with a pull station. Last fire drill conducted 1/06/2024 according to facility records. Cleaning supplies and chemicals were observed in the locked in cabinet in garage.

Outside of facility toured. All exits open free of obstruction. No hazards observed.

Staff and resident files reviewed. No deficiencies observed. Exit interview conducted and a copy of report provided for facility records.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024
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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