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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157204213
Report Date: 02/27/2023
Date Signed: 02/27/2023 09:59:07 AM

Document Has Been Signed on 02/27/2023 09:59 AM - 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 RIVERLAKESFACILITY NUMBER:
157204213
ADMINISTRATOR:NANKIL, PATRICK R.FACILITY TYPE:
735
ADDRESS:6409 DUCK POND LANETELEPHONE:
(661) 319-3749
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 4DATE:
02/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:04 AM
MET WITH:Patrick NankilTIME COMPLETED:
10:12 AM
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On 2/27/2023, Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Infection Control Inspection. LPA Medina met by House Manager, Gina Catimbang and stated the purpose of the facility visit. Licensee, Patrick Nankil contacted by telephone and arrived a short time later to conduct facility inspection. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry.

Tour of the facility conducted. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitor. Resident bedrooms toured, resident bedrooms have a minimum of 6 feet between beds.

LPA checked residents’ medications and observed a 30-day supply. LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available. Cleaning and PPE supplies were checked. Fire extinguisher present with a service date of 10/31/2022. LPA observed carbon monoxide detectors and smoke detectors to be operational during today's inspection.

Outside of facility toured. Pool has a perimeter gate that is locked, secured and inaccessible to residents. No hazards observed.

Licensee to submit updated LIC 308, LIC500, LIC 610, and copy of Administrator Certificate.

Exit interview was conducted. Facility report signed on site.

No deficiencies issued during inspection.
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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