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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157204213
Report Date: 02/28/2025
Date Signed: 02/28/2025 11:49:46 AM

Document Has Been Signed on 02/28/2025 11:49 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:NANKIL ENTERPRISES INC. DBA RIVERLAKESFACILITY NUMBER:
157204213
ADMINISTRATOR/
DIRECTOR:		NANKIL, PATRICK R.FACILITY TYPE:
735
ADDRESS:6409 DUCK POND LANETELEPHONE:
(661) 679-4123
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 3DATE:
02/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Patrick NankilTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On 2/28/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management visit LPA met with Administrator, Patrick Nankil to discuss incident report.

LPA arrived to follow up on a self reported incident that department received on 1/23/25 that occurred on 1/21/2025 that involved Resident 1 (R1).

LPA gathered additional information for incident from Administrator and obtained copies of R1's physician report and IPP during case management visit.

No deficiencies cited during case management visit..
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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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