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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206642
Report Date: 06/03/2024
Date Signed: 06/03/2024 01:21:39 PM

Document Has Been Signed on 06/03/2024 01:21 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 HARMONY SPRINGSFACILITY NUMBER:
157206642
ADMINISTRATOR/
DIRECTOR:
NANKIL, PATRICKFACILITY TYPE:
735
ADDRESS:12006 KENSETH STREETTELEPHONE:
(661) 679-6537
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 3DATE:
06/03/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:42 AM
MET WITH:Patrick NankilTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On 06/03/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA met with Administrator, Patrick Nankil to conduct facility tour.

Currently, there are three (3) residents in care. All three (3) residents residents were present at facility during inspection. Facility observed to be clean and odor free. Adequate seating and lighting observed in the living room, family room and dining room. Client bedrooms have all required accommodations. Client bathroom toured, LPA measured water temperature 116 degrees F. Kitchen toured, LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food. Medications observed to be kept in a locked cabinet in dining room. Client medications were reviewed. All medication have their original labels and appear to be administered as ordered. All cleaning supplies are locked and secured in garage.

Smoke detectors and carbon monoxide observed to be operational during today's inspection. Fire extinguisher present with a purchase date of 10/23/2023.

Staff and resident files reviewed.

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

No deficiencies cited during today's visit. Exit interview conducted and a copy of report provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2024
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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