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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202511
Report Date: 09/22/2025
Date Signed: 09/22/2025 11:06:14 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/21/2025 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20250321110230
FACILITY NAME:CLUB RIVIERAFACILITY NUMBER:
435202511
ADMINISTRATOR:MUSTAFA SABANKAYAFACILITY TYPE:
735
ADDRESS:171 SOUTH 11TH STREETTELEPHONE:
(408) 289-1644
CITY:SAN JOSESTATE: CAZIP CODE:
95112
CAPACITY:49CENSUS: 31DATE:
09/22/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Prunella Cardozo, AdministratorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Staff did not prevent residents from using illegal drugs on the premises.
INVESTIGATION FINDINGS:
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On 09/22/25 Licensing Program Analyst Marcela Yanez conducted an unannounced complaint investigation visit to deliver complaint findings and met with Administrator Prunella Cardozo. LPA announced the purpose of the visit.

On 03/21/25 the department received a complaint with the allegations that the facility staff is not preventing residents from using illegal drugs on the premises.

On 03/24/25 Licensing Program Analyst Kabarati conducted the initial 10-day visit and obtained pertinent documents for 4 clients C1-C4.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 26-AS-20250321110230
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: CLUB RIVIERA
FACILITY NUMBER: 435202511
VISIT DATE: 09/22/2025
NARRATIVE
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During the investigation the department interviewed 5 staff (S1-S5). 5 out of 5 staff stated that the facility does not have a drug use problem. That the facility is doing daily visual checks of resident’s rooms and if any drugs are found they are confiscated. The facility is diligently using the house rule codes to write residents up when they violate a house rule of having drugs in their room when the visual checks are done. 5 out of 5 staff stated that when a resident is caught using drugs the facility staff are instructed to confiscate the illegal substance and any drug paraphernalia like wrappers or pipes. 5 out 5 staff stated afterwards the facility will provide substance abuse education and the possible repercussions of illegal drug use to the residents. 5 out of 5 staff stated that he/she does not believe the facility has a drug use issue. S2 stated that the facility is limited to what they can do to prevent clients from using illegal drug use on the premises. S2 stated that if a resident is caught using illegal drugs, then the facility staff will attempt to confiscate but client has the right to refuse and then the client is monitored for signs and symptoms, client’s case manager is notified, and client receives a written warning. S3 stated that rounds are conducted every 2 hours to prevent any illegal drug use. S5 stated that most of the clients who use drugs congregate together and that the staff notices and will watch them closely for signs or symptoms of drug use. S5 stated that the staff closely monitor the common area cameras to see if the clients are going into one another’s rooms and that alerts them there might be drug activity. 5 out of 5 staff stated that when a client’s case manager is notified when a client is found using illegal drugs and the case manager will also council and advise the resident of the negative effects of drug use. S5 stated that case managers sometimes hold seminars to clients about the dangers of drugs and how to avoid them.

During the investigation 5 clients were interviewed (C1-C5). 4 out of 5 clients stated that he/she likes living at the facility and has no issues with anyone or has had an encounter with any other clients using illegal drugs. C1 stated he/she might have seen Clients using illegal drugs, but they could have been drugs but was not sure if they were. C1 stated that nobody has offered he/she drugs. C2 denied illegal drugs were being used on facility property or in client’s rooms and no drugs were being brought into the facility. C2 stated that the staff check for illegal drugs by inspecting rooms or while cleaning client’s rooms. 5 out of 5 clients stated that they like living at the facility and the staff treat them well.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 26-AS-20250321110230
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: CLUB RIVIERA
FACILITY NUMBER: 435202511
VISIT DATE: 09/22/2025
NARRATIVE
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On 09/09/25 the department concluded its investigation and found the above allegation unsubstantiated.
Based on observation, and interviews, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.

This report was reviewed with Administrator Prunella Cardozo.

End of Report
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3