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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005585
Report Date: 05/06/2026
Date Signed: 05/06/2026 05:13:40 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/05/2026 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260505095702
FACILITY NAME:VIVIDUS SENIOR LIVINGFACILITY NUMBER:
306005585
ADMINISTRATOR:SHARIFAN, BAABAKFACILITY TYPE:
740
ADDRESS:25131 VIA PORTOLATELEPHONE:
(949) 777-5369
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:6CENSUS: 3DATE:
05/06/2026
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Bobbi SharifanTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff did not issue resident's responsible party a refund.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Administrator Bobbi Sharifan and explained the reason for the visit. The investigation into the allegation revealed the following. It was reported that after R1 passed away a refund was requested by the responsible party but no refund was issued. R1 passed away on March 7, 2026. R1's responsible party reported that they informed the Administrator and requested a refund. The Administrator reported that the responsible party did not remove R1's bed until April 2, 2026. R1's responsible party verified that R1's bed was not removed from the facility until April 2, 2026. Health and Safety Code 1569.652(c) states, "A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed." R1 passed away on March 7, 2026 and their bed was not removed until April 2, 2026.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
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 2
Control Number 22-AS-20260505095702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: VIVIDUS SENIOR LIVING
FACILITY NUMBER: 306005585
VISIT DATE: 05/06/2026
NARRATIVE
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Based on the evidence gathered the allegation is deemed unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with the Administrator, and a copy of the report was provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2