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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005585
Report Date: 05/26/2026
Date Signed: 05/26/2026 11:19:54 AM

Unsubstantiated


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
10/21/2025 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251021161230
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:
05/26/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Baabak SharifanTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff did not assist resident with ambulation
Staff did not distribute resident's medication as prescribed
Staff do not assist resident with showering
Staff did not ensure that resident was hydrated
Administrator is not present at facility a sufficient amount of time to manage facility
INVESTIGATION FINDINGS:
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On May 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator Baabak Sharifan was notified via telephone and later arrived to assist with the inspection.

During the course of the investigation, the Department interviewed three residents and five staff. The Department also reviewed and obtained pertinent documents to the complaint such as resident records and staff records. Regarding the allegation, staff did not assist resident with ambulation, the following has been concluded: It was alleged that staff did not assist Resident #1 (R1) with ambulation. The Department reviewed the file for R1 including R1's Physician's Report dated April 30, 2024. Per R1's Physician Report, R1 was diagnosed with Dementia and required full assistance with her activities of daily living (ADL's). The Department was unable to interview R1 for this complaint due to R1 passing away on October 23, 2025.
CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
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 5
Control Number 22-AS-20251021161230
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: 05/26/2026
NARRATIVE
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The Department attempted three resident interviews. However, the three residents were unable to be qualified for an interview due to their current cognitive conditions. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that assistance with ambulation was provided to R1, and all other residents that require it.

Regarding the allegation, staff did not distribute resident's medication as prescribed, the following has been concluded: It was alleged that staff did not distribute R1's medication as prescribed. The Department was unable to audit the medications for R1, due to R1 moving out of the facility on August 16, 2025. Additionally, R1's medication were released to her family on the same day she moved out. The Department reviewed the medication and medication records for the three current residents of the facility. The Department observed that the facility was providing medications in accordance to the prescribed orders for the three residents as per regulations. The Department also observed that each active medication order on file for the three residents were physically present at the facility. The Department did not observe any errors or discrepancies in the medication audit for the three current residents of the facility. The Department attempted three resident interviews. However, the three residents were unable to be qualified for an interview due to their current cognitive conditions. The Department conducted five staff interviews. Five out of five staff interviewed denied the allegation and reported no medication errors.

Regarding the allegation, staff do not assist resident with showering, the following has been concluded: It was alleged that staff did not assist R1 with showering. The Department reviewed the file for R1 including R1's Physician's Report dated April 30, 2024, which stated that R1 required assistance with showering. The Department was unable to interview R1 for this complaint due to R1 passing away on October 23, 2025. The Department attempted three resident interviews. However, the three residents were unable to be qualified for an interview due to their current cognitive conditions. The Department observed each residents to be clean and no apparent hygiene issues were observed. The Department conducted five staff interviews. Five out of five staff interviewed denied the allegation and reported no issues with showering residents.

Regarding the allegation, staff did not ensure that resident was hydrated, the following has been concluded: It was alleged that staff did not ensure that R1 was hydrated. The Department was unable to interview R1 for this complaint due to R1 passing away on October 23, 2025. The Department attempted three resident interviews. However, the three residents were unable to be qualified for an interview due to their current cognitive conditions. CONTINUED ON LIC9099-C
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20251021161230
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: 05/26/2026
NARRATIVE
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The Department conducted five staff interviews. Five out of five staff interviewed denied the allegation and reported that resident hydration needs have always been met.

Regarding the allegation, administrator is not present at facility a sufficient amount of time to manage facility, the following has been concluded: The Department conducted an interview with the facility administrator who reported that he is present at the facility five or six days out of the week. The facility administrator also stated that he is on call twenty four hours out of the day, seven days a week. The Department attempted three resident interviews. However, the three residents were unable to be qualified for an interview due to their current cognitive conditions. The Department conducted three additional staff interviews for this allegation. Three out of the three staff interviewed denied the allegation and corroborated the information provided by the facility administrator. All three staff also reported that they feel they have sufficient help and support from the facility administrator.

Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the five allegations above are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Baabak Sharifan. A copy of the report was provided to the facility at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
10/21/2025 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251021161230

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:
05/26/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Baabak SharifanTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not maintain a centrally stored medication log for resident
INVESTIGATION FINDINGS:
1
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3
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5
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10
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13
On May 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator Baabak Sharifan was notified via telephone and later arrived to assist with today's inspection.

During the course of the investigation, the Department interviewed three residents and five staff. The Department also reviewed and obtained pertinent documents to the complaint such as resident records and staff records. Regarding the allegation, staff did not maintain a centrally stored medication log for resident, the following has been concluded: It was alleged that staff did not maintain a centrally stored medication log for Resident #1 (R1). The Department reviewed the file for R1 and observed that the facility maintained a centrally stored medication log for R1. The Department observed that the first recorded medication on the centrally stored medication log for R1 was dated July 1, 2021, which was the day R1 was admitted into the facility. CONTINUED ON LIC9099-C
Unfounded
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20251021161230
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: 05/26/2026
NARRATIVE
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The Department observed that the centrally stored medication log for R1 documented each medication that was prescribed to R1 between July 1, 2021, to August 16, 2025, which was the day that R1 moved out of the facility. The Department further observed that the centrally stored medication log for R1 contained all the necessary information that is required by regulations. The Department also observed that R1's Power of Attorney (POA), was provided with a medication release form on August 16, 2025, which described all of the medications that R1 was currently prescribed, and the amount of medication that was being provided. The medication release form was signed by R1's POA, acknowledging the contents of the document. The Department conducted five staff interviews. Five out of five staff interviewed denied the allegation and reported that centrally stored medication logs have always been maintained for each residents of the facility.

Based on the evidence gathered during this investigation, the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Administrator Baabak Sharifan. A copy of the report was provided to the facility at time of visit.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5