306005692-9-10-2026-22-AS-AORZ-DY2SEU-20260918134915

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005692
Report Date: 09/10/2026
Date Signed: 09/10/2026 03:37:32 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/08/2026 and conducted by Evaluator Andrea Mendivil

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260908141913

FACILITY NAME:	SILVERADO SENIOR LIVING-TUSTIN HACIENDA		FACILITY NUMBER:	306005692
ADMINISTRATOR:	BENJAMIN VELASQUEZ		FACILITY TYPE:	740
ADDRESS:	240 E 3RD STREET		TELEPHONE:	(714) 832-7900
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	42	CENSUS: 40	DATE:	09/10/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Breanna Creekmore - RN Administrator in Training		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff are illegally evicting a resident

INVESTIGATION FINDINGS:

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On this day, Licensing Program Analyst(LPA) Andrea Mendivil made an unannounced visit to conduct a complaint investigation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
The Department recieved a complaint on September 08,2026. LPA Mendivil interviewed staff and obtained copies of Resident 1's (R1) admission agreement, Durable Power of Attorney and unlawful detainer. Regarding the allegation that staff are illegally eviciting a resident, the investigation revealed the following:
It was alleged that staff are illegally evicting R1, it was reported that R1 was served with an unlawful detainer around September 6. 2026. Per review of R1's admission agreement and other documents the correct responsible party for R1 was provided with the eviction in April. Per interviews with Tana McMillon, Administrator it was stated R1 and R1's responsible party were handed a copy of R1's eviction notice and a copy was also mailed to responsible party's home.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20260908141913

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: SILVERADO SENIOR LIVING-TUSTIN HACIENDA	FACILITY NUMBER: 306005692
	VISIT DATE: 09/10/2026

NARRATIVE

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LPA Mendivil received an email from Administrator Tana McMillon on April 26, 2026 with the eviction notice included. Orange County Regional Office also received a mailed copy.

Therefore based on the preponderance of evidence through records reviewed and interviews the allegation that Staff are illegally evicting a resident is determined to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was provided.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

LIC9099 (FAS) - (06/04)

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