In-Home Care

Seniors who need a little assistance with such things as cooking, light housekeeping, and transportation often first explore in-home care services before considering a move. There are a number of in-home care provider agencies throughout California, as well as private caregivers that can provide a variety of services including 24 hour supervision and care. Unless providing medical services (provided through licensed home health agencies), in-home care providers do not have to be licensed in the State of California. If you plan to hire in-home care, keep in mind that you are the "employer" and responsible for withholding payroll taxes, workers compensation, etc. unless the person is a legitimate business owner or works through a home care agency as an employee. Due to the vulnerability of the senior population, background checks and caregiver training are important considerations prior to hiring an in-home care provider.

For more information:
California Association of Health Services at Home:
California Non-medical Home Care Association:


Seniors who qualify for Medi-Cal and meet disability criteria may be eligible for the In Home Supportive Services (IHSS) program in California. The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. IHSS is considered an alternative to nursing homes or other community care options. The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.

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“On a scale of one to ten, I say your service is a 10 + +. It was so helpful to have an experienced counselor like you advising and checking in on my Mom regularly throughout this process – helping us work through all the issues that are so complicated. You were so present, patient and helpful every step of the way. This is one of the most difficult things a family has to do and you really made it less difficult.”

—Kari H., Oakland