Home Care in San Francisco, CA
To Learn More About Home Care Services Available in San Francisco, Please Fill Out Our Form Below. One of our care professionals will connect with you to answer your questions.
How Home Care Starts
Starting care involves several decisions, but you do not need every answer before contacting us.
1. Conversation and Care Assessment
Call with your immediate concerns, preferred schedule, and any upcoming discharge or procedure date.
The assessment considers daily activities, mobility, memory-related needs, home access, and assistance already provided by family members or other professionals. Include your loved one whenever possible. Their preferences help shape a plan they can feel comfortable accepting.
2. Individualized Care Plan
The care plan identifies agreed tasks and priorities for visits. It should clarify what the caregiver will help with, what the client will continue doing independently, and which needs require another provider.
This is also the time to discuss scheduling, costs, household expectations, and communication preferences.
3. Caregiver Matching
Matching considers the assistance required, caregiver experience, schedule, and personal preferences. Share information about language needs, pets, daily habits, and the qualities that would help your loved one feel comfortable.
Be specific about essential requests so the team can discuss availability clearly.
4. First Shift
Before the first visit, confirm arrival arrangements, building access, emergency contacts, and the location of essential supplies. Review the most important tasks for that day.
A new caregiver is entering someone’s personal space. Allow time for introductions, questions, and learning how the client prefers things done.
5. Feedback and Adjustments
After care begins, share what is working and what needs attention. A schedule that sounded right initially may need adjustment once everyone sees how it works at home.
Call Aviva directly about your requested start date. Timing must be confirmed after reviewing care needs and caregiver availability.
Personal care, companionship, and everyday support for older adults who want to remain at home. Call 415-463-1400. Aviva offers 24/7 client support.
Aviva In-Home Care provides non-medical home care in San Francisco for older adults, people living with dementia, and adults who need assistance during recovery or ongoing health challenges. Our caregivers help with daily routines, including getting dressed, preparing meals, moving around the home, and staying connected through companionship.
Care starts with understanding the person. What can your loved one manage independently? Where would assistance make the day easier? What matters most to them about staying home?
We work with clients and families to shape support around those answers. Whether you are arranging care for yourself, helping a parent, or coordinating assistance from another city, Aviva offers a place to start.
Support That Fits Your Life at Home
Accepting assistance should not mean losing your say in how you live. Your preferred morning routine, favorite meals, privacy, and familiar activities all matter when planning care.
Some people need hands-on help with bathing or dressing. Others manage personal care independently but need assistance with shopping, cooking, laundry, or appointments. Families may need support while balancing work, children, and caregiving responsibilities.
A useful care plan identifies the tasks that need attention while respecting what a person can still do independently. The goal is practical assistance that supports ability, comfort, and choice.
Before your first conversation, consider which parts of the day feel hardest. Specific concerns are more useful than trying to choose a service name or number of hours on your own.
You might explain that preparing breakfast has become difficult, that bathing feels unsafe, or that a parent spends most afternoons alone. Those details provide a starting point for discussing care.
Our Home Care Services in San Francisco
Aviva offers several types of assistance that can be combined within an individualized care plan.
Personal Care
Our personal care services provide help with bathing, dressing, grooming, toileting, and eating. Assistance may also include transfers and mobility support when appropriate to the person’s needs and agreed care plan.
These are personal routines, and comfort matters. Tell us about privacy concerns, bathroom arrangements, preferred clothing, and how your loved one likes to receive help.
The conversation should include what the person can do independently and where hands-on assistance is needed. Care should respect their preferences and give them opportunities to participate in their own routines.
Companion Care
Our companion care services combine social connection with practical assistance. Support can include conversation, shared activities, meal preparation, light housekeeping, laundry, errands, and accompaniment on outings.
Companionship should reflect the person’s interests. Reading together, preparing a familiar recipe, organizing photographs, or enjoying a manageable outing can give a visit purpose.
Families can share activities their loved one enjoys, along with anything that has become tiring or frustrating. A comfortable routine can include both useful tasks and time spent simply enjoying someone’s company.
Alzheimer’s and Dementia Home Care
Our dementia home care services support daily activities, companionship, and familiar routines for people living with Alzheimer’s disease or another form of dementia.
Planning should account for more than memory loss. Tell us about repeated questions, bathing concerns, difficulty following routines, changes in sleep, and situations that cause distress.
These details help identify the assistance needed at different times of day. They also help families explain which approaches their loved one finds reassuring.
Dementia home care provides non-medical support. Diagnosis, treatment, and medication decisions remain with the person’s healthcare professionals.
Senior Fall Risk Management
Our senior fall risk management services focus on everyday circumstances that can make moving around the home more difficult.
Support may include identifying trip hazards, keeping frequently used pathways clear, and assisting with mobility and bathroom routines. Planning should consider stairs, lighting, rugs, furniture placement, and the person’s usual walking aids.
Tell us about previous falls, near falls, and activities your loved one has started avoiding. These concerns help guide the discussion about appropriate assistance.
The aim is to reduce avoidable risks. No home care service can guarantee that a fall will never happen.
Pre- and Post-Surgical Support
Our pre- and post-surgical support helps with non-medical tasks surrounding a procedure and the return home.
Assistance can include preparation for appointments, companionship, meals, errands, medication reminders, and daily routines. Share discharge instructions and activity restrictions so the team can identify which tasks fit within home care and which require medical professionals.
Arranging help before a planned procedure gives everyone more time to discuss transportation, home access, and assistance after discharge. Confirm who will handle each responsibility before the day of surgery.
Family Updates
Our family status reporting helps authorized family members stay informed.
Caregivers record daily activities and observations, including changes in mood, eating habits, behavior, or general well-being. Families can request updates, and relevant information can be shared with healthcare professionals when appropriate.
At the beginning of care, discuss who should receive information, how updates will be delivered, and whom to contact with concerns. Clear communication is especially helpful when relatives live outside the Bay Area.
What Home Care Includes
Home care provides practical assistance with daily living. Depending on the agreed plan, Aviva’s services can include:
- Bathing, dressing, grooming, and toileting assistance.
- Meal preparation and help with eating.
- Walking, transfer, and repositioning assistance.
- Medication reminders.
- Light housekeeping and laundry.
- Errands, transportation assistance, and companionship.
- Observation and reporting of changes.
Before scheduling, clarify any task involving equipment, substantial physical assistance, or medical instructions. Describe what happens during the task rather than assuming a service label covers it.
For example, “help getting ready” could mean laying out clothes, providing reminders, or physically assisting with dressing and transfers. Explaining the task helps the team determine appropriate support.
Also identify household requests that fall outside personal care, such as deep cleaning, repairs, or moving heavy furniture. Those needs should be discussed separately rather than assumed to be part of a caregiver’s visit.
Home Care Versus Home Health
Home care and home health serve different needs and may be used together.
Home care focuses on everyday activities and personal support. Home health provides clinical services, which may include skilled nursing and physical, occupational, or speech therapy.
Aviva’s non-medical caregiving services do not replace wound care, injections, clinical assessments, or treatment requiring qualified medical professionals. Medication reminders are different from administering medication or changing a prescription.
Someone returning home after hospitalization may need both services: a home health clinician for medical treatment and a caregiver for meals, dressing, and daily assistance.
Medicare’s home health benefit has specific eligibility and coverage requirements. It does not pay for personal care when that is the only care needed. Confirm coverage with the applicable plan before arranging services. www.medicare.gov
Home Care Costs and Payment Options
For current San Francisco rates and minimum scheduling requirements, call 415-463-1400. Request a written estimate based on the assistance and schedule being considered.
When reviewing costs, ask about:
- Hourly rates and minimum visit length.
- Any minimum weekly commitment.
- Weekend, holiday, or overnight charges.
- Transportation or mileage costs.
- Cancellation and schedule-change policies.
- Deposits, billing frequency, and payment methods.
A useful budget starts with the times when help matters most. List the tasks requiring assistance, who currently handles them, and periods when your loved one is alone without the support they need.
Compare proposed schedules based on the actual assistance provided, not just the hourly rate.
Long-Term Care Insurance
Long-term care insurance may help pay for eligible in-home services. Coverage depends on the policy’s benefits, eligibility requirements, waiting period, and documentation rules.
Contact the insurer before assuming reimbursement. Ask Aviva what records it can provide and whether its billing process fits your policy’s requirements. Coverage decisions belong to the insurer. www.insurance.ca.gov
Veterans Benefits
Some eligible veterans may receive in-home assistance through VA programs. The VA’s Homemaker and Home Health Aide Care program considers enrollment, community-care eligibility, clinical need, and service availability.
Speak with your VA care team about eligibility and authorization. Before arranging Aviva services using VA funding, confirm that the service and provider arrangement are approved. Eligibility alone does not establish coverage for care from a particular agency. www.va.gov
Home Care Across San Francisco Neighborhoods
Home care planning in San Francisco needs to account for the home and surrounding neighborhood. Stairs, steep blocks, apartment entrances, elevators, and the distance from a vehicle to the front door can affect daily routines.
We welcome inquiries from families throughout San Francisco, including:
- Pacific Heights, Presidio Heights, and Cow Hollow: Discuss hills, entry steps, and how your loved one gets between the front door and transportation.
- Nob Hill and Russian Hill: Share details about steep approaches, interior stairways, and elevator access.
- Marina District and North Beach: Include preferred neighborhood activities and how much walking your loved one comfortably manages.
- Inner and Outer Richmond: Describe routes used for groceries, appointments, and visits with friends, including assistance needed at busy crossings.
- Inner and Outer Sunset: Consider the full trip from the living space to street level, particularly in homes with stairs above a garage.
- Noe Valley, the Castro, and the Mission: Build the discussion around familiar routines, local errands, and preferred outings.
- Bernal Heights and Glen Park: Identify slopes, stair access, and suitable pickup arrangements.
- SoMa, Mission Bay, and the Financial District: Clarify building check-in procedures, elevators, loading areas, and caregiver entry instructions.
- Bayview, the Excelsior, and Visitacion Valley: Explain where appointments and essential errands take place so travel needs are included.
These details turn a general request for care into a workable schedule. A short distance on a map does not necessarily mean an easy trip for someone who uses a walker or tires quickly.
Tell us your neighborhood, building type, and preferred schedule when you call. Availability for your care arrangement will be confirmed during intake.
What Families Say About Aviva
Families considering care deserve to hear from people who have used the service. These excerpts appear in testimonials published on Aviva’s website:
“They are absolutely professional, kind and caring and super responsive.”
Fred C.
“The care givers were all excellent as was the company’s supervision.”
Ralph S.
Helpful San Francisco Resources
These resources can complement your family’s care planning:
- San Francisco Disability and Aging Services: Services for older adults, people with disabilities, veterans, and caregivers.
- Aging and Disability Resource Centers: Information and referrals for community support.
- Embarcadero BART Station: Station information for planning a Financial District visit.
- VA Homemaker and Home Health Aide Care: Official information about this veterans benefit. www.sfhsa.org
Our San Francisco Office and Directions
Aviva In-Home Care
100 Pine St., Suite 1250
San Francisco, CA 94111
415-463-1400
HCO #414700119
Call before visiting to arrange a meeting and confirm building-entry instructions.
By car: Enter 100 Pine Street, San Francisco, CA 94111 as your destination. Use current navigation for your starting location, street restrictions, and traffic. Confirm parking or passenger drop-off arrangements before traveling.
By BART: Use Embarcadero Station on Market Street. The station map identifies a Pine Street exit. Check current elevator and access information if stairs are difficult. www.bart.gov
Frequently Asked Questions About San Francisco Home Care
What can an Aviva caregiver help with at home?
Aviva caregivers help with non-medical daily activities, including personal care, meal preparation, light housekeeping, companionship, and medication reminders. The specific tasks depend on the agreed care plan. Describe any mobility, memory, or hands-on assistance needs during the assessment so the team can determine appropriate support.
How quickly can home care begin?
The start date must be confirmed after Aviva reviews your loved one’s needs, requested schedule, and caregiver availability. Call with any planned discharge date or urgent concern. Do not assume that completing an inquiry form reserves a caregiver or guarantees that services can begin that day.
How much does home care cost, and is there a minimum shift?
Contact Aviva for current rates and minimum shift requirements for your proposed care schedule. Ask for a written estimate that explains the hourly charge, any additional fees, and cancellation terms. Confirm the total expected weekly cost before deciding whether the arrangement fits your family’s budget.
Can you help someone living with Alzheimer’s or another dementia?
Yes. Aviva offers non-medical dementia home care, including assistance with personal routines, companionship, and everyday activities. The care discussion should address supervision needs, changes in behavior, and difficult times of day. Medical treatment and medication decisions remain with the person’s physician or other qualified healthcare professional.
Is home care the same as home health?
No. Home care helps with everyday activities such as dressing, meals, and companionship, while home health provides clinical services such as skilled nursing or therapy. Some people need both. Aviva’s non-medical caregivers support daily life; they do not replace clinicians responsible for medical treatment or rehabilitation. www.medicare.gov
Can long-term care insurance or VA benefits help pay?
Long-term care insurance and VA programs may help with eligible services, but coverage must be confirmed for your situation. Insurance policies have specific requirements, and VA services may require authorization. Verify benefits and Aviva’s ability to meet the relevant provider and billing requirements before relying on reimbursement. www.insurance.ca.gov
Can family members receive updates if they live outside San Francisco?
Yes. Aviva offers family status reporting and can provide updates to authorized family members when requested. Discuss communication preferences at the start of care, including who receives reports and how concerns are shared. This helps relatives stay involved even when they cannot visit in person regularly.
Can I contact Aviva outside regular business hours?
Aviva advertises 24/7 client support for care-related issues and concerns. Call 415-463-1400 and confirm the after-hours contact procedure when arranging services. Around-the-clock client support does not automatically mean a caregiver is available for an immediate new assignment. Call 911 for a medical emergency.
Clinical Reviewer: Valerie VanBooven, RN, BSN
