102 S. El Camino Real   |   San Mateo, CA 94401   |   Call: 650-401-3670

San Mateo’s Top Choice for Senior Home Care and Elder Care Services

Serving happy clients in:

  • San Mateo
  • Burlingame
  • Hillsborough
  • Belmont
  • Half Moon Bay
  • Surrounding Communities

and more!

For over a decade, Home Care Assistance has served San Mateo and the broader Peninsula community with our exceptional caregivers. We provide one-on-one support that allows your loved ones to live safely and independently at home. We’ve worked with over 1000 families in San Mateo and the surrounding communities and meet most of our new clients through word-of-mouth recommendations.
As the oldest home care provider in San Mateo, we have the deepest roster of skilled, compassionate caregivers. As a result, our Care Managers are able to match our clients not only based on their home care needs, but also their personalities and interests. We offer high quality assisted living where seniors most prefer: at home.
Our 24/7 Guarantee means that we will be there when you need us – days, nights and weekends. Call us today to learn more or visit our office in downtown San Mateo.

We offer high quality assisted living where seniors most prefer: at home.

Learn more about our innovative in-home brain health program

A new approach to promoting cognitive vitality. Take advantage of the latest scientific breakthroughs in the familiar home environment.

The Home Care Assistance Advantage

Why Choose Home Care Assistance

Check Mark

Daily Care Experts

We specialize in around-the-clock care and offer the largest selection of caregivers and the most competitive rates. We offer special trainings such as Balanced Care Method™, Cognitive Therapeutics Method™ and Culinary Classes to our live-in caregivers. Find out why daily care is the safest, most cost-effective choice for your family.


Available 24/7

Our entire team is on-call 24/7 – nights and weekends – for our clients’ needs. Each client has a dedicated Care Manager who conducts the assessment, matches caregivers and serves as the contact for the family. We are the largest home care agency in the Peninsula and our team will be there for your needs, guaranteed.


High Caliber Caregivers

We conduct an intensive screening process, perform rigorous Department of Justice background checks, train and orient our caregivers and match them specifically to our clients. We are the largest employer in the Peninsula with hundreds of active caregivers.


Balanced Care

We train and promote the Balanced Care Method™ to improve health and wellness in older adults through healthy lifestyles, mental and physical activity and close social bonds. Balanced Care is based on scientifically proven longevity principles and can make a big difference in improving quality-of-life.

No Contract

No Long Term Contracts

We believe in the quality of our services. We require no deposits or long-term contracts, so our clients only use our services if they are 100% satisfied. Our Care Management Team is in place to make sure you receive the support you need, and we can have a caregiver at your home in a matter of hours.

Peace of Mind

Peace of Mind

Our company is built on our strong reputation in the community. Independent client surveys place our client satisfaction at 97% and we meet most of our new clients through word-of-mouth referrals. Our team is ready for the most difficult situations and can give you the peace of mind you need.

Meet the San Mateo Team

Lena Ruiz
Business Development Manager
Shenley Santos
Staffing Manager

Visit Our Office Today!

Palo Alto Storefront


102 S. El Camino Real
San Mateo, CA 94401


Call us at 650-401-3670!

Office Hours:

Our office is open from 9am – 5pm but we are available 24/7 to help so call us now!

Message the Care Team:

Click here to email the team now!

Local Testimonials: Read what your neighbors are saying about Home Care Assistance!

  • Jean and Jowett are nicest people in HCA. Especially when you need to adjust your own time..Caregivers are very unique in every way..These people are truly dedicated to their jobs. Highly recommendable and classy caregivers! Excellent work!
    San Mateo, CA
  • For the past three years, my husband and I have been in need of home care and due to difficult scheduling and different needs, we tried several different agencies. We have had Home Care Assistance for 10 months now and I am very impressed with the high caliber of the caregivers plus the beyond expected assistance of the Schedulers, Financial Advisors and Client Care Managers. I would very highly recommend Home Care Assistance; they are a very responsible, caring and well run, top notch organization.
    Hillsborough, CA
  • I have known Megan from Home Care Assistance for about 3+ years. The company is extremely professional and easy to work with. I have been impressed by the programs they deliver to seniors, as well as their extensive expertise on keeping seniors happy and healthy in their homes. So much so, when my uncle was home for his last days we employed Home Care Assistance and could not have been happier with the sincere care giving and overall assistance the home care professionals provided at all hours, 24/7 for those few weeks. Thank you all!
    San Mateo, CA
  • My relationship with Home Care Assistance began in July of 2007 and has been very pleasant to date. The office is in a convenient location in downtown Palo Alto to stop by and meet with the staff and the caregivers are very compassionate. I would recommend them to anyone looking for home care in the Bay Area.

    San Carlos, CA
  • The management and commitment to quality service is top-notch at Home Care Assistance. You can feel safe entrusting the care of your loved ones to their thoroughly vetted, skilled and compassionate caregivers.
    San Carlos, CA
  • ​I am writing to commend your employee, Brittney. She has been assisting my parents for several weeks. I have been staying at the house for four of Brittney's shifts, and she is a huge encouragement to my parents, who are in their 80’s, and facing my Mom's terminal illness.
    Brittney is cheerful, caring, engaging, and kind. She is great at encouraging my Dad in how to best care for Mom's colostomy, showing him how she does it and helping him keep supplies stocked. My parents eagerly await her arrival each morning, and brag about how great she is to anyone who will listen. She prepares appetizing meals for Mom, and has a great sense for when to spend time with Mom and when to attend to household needs.
    Brittany is sensitive to Mom's good days and bad days, not pushing her too hard when Mom isn't up to it, but encouraging her to maintain her strength when she is able to exercise a bit.
    Thank you so much for providing excellent household and health support during a very difficult time for my family. Thank you even more for providing my parents with a caregiver who brings joy, compassion, expertise and encouragement. All our family members are 1,000 or more miles away, so knowing that Brittney is "on the job" helps ease our minds between our visits.
    You have our heartfelt gratitude. We are so pleased to have Brittney, and Home Care Assistance on our team as we work to support our parents.
    San Mateo, CA
  • Katie with Home Care Assistance was very compassionate and helpful in discussing our needs and setting up our interview with a supervisor in the area. We had another very positive experience with the supervisor and did start with a caregiver 2x per week. Unfortunately my mother balked at having someone come into the house ( as we had feared) and my father felt he had to let the caregiver go after 2 weeks. I thought the caregiver Vicki was lovely and would recommend Home Care Assistance to a friend. I would also try to use this agency in the future should we decide to try again.
    San Mateo, CA
  • The service was a godsend. Jackie Mok was a great liaison helping us profile the caretaker, follow up with "quality assurance" and is very responsive with changes. The caregivers were also very attentive and willing to provide us with the help that was so critical to the family.
    Seattle, WA
  • The home health aides provided when I returned home from a rehab facility recovering from fractured bones due to a bad fall were extremely helpful and knowledgeable with regard to personal care, helping with meals and taking me to appointments when necessary. Jackie Mok was always available to handle any problems and provided excellent advice. I highly recommend the company.
    San Mateo, CA
Read All the Testimonials

Resource Downloads

We strive to inform and educate. Here is a small sample of resources we have to offer.

What is Home Care Guide

What is Home Care Guide

Our 19-Page introductory guide provides full details on our home care services and tools to determine if we are right for you and your family.

Agency Evaluation Checklist

Agency Evaluation Checklist

This handy checklist helps you ask the right questions when choosing your home care provider.

Talking to Your Parents

Talking to Your Parents About Home Care

Conversations about long-term care can be difficult. Use our guide for tips on initiating a family meeting or care planning conversation.

Hospital to Homecare

Hospital to Homecare

Our detailed guide outlines the entire discharge process and explains how home care can ensure a smooth and safe transition home.

Discharge Planning Checklist

Discharge Planning Checklist

Our checklist covers the most important steps during an often stressful discharge - from medical equipment to home health to warning signs.

Living Well at Home

Living Well at Home

Find out how home care can help you live happily and independently in the comfort and safety of your own home.


Local Resources

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