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San Francisco’s First Choice for Senior Home Care and Elder Care Services

My name is Laurette Foggini, Director of Operations for Home Care Assistance. I am here to help you navigate the challenges of caring for your aging loved one.

I settled down in San Francisco in 2000 and became an active volunteer in the senior community. I'm also a long-distance caregiver for my own family in New York. I understand how difficult it can be to feel like you’re making the right decisions for your loved one’s care. We're here to tell you that you're not alone in this journey.

Our San Francisco team is a multi-cultural and talented group of professionals. We bring integrity, respect, professionalism and fun to everything we do. Meeting the individual needs of each family is our top priority.

We hire, train and manage caregivers who share our passion. Making a good match between a caregiver and a client is both an art and science. As a team, it is our goal to understand and master the dynamics that result in a perfect fit.

A member of our care team is available 24/7 to answer your questions. Together, we can help your loved one stay safe and engaged at home. Welcome to the San Francisco Team, where our promise is to treat you and your family like our own!

We offer high quality, personalized care where seniors most prefer: at home.

How Can We Help You?

Hourly Care Daily Care Specialized Care Free Consultation

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.

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See What Our Clients Are Saying

"A true network of support when we needed it most."

"I could not have been happier with the care I received from Home Care Assistance in San Francisco. From start to finish, I was treated with compassion and given practical help from the staff and caregivers. Laurette was wonderful in helping us find the type of support we needed and she made herself available with fast and easy communication as we were working to figure out all the details and care we needed. I'm so lucky to have gotten in touch with you early on. This agency was not only a life saver but a true network of support when we needed it most."
- N.G. San Francisco, CA

"Thank you for making my journey less overwhelming."

"Caring for a loved one with dementia is a labor of love that can also be overwhelming. I am deeply grateful to Home Care Assistance for the loving, caring, reliable caregivers they provide and for the amazing support I get from the entire staff. I am especially grateful to the Director of Client Care and to the Staffing Manager for always being available and supportive, no matter how challenging the situation may be. Thank you Home Care Assistance, for making my journey less overwhelming and much more a labor of love."
- V.R. San Francisco, CA

"I knew they would be the right fit for my parents."

"After talking on the phone to one Home Care Assistance's employees, I knew they would be the right fit for my parents. I'm happy to report that I was right. The caregivers have helped my parents so much and their quality of life is so much better now. I highly recommend Home Care Assistance to anyone with aging parents who want more out of life."
- A.B. San Francisco, CA

"Trustwothy, intelligent and easy to work with."

"My mother recently had a stroke and needed 24-hour care for several weeks after she was released from the hospital. I called Home Care Assistance after researching and calling a number of different care providers in the Bay Area. I found Home Care Assistance to be significantly better; they were more responsive and helpful from the very beginning. They set me up in under 48 hours (yes, I waited until the last minute!) with wonderful caregivers who were extremely competent, warm, trustworthy, intelligent and easy to work with. I was very impressed with the quality of the caregivers; the caregivers Home Care Assistance employs are a cut above the rest."
- N.G. Sausalito, CA

"My parents couldn't be happier."

"When embarking on the difficult process of finding care for my elderly parents, I was pleased to have found Home Care Assistance. The service is incredible and friendly and my parents couldn't be happier. It was the best decision I have made."
- A.D. San Francisco, CA

"I feel like I'm making a difference in the lives of those I work with."

"From a caregivers point of view, I am proud to say that I work for Home Care Assistance. I honestly feel like I'm making a difference in the lives of those I work with. My day with a client can include everything from helping with activities of daily living to meal preparations and medication reminders to even just being someone for my them to talk to. Never have I worked with a company who truly goes above and beyond for the people they work for. "
- K.C. San Francisco, CA

"One of the most professional, hard-working groups I have ever worked with."

"The people at Home Care Assistance were one of the most professional, hard-working groups I have ever worked with. When I was faced with a last-second need for 24-hour home care for a friend late on a Saturday afternoon, the Home Care Assistance team immediately responded to my call. Within just a couple of hours, they had secured the unique details of what we needed, sent out a site inspector to ensure everything was set up properly for the patient, and had the caregiver ready and waiting when the patient came home. They even suggested we get a wheelchair (a terrific idea), sourced an economical alternative and arranged for it to be delivered. The real test came within 24 hours when the caregiver noticed the patient was having extraordinary distress and called the ambulance. He started suffering seizures when the medics arrived and it is clear that the fast-thinking on the part of the Home Care Assistance caregiver saved his life. "
- S.M. San Francisco, CA

"Head and shoulders above the rest."

"When our father, 93, began his slide into dementia, we tried a number of services in the Bay Area to find in-home care. The quality of Home Care Assistance's caregivers was head and shoulders above the rest, the administrative staff far superior, and we now rely on them exclusively. Having the Home Care Assistance team to rely on is truly a godsend, especially with family living far away. We recommend them enthusiastically and without question!"
- T.M. Greenwich, CT

"The two women who came for the last hours of my mother's life were so very supportive and I will be forever grateful."

"How do you review an organization that has helped you through the most difficult time of your life? My mother came home for hospice care and within 24 hours, the Home Care Assistance team ensured that there was a care giver with her 24/7. Each woman that came was understanding, patient and so very compassionate. The two women who came for the last hours of my mother's life were so very supportive and I will forever be grateful. I would recommend this group to anyone looking for in-home care for a loved one. I will also forever remember how wonderful the team treated me, my family, and my beloved mother. Words cannot express my true feelings."
- E.L. San Francisco, CA

"Home Care Assistance is home to me."

"I am a wildly happy caregiver with Home Care Assistance and have worked in the with them for three years now. I started full-time with an Alzheimer case for 15 months, including around four other clients in the same period. I then began taking care of an adorable and sweet 103-year-old client whom I truly care about. I must say, Home Care Assistance is home to me."
- J.M. Rodeo, CA

"A willing work ethic."

"I had a very positive experience with this agency - everyone from administration to caregivers was wonderful. I needed to arrange for home help rather than medical care after surgery and couldn't find any organization that offered what I needed. Luckily, I was referred to Home Care Assistance.Even with almost no lead time, the staff came through and found help. When I awoke from surgery, I found a voice message on my phone saying they found a caregiver to come over and spend the night at our house so my daughter would not be alone. She was very kind and comforted her, keeping her company and making her dinner. The agency then sent me two lovely caregivers for the following two days. They were really happy to help out and did things in the house for me with a great spirit of helpfulness and a willing work ethic.I have nothing but nice things to say about this company and its extraordinary caregivers. They are very well organized, professional, flexible and most of all, very decent human beings. If I could give them a '10' rating, I certainly would!"
- S.B. San Francisco, CA

"They really care about the heath and welfare of our family member."

"We have relied on Home Care Assistance for almost two years to care for a family member with memory and behavioral issues. Home Care Assistance has consistently succeeded in matching the caregiving professionals with our family member's specific needs and characteristics. The caregivers are reliable, compassionate, trustworthy. They really care about the health and welfare of our family member. It is very difficult to have a family member progress through memory loss and physical decline. Even more so when there are challenging behaviors associated with this decline. The staff at Home Care Assistance really understands the toll it takes on the family as well as in the individual. They have been very supportive and caring through this difficult time."
- J.G.

"Very knowledgeable about caring for the elderly with dementia."

"You never want to find yourself in the awful position of trying to find assistance for your elderly parents who cannot live on their own anymore. Sadly, I found myself in this position when my mom was diagnosed with early onset dementia. I was referred to Home Care Assistance by a social worker to explore potential care options. When I asked the team member not to mention the word dementia to my mother when she met with her, she actually remembered, which really stood out! She was very knowledgeable about caring for the elderly with dementia and discussed all possible care options. You could tell she really wanted to help my mother. She even took time out of her regular day to participate in a conference call with my sister who lives on the east coast so we could be sure we were making the right decision. "
- T. C. Los Angeles, CA

"By the next day, 24/7 care was in place."

"I was in the hospital and at the last minute, all the care I had arranged for my disabled partner fell apart. We needed emergency 24/7 live-in help. I called Home Care Assistance and the team immediately returned the call. By the next day, 24/7 care was in place. The caregivers were highly trained, professional, smart, kind and fit right into our family and scheduling needs. You can trust that your loved ones (or yourself) will get the quality care they need. I am so thankful to have been referred to them."
- R.B. San Francisco, CA

"Thank you all for making a trying time more palatable."

"I had an injury that made me incapable of taking care of myself for a short period of time. I needed some help with feeding and daily chores. The staff at Home Care Assistance was polite and knowledgeable as they helped me decide what care I needed. Daisy (my caregiver) was super courteous and helpful. She also knew when I just needed to be left alone to convalesce. All in all, a top-notch program with professionals every step of the way. Thank you all for making a trying time more palatable."
- R.B. San Francisco, CA

"With their help, my aunt is getting stronger"

"My family and I needed help caring for my aunt after she was hospitalized and released from a skilled nursing facility after having pneumonia. Our Care Manager from Home Care Assistance came to the hospital and the skilled nursing unit to meet with us. The Staffing Manager was great in finding caring and skilled home aides for around-the-clock coverage. With their help, my aunt is getting stronger and we are super appreciative of their support."
- L.L. San Francisco, Ca

"[Home Care Assistance] allowed my loved ones to maintain their dignity and their place in our family."

"My family is truly grateful to have found Home Care Assistance. My son was introduced to a Home Care Assistance team member in the ER at the hospital. With their assistance, we were able to move one of our loved ones back home right away. Her care needed to be 24/7 and it had to happen immediately. The team stepped up and provided excellent care and kept me informed at every turn. I remain amazed at the creative solutions the team was able to devise. I appreciated the amazing patience, assistance, and empathy of the caregivers.I live three thousand miles away from my dear loved ones, yet because the team kept in such close contact with me, I felt very connected and involved. My relationship with my loved ones remained solid because the team at Home Care Assistance took on the brunt of the work. I cannot tell you how much I appreciated that. It allowed my loved ones to maintain their dignity and their place in our family."
- S.C. San Francisco, CA

"From the moment I met [our Care Manager], I felt that I had a team helping me make the hard decisions that arose."

"My friend, Dave, suddenly became seriously ill last year. He had no family. We had been close friends for fifteen years, but as the days passed and his health rapidly declined, I felt very alone as I struggled to make very large decisions on my own about his care. I desperately turned to Home Care Assistance for support. Our Client Care Manager offered extraordinary levels of help and support. From the moment I met her, I felt that I had a team helping me make the hard decisions that arose. What astonished me was that she would suddenly appear, sometimes twice a day, to check in, offer support and reassurances, and adapt our plan. Each time, she brought great compassion, calm and professional expertise.The caregivers at Home Care Assistance were knowledgeable, kind and attentive. I moved from a sense of helplessness and isolation to a feeling that Dave was receiving tender, quiet care as he faced his last days. I am deeply grateful to the entire team."
- M.H. San Francisco, CA

The Home Care Assistance Advantage

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Why Choose Home Care Assistance

We strive to provide the best concierge-level, customized service for older adults. Here are a few reasons, among many others:

Check Mark

Daily Care Experts

We specialize in around the clock care to help seniors live well at home.


Available 24/7

Care managers are on call for clients and their families, even during nights and weekends.


High Caliber Caregivers

We typically hire only 1 in 25 applicants and provide ongoing training and supervision.


Balanced Care

Our unique approach to care promotes healthy mind, body and spirit.

No Contract

No Long Term Contracts

Use our services only as long as you're 100% satisfied.

Peace of Mind

Peace of Mind

Independent industry surveys place our client satisfaction rate at 97%.

A Trusted Partner

A Trusted Partner

We're honored to be Preferred Providers for professionals in both the medical and senior communities.

Cognitive Therapeutics

Cognitive Therapeutics

Our proprietary cognitive stimulation program addresses cognitive decline, building on our expertise in brain health.

Find Us

1649 Divisadero Street
San Francisco CA 94115
Get Directions

Meet the San Francisco Team

Catherine Reid

Client Care Manager

Catherine is a Licensed Clinical Social Worker and has 18 years experience in the field of Geriatrics. A native New Yorker, she is a graduate of Fordham University, Lincoln Center and the Graduate School of Social Service. Her passion for seniors started at an early age, sneaking out to visit all the "grandmas" of the neighborhood. She has clinical and management experience in both skilled nursing facilities and home care. Catherine loves assessing clients and meeting with families. Her favorite part is learning who the client is, their family/career history and life story. She also enjoys clinical supervision and mentoring her team. When she is not working, she loves spending time with her family.

Caroline Butler

Staffing Manager

Caroline has been in the home care industry as a Staffing Manager since 2016. Her areas of expertise include nursing, health care administration, and home care. This expertise comes from training and hands-on experience. Caroline has worked in skilled nursing facilities, acute & sub-acute, psychiatric, and assisted living facilities. She enjoys the benefits of positive energy. Caroline's favorite part of her job is hearing positive feedback from clients about caregivers, and vice-versa. She loves making someone's day better with a smile and great care.

Victoria Black

Client Care Manager

Victoria has been working with older adults for almost 10 years. Her emphasis is on making older adults as safe and independent as possible in their own homes. Victoria studied at San Francisco State University and received her Master's in Gerontology. Her thesis emphasized the importance of quality of life at the end of life. Victoria tries to live each day by the motto, "treat others as you wish to be treated." Knowing that the work she does might have an impact on someone's life gives Victoria a sense of purpose. Increasing someone's quality of life is what she strives to accomplish. Victoria loves working with seniors because they bring insight about times and experiences previous to her own. There are times when they allow you a glimpse of the life that they have lived and the things they have seen and that is truly an honor to witness.

Denise Alexander

Staffing Manager

Denise Alexander has over 12 years of experience in the health care industry. She ensures that each caregiver's skillset is properly matched to the specific needs of each client. Denise is passionate about training and managing Staffing Coordinators. Her highest priority is ensuring that all clients receive the highest level of care. Working with seniors brings Denise a sense of gratitude. Knowing she has made a difference in someone's life is what keeps her motivated.

Cesar Cuadra

Caregiver Recruiter

Cesar oversees the interviewing, hiring, and onboarding of new caregivers. His professional focus has been in the field of public health. Cesar has served as a health educator, patient advocate, and community-based researcher. He commits himself to health care and the aging population. Cesar recently graduated from the University of San Francisco, where he obtained a Bachelor's of Science in Nursing. His work philosophy centers around integrating strong values and ethics in care provision. Seeking caregivers that are equally aligned with this philosophy drives his recruitment efforts. Cesar is proud to provide seniors in his community with the highest quality care.

James Ferlin

Care Advisor

James brings over 15 years of customer service experience to his position at Home Care Assistance. He prides himself on his ability to provide quality customer service and understand the needs of those he serves. He has a genuine passion for helping people, which is what drew him to the home care industry. He looks forward to making a difference in the lives of seniors and their loved ones every day.

Yvonne Razo

Care Advisor

Yvonne has over ten years of experience in the medical field, working for a large in-home respiratory provider. She worked closely with physicians and hospitals to provide life-sustaining equipment dedicated to keeping aging seniors in their own homes. Yvonne is skilled at working with clients’ loved ones to help ensure an easy transition even though the seniors may have difficult health issues. She finds fulfillment in knowing that working in the home care field makes a difference in clients’ lives in a time of need.

Mina Yap

Care Advisor

Mina is a Licensed Vocational Nurse and began her career in health care in 2011. Since then, she has learned a lot in her many roles. She started as a hospice nurse and then became a nurse for concierge doctor, home health nurse, and intake coordinator for a home health & caregiving agency. Mina believes that helping people who can't help themselves is what we are here for. By working for Home Care Assistance, she feels she can make a difference in the lives of seniors and help the home care industry thrive.

Laura Contreras

Care Advisor

Laura has over a decade of experience in the medical field, where she has served as a medical assistant and front office manager. She is a certified MA with the state of California and worked for 10 years with an Internal Medicine DR who specialized in Geriatrics. Laura enjoys helping families and making them aware of all the options they have regarding home care. She hopes to help seniors live safely and independently at home.

Marivic Sartaguda

Administrative Assistant

Marivic received her bachelor’s in tourism in the Philippines and brings over a decade of experience as an Administrative Assistant to her role with Home Care Assistance. Her personal philosophy is to value your time, enjoy what you’re doing and always be grateful. Marivic enjoys maintaining, supporting and organizing an office. Her favorite part about working with seniors is knowing that someone from her team is helping them to live safely and independently. She is proud to be part of a team that has a focus on goal setting, coordination, cooperation and respect for each other.

Jesse Walters

Regional Director

Jesse is a recognized leader in the home care industry and brings a wealth of professional strengths and industry experience to Home Care Assistance. He has over 12 years of experience in managing, leading and building cohesive teams. He had deep community ties and a network spanning from Palo Alto to Alamo.

Jesse’s expertise in care management is equally matched by his commitment to clients and families. Jesse approaches each unique care situation with a level-headed perspective and clarity. His clients are confident in his advice and ability to handle difficult situations and resolve conflicts.

Elizabeth Johnstone

Client Care Manager

Elizabeth worked, studied and volunteered in the medical field for 12 years. At UC San Diego and UC San Francisco, she concentrated on neuroscience research and clinical psychiatry. She also has a Master’s degree in Archaeology and has participated in excavations in Spain and Italy. What she likes most about being a Client Care Manager is drawing on her diverse education to approach the complex issues which arise regularly with clients, families, and caregivers. This includes considering the personality and family dynamics of each client so that decisions made in the office will translate into fulfilling their personal wishes for home care. When she’s not working, Elizabeth likes to travel and continue her studies of archaeology, art history and Italian.

Akina Magpayo

Staffing Manager

Akina's area of expertise is in sales, management and staffing. Her degree is a BS of Nursing, which is helpful in her positions as she works with hiring and training caregivers to have the skills needed to take the best care of her clients as possible. Akina has 4 years of experience in her field.

Al Oliveros

Home Care Liaison

Al Oliveros brings over ten years of professional experience in the senior care industry to his role as Home Care Liaison. Prior to Home Care Assistance, he worked as a program and activities director for a senior living home in Los Angeles. Since his move to Northern California, Al has helped hundreds of seniors and their families navigate the home care maze with ease. His passion for helping older adults maintain their independence and extensive experience in senior care are invaluable to San Francisco’s senior population.

Dulce Coleman

Recruiting & HR Manager

Dulce comes with 14 years of professional experience in staffing and over four years experience in caregiver recruitment. She has worked in several health care settings such as skilled nursing facilities, hospitals and home care agencies. She brings her many years of experience to her current role as a Recruitment and HR Manager, ensuring we hire only the best caregivers in the field while ensuring they meet all the state requirements and compliance standards.

Johnell Davidson

Client Care Manager

After years working as a project manager by day and volunteer with seniors by night/weekends plus devoted granddaughter, Johnell married her expertise with her passion. Joining HCA as a caregiver in 2017, she learned first hand what it meant to change the lives of seniors and their families. Seeing the staffing and office side of the company first hand, it was clear that she had found her life's purpose. Johnell now gets to combine her love of caring for seniors with supporting them and their families as part of our Care Team. When not working, Johnell and her husband can be found camping and hiking with their pooch, Sydney.

Laurette Foggini

Head of Operations

Laurette brings nearly a decade of experience in home care to her position as Head of Operations. A world traveler, Laurette settled down in San Francisco in 2000 where she became an active volunteer in the senior community. She pursued her passion as Director of Client Experience for a home care agency where she oversaw the care provided to clients and their families. Laurette has extensive knowledge on home care and support services in San Francisco and years of professional experience working with clients’ needs and preferences. As a long-distance caregiver to her family in New York, she is very understanding and empathetic to the challenges of caring for a loved one. Laurette manages the San Francisco team where the motto is integrity, passion, respect, professionalism and fun!

Maya Cada

Lead Staffing Manager

Maya has been a Staffing Manager for eleven years and has experience working with agencies in San Francisco and Daly City. Maya is fluent in both Tagalog and English and is very adept at counseling, supporting and managing the caregiver team. Known as Ms. "No Problem In This House", Maya tackles the trickiest staffing assignments with calm and ease. Maya's enthusiasm for her work goes beyond staffing cases as she enjoys cooking and is often whipping up delicacies for caregivers and clients. In her free time, Maya visits caregivers in the field to celebrate their birthdays and anniversaries and enjoys making them feel appreciated. The greatest reward to Maya is when a caregiver or client calls and shares that the match she made is perfect, confirming that she is thriving in this challenging role.

Tyrone Nacion

Staffing Manager

Tyrone joined as a Staffing Manager in late 2017. Previously, he was one of Home Care Assistance's star caregivers, working with multiple clients. Every client came back with the same feedback about Tyrone, "he's intuitive, kind, reliable and caring." When a position opened up as a staffing manager at the San Francisco, the team had no doubt they wanted him to join the office. Tyrone's caregiver knowledge has been invaluable in his role as a staffing manager. In addition, Tyrone honed his ability to multi-task after working as a Customer Support Specialist at a Help Center. When not working, Tyrone likes to sing Karaoke and meet new people.

Yasmin Bahl

Home Care Liaison

As the Home Care Liaison for Home Care Assistance in San Francisco, Yasmin Bahl will coordinate home care services for patients leaving the local hospitals, educate the community partners like Home Health, Hospice and Geriatric Care Managers and many more on Home Care Assistance’s innovative approach to in home care.

Yasmin has over a decade of healthcare business development experience. In her last position at Hennessey Wellness, an ambitious startup, she headed Business Development and Sales. She spent a lot of time working at UCSF with the surgeons, the nurses, patient educators and the case managers. In the small team she worked to solve the difficulties surrounding transitional care after an acute hospitalization; mainly after surgery. The aim was to reduce the stress involved in this complex process, improve the ultimate outcome for the patient, and avoid readmission.

While at Hennessey Wellness, Yasmin created several high-value relationships with top Bay Area hospitals including UCSF, Marin General, St. Francis Medical Center, Concierge physician practices and home health companies.

Yasmin’s experiences have given her a flexible, creative, and tenacious ability to meet challenges and get the job done. Yasmin strives to make a difference in the San Francisco senior community. Her mission is truly to help people, and add value wherever possible. On a personal note, Yasmin was born and raised in England and traveled extensively. She is a mountain climber and explorer by nature.

Elaina Davis

Care Advisor

Elaina brings over 10 years of customer service experience to her role at Home Care Assistance, Her specialty is educating clients on our services with compassion and understanding. Elaina loves working as a client advocate to help each client find the best solution for their needs. Relieving stress from family caregivers and helping seniors to remain in their homes is what she finds most fulfilling in her role. Elaina's favorite part about working in customer service is answering the questions a client may not have even realized they need to ask. She aims to take as much of the work off of the client as possible, making the process as stress-free as possible. She looks forward to making a difference in the lives of local seniors!

Are you ready to get started?

Home Care Assistance is ready to help you and your family. Contact us today for a complimentary in-home consultation.

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The Latest From Our Blog

Read the latest from the Home Care Assistance editorial team, The Longevity Network. Explore new research, ideas and strategies for caregiving and positive aging.

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Resource Downloads

We strive to inform and educate. Here is a small sample of resources we have to offer to help you make the best decision for your family.