Dementia care at home in the City and County of San Francisco

Where the file belongs

San Francisco is a consolidated city and county. The Sunset, the Mission, Nob Hill, and Bayview share one IHSS office path. There is no separate city program apart from the county social services office. Daly City is San Mateo County.

San Francisco is a consolidated city and county. There is no separate city IHSS program apart from the county social services office. A parent who lives in San Francisco files here. A parent in Daly City or elsewhere in San Mateo County files with San Mateo County.

Neighbor-county mistakes

The land neighbor is San Mateo County. The usual mistake is treating a Peninsula address as San Francisco because the person still says they are from the city, or filing in San Francisco for a parent who has already moved to Daly City. Until the home is inside San Francisco, San Francisco is the wrong office. San Francisco borders San Mateo County. File with the county where the person who needs care lives.

Adult-child commute traps

Adult children in Oakland, Daly City, or elsewhere around the bay who ride in for evenings do not create an Alameda or San Mateo case for a San Francisco home. If the parent later moves out of the city, that is a county transfer.

Protective supervision in this home

In a San Francisco home, steep streets and elevator buildings change the scene, not the rule. Write wandering toward a busy street, a stove left on in a small kitchen, night waking in a senior building. The City and County decides protective supervision. A diagnosis is not an hour award. Read IHSS protective supervision and the statewide dementia page before the home visit. Caregiver Resource Centers, listed by the California Department of Aging, can sit beside the county file. They do not authorize IHSS hours.

The San Francisco IHSS page explains how to file in this county. If you also want a licensed Home Care Organization, the San Francisco agency list on the California Home Care Registry is a separate directory. Listing is informational. IHSS individual providers are a different path.

Questions people ask

Does a dementia diagnosis award IHSS hours in San Francisco?

No. San Francisco assesses tasks in this home. Two people with the same diagnosis can receive different notices. This page does not quote hours or wages.

Can San Francisco authorize protective supervision for Alzheimer's?

Only if San Francisco finds unsupervised risk from a mental impairment or mental illness. Bring examples from a typical day in this home. The diagnosis is not a checkbox that authorizes the category.

Which county do we file if the adult child lives near San Francisco?

The land neighbor is San Mateo County. The usual mistake is treating a Peninsula address as San Francisco because the person still says they are from the city, or filing in San Francisco for a parent who has already moved to Daly City. Until the home is inside San Francisco, San Francisco is the wrong office.

Where is the official San Francisco IHSS office?

Use the CDSS county IHSS office list and select San Francisco. Do not collect unofficial phone numbers from blogs or social posts. Medi-Cal questions go to DHCS and the county Medi-Cal unit that office names.

Who decides dementia care at home in San Francisco?

San Francisco IHSS and Medi-Cal decide the case. California Home Help can help you organize the packet. Sevah's home care team can talk about in-home help later if you want that. The county still decides.