Parkinson's 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. A Parkinson's diagnosis does not create a second desk inside the city.

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. The typical day is the San Francisco apartment, not the adult child's stop on the way home.

Off periods, transfers, and medication timing

In a San Francisco home, steep streets and elevator buildings change the scene, not the rule. Write an "off" period on a hill, a transfer in a small bathroom, medication timing in a senior building. The City and County codes personal care and any paramedical services. A diagnosis is not an hour award. Read paramedical services and the statewide Parkinson's page before the home visit. Medication timing stays clinical. The county codes the task.

When need grows, ask for a reassessment

If stairs, elevators, or transfers in this San Francisco home have gotten harder, ask for a reassessment. Progressive Parkinson's is a reason to update the file. The City and County still decides the notice. Use asking for a new assessment and the fall-risk page. 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 Parkinson's 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.

What if Parkinson's gets worse after the first San Francisco notice?

Ask San Francisco for a reassessment. Progressive symptoms, a fall, or a harder transfer are a change in condition. They are not an hour award. Read the guide on asking for a new assessment.

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.

How should we describe "off" periods in a San Francisco home?

Write the better window and the worse window in this house, including transfers and when medication is due. Medication timing is clinical. San Francisco decides whether a task is personal care or paramedical services. Do not invent the category.

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 Parkinson's 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.