In-Home Support for Adults With Disabilities in Costa Mesa, CA
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Costa Mesa for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Costa Mesa, CA: the local picture
About 4,793 Costa Mesa residents aged 18 to 64 report a disability (6.4%; 6.7% in Orange County).
1,989 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
4.8% of Costa Mesa households have no vehicle (4.8% in Orange County); say in your posting if you need a caregiver who drives.
Costa Mesa compared with Orange County and California
| Census figure | Costa Mesa | Orange County | California |
|---|---|---|---|
| Residents 18 to 64 with a disability | 6.4% | 6.7% | 8.8% |
| Residents 18 to 64 with difficulty doing errands alone | 2.6% | 2.5% | 3.3% |
| Households with no vehicle | 4.8% | 4.8% | 7.1% |
| Residents 5+ who speak a language other than English at home | 37% | 46% | 44% |
| Residents 65+ with a disability | 32% | 29% | 33% |
| Residents 65+ below the poverty line (approx.) | 8.6% | 10% | 12% |
| Median income, households headed by someone 65+ | $78,700 | $84,615 | — |
Older residents in towns around Costa Mesa
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Fountain Valley, CA | 3.8 mi | 11,640 | 5.6% |
| Newport Beach, CA | 4.9 mi | 20,259 | 5.3% |
| Santa Ana, CA | 5.2 mi | 35,609 | 6.8% |
| Huntington Beach, CA | 5.7 mi | 37,904 | 7.7% |
| Midway City, CA | 6.9 mi | 1,391 | 8.1% |
| Tustin, CA | 7.4 mi | 10,353 | 7.3% |
Home health agencies serving Costa Mesa
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Specialized Home Health Services | Costa Mesa, CA | 1.0 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (818) 500-3929 |
| Stable Home Health, Inc | Fountain Valley, CA | 3.8 mi | 5 of 5 | — | (714) 248-1269 |
| Acacia Hh&P Of Southern California, LLC | Irvine, CA | 4.9 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (949) 335-5515 |
| 24/7 Care At Home - Home Health | Westminster, CA | 7.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (714) 622-5334 |
| A-1 Home Health Care | Huntington Beach, CA | 8.7 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (714) 375-8900 |
Straight-line miles from the center of Costa Mesa. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Costa Mesa
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 22% of the $6,558 monthly median income of Costa Mesa households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Costa Mesa: common questions
How much does disability care for adults cost in Costa Mesa?
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 22% of the $6,558 monthly median income of Costa Mesa households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave covers California.
More senior care near Costa Mesa
Disability Care for Adults in nearby cities
- Disability Care for Adults in Fountain Valley, CA
- Disability Care for Adults in Newport Beach, CA
- Disability Care for Adults in Santa Ana, CA
- Disability Care for Adults in Huntington Beach, CA
- Disability Care for Adults in Midway City, CA
- Disability Care for Adults in Tustin, CA
- Disability Care for Adults in Westminster, CA
- Disability Care for Adults in Irvine, CA
- Disability Care for Adults in Garden Grove, CA
- Disability Care for Adults in Orange, CA
- Disability Care for Adults in North Tustin, CA
- Disability Care for Adults in Stanton, CA
- Disability Care for Adults in Seal Beach, CA
- Disability Care for Adults in Laguna Woods, CA
- Disability Care for Adults in Villa Park, CA
- Disability Care for Adults in Laguna Beach, CA
Other care in Costa Mesa
- Companion Care in Costa Mesa
- Dementia Care in Costa Mesa
- Respite Care in Costa Mesa
- Live-In Caregivers in Costa Mesa
- Post-Surgery Care in Costa Mesa
- Senior Transportation in Costa Mesa
- Home Health Aides in Costa Mesa
- Nursing Assistants in Costa Mesa
- Personal Care in Costa Mesa
- Overnight Caregivers in Costa Mesa
- 24-Hour Home Care in Costa Mesa
- Mobility Assistance in Costa Mesa
- Parkinson’s Care in Costa Mesa
- Stroke Recovery Support in Costa Mesa
- Hospice Support in Costa Mesa
- Senior Meal Preparation in Costa Mesa
- Senior Housekeeping in Costa Mesa
- Medication Reminders in Costa Mesa
- Veterans’ Home Care in Costa Mesa
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find disability care for adults in Costa Mesa
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