In-Home Support for Adults With Disabilities in San Francisco, 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 San Francisco for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in San Francisco, CA: the local picture
About 45,169 San Francisco residents aged 18 to 64 report a disability (7.9%).
15,514 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
30% of San Francisco households have no vehicle; say in your posting if you need a caregiver who drives.
San Francisco compared with California
| Census figure | San Francisco | California |
|---|---|---|
| Residents 18 to 64 with a disability | 7.9% | 8.8% |
| Residents 18 to 64 with difficulty doing errands alone | 2.7% | 3.3% |
| Households with no vehicle | 30% | 7.1% |
| Residents 5+ who speak a language other than English at home | 44% | 44% |
| Residents 65+ with a disability | 35% | 33% |
| Residents 65+ below the poverty line (approx.) | 17% | 12% |
| Median income, households headed by someone 65+ | $67,096 | — |
Older residents in towns around San Francisco
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Tamalpais-Homestead Valley, CA | 29 mi | 2,232 | 4.0% |
| Mill Valley, CA | 30 mi | 3,287 | 3.4% |
| Kentfield, CA | 30 mi | 1,766 | 3.8% |
| Fairfax, CA | 30 mi | 1,735 | 5.7% |
| Marin City, CA | 30 mi | 537 | 12% |
| Broadmoor, CA | 30 mi | 724 | 5.5% |
Home health agencies serving San Francisco
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Cvh Care | South San Francisco, CA | 34 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (510) 690-1930 |
| Truemed, Inc | South San Francisco, CA | 34 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (650) 588-8331 |
| American Carequest | Burlingame, CA | 38 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (415) 885-9100 |
| A1 Pro Home Health Inc. | San Leandro, CA | 48 mi | 5 of 5 | — | (510) 738-0888 |
| Care First Home Health, LLC | San Leandro, CA | 50 mi | 5 of 5 | — | (510) 878-9288 |
Straight-line miles from the center of San Francisco. 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 San Francisco
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 26% of the $5,591 monthly median income of San Francisco 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 San Francisco: common questions
How much does disability care for adults cost in San Francisco?
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 26% of the $5,591 monthly median income of San Francisco 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 San Francisco
Disability Care for Adults in nearby cities
- Disability Care for Adults in Tamalpais-Homestead Valley, CA
- Disability Care for Adults in Mill Valley, CA
- Disability Care for Adults in Kentfield, CA
- Disability Care for Adults in Fairfax, CA
- Disability Care for Adults in Marin City, CA
- Disability Care for Adults in Broadmoor, CA
- Disability Care for Adults in Ross, CA
- Disability Care for Adults in Strawberry, CA
- Disability Care for Adults in San Anselmo, CA
- Disability Care for Adults in Sausalito, CA
- Disability Care for Adults in Daly City, CA
- Disability Care for Adults in Larkspur, CA
- Disability Care for Adults in Sleepy Hollow, CA
- Disability Care for Adults in Pacifica, CA
- Disability Care for Adults in Corte Madera, CA
- Disability Care for Adults in Montara, CA
Other care in San Francisco
- Companion Care in San Francisco
- Dementia Care in San Francisco
- Respite Care in San Francisco
- Live-In Caregivers in San Francisco
- Post-Surgery Care in San Francisco
- Senior Transportation in San Francisco
- Home Health Aides in San Francisco
- Nursing Assistants in San Francisco
- Personal Care in San Francisco
- Overnight Caregivers in San Francisco
- 24-Hour Home Care in San Francisco
- Mobility Assistance in San Francisco
- Parkinson’s Care in San Francisco
- Stroke Recovery Support in San Francisco
- Hospice Support in San Francisco
- Senior Meal Preparation in San Francisco
- Senior Housekeeping in San Francisco
- Medication Reminders in San Francisco
- Veterans’ Home Care in San Francisco
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 San Francisco
Posting is free and takes about ten minutes. Caregivers near San Francisco can see it as soon as it is live.
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