Adult Disability Care in San Mateo, CA: In-Home Support

Local figures

Disability Care for Adults in San Mateo, CA: the local picture

5.3%

of residents aged 18 to 64 have a disability (6.0% in San Mateo County)

1,360

residents aged 18 to 64 have difficulty doing errands alone

6.8%

of households have no vehicle (5.8% in San Mateo County)

90

Medicare-certified home health agencies list San Mateo ZIP codes in their service area

About 3,439 San Mateo residents aged 18 to 64 report a disability (5.3%; 6.0% in San Mateo County).

1,360 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

6.8% of San Mateo households have no vehicle (5.8% in San Mateo County); say in your posting if you need a caregiver who drives.

San Mateo compared with San Mateo County and California

Census figure	San Mateo	San Mateo County	California
Residents 18 to 64 with a disability	5.3%	6.0%	8.8%
Residents 18 to 64 with difficulty doing errands alone	2.1%	2.3%	3.3%
Households with no vehicle	6.8%	5.8%	7.1%
Residents 5+ who speak a language other than English at home	47%	46%	44%
Residents 65+ with a disability	33%	28%	33%
Residents 65+ below the poverty line (approx.)	13%	9.0%	12%
Median income, households headed by someone 65+	$79,791	$103,766	—

Older residents in towns around San Mateo

Town	Distance	Residents 65+	Disability (18 to 64)
Hillsborough, CA	2.6 mi	2,262	1.8%
Foster City, CA	3.3 mi	5,759	3.9%
Belmont, CA	3.3 mi	3,813	6.1%
Burlingame, CA	3.5 mi	4,983	5.2%
San Carlos, CA	4.8 mi	4,894	5.8%
Millbrae, CA	5.7 mi	4,599	5.9%

Home health agencies serving San Mateo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
American Carequest	Burlingame, CA	3.2 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 885-9100
Cvh Care	South San Francisco, CA	9.1 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	9.1 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(650) 588-8331
A1 Pro Home Health Inc.	San Leandro, CA	14 mi	5 of 5	—	(510) 738-0888
Care First Home Health, LLC	San Leandro, CA	14 mi	5 of 5	—	(510) 878-9288

Straight-line miles from the center of San Mateo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in San Mateo

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 $6,649 monthly median income of San Mateo 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.

Before you hire

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.

Questions

Disability Care for Adults in San Mateo: common questions

How much does disability care for adults cost in San Mateo?

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 $6,649 monthly median income of San Mateo 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 near San Mateo

More senior care near San Mateo

Disability Care for Adults in nearby cities

Other care in San Mateo

More for San Mateo families

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.

In-Home Support for Adults With Disabilities in San Mateo, CA