Live in Caregivers for Seniors. Reliable Home Care

“Live In Care for the Elderly: How it Works, Costs, Pros & Cons”

Reliable Caregivers in Burlingame, Quality Home Care for seniors available. Please call us at 650-627-8318 or go to our web,

We are Local and US Veteran Owned.

Home Care Services for San Mateo County and the San Francisco Bay Area.

Receive affordable, high-quality Senior Care in the comfort of your home.

Providing home care services for seniors, hospice care at home, Alzheimer’s care, cancer patient care, dementia patient care, and more for individuals in the Bay Area.

One on one senior care is dedicated to providing our clients with high-quality home care services that provide lasting benefits for clients and their families. Studies have shown that home care services from a licensed home health care agency can allow individuals to stay living at home longer, minimize hospital visits, and delay institutionalization. Plus, visits from our highly trained home health caregivers can provide several hours of valuable respite to family members who are providing full-time care to their loved one.

CALL US AT (650) 627-8318

In-Home Health Care Services Provided For:

Are you in need of care for a different situation than listed above? Please give us a call or send us a message and we will do our best to assist you.

Home Care Services That Work

We strive to provide our clients with home care services that will help to improve their quality of life and keep them at-home longer. This is why we work with a team of professional home caregivers in the San Francisco Bay and San Mateo County areas who are trained to handle the unique needs of our clients. Our in-home care can be more cost-effective than risking additional hospitalization or admission to assisted living or skilled nursing facilities. We offer flexible scheduling for in-home care services, ranging from four hours of care to 24-hours with a full-time live-in caregiver. Give us a call to get started (650) 627-8318.

Meal Planning and Cooking

Bathing, Dressing and Grooming

Light Housekeeping and Laundry

Transportation and Errands

Medication Monitoring and Incontinence Care

Recovery from Illness or Surgery

Walking and Mobility

Companionship and Support

Respite/Relief for Families

About Our Home Caregivers

All of our caregivers are local to the San Mateo County and San Francisco Bay Area. Our home caregivers are dedicated to providing high-quality home care services while ensuring clients continue to live independently.

Our certified home caregivers provide exceptional care while adhering to the Professional Association of Caregivers Code of Ethics:

  1. I will always treat my clients with kindness and respect.
  2. I will always arrive at the client’s home on time, preferably 5 minutes before the start of my scheduled hours. If I might be late, I will immediately call.
  3. I will follow the Plan of Care each day for my client.
  4. I will maintain a clean and organized home for my client.
  5. I will never leave my client unattended. If the relief caregiver is late I will immediately call the Care Manager.
  6. I will address my client by their last name unless they invite me to use their first name.
  7. I will honor the client’s right to privacy and confidentiality, including their identity, address, and telephone number.
  8. I will keep my religious beliefs, political choices, or personal issues private and likewise respect my client’s beliefs.
  9. I will call 911 immediately when there is a medical emergency and then call my senior care company office or Care Manager.
  10. I will not engage in financial transactions nor intimate relationships with a client or family member.
  11. I will never use alcohol or illegal drugs as a professional caregiver.
  12. I will only use my personal mobile phone for calls and texts during rest or break periods.
Home Care For Seniors in Hillsborough, CA.

Consider Home Care Services For Seniors As An Alternative to Senior Care Facilities

One on One Senior Care believes that the best care is provided one-on-one with the client. We are proud to offer our clients the opportunity to remain at home while receiving the care they need. We find that our clients feel more comfortable staying in their own homes when situations allow it. Plus, they can stay more consistently on their preferred schedule and receive calls and visits from family as they are accustomed. We work with clients in a large variety of health situations and living circumstances. Whether you are looking for assistance while recovering from the hospital, in need of ongoing in-home care, or looking for assistance with daily activities, we have the perfect One on One home health care plan for you or a loved one. Contact us today and maintain your independence.


People in our community are saying wonderful things about One On One Senior Care!

Susan Patterson, RN Nurse for 30+ years

Thank you for the BEST Caregiver for our DIABETIC Mother in San Mateo. We went through over 10 caregivers until we found a Caregiver with One On One Senior Care, and their experience with diabetic patients is second to none… Our mother’s blood sugar stabilized within 2 years, and the leg wound that did not heal for 5 years is now healed and she is almost back to normal.. Now, we only check her blood sugar 1 once a week. Thank you!

Father O’Brien, San Mateo

One of my parishioners, Ella, was placed in a hospice when her heart began to fail after having triple bypass surgery. I visited her weekly to pray but her spirits were low and it did not look as if she would make it much longer. Her family then called ONE ON ONE and Ella was paired with a caregiver named Maria. After a year and a half, Ella has completely recovered and is doing well. I am now referring my ailing aunt to ONE ON ONE’s services!

Eli Smith

My ONE ON ONE in-home caregiver is kind, patient, compassionate, a wonderful cook, and so much more. If I am ever ill and in the need of someone to help me, I know I am in good hands. I can be independent in my own home and not have to worry about relying on my daughter for aid.

Kelly Meyers of Burlingame, California

Thank you for taking care of our DAD with KIDNEY failure and so thankful of his recovery that he did not have to go through a kidney dialysis, and his health is almost back to normal.

Nick, Julie, and Kathleen of Burlingame

Your team of caregivers are doing such a good job! Paula is a great, great caregiver along with Cathy. Thanks for the excellent service that you and your team of in-home caregivers have provided.

Mark, Allison, and Samantha

Thanks for the excellent service that both of your in-home caregivers have given our elderly parents! My parents have been happier and healthier now that they have someone who acts not only as a caregiver, but as a friend as well.”

Home Care Services For Seniors Service Areas

Burlingame, California

Hillsborough, California

San Mateo County, California

San Mateo, California

Atherton, California

East Palo Alto, California

Los Altos, California

Menlo Park, California

Palo Alto, California

Portola Valley, California

West Menlo Park, California

Woodside, California

Santa Clara County, California

Alameda County, California

San Jose, California

Contra Costa County, California

San Francisco, California

San Francisco County, California

Solano County, California

Oakland, California

Sonoma County, California

Fremont, California

Marin County, California

Santa Rosa, California

Hayward, California

Sunnyvale, California

Concord, California

Santa Clara, California

Vallejo, California

Berkeley, California

Napa County, California

Fairfield, California

Richmond, California

Antioch, California

Daly City, California

Vacaville, California

San Leandro, California

Livermore, California

Napa, California

Redwood City, California

Redwood City, California

Mountain View, California

Alameda, California

San Ramon, California

Pleasanton, California

Union City, California

Milpitas, California

Walnut Creek, California

South San Francisco, California

Pittsburg, California

Cupertino, California

Petaluma, California

San Rafael, California

Novato, California

Brentwood, California

Gilroy, California

Dublin, California

Newark, California

Danville, California

San Bruno, California

Rohnert Park, California

Campbell, California

Morgan Hill, California

Pacifica, California

Martinez, California

Oakley, California

Pleasant Hill, California

Foster City, California

Saratoga, California

Los Gatos, California

San Pablo, California

San Carlos, California

Suisun City, California

Benicia, California

Windsor, California

Belmont, California

Hercules, California

Lafayette, California

El Cerrito, California

Millbrae, California

American Canyon, California

Albany, California

Pinole, California

Dixon, California

Orinda, California

Moraga, California

North Fair Oaks, California

Mill Valley, California

San Anselmo, California

Larkspur, California

Half Moon Bay, California

Healdsburg, California

Clayton, California

Piedmont, California

Sonoma, California

Emeryville, California

Corte Madera, California

Tiburon, California

Cloverdale, California

Los Altos Hills, California

Fairfax, California

Sebastopol, California

Rio Vista, California

Cotati, California

Sausalito, California

St. Helena, California

El Granada, California

Calistoga, California

Brisbane, California

Emerald Lake Hills, California

Broadmoor, California

Highlands-Baywood Park, California

Monte Sereno, California

Moss Beach, California

Yountville, California

Montara, California

Ross, California

Belvedere, California

Colma, California

Ladera, California

La Honda, California

Pescadero, California

Loma Mar, California


Ready to get the care you need?

Help us understand your care needs. Then we’ll set up a free phone consultation so you can get the right support and services to live and age successfully at home.

Get Started

please call us at 650-627-8318

Live-in or 24-Hour Care Allowing Elderly Adults to “Age in Place” in Their Homes

Elderly care can be difficult to provide for your aging loved ones, especially when you work, live far away, and/or have children that require care and attention. As their needs and demands increase, you can’t always offer the 24/7 care they require at home. You may try to schedule regular visits from caregivers and family members to attend to their needs. However, a decline in physical and/or cognitive functions or a change in a situation where one parent now lives alone may prompt you to consider round-the-clock care.

Moving your elderly parent to an assisted living facility or a retirement home is not your only option.

Live-in and 24-hour home care can ensure a caregiver is available to address any personal needs – and provide senior companion care – day and night in their own home. Companionship is known to improve senior’s moods and stave off loneliness and isolation that can lead to depression. According to WebMD, one in three older adults lack companionship, with many feeling isolated.

Home Care for Elderly in Their Own Homes

Sometimes, assisted living care provided by you or a reputable home care agency is not enough as seniors age. Signs that indicate a switch to 24/7 care at home include:

  • Increased signs of bruising that indicate falls or trips
  • Wetting the bed or other “accidents” due to an inability to make it to the bathroom on their own
  • Greater reliance on assistive equipment
  • Wandering around and away from the home
  • Increased confusion due to advancing dementia
  • Feeling isolated or overwhelmed caring for themselves alone
  • Assistance to drink or eat
  • A recent move from rehabilitation or a hospital visit
  • Decreased agility and/or mobility due to a stroke or chronic condition
  • A move by family or friends who provided care

Most seniors want to continue living in their own homes for as long as possible. An AARP study reports that almost 90% of seniors want to stay in their own homes as they get older and 82% prefer to stay put when receiving daily assistance. Live-in or 24-hour elderly care can satisfy these preferences while providing you with the comfort of knowing that they are safe in the place where they want to live. 

The Difference Between Live-in and 24-Hour Care

While live-in and 24-hour caregivers may seem redundant, terms of elderly care are different for each. Understanding the difference will help determine the best choice for a senior’s specific circumstance.


Live-in caregivers stay in the home day and night to perform duties outlined on the care plan. One caregiver could work during the week and another on the weekends. Live-in caregivers are provided an 8-hour break and sleeping bed to rest.

  • Pros: With just two scheduled caregivers, you and your loved one may form a stronger bond. In addition, the caregivers become more familiar with your senior to understand favorite routines and how to address special needs and moods. Familiarity is especially beneficial to the elderly diagnosed with dementia.
  • Cons: As the client does not receive direct supervision during the caregiver break, live-in care may not be sufficient for individuals who require care at all times of the day and night to ensure their safety and well-being. 


Two or more caregivers rotate shifts to ensure someone is always awake and available day and night to help the client when needed at any time.  

  • Pros: A trained and alert caregiver is always awake to care and supervise your loved one. Rotations ensure caregivers are refreshed and ready to address different situations. Seniors who wander at night can benefit from someone who is alert to their movements. 
  • Cons: While less consistency in caregivers, scheduled visits still prevent isolation experienced by many seniors. Costs are typically higher than live-in care.

What’s the Best Elderly Care Choice?

Live-In Care for the elderly is appropriate when your loved one:

  • Sleeps through the night with minimal assistance
  • Does not require constant attention to prohibit wandering or other potentially dangerous activities

24-Hour Care is appropriate when your elderly loved one:

  • Wanders or poses a threat to themselves due to physical or mental limitations
  • Is frequently awake during the night or show symptoms of “sundowners syndrome” – when an individual becomes more active or agitated as evening falls

Live-in or 24-hour care can serve as a temporary solution to seniors just recovering from surgery or returning from rehab. It also can allow you or other family members to take a much-need break or go on vacation with the peace of mind that your aging loved one is safe and secure in the comfort of their own home.

While live-in and 24-hour in-home care is paid by the client, Medicaid can provide assistance in some situations depending on financial and physical needs as well as state residence. Medicare Waiver Programs provides support to the elderly with special needs. Veterans long-term care and other long-term care insurances may assist with payments.

Home care provides essential elder assistance on an hourly, overnight, 24-hour and respite care basis. Care plans include a variety of services that attend to personal care, hygiene, housekeeping, personal hygiene, meal preparation, transportation, medication reminders and more. Visiting Angels even offers certified palliative care programs, dementia care and Alzheimer’s care.

Seniors aged 65 and over account for 14.3% of California’s vast population of over 39.5 million. The state departments of Health Care Services, Social Services and Aging provide a wealth of beneficial programs and resources that help make California an idyllic environment for older adults. Seniors who wish to retain their independence can expect to pay $5,335 per month on average for in-home care services, and they can have peace of mind knowing that the state strictly regulates home care providers.

The following guide offers more detailed information about in-home care costs in California, financial assistance options in the state and free and low-cost resources available to seniors living at home.

The Cost of In-Home Care in California

In-Home Care Costs in Nearby States

According to Genworth’s 2019 Cost of Care Survey, in-home care services in California cost $5,335 per month on average. While this is more expensive than the national monthly average of $4,290, it is in between the costs paid in neighboring Oregon and Washington. Prices are considerably lower in adjacent Arizona and match the U.S. median in Nevada.




United States Average









Cost of Other Types of Care in California

Senior care costs span a wide range in California, and rates are directly influenced by the type of care and setting. At $5,335, in-home care is on par with the cost of home health care services, which average $5,339 per month. The most expensive option is nursing home care, which at $8,760 costs about $3,400 more on a monthly basis. Assisted living is somewhat less expensive at an average of $4,500, whereas adult day care is the most affordable type of care available in California at just $1,668 per month.


In-Home Care


Home Health Care


Adult Day Care


Assisted Living Facility


Nursing Home Care

The Cost of In-Home Care in California’s Top Cities

Monthly in-home care costs in California’s 10 most populous cities vary by over $1,900. The highest monthly average of $6,292 is paid in San Francisco, while the lowest rate of $4,362 is found in Bakersfield. The average price in the state’s largest city, Los Angeles, is slightly lower than the California median at $5,243 per month, as are rates in Sacramento ($5,434), Stockton ($5,005) and Fresno, where the monthly cost is $4,862. Prices for in-home care services in Riverside and Modesto are identical at $4,671 per month, while San Diego shares the statewide average of $5,335.


Los Angeles


San Diego


San Jose


San Francisco













Financial Assistance for In-home Care in California

In-Home Supportive Services Program

The In-Home Supportive Services program is available to all eligible California seniors who wish to remain living at home and avoid or delay entering a nursing home. The IHSS covers the cost of various supportive services, such as assistance with personal care and activities of daily living, meal preparation, housecleaning, laundry, grocery shopping and escorts to medical appointments. Seniors may choose their own care provider, including a spouse or family member.

Who Is Eligible?

To be eligible for services through the IHSS program, seniors must be aged 65 or older, or blind or disabled, and have received an eligibility determination for full-scope or share-of-cost Medi-Cal. They also must live in their own home, rather than in a hospital, long-term care or licensed community care facility.

How to Apply

Interested individuals should complete an application and submit it to the IHSS office in their county.

Multipurpose Senior Services Program

The Multipurpose Senior Services program is a Medi-Cal Home and Community-Based Services waiver that provides eligible seniors with the means to continue living independently at home. The MSSP covers the cost of case management and a wide range of benefits and services that are tailored to meet a person’s needs. Provided services may include personal care, housekeeping and chore assistance, respite care and therapeutic counseling. The waiver may also cover minor home repairs and accessibility adaptations, transportation and money-management assistance.

Who is Eligible?

Individuals aged 65 or older who qualify for Medi-Cal coverage and will require nursing facility care without the services provided under the MSSP program can apply.

How to Apply

Interested seniors must apply for Medi-Cal and indicate on the application that they wish to apply for long-term care services and supports through the MSSP waiver. To learn more about the program, seniors should contact their county’s Social Services members

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