California is consistently touted as one of the best place in the world weather-wise. It is consistently sunny in much of the state.. Additionally, there is no tax on groceries of prescription medications – two of the largest expenditures seniors typically have. For this and other reasons, it’s no surprise that many seniors have this state at the top of their list of places for retirement and senior living. California’s elderly population is set to grow substantially, and many of these seniors lived on fixed, limited incomes and need advice in qualifying for and locating affordable housing.

Directory of Assisted Living Facilities in California

Choosing the right assisted living facility for yourself or a loved one is one of the most important decisions you will need to make as a senior, and so thorough and detailed research of potential facilities is critical. We have compiled a comprehensive directory of assisted living facilities in California, and reviewing this directory is a great way to jumpstart the research process. Use the tool below to review information about amenities, size of the facility, pricing, health insurance, and more.

Assisted Living Directory Tool

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Paying For Assisted Living in California

The Cost of Assisted Living in California

The monthly median cost of assisted living in California is $4,500, which is above the national average of $4,000. According to Genworth’s 2018 Cost of Care Survey, assisted living in California is more expensive than two out of its three neighboring states:

California is the third largest state in the US and has a large number of different metropolitan areas. Average costs significantly across the different regions of the state. The average monthly cost in the Napa region, otherwise known as “Wine Country,” is on the high end, while Bakersfield averages the cheapest. Below is a breakdown of all the median costs in other areas of the state:

In California, the state median cost of assisted living is less expensive than most other types of long-term care except adult day health care and independent living. It’s considerably cheaper than nursing home care, in particular, and a few hundred dollars cheaper than in-home care:

Financial Assistance for Assisted Living in California

The Assisted Living Waiver

Medi-Cal is California’s combined federal and state program designed to help pay for medical care for public assistance recipients and other low-income persons. Medi-Cal does not cover the full cost of assisted living directly, but the program does offer a waiver to cover long-term care services for seniors who are nursing-home eligible, but could have their health and personal needs met in an assisted living facility. Seniors must also meet certain financial requirements in order to be eligible for the Assisted Living Waiver.

A Medi-Cal social worker can draft a personalized care plan for you or your loved one to outline the appropriate services your or they will need. Below is a list of all the available services and supports included in the scope of the waiver:

  • Assistance with activities of daily living, including bathing, grooming and toileting
  • Assistance with logistical activities of daily living, including medication administration and transportation
  • Health-related services, including skilled nursing care, if needed
  • Recreational and social activities
  • Prepared meals
  • Laundry and housekeeping
  • Nursing home transition care, if needed

Who is Eligible?

Seniors older than 65 years of age with an income 138% of the poverty level ($16,395 for an individual and $22,108 for a couple) can receive Medi-Cal benefits. To qualify for the Assisted Living Waiver under Medi-Cal, California residents must meet the following eligibility criteria:

  • Have Medi-Cal eligibility with zero share of cost;
  • Have health and personal care needs that are the equivalent of the needs of Medi-Cal-funded residents living and receiving care in nursing facilities;
  • Willing and able to safely live in an assisted living setting as an alternative to a nursing facility.

Share of cost is essentially an arrangement for seniors whose income is too high to qualify for Medi-Cal benefits, but too low to afford their health care expenses. Share of cost requires people to spend a certain amount of their income on health care before Medi-Cal provides coverage. As noted, Californians approved for Medi-Cal through the share of cost arrangement are not eligible for the Assisted Living Waiver.

Of note, not all counties in California have assisted living settings covered under the waiver. To receive covered services under the waiver, seniors must be willing to live in one of the following counties:

  • Alameda
  • Contra Costa
  • Fresno
  • Kern
  • Los Angeles
  • Orange
  • Riverside
  • Sacramento
  • San Bernardino
  • San Diego
  • San Francisco
  • San Joaquin
  • San Mateo
  • Santa Clara
  • Sonoma

How to Apply

To apply for Medi-Cal coverage and to discuss the Assisted Living Waiver, you will need to contact your local county office. Additionally, Area Agencies on Aging are a good place to start the application process. Your local Agency may be able to help you craft a more comprehensive and detailed picture of your retirement.

More Ways to Finance Assisted Living

Some additional ways to finance assisted living costs include:

  • Veterans Benefits: Veterans can take advantage of several different pension programs to help cover the cost of assisted living. For more information, see the article on
  • Life Insurance Policies: Even if a spouse or loved one hasn’t died, certain types of life insurance policies can be used to pay for assisted living. More information is available at
  • Long-Term Care Insurance: Long-term care insurance is a type of insurance policy that pays for long-term care when it becomes necessary, including the cost of assisted living. For more information on the benefits and drawbacks of this financing method, visit
  • Reverse Mortgages: Reverse mortgages allow seniors to access the equity from a home that they own, and these funds can be used to pay for assisted living. The U.S. Department of Housing and Urban Development offers a federally insured reverse mortgage program.

Free Assisted Living Resources in California

Nonprofit and governmental organizations found across California may offer free assistance for the seniors and their loved ones in the process of seeking information about long-term care options. These organizations are a great place to start in understanding your rights and options.

Long-Term Care Ombudsman Program

As is the case in many states, California maintains a Long-Term Care Ombudsman program. The Ombudsman is tasked with:

  • Providing education for communities, residents and families on the rights of residence and issues of service and care
  • Investigating and following up on complaints made by community residents and ensuring all their rights are being upheld
  • Advocating for residents and their loved ones while also empowering them to advocate for themselves

Area Agencies on Aging

Area Agencies on Aging (AAA) is a network of hundreds of nonprofit organizations across California and all of America that provide federally funded services to adults over 60 in their respective local areas.

California has many Area Agencies on Aging that offer comprehensive information on various kinds of programs and community supports for seniors.

Area Agency on AgingAddressPhone

Alameda County Area Agency on Aging

6955 Foothill Blvd Suite 100
Oakland, CA 94605


Area 12 Agency on Aging

(Alpine, Amador, Calaveras, Mariposa and Tuolumne counties)

19074 Standard Road
Sonora, CA 95370



(Butte, Colusa, Glenn, Plumas and Tehama counties)

25 Main Street
Chico, CA 95929


Contra Costa County Employment & Human Services

500 Ellinwood Way
Pleasant Hill CA 94523


Area 1 Agency on Aging

(Del Norte and Humboldt counties)

P.O. Box Drawer 1390
Window Rock, Arizona 86515-1390


El Dorado County Agency on Aging

937 Spring Street Placerville, CA 95667 or

1360 Johnson Blvd., Suite 103
South Lake Tahoe, CA 96150

530 621-6150 or

530 573-3490

Area Agency on Aging

(Fresno and Madera counties)

3837 N Clark Street
Fresno, CA 93726


Area Agency on Aging

(Imperial county)

778 W. State St.
El Centro, CA 92243


Eastern Sierra Area Agency on Aging

(Inyo and Mono counties)

163 May Street
Bishop, CA 93514


Kern County Aging and Adult Services

5357 Truxton Avenue
Bakersfield, CA 93309


Kings/Tulare Area Agency on Aging

5957 S Mooney Blvd
Visalia, CA 93277


Area Agency on Aging

(Lake and Mendocino counties)

14092 Lakeshore Dr.
Clearlake, CA 95422


PSA 2 Area Agency on Aging

(Lassen, Modoc, Shasta, Siskiyou and Trinity counties)

208 West Center Street
Yreka, CA 96097


City of Los Angeles Department on Aging

221 N. Figueroa St., Ste. 500
Los Angeles, CA 90012


Purposeful Aging Los Angeles

3175 W 6th St
Los Angeles, CA 90020


Aging and Adult Services

(Marin County)

10 North San Pedro Rd #1002
San Rafael, CA 94903


Area Agency on Aging

(Merced County)

2222 M Street
Merced, CA 95340


Monterey County Area Agency on Aging

1000 S Main St # 211
Salinas, CA 93901


Agency on Aging Area 4

(Nevada, Placer, Sacramento, Sierra, Sutter, Yolo and Yuba counties)

1401 El Camino Avenue, 4th Floor
Sacramento, CA 95815


Office on Aging Orange County

333 W. Santa Ana Blvd.
Santa Ana, CA 92701


Riverside County Office on Aging

6296 River Crest Drive, Suite K
Riverside, California


Seniors Council

(San Benito and Santa Cruz counties)

234 Santa Cruz Ave.
Aptos, CA 95003


San Bernardino County Department of aging and Adult Services

784 E. Hospitality Lane
San Bernardino, CA 92415


Aging and Independence Services

(San Diego)

1600 Pacific Highway
San Diego, CA 92101


Department of Aging and Adult Services

(San Francisco)

1650 Mission St # 5
San Francisco, CA 94103


Aging and Community Services

(San Joaquin)

333 E. Washington Street
Stockton, CA 95202


Central Coast Commission for Senior Citizens

(San Luis Obispo and Santa Barbara counties)

528 S Broadway
Santa Maria, CA 93454


Area Agency on Aging

(San Mateo county)

222 W. 39th Avenue
San Mateo, CA 94403



(Santa Clara County)

2115 The Alameda
San Jose, CA 95126


Area Agency on Aging

(Sonoma County)

3725 Westwind Boulevard First Floor
Santa Rosa, CA 95403


Aging and Veterans Services

(Stanislaus county)

3500 Coffee Rd. Suite 19
Modesto, CA 95354


Ventura County Area Agency on Aging

646 County Square Drive, Suite 100
Ventura, CA 93003


Veterans Affairs

California, like the majority of states, has VA centers to help veterans and their spouses understand their financing options for various kinds of care. These offices can provide guidance on your eligibility and direct you to the best support options for you. Below is a list of the VA offices in California:

Veterans Affairs OfficeAddressPhone

Bakersfield Vet Center

1110 Golden State Ave.
Bakersfield, CA 93301

661-323-8387 or

Chula Vista Vet Center

180 Otay Lakes Road, Suite 108
Bonita, CA 91902-2439

877-618-6534 or

Santa Cruz Vet Center

1350 41st Ave, Suite 104
Capitola, CA 95010

831-464-4575 or

Chatsworth Vet Center

20946 Devonshire St, Suite 101
Chatsworth, CA 91311


Chico Vet Center

250 Cohasset Road, Suite 40
Chico, CA 95926

530-899-6300 or

Citrus Heights Vet Center

River City Bank Building 5650 Sunrise Blvd., Suite 150

Citrus Heights, CA 95610

916-535-0420 or

San Bernardino Vet Center

1325 E. Cooley Drive, Suite 101
Colton, CA 92324

909-801-5762 or

East Los Angeles Vet Center

5400 E. Olympic Blvd. Suite 140
Commerce, CA 90022

323-728-9966 or

Concord Vet Center

1333 Willow Pass Road, Suite 106
Concord, CA 94520-7931

925-680-4526 or

Corona Vet Center

800 Magnolia Avenue Suite 110
Corona, CA 92879

951-734-0525 or

West Los Angeles Vet Center

5730 Uplander Way Suite 100
Culver City, CA 90230

310-641-0326 or

Eureka Vet Center

2830 G Street, Suite A
Eureka, CA 95501

707-444-8271 or

RCS Pacific District 5 Office

420 Executive Court North Suite A
Fairfield, CA 94534

707-646-2988 or

Fresno Vet Center

1320 E. Shaw Ave, Suite 125
Fresno, CA 93710

559-487-5660 or

North Orange County Vet Center

12453 Lewis St. Suite 101
Garden Grove, CA 92840

714-776-0161 or

Los Angeles Vet Center

1045 W. Redondo Beach Blvd. Suite 150
Gardena, CA 90247

310-767-1221 or

Peninsula Vet Center

345 Middlefield Road, Building 1
Menlo Park, CA 94025


South Orange County Vet Center

26431 Crown Valley Parkway, Suite 100
Mission Viejo, CA 9269

949-348-6700 or

Modesto Vet Center

1219 N. Carpenter Rd., Suite 11-12
Modesto, CA 95351

209-569-0713 or

Oakland Vet Center

7700 Edgewater Drive, Suite 125
Oakland, CA 94621

510-562-7906 or

Antelope Valley Vet Center

38925 Trade Center Drive, Suites I/J
Palmdale, CA 93551

661-267-1026 or

North Bay Vet Center

6010 Commerce Blvd., Ste. 145
Rohnert Park, CA 94928


Sacramento Vet Center

1111 Howe Avenue Suite #390
Sacramento, CA 95825

916-566-7430 or

San Diego Vet Center

2790 Truxtun Road, Suite 130
San Diego, CA 92106

858-642-1500 or

San Francisco Vet Center

505 Polk Street
San Francisco, CA 94102

415-441-5051 or

San Jose Vet Center

5855 Silver Creek Valley Place
San Jose, CA 95138


San Luis Obispo Vet Center

1070 Southwood Drive
San Luis Obispo, CA 93401

805-782-9101 or

San Marcos Vet Center

One Civic Center Dr., Suite 150
San Marcos, CA 92069

855-898-6050 or

Temecula Vet Center

40935 County Center Drive, Suite A/B
Temecula, CA 92591

951-302-4849 or

Ventura Vet Center

790 E. Santa Clara St. Suite 100
Ventura, CA 93001

805-585-1860 or

High Desert Vet Center

15095 Amargosa Rd, Suite 107
Victorville, CA 92394

760-261-5925 or

Social Security Offices

California’s Social Security offices offer another great resource for seniors looking for assistance. In reaching out to or visiting a Social Security Office, you and your loved one can get a better picture of your social security benefits and what you may be able to put toward assisted living expenses. Of note, Social Security income is not taxable in this state. Below is a list of Social Security Offices in California.

Social Security OfficeAddressPhone

Alhambra Social Security Office

900 S Garfield Ave
Alhambra, CA 91801


Anaheim Social Security Office

900 S Harbor Blvd
Anaheim, CA 92805


Antioch Social Security Office

2508 Verne Roberts Cir
Antioch, CA 94509


Auburn Social Security Office

11855 Edgewood Rd
Auburn, CA 95603


Bakersfield Social Security Offices

2575 Haley Street
Bakersfield, CA 93305


5300 Office Park Drive
Bakersfield, CA 93309


Berkeley Social Security Office

2045 Allston Way
Berkeley, CA 94704


Blythe Social Security Office

1287 W Hobson Way
Blythe, CA 92225


Brea Social Security Office

3230 E Imperial Hwy
Brea, CA 92821


Burbank Social Security Office

1420 W Olive Ave
Burbank, CA 91506


Campbell Social Security Office

770 W Hamilton Ave
Campbell, CA 95008


Chatsworth Social Security Office

20439 Nordhoff St
Chatsworth, CA 91311


Chico Social Security Office

1370 E. Lassen Ave
Chico, CA 95973


Chula Vista Social Security Office

626 L Street
Chula Vista, CA 91911


Compton Social Security Office

171 E Compton Blvd
Compton, CA 90220


Crescent City Social Security Office

560 E Hoover Ave
Crescent City, CA 95531


Daly City Social Security Office

355 Gellert Blvd
Daly City, CA 94015


Delano Social Security Office

2234 Girard Street
Delano, CA 93215


El Cajon Social Security Office

846 Arnele Ave
El Cajon, CA 92020


El Centro Social Security Office

3007 N Imperial Ave
El Centro, CA 92243


El Monte Social Security Office

9351 Telstar Ave.
El Monte, CA 91731


Eureka Social Security Office

3144 Broadway
Eureka, CA 95501


Fontana Social Security Offices

10668 Sierra Ave
Fontana, CA 92337


Fountain Valley Social Security Office

17075 Newhope Street Suite B
Fountain Valley, California 92708


Fremont Social Security Office

3100 Mowry Ave
Fremont, CA 94538


Fresno Social Security Offices

5140 E Olive Ave
Fresno, CA 93727


640 W Locust Avenue
Fresno, CA 93650

865 Fulton Mall
Fresno, CA 93721

Garden Grove Social Security Office

11900 Gilbert St
Garden Grove, California 92841


Gilroy Social Security Office

1059 First Street
Gilroy, California 95020


Glendale Social Security Office

225 W Broadway Suite 600
Glendale, California 91204


Glendora Social Security Office

1165 E Route 66
Glendora, California 91740


Hanford Social Security Office

330 North Harris St Suite 101
Hanford, California 93230


Hayward social Security Office

24301 Southland Dr Suite 500
Hayward, California 94545


Hemet Social Security Office

3095 W Devonshire Ave
Hemet, California 92545


Hollywood Social Security Office

1122 N Vine St
Hollywood, California 90038


Huntington Park Social Security Office

6303 Rugby Avenue
Huntington Park, California 90255


Indio Social Security Office

46845 Monroe Street
Indio, CA 92201


Inglewood Social Security Office

230 East Spruce Avenue
Inglewood, CA 90301


La Mesa Social Security Office

7961 University Ave
La Mesa, CA 91942


Lakeport Social Security Office

991 Parallel Dr
Lakeport, CA 95453


Lakewood Social Security Office

4957 Paramount Blvd
Lakewood, CA 90712


Lancaster Social Security Office

44451 20th Street W
Lancaster, CA 93534


Lodi Social Security Office

1110 W Kettleman Lane
Lodi, CA 95240


Long Beach Social Security Office

2005 Long Beach Blvd
Long Beach, CA 90806


Los Angeles Social Security Offices

12429 Avalon Blvd
Los Angeles, CA 90061




4000 Wilshire Blvd
Los Angeles, CA 90010

611 W 6th Street
Los Angeles, CA 90017

1122 W Washington Blvd
Los Angeles, CA 90015

3840 Crenshaw Blvd
Los Angeles, CA 90008

215 N Soto Street
Los Angeles, CA 90033

11500 W Olympic Blvd
Los Angeles, CA 90064

Madera Social Security Office

348 E Yosemite Ave
Madera, CA 93638


Manteca Social Security Office

510 Commerce Ct
Manteca, CA 95336


Merced Social Security Office

600 West Olive Ave
Merced, CA 95348


Mission Viejo Social Security Office

26051 Acero Road
Mission Viejo, CA 92691


Modesto Social Security Office

1521 N Carpenter Rd
Modesto, CA 95351


Montebello Social Security Office

2216 W Beverly Blvd
Montebello, CA 90640


Moreno Social Security Office

De Los Lagos
Moreno Valley, CA 92553


Mountain View Social Security Office

1st Floor
Mountain View, CA 94043


Napa Social Security Office

1850 Soscol Ave
Napa, CA 94559


National City Social Security Office

700 E 24th St, Ste A
National City, CA 91950


Needles Social Security Office

1502 Bailey Avenue
Needles, CA 92363


Norwalk Social Security Office

12440 E Imperial Hwy
Norwalk, CA 90650


Oakland Social Security Offices

7200 Bancroft Avenue
Oakland, CA 94605


360 22nd St
Oakland, CA 94612

Oceanside Social Security Office

2160 S El Camino Real
Oceanside, CA 92054


Ontario Social Security Office

1100 E Holt Blvd
Ontario, CA 91761


Oroville Social Security Office

115 Table Mountain Bl
Oroville, CA 95965


Oxnard Social Security Office

2000 Outlet Center Dr
Oxnard, CA 93036


Palm Springs Social Security Office

4201 E Ramon Rd
Palm Springs, CA 92264


Panorama Social Security Office

14500 Roscoe Blvd
Panorama City, CA 91402


Pasadena Social Security Office

104 N Mentor Avenue
Pasadena, CA 91106


Placerville Social Security Office

3916 Missouri Flat Rd
Placerville, CA 95667


Pomona Social Security Office

960 W Mission Blvd
Pomona, CA 91766


Porterville Social Security Office

890 W Morton Avenue
Porterville, CA 93257


Redding Social Security Office

2660 Park Marina Dr
Redding, CA 96001


Redwood City Social Security Office

601 Allerton St
Redwood City, CA 94063


Richmond Social Security Office

3164 Garrity Way
Richmond, CA 94806


Riverside Social Security Office

Parkway South
Riverside, CA 92508


Roseville Social Security Office

910 Cirby Way
Roseville, CA 95661


Sacramento Social Security Offices

2424 Arden Way
Sacramento, CA 95825


40 Massie Circle
Sacramento, CA 95823

8581 Folsom Blvd
Sacramento, CA 95826

Salinas Social Security Offices

928 East Blanco Rd
Salinas, CA 93901


San Rafael Social Security Office

1001 Lootens Place
San Rafael, CA 94901


San Mateo Social Security Office

800 South Claremont St
San Mateo, CA 94402


San Marcos Social Security Office

367 Via Vera Cruz
San Marcos, CA 92078


San Bernardino Social Security Office

605 N Arrowhead Ave
San Bernardino, CA 92401


San Diego Social Security Offices

8505 Aero Dr
San Diego, CA 92123


1333 Front Street
San Diego, CA 92101

San Fernando Social Security Offices

456 S F Mission Blvd
San Fernando, CA 91340


San Francisco Social Security Offices

90 7th St
San Francisco, CA 94103


1098 Valencia St
San Francisco, CA 94110

560 Kearny Street
San Francisco, CA 94108

San Jose Social Security Offices

280 S First St
San Jose, CA 95113


6140 Cottle Rd
San Jose, CA 95123

2500 Fontaine Rd
San Jose, CA 95121

San Leandro Social Security Offices

320 Davis Street
San Leandro, CA 94577


San Luis Obispo Social Security Offices

3240 S Higuera St
San Luis Obispo, CA 93401


Santa Ana Social Security Office

1851 East First Street
Santa Ana, CA 92705


Santa Barbara Social Security Office

355 Paseo Nuevo
Santa Barbara, CA 93101


Santa Cruz Social Security Office

169 Walnut Avenue
Santa Cruz, CA 95060


Santa Maria Social Security Office

2436 Professional Pkwy
Santa Maria, CA 93455


Santa Rosa Social Security Office

2099 Range Avenue
Santa Rosa, CA 95401


Sonora Social Security Office

745 Morning Star Drive
Sonora, CA 95370


Stockton Social Security Office

4747 Feather River Dr
Stockton, CA 95219


Suisun City Social Security Office

700 Main Street
Suisun City, CA 94585


Susanville Social Security Office

2603 Riverside Dr
Susanville, CA 96130


Thousand Oaks Social Security Office

322 E Thousand Oaks Bl
Thousand Oaks, CA 91360


Torrance Social Security Office

22600 Crenshaw Blvd
Torrance, CA 90505


Ukiah Social Security Office

521 S Orchard Ave
Ukiah, CA 95482


Valencia social Security Office

27200 Tourney Rd
Valencia, CA 91355


Vallejo Social Security Office

106 Plaza Dr
Vallejo, CA 94591


Ventura Social Security Office

6477 Telephone Road
Ventura, CA 93003


Victorville Social Security Office

13955 Park Ave
Victorville, CA 92392


Visalia Social Security Office

1901 E Noble Avenue
Visalia, CA 93292


Walnut Creek Social Security Office

1111 Civic Drive
Walnut Creek, CA 94596


Watsonville Social Security Office

180 Westgate Drive
Watsonville, CA 95076


West Covina Social Security Office

501 S Vincent Ave West
Covina, CA 91790


West Sacramento Social Security Office

825 Riverside Parkway West
Sacramento, CA 95605


Whittier Social Security Office

7200 Greenleaf
Whittier, CA 90602


Yreka Social Security Office

1960 S. Oregon Street
Yreka, CA 96097


Yuba City Social Security Office

355 Percy Avenue Yuba City, CA 95991


Yucca Valley Social Security Office

56492 29 Palms Hwy
Yucca Valley, CA 92284


Assisted Living Laws and Regulations in California

Assisted Living Service Plans

Before developing a service plan, assisted living facilities are required to complete a pre-admission appraisal of the prospective resident. The pre-admission appraisal reviews the following:

  • Functional capacity, which is measured by the ability to perform activities of daily living
  • Mental condition and social factors
  • A physician-conducted medical evaluation that documents medical diagnoses, current health status, any medication and treatments currently used by the resident and any prescribed diet

In California, a written service plan must be developed between the resident, the resident’s representative (if applicable) and the administrator or manager.

The plan must include:

  • a description of the resident’s medical conditions, including any physical, cognitive or behavioral impairments.
  • the level and scope of services the resident receives.
  • the type of services and how often the resident receives them.

Service plans must be updated whenever the resident experiences a significant change in health status to ensure services provided continue to meet his or her needs.

Assisted Living Admission Requirements

Assisted living communities in California cannot accept any resident who requires any of the following services:

  • Access to 24-hour skilled nursing care
  • Care for Stage III and IV dermal ulcers (open sores)
  • Care related to gastrostomies, nasogastric tubes or tracheostomies
  • Treatment for a staph infection or any other serious infection
  • Assistance with ALL activities of daily living
  • Assistance because they are bedridden
  • Ongoing care for a communicable disease
  • Care for mental disorder that causes ongoing behaviors that could be upsetting or disruptive for other residents

Residents must be able to direct their own care and may be admitted if they have a licensed third party help them with certain health conditions, such as administering oxygen, catheter care, diabetes complications, dementia or incontinence.

Assisted Living Scope of Care

Beyond room and board, there are two types of services provided at assisted living communities in California: basic services and care and supervision services. Basic services encompasses:

  • Personal assistance and care
  • Observation and supervision
  • Planned activities
  • Arrangement for obtaining incidental medical and dental care

Meanwhile, care and supervision encompasses the following services:

Assistance with activities of daily living, such as dressing, bathing, other personal hygiene needs, assistance with self-administering medications and monitoring food intake or adherence to a specialized diet.

Assisted living communities in California are required to define the scope of services it provides to residents in writing. For any assisted living community your may be considering, it’s important for you to review the scope of care and services you or your loved one requires to make sure they are able to meet your needs.

Assisted Living Medicaid Policy

Residents may find help with cost coverage through an Assisted Living Waiver available California’s Medicaid program, known as Medi-Cal. The Medicaid waiver can cover medical and care related services for California seniors who live in an assisted living community, but it does not cover expenses for room & board.

Assisted Living Facility Requirements

Assisted living communities in California are not required to provide private apartments for seniors. Arizona may provide residences that are apartment-style or bedrooms which offer single- or double-occupancy. Every unit is required to have one toilet for every 6 residents with a shower or tub for every 10 residents. For seniors who have the Assisted Living Facility Waiver, requirements include private occupancy, with shared occupancy only by residents’ choice, and units must have a refrigerator and cooking appliance.

Medication Management Regulations

Residents may administer their own medication as long as a doctor deems them mentally and physically able to do so. Staff that assist with medication self-administration have to complete coursework, pass an examination and complete hours of training depending on how many residents live in the facility. A nurse, pharmacist or physician must oversee the training and examination.

Staffing Requirements

All assisted living facilities in California must have a licensed administrator and a designee to be available when the administrator is not present. Licensed nurses or appropriately skilled professionals can be hired to provide medication administration or incidental medical services.

With respect to ratios, staffing requirements vary based on how many resident reside in a given facility. For 16 residents or less, there must be staff available in the facility. For 16-100 residents, one staff member must be awake. For 101-200 residents, one staff member must be awake with another on call. An additional wake staff is needed for each additional 100 residents.

Staff Training Requirements

Administrators in assisted living facilities must complete 40 hours of continuing education every 2 years – with at least 8 of those hours being for Alzheimer’s and dementia care training. All personnel at the facility must be trained on the job or have experience in housekeeping and sanitation procedures or skills and knowledge needed to provide care and supervision for residents – which includes safely assisting with prescribed medications and recognizing the early signs of illness. All staff that assist residents directly with activities of daily living must receive at least 10 hours of initial training within the first month of employment and at least 4 additional hours each year.

Background Checks for Assisted Living

A criminal background check, including fingerprint clearance, must be performed on all administrative staff, direct care staff and employees that have frequent contact with the residents. This must be completed prior to the first day of work. Privately paid personal assistants hired by residents must also undergo this background check.

Requirements for Reporting Abuse

There is an online complaint form available through California’s Bureau of Medi-Cal Fraud and Elder Abuse to conveniently and anonymously register concerns about a community.