Coming Soon · 1stConcierge is preparing to launch in Marin County — this is a preview and we are not yet open for services.

Services

Care management first,
and hand-picked home care

We lead with concierge care management and patient advocacy — a dedicated professional who manages the full picture of your parent's care — and back it with hand-picked, non-medical home care across Sausalito and Marin County.

Concierge care management & patient advocacy — our lead

A dedicated care manager and advocate who manages the whole picture: coordinating doctors, specialists, and the assisted-living facility; accompanying and advocating at appointments and hospital stays; handling appointment, medication, and prescription logistics; and keeping the family informed. The trusted "favorite daughter" a family wishes they had on call — and, as directed, specialized roles such as Advanced Health Care Directive designee or financial power-of-attorney support. See why concierge care is different →

Companionship

Conversation, walks, games, outings, and genuine social engagement. The right caregiver match matters as much as the care itself — we hand-pick for personality, not just availability.

Personal care

Dignified assistance with the activities of daily living: bathing, dressing, grooming, mobility, and toileting — handled with discretion by experienced, registered Home Care Aides.

Home & meals

Meal planning and preparation, light housekeeping, laundry, and daily household tasks — so home keeps feeling like home.

Medication reminders

Consistent, documented reminders that keep routines on track, with clear notes your family can review.

Out & about

Transportation and accompaniment for appointments, errands, social visits, and the standing Tuesday hair appointment that should never be missed. All caregivers have their own car and appropriate insurance.

Family communication

Regular, plain-English updates to the people who need them — including adult children out of the area. No surprises, no silence.

Bookkeeping & errands

Bill pay, banking, correspondence, and household record-keeping — keeping finances organized and paperwork current so nothing falls through the cracks.

Hospital recovery support

Post-discharge care following hospitalization or medical procedures — medication reminders, rehabilitation assistance, and the continuity that eases the transition home.

Transitions & relocation

Support moving to a new residence or returning home from a care facility — we manage the logistics and provide the steady presence that makes change less disruptive.

Overnight & live-in care

Extended and full-time care arrangements for families needing overnight presence or round-the-clock support — flexibility built around your needs.

Memory care

Loving, patient support for clients living with dementia or Alzheimer's — calm routines, safety, and genuine connection. When a move becomes necessary, the same trusted caregiver provides continuity right into assisted-living facilities, so a familiar face stays through the transition.

A caregiver gently comforting a senior woman at home A caregiver greeting a senior woman during an in-home consultation A caregiver assisting a senior man in a wheelchair by a bright window

How engagements work

Built for continuity

  • 20 hours per week minimum — the level at which true continuity of care becomes possible. We make thoughtful exceptions as capacity allows.
  • A capped roster — when we're at capacity, we say so, and welcome new clients from our waiting list as openings arise.
  • Simple billing — weekly ACH autopay from your checking account. No invoices to track, nothing to mail.
  • Long-term-care insurance support — we prepare and send claim-ready bills and visit documentation to your insurer (John Hancock, Genworth, and similar) so you're reimbursed promptly. We never bill Medicare, Medicaid, or insurance directly.

A note on scope

We lead with concierge care management and patient advocacy, which requires no state license. Hands-on non-medical home care is provided under California's Home Care Organization framework. Skilled nursing is planned as a future phase under a separate Home Health Agency license and is not yet offered.

Every caregiver is a Home Care Aide registered with the State of Californiabonded, DOJ/FBI background-checked, TB-cleared, trained beyond the state requirement, and employed directly by us with workers' compensation and liability coverage. Caregivers also maintain their own vehicle and auto insurance for transportation.

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