In Home Care Options Homemaker Services: Services providing help with household tasks that cannot be managed alone. Homemaker services includes hands-off care such as cooking, cleaning and running errands. Home Health Aide Services: Home health aides offer services to people who need more extensive care. It is hands-on personal care, but not medical care. The rate listed here is the rate charged by a non-Medicare certified, licensed agency. Community Option Adult Day Health Care (ADC): Provides social and support services in a community-based, protective setting. Various models are designed to offer socialization, supervision and structured activities. Some programs may provide personal care, transportation, medical management and meals. Facility Options Assisted Living Facility (ALF): Residential arrangements providing personal care and health services. The level of care may not be as extensive as that of a nursing home. Assisted living is often an alternative to a nursing home, or an intermediate level of long term care. Assisted Living Facilities are referred to as Residential Care Facilities in California. Nursing Home Care: These facilities often provide a higher level of supervision and care than Assisted Living Facilities. They offer residents personal care assistance, room and board, supervision, medication, therapies and rehabilitation, and on-site nursing care 24 hours a day. Learn more about Long Term Care and the choices in care settings