ACH Home Care in Chula Vista — operating as A Caring Heart Home Care — has provided non-medical in-home care from E Millan Street since 2010, earning BBB accreditation with an A+ rating through its first 15 years of service. Care plans scale from a few companion hours per week to full 24-hour live-in support, covering bathing assistance, incontinence care, meal preparation, medication reminders, light housekeeping, and errand services including prescription pickup — a scope that complements the clinical therapy programs at Therapy South, PC for patients transitioning from rehabilitation to independent living. Certified Nursing Assistants and Home Health Aides on staff complete background screening and drug testing before assignment, with caregiver-to-client matching based on skill set, language, and scheduling compatibility. Respite care shifts give family caregivers scheduled relief while maintaining continuity of the client's personalized care routine — a service designed for long-term sustainability of informal caregiving arrangements. Acute symptom changes during in-home shifts trigger protocols that route clients to AFC Urgent Care Chula Vista or emergency services, depending on clinical severity assessed by the on-site aide. Each engagement begins with a complimentary in-home assessment that documents the client's ADL limitations, fall risk factors, and cognitive status to generate a written care plan aligned with physician recommendations.