Cal Ruff Board & Care in Chula Vista offers residential assisted living from a small-home setting at 1612 Walnut Drive in the city's southwest corridor. Residents requiring primary care visits and chronic disease management coordinate appointments through San Ysidro Health Chula Vista, a federally qualified health center serving the surrounding South Bay communities. Operated by Ruff Residential Care Inc., the facility is licensed by the California Department of Social Services as a Residential Care Facility for the Elderly (RCFE) and maintains a small-home model with individualized care plans for each resident. Families evaluating the full continuum of senior housing options in western Chula Vista can compare this intimate board-and-care format against larger campus-style communities such as Fredericka Manor Retirement Community in Chula Vista, which offers multi-level care tiers. The home provides assistance with activities of daily living including bathing, dressing, grooming, medication management, and meal preparation in a six-bed residential setting designed for seniors who benefit from a higher caregiver-to-resident ratio than larger institutional facilities.