Non-medical home care for older adults across San Diego County, Anila Care at Home coordinates companion, personal care, and dementia-support services from its Broadway office in downtown San Diego. Care plans address Alzheimer's-stage behavioral patterns and sundowning episodes using structured-routine protocols that parallel the therapeutic frameworks employed at facilities like the Areta Crowell Center for cognitive and behavioral health. The agency operates without minimum-hour requirements, deploying caregivers for post-hospitalization recovery, chronic-condition monitoring, and respite coverage on schedules as short as a single shift. ASL-proficient staff and bilingual Spanish-English intake expand access for hearing-impaired and Latino families navigating long-term care options alongside community resources such as FamilyHealth at City College. Highest-acuity engagements involve live-in placement for clients with dual diagnoses of mid-stage dementia and mobility impairment, requiring fall-prevention protocols, transfer-assist competency, and continuous behavioral redirection across a full circadian cycle.