Founded in 1996 as a privately owned California in-home senior care company independent of the national franchise networks, Golden Years Home Care operates from West Spruce Street near Balboa Park. The agency runs a nurse-supervised caregiver model with ongoing wellness documentation, offering companion care, personal care, end-of-life care, and assisted-living placement assistance for clients transitioning out of in-home care, a continuity-of-care workflow distinct from the referral-only intake model used at Home Care Providers. Caregivers are matched through an in-home consultation that documents the client's routines, personality, and care needs before placement, with re-matching offered if the initial pairing is not right. Clients requiring a transition into licensed skilled nursing or rehabilitation are coordinated with facilities such as Hillcrest Heights Healthcare Center. The most complex cases involve round-the-clock live-in care for clients in active end-of-life hospice status, with nurse oversight, family communication, and in-house caregiver-assisted relocation if a senior-living move becomes necessary.