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Why choose us for home care in San Francisco, CA?


We believe aging should feel empowering, not limiting. That’s why we provide personalized care with a human touch, helping older adults live safely and with purpose at home.

Our Team

Behind every phone call, visit, and update is your local team who genuinely cares.

We're here to help with whatever you need, whenever you need it.

David Ramirez

David Ramirez

Executive Director

David joins Home Instead after holding a variety of executive positions for a n innovative digital technology conglomerate . With a J.D. from the University of San Francisco, David brings years of experience in legal, marketing, and corporate development to the Home Instead San Francisco team. Having responsibility to care for his grandparents and autistic brother, David understands the dynamics and importance of service pr ofessionals that provide necessary care to ease the burden placed on families supporting their loved ones. In addition to his commitment to c ommunities needing care, David and his wife have a passion for dogs and own and operate Peticular LLC, a business that sells the OutFox Field Guard, a patented mask that is designed for dogs to p rotect against injuries caused by scavenging and foxtail penetration.

Jill Bowers

Jill Bowers

Director of Operations

​Jill discovered her passion for home care in 2007 while attending San Francisco State University, when she was offered the opportunity to work as a one-on-one live-in caregiver, for her elderly family friend. She provided in-home care and support to her client, while simultaneously earning a Bachelor's of Arts Degree with an emphasis in Art History in 2009. In 2013, Jill joined the administrative side of home care and quickly displayed great leadership potential, becoming an essential part of management and earned a promotion as Operations Manager in 2015. Jill joined Home Instead San Francisco in January of 2018 as Director of Operations. Jill understands the home care industry well and supports her team in all facets. Jill brings a great "can-do" attitude and an innate desire to help her team, CarePros, the clients and families we serve. She loves living in in San Francisco and enjoys spending time with her friends, family, and going on long walks with her two dogs.

Victoria Drake

Victoria Drake

Director of Client Care, Gerontologist

​Victoria Drake received her Masters in Gerontology at San Francisco State University and has actively been working with the elderly in San Francisco for just over 15 years. Her Master's thesis emphasized the idea of creating and maintaining a Quality of Life at the End of Life and it has truly been her passion to ensure that older adults have the highest level of care while maintaining their dignity and independence. Victoria is excited to bring her experience and knowledge to the Home Instead team and is ready to collaborate and continue to grow with the Home Instead San Francisco.

Mayra Rivera-Martinez

Mayra Rivera-Martinez

Business Development Advisor

Mayra joined Home Instead in 2022, as Client Care Coordinator. She has been in the healthcare field for over 10 years. Her career began as a care provider in 2012. She feels very fortunate to have worked with excellent companies throughout her profession. She has been blessed with opportunities to gain experience which have empowered her growth. With continued training and self-less dedication, she has been able to develop her skills and truly understand the meaning of care.

Radhika Bauerle

Radhika Bauerle

Business Development Advisor

Radhika is passionate about people, purpose, and building meaningful community connections. At Home Instead San Francisco, she partners with hospitals, senior centers, and local organizations to ensure seniors receive the compassionate, quality care they deserve. With over 15 years of experience in leadership and relationship management, Radhika brings warmth, empathy, and professionalism to every interaction, helping families feel supported, informed, and connected through every stage of care.

Karen Rono

Karen Rono

Staffing Manager

Karen brings with her over 20 years in the home-care industry where she has overseen departments in Staffing, Care Management, and Human Resources. Karen also has earned a certificate as a Home Health Aide. She has an immense passion for geriatric health care and is a huge advocate for the CAREGivers that comprise our Care Team.

Johnika Carter

HR & Recruitment Manager

Johnika Carter is an ambitious individual with an unwavering commitment to provide quality customer service and support to everyone she encounters. She joins Home Instead following 6 years of experience in the Senior Living Industry. Johnika realized her calling to help seniors at an early age after volunteering at a local Senior Living community for those living with cognitive impairments. She has been on all sides of senior care, from concierge to caregiver and even management. Providing quality care for seniors and support for our staff is her true passion, and fills her with enormous gratification.

Irwin Samia

Irwin Samia

Recruitment Coordinator

Former caregiver turned recruiter, bringing real-world healthcare experience into building strong, compassionate care teams. Passionate about connecting the right people to meaningful work and ensuring quality care for every client.

Our Social Purpose.


Our social purpose starts in San Francisco, CA but it carries on across the world. The Home Instead network works to create a world where people own their aging journeys. This vision drives us to expand the world’s capacity to care.

    Giving Back

    Home Instead helps older adults age with greater hope and success whether they're our clients or not.

    Be a Santa to a Senior

    Need help during the day? Overnight care? Weekend coverage? We offer flexible options, on-time visits, and reliable care from Care Pros you know and trust.

    Walk to End Alzheimers

    Home Instead walks to help end Alzheimer’s and support families affected by the disease with hope, awareness, and community care.

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    Free Care Resources

    We strive to help family caregivers navigate the aging journey by providing helpful, free resources.