San Francisco (Change Location)

Meet Our Team

We believe every family in the area deserves tailor made in-home senior care with a compassionate touch. That's why we established Home Instead® of San Francisco, CA.

Home Instead Caregiver helps senior woman unload groceries from vehicle
About Us
Meet Our Home Care Team
David Ramirez 2024

David Ramirez, Chief Happiness Officer

David joins Home Instead after holding a variety of executive positions for an 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 professionals that provide necessary care to ease the burden placed on families supporting their loved ones. In addition to his commitment to communities 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 protect against injuries caused by scavenging and foxtail penetration. David also volunteers as a coach and mentor for several local sports organizations and is a current board member of the Walnut Creek Chamber of Commerce.  

Jill Bowers 2024

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 2024

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.

Susan Anastasio 2024

Susan Anastasio, Director of Business Development

Susan has been active in the healthcare industry for over 20 years, working closely with physicians, case managers, social workers, fiduciaries, and other healthcare professionals ensuring excellent communication and coordination of client needs. She has served on the Membership Committee of CMSA San Francisco/East Bay Chapter.  Susan loves the relationships she's cultivated over her 20+ years in living and working in San Francisco and thrives in identifying synergies among our partners and bridging partnerships among our senior community providers.

Mayra Rivera Martinez 2024

Mayra Rivera-Martinez, Client Care Coordinator

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. 

Karen Rono 2024

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 2024

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.

Frankie Woodruff 2024

Frankie Woodruff, Office Manager

Frankie greatly enjoys his work as Office Manager and the interaction with Clients, Care Professionals, and Staff. He has worked at non-profits, both in human services and in environmental preservation, for over 15 years.  After 12 years in the Information Technology field, he has returned to office management and uses his talent in both fields to help with efficiency and logistics.

Margaret Trejo 2024

Margaret Trejo, C.N.A., CarePro Lead

Margaret Trejo joined Home Instead in April 2017. After spending almost 10 years in the banking industry, Margaret wanted to pursue a more personally rewarding career caring for older adults. She earned certifications as a Certified Nursing Assistant and a Home Health Aide from Northern California Nursing Academy. During which she received 190 hours of training on how to properly provide personal care, body mechanics and communication skills. Margaret is practical and detail oriented when working with clients. In her time with Home Instead, she has been able to form a trusting relationship with a client who has extensive personal care needs. She is a lifelong Bay Area resident who understands the importance of caring for seniors in her own community.

Haley Fanfelle 2024

Haley Fanfelle, R.N.,  Training Coordinator

Nurse Haley’s passion for the geriatric population and education stems back to 2015 when she began working as a caregiver.  Eager to learn more skills and advance scope in care, Haley became a CNA and continued to work in a variety of healthcare settings with San Francisco seniors including home health, hospitals, and skilled nursing facilities. Currently, she continues to work with the elderly population as an RN and is working on her Masters of Science in Nursing specializing as a Psychiatric-Mental Health Nurse Practitioner at UCSF with a minor in education. Ultimately, her goal is to manage care for and research in Dementia and Dementia related disorders to improve the mental health outcomes of our seniors while simultaneously teaching the next generation of caregivers/nurses who will serve this community. Both her approach to nursing and approach to education is founded on two simple rules: 1. Treat every patient like family and 2. Leave people better than you found them. 

Our Team

Your Home Instead team in San Francisco possesses a heartfelt desire to work with seniors in the community. It is our ultimate goal to forge extraordinary relationships between our clients and their Care Professionals.

When you are ready for help, our caring staff is on call to quickly answer your questions and accommodate your senior services needs.

Home Instead Caregiver wearing mask reading newspaper with senior man at home


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Proudly Serving Aging Adults & Their Families

Our Promise

As a locally owned business, our team offers friendly, responsive service right in your neighborhood. Families love our team because we:
  • Do what we say we’re going to do – each and every time
  • Solve care problems using compassionate, person-centered solutions
  • Engage in thoughtful relationships with the families we serve
  • Give back to our community