IHSS Care and The PA's Role

The San Francisco IHSS Public Authority (The PA) connects low income seniors and people with disabilities to qualified IHSS providers, so they may live healthier, happier and safer lives at home and engaged in the community.

What is IHSS?

In-Home Supportive Services, otherwise known as IHSS, helps seniors and people with disabilities safely remain in their own homes with support from a Provider who assists with personal care and routine household tasks. IHSS encourages independence and self-reliance where possible, and is a cost-effective alternative to institutional care.

The San Francisco IHSS Public Authority provides seven major services:

  1. Registry
  2. On-Call Program
  3. Employer-of-Record for the IP Workforce
  4. Health & Dental Insurance for IP Workforce
  1. Education, Outreach, and Advocacy
  2. Mentorship Program
  3. Criminal Background Checks for the IP Workforce
About SFIHSSPA How IHSS Works
Logo of Thriving in Place.

Thriving in Place

The Mission of Thriving in Place is to strengthen, sustain and advocate for the work of the San Francisco In-Home Supportive Services Public Authority, ensuring low-income older adults and people with disabilities are able to remain and thrive at home and in their communities.

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  • SF IHSS Public Authority

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    Get started and make an appointment online today!

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    Get started and make an appointment online today!

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  • SF IHSS Public Authority

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    ¡Únase a nosotros en honor al Día Nacional de las Decisiones sobre el Cuidado de la Salud! ¡Escanee el código QR para registrarse en el taller! En este taller, aprenderá la importancia de la planificación anticipada de la atención, dará los primeros pasos para considerar el tipo de atención que desea y descubrirá cómo iniciar conversaciones significativas con familiares, amigos y proveedores de atención médica.
    #AutoridadPública #RegístrateAhora

  • SF IHSS Public Authority

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    Join us in honor of National Health Care Decisions Day!
    Scan QR Code to Register for Workshop!
    In this workshop, you’ll learn the importance of Advance Care Planning, take the first steps in considering the type of care you want, and discover how to start meaningful conversations with family, friends, and healthcare providers.#PublicAuthority #RegisterNow

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/1/25 at 10:19PM

    🎉 As we celebrate 30 years of service, We’re celebrating accessibility this February! Our orientations are offered three times a week in English, Spanish, and Chinese, making it easier for everyone to get started. And guess what? We've seen amazing engagement from our community! 🎉
    #30thAnniversary #IHSS #PublicAuthority #Celebration #History

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/31/25 at 5:00PM

    Has Your Walgreens in San Francisco Closed? Here's Where Your Prescriptions Will Go https://www.kqed.org/news/12028959/has-your-walgreens-in-san-francisco-closed-heres-where-your-prescriptions-will-go

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/26/25 at 5:00PM

    Follow link and download a copy of the new SF IHSS PA 2024-25 Annual Report, featuring recruitment updates, mentorship initiatives, and fiscal year goals. Or stop by our office at 832 Folsom St. to grab a copy. https://www.sfihsspa.org/about-us/publications.php

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  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/21/25 at 5:29PM

    🎉 It’s official! We’re kicking off our 30th Anniversary year! 🎉 For three decades, we’ve been dedicated to providing support to the IHSS community, and we’re just getting started! Join us as we celebrate the past, present, and future of our mission.
    Share a historical overview of the organization’s founding and growth, with highlights of key moments in your journey.

  • SF IHSS Public Authority

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    Get started and make an appointment online today!

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/23/25 at 4:18PM

    On National Health Care Decisions Day, PA and IHSS leadership joined Dr. Rebecca Sudore, the creator of Prepare for your care, to support advance care planning and raise awareness about the importance of taking control of your health and medical decisions.

    The event and press conference highlighted the vital work already underway to help our community make informed choices, explored opportunities to shape the future of advance care planning, and provided practical tools to start meaningful conversations—with loved ones and health care providers.

    Big thank you to Loren Pogir, Kelly Dearman, and the @San Francisco Palliative Care Work Group (https://www.facebook.com/SFPCWG) for their partnership and look forward to continuing our work with them and the team at UCSF Palliative Care Clinic. 💙 #NHCDD #AdvanceCarePlanning #SFHealth

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/15/25 at 5:00PM

    🎉 As we celebrate 30 years of service, We’re celebrating accessibility this February! Our orientations are offered three times a week in English, Spanish, and Chinese, making it easier for everyone to get started. And guess what? We've seen amazing engagement from our community! 🎉
    #30thAnniversary #IHSS #PublicAuthority #Celebration #History

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  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/8/25 at 5:05PM

    Join us in honor of National Health Care Decisions Day!
    Scan QR Code to Register for Workshop!
    In this workshop, you’ll learn the importance of Advance Care Planning, take the first steps in considering the type of care you want, and discover how to start meaningful conversations with family, friends, and healthcare providers.#PublicAuthority #RegisterNow

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/7/25 at 5:00PM

    Celebrating The Americans with Disabilities Act (ADA), signed into law 35 years ago on July 26, 1990. This historic civil rights law protects the rights of people with disabilities. Learn more in link below.
    #ADA35 https://www.sfihsspa.org/latest-news/news-detail.php?46

  • SF IHSS Public Authority

    🎉 As we celebrate 30 years of service, We’re celebrating accessibility this February! Our orientations are offered three times a week in English, Spanish, and Chinese, making it easier for everyone to get started. And guess what? We've seen amazing engagement from our community! 🎉
    #30thAnniversary #IHSS #PublicAuthority #Celebration #History

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/28/25 at 5:00PM

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/25/25 at 10:21PM

    Tune in to watch: Change, Not Charity: The Americans with Disabilities Act tells the emotional and dramatic story of the decades-long push for equality and accessibility that culminated in the passage of the Americans with Disabilities Act (ADA) in 1990.
    Tune in tonight! https://www.pbs.org/wgbh/americanexperience/films/change-not-charity-americans-disabilities-act/

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/24/25 at 5:00PM

    Dementia: Setting boundaries is crucial for caregivers. Learn Andrea's story of setting boundaries. https://www.wral.com/lifestyle/family/dementia-caregivers-setting-boundaries-raleigh-february-2025/

  • SF IHSS Public Authority

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  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/30/25 at 9:33PM

    On National Health Care Decisions Day, PA and IHSS leadership joined Dr. Rebecca Sudore, the creator of Prepare for your care, to support advance care planning and raise awareness about the importance of taking control of your health and medical decisions.

    The event and press conference highlighted the vital work already underway to help our community make informed choices, explored opportunities to shape the future of advance care planning, and provided practical tools to start meaningful conversations—with loved ones and health care providers.

    Big thank you to Loren Pogir, Kelly Dearman, and the @San Francisco Palliative Care Work Group (https://www.facebook.com/SFPCWG) for their partnership and look forward to continuing our work with them and the team at UCSF Palliative Care Clinic. 💙 #NHCDD #AdvanceCarePlanning #SFHealth

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/21/25 at 9:18AM

    🎉 As we celebrate 30 years of service, We’re celebrating accessibility this February! Our orientations are offered three times a week in English, Spanish, and Chinese, making it easier for everyone to get started. And guess what? We've seen amazing engagement from our community! 🎉
    #30thAnniversary #IHSS #PublicAuthority #Celebration #History

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/14/25 at 7:08PM

    Join us! Learn the importance of Advance Care Planning, take the first steps in considering the type of care you want, and learn how to start meaningful conversations with family, friends, and healthcare providers.
    Use QR Code to register!

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/11/25 at 5:00PM

    Get started and make an appointment online today!

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/8/25 at 5:00PM

    🎉 As we celebrate 30 years of service, We’re celebrating accessibility this February! Our orientations are offered three times a week in English, Spanish, and Chinese, making it easier for everyone to get started. And guess what? We've seen amazing engagement from our community! 🎉
    #30thAnniversary #IHSS #PublicAuthority #Celebration #History

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 4/7/25 at 5:00PM

    Join us in honor of National Health Care Decisions Day to to start reflecting on what is most important to you!

    In this workshop, you’ll learn the importance of Advance Care Planning, take the first steps in considering the type of care you want, and discover how to start meaningful conversations with family, friends, and healthcare providers.#PublicAuthority #RegisterNow

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/31/25 at 5:24PM

    Tune in to watch: Change, Not Charity: The Americans with Disabilities Act tells the emotional and dramatic story of the decades-long push for equality and accessibility that culminated in the passage of the Americans with Disabilities Act (ADA) in 1990.
    Tune in tonight! https://www.pbs.org/wgbh/americanexperience/films/change-not-charity-americans-disabilities-act/

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/26/25 at 5:21PM

    Tune in to watch: Change, Not Charity: The Americans with Disabilities Act tells the emotional and dramatic story of the decades-long push for equality and accessibility that culminated in the passage of the Americans with Disabilities Act (ADA) in 1990. https://www.pbs.org/wgbh/americanexperience/films/change-not-charity-americans-disabilities-act/

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/24/25 at 5:25PM

    Shoutout to the amazing Recruitment team for volunteering at the San Francisco Food Bank! Along with other incredible volunteers, we packed a total of 896 boxes of fresh produce—each weighing 20 lbs—in just 2.5 hours! That’s 17,920 lbs of food distributed to families in SF this past weekend. 🍎🥬🍞

    This volunteer event was not only fun and gratifying, but also a great change of pace! It was physically demanding but incredibly rewarding. Huge shoutout to Gabby and Rita for being awesome teammates! 💪💙 #VolunteerWork #GivingBack #SanFranciscoFoodBank #Teamwork

  • SF IHSS Public Authority

    Photo from @SF IHSS Public Authority on Facebook on SF IHSS Public Authority at 3/24/25 at 5:00PM

    🎉As we celebrate our 30th Anniversary this month, we're proud to highlight a Faster Application Process! So far this year, the average time from application to acceptance on the Registry has been reduced to just 29 days—ensuring quicker support for the IHSSPA community. 🎉
    #30thAnniversary #IHSS #PublicAuthority #Celebration #History

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