Like many people in the senior care business, I was drawn to the enormity of need our family experienced during the final years of my mother-in-law’s life. Chronic conditions, dementia, and surgeries each stole away what had been a very intelligent, lively and loving wife, mother, mother-in-law, and grandmother. Drawing on my years of experience working in the computer industry, I decided to become proficient through education, training and actively participating in industry organizations, in order to develop best-practices that would be the starting point for building an agency that provides truly excellent care. The journey has been enormously rewarding, and one I wouldn’t trade for the world. Not for the expediency of purchasing a franchise—or for starting out much sooner merely knowing this is a growing market and a good place to be. A Circle of Care exists to enable our caregivers to provide the best personalized care and attention to our clients and to their families. We want to be there for you at all times, anticipating and planning for your needs.

Your initial assessment is only the first step toward making each day the best that it can be. Your caregivers are matched to your satisfaction. All caregivers are our W2 employees. Each caregiver receives ongoing training, has passed background checks, TB tests, and is bonded and insured. Your care plan includes coordination with your extended care partners—be they physicians, pharmacists, family, friends, neighbors, or faith community.

Together, we are your care team.


Adding to twenty-three years’ experience working in the computer industry as a software engineer, engineering manager, and product manager for a major computer company, Pat earned a Certificate in Applied Gerontology from San Diego State University. She attended Mira Costa College and became a Certified Nurse Assistant (CNA), a Home Health Aide (HHA), and has completed the California certification program for Residential Care Facilities for the Elderly (RCFE) Administrator. Other certifications include Food Safety Manager and CPR for Health Care Providers. Ongoing education and a "never stop learning" attitude is a cornerstone of A Circle of Care. This is demonstrated through our continued active participation in key industry organizations. Training on over forty topics from "In The Know" a national CNA continuing education provider, are scheduled for all employees. Summaries of important information from these topics are shared with clients when they are faced with an unfamiliar situation.


A Circle of Care is affiliated with key in-home senior care associations. By being an active member of such associations, we benefit from years of experience and have early access to the latest in caregiving and business best-practices. We make it a priority to stay informed, and to incorporate best-practices into our service.

Home Care Association of America(HCAOA)

The Home Care Association of America (HCAOA) formerly National Private Duty Association (NPDA) is the nation's first association for providers of private duty home care.

HCAOA was founded on the principle that quality private duty home care has one model of care and that model is to employ, train, monitor and supervise caregivers, create a plan of care for the client and work toward a safe and secure environment for the person at home.

HCAOA Guiding Principles - Associations that have guiding principles use them to help determine how the association will conduct its business, assist in determining policy and positions, and in providing direction. While the mission and vision of the Home Care Association of America are the main tools for determining strategy and direction, these guiding principles complement that mission and vision.

  1. We believe that people should be able to age safely in place at home to the extent possible according to their desires and permitted by their resources.
  2. We will champion measures at both the federal and state levels that promote home care quality and affordability.
  3. Appropriateness of care and client protection is best provided in an employee based model.
Download NPDA Member's flyer
California Association for Health Services at Home (CAHSAH)
The California Association for Health Services at Home (CAHSAH) is the leading statewide home care association in the nation and the voice of home care for the western United States.
  • CAHSAH is dedicated to being the preeminent source of advocacy, education and information reflecting the full diversity of the home care industry.
  • CAHSAH's guiding core purpose is to promote quality home care and enhance the effectiveness of its members.
    Download CAHSAH Member's Code of Ethics
Better Business Bureau
A Circle of Care is an accredited member of BBB, meaning that we adhere to the BBB Code of Business Practices representing sound advertising, selling and customer service practices. This code is built upon BBB Standards for Trust.
Download BBB Standards for Trust
American Society on Aging (ASA)
American Society on Aging (ASA) members represent a diverse array of professionals in the field of aging working along the continuum of care and service and who are concerned with the physical, emotional, social, economic and spiritual well-being of older adults. Two important aspects of ASA membership include professional connections and education.
  • Connection: American Society on Aging (ASA) connects members to other professionals, to valuable resources, to best-practices, employment opportunities and more. ASA's Blogs and Forum, Web seminars and Constituent Groups offer several opportunities to connect in simple, yet fulfilling ways. Share resources and ideas, improve processes, and build professional relationships that last a lifetime.

  • Professional Education: American Society on Aging (ASA) offers many different types of educational opportunities to meet aging professionals learning needs. A full calendar of web seminars on a multitude of topics; a multidisciplinary national conference; regional networking events, and informative publications provide a wealth of ideas and knowledge with which to develop member business and improve member services to older adults.

2012 - 90th Birthday Party with caregiver

From Kevin H. and family: "Our 88-year old mother was very independent, and capable of taking care of herself until earlier this year. When this changed, we were taken by surprise and needed a way to provide care that went beyond what family members could provide. The four sons are not nearby or were not in a position to provide the care she quickly needed - A Circle of Care stepped in to fill our needs in ways that we couldn't have anticipated. The managing director, Pat, was prepared to meet our challenge by understanding the changes that were happening to our mother and developing comprehensive care plans. She also took a unique interest in our mother as a person, making our mother very comfortable with the changes that were occurring. One such change to ensure her safety involved taking away her driving privileges. We have been given wonderful council on what is best for our mother, and could not have asked for more in the caregivers who provide 24/7 care. They use the best blend of encouragement and restraint when it comes to managing outings, activities and exercise for our mother, and ensuring her needs are met. We could not be more pleased and impressed with our experience with A Circle of Care. Thanks to the great care she is receiving, our mother is once again content, and active to the very best of her ability."

From Bill J., Gwynneth B., and Beth R. "We feel so fortunate to have been introduced to A Circle of Care. Our dad, who will turn 90 this coming March, appreciates the flexibility and the ability of A Circle of Care to make schedule changes that keep pace with his changing care needs. This includes periods of time when he may need 24 hour care over an extended period of time. His wonderful caregivers are genuinely concerned about his welfare and happiness and even maintain a clean home for him. They prepare healthy and delicious meals that he truly looks forward to eating. A Circle of Care demonstrates great patience in finding caregivers that are the right fit for our dad. They know that every caregiver is different and not always a good fit for their clients. Finally, it is a great help to us that they are able to take dad to his many doctor appointments and any other place he may need to go. We are grateful to have found A Circle of Care."

Hospice Care: A Circle of Care has found hospice care to be particularly rewarding work. It is truly an honor to provide end-of-life care for clients and their families. One such experience was recognized by the family in our client’s obituary, published August 23, 2012 in the San Diego Union-Tribune: "Her family also wishes to thank "A Circle of Care" for their loving care during her last months of life."
Client obituary published August 23, 2012