Private-Pay Home Care Without the Rotating Door

Two people holding hands outdoors, one person's hand on top of the other's in a supportive gesture.

No call centers. No staffing exchanges. No strangers from mass-hiring platforms. Every care professional is intentionally selected and professionally employed.

A Direct Line to the Person Responsible

A family of three, a mother, father, and daughter, smiling and posing for a photo outdoors in a park during daytime, with trees and other people in the background.

When you contact Accesso Care, you speak directly with the founders overseeing your care plan.

We operate different from high-volume staffing models that prioritize volume over connection. We invest in our caregivers as W-2 professionals so they can turn your home into a sanctuary.

The Accesso Standard:

  • Direct Founder Oversight. Jimmy Zhang and Dr. Esther Castillo remain directly involved in every relationship.

  • Selective Caseload. We limit active cases under 20 at a time to ensure attention, responsiveness, and continuity.

  • Workforce Integrity. Our care professionals are W-2 employees. We prioritize reliability, professionalism, and long-term alignment.

— Jimmy Zhang & Dr. Esther Castillo, Founders

Group of healthcare workers in scrubs standing together indoors, some making heart shapes with their hands and smiling.

Structured Support. Long-Term Stability

We provide both transitional support and ongoing private-pay home care under one consistent standard.

Hospital Discharge Support

We coordinate care prior to discharge and establish structured in-home support to reduce confusion and prevent avoidable setbacks.

Ongoing Long-Term Care

We focus on durable caregiver matches designed for consistency and predictable routines.

Our goal is simple:
Lower turnover. Stronger connection. Stable routines.

Managed. Not Just Staffed.

  • No Anonymous Sourcing

    Personal Care Assistants are personally vetted local professionals — not pulled from mass hiring platforms.

  • W-2 Accountability

    Professional employment supports lower turnover and clearer responsibility.

  • Intentional Matching

    Language, communication style, and household expectations are considered alongside clinical needs.

  • Consistency Over Volume

    We prioritize long-term stability rather than rapid shift coverage.

Find your peace of mind

If you are arranging care — whether following a discharge or planning for ongoing support — start with a direct conversation.