# Assisted Living on Medi-Cal in California: All 1,070 ALW Homes, by County

Every California home where Medi-Cal's Assisted Living Waiver can pay for care — 1,070 licensed homes across 15 counties, from DHCS enrollment records as of September 23, 2026. Free and complete; no home pays to be listed.

Full page: <https://covelightcare.com/medi-cal/california>

## Which California counties have Assisted Living Waiver homes?

- [Los Angeles County](<https://covelightcare.com/medi-cal/california/los-angeles-county>) — ALW homes on file: 334
- [Orange County](<https://covelightcare.com/medi-cal/california/orange-county>) — ALW homes on file: 201
- [Riverside County](<https://covelightcare.com/medi-cal/california/riverside-county>) — ALW homes on file: 120
- [Fresno County](<https://covelightcare.com/medi-cal/california/fresno-county>) — ALW homes on file: 89
- [San Diego County](<https://covelightcare.com/medi-cal/california/san-diego-county>) — ALW homes on file: 88
- [Sacramento County](<https://covelightcare.com/medi-cal/california/sacramento-county>) — ALW homes on file: 69
- [San Bernardino County](<https://covelightcare.com/medi-cal/california/san-bernardino-county>) — ALW homes on file: 62
- [Kern County](<https://covelightcare.com/medi-cal/california/kern-county>) — ALW homes on file: 32
- [Contra Costa County](<https://covelightcare.com/medi-cal/california/contra-costa-county>) — ALW homes on file: 28
- [Alameda County](<https://covelightcare.com/medi-cal/california/alameda-county>) — ALW homes on file: 19
- [San Joaquin County](<https://covelightcare.com/medi-cal/california/san-joaquin-county>) — ALW homes on file: 11
- [Sonoma County](<https://covelightcare.com/medi-cal/california/sonoma-county>) — ALW homes on file: 7
- [San Mateo County](<https://covelightcare.com/medi-cal/california/san-mateo-county>) — ALW homes on file: 4
- [San Francisco County](<https://covelightcare.com/medi-cal/california/san-francisco-county>) — ALW homes on file: 3
- [Santa Clara County](<https://covelightcare.com/medi-cal/california/santa-clara-county>) — ALW homes on file: 3

## Which counties have no Assisted Living Waiver homes?

Of the 48 California counties with licensed residential care homes on the state roster, 33 have no ALW-participating home in DHCS enrollment records as of September 23, 2026 — including Ventura (257 licensed homes), Placer (237 licensed homes), Solano (166 licensed homes), Stanislaus (102 licensed homes). Families there can still compare every licensed home free of charge; the waiver simply has no enrolled home in those counties to pay.

- [Amador County](<https://covelightcare.com/assisted-living/california/amador-county>) — 5 licensed homes
- [Butte County](<https://covelightcare.com/assisted-living/california/butte-county>) — 28 licensed homes
- [Calaveras County](<https://covelightcare.com/assisted-living/california/calaveras-county>) — 2 licensed homes
- [El Dorado County](<https://covelightcare.com/assisted-living/california/el-dorado-county>) — 35 licensed homes
- [Glenn County](<https://covelightcare.com/assisted-living/california/glenn-county>) — 3 licensed homes
- [Humboldt County](<https://covelightcare.com/assisted-living/california/humboldt-county>) — 16 licensed homes
- [Imperial County](<https://covelightcare.com/assisted-living/california/imperial-county>) — 5 licensed homes
- [Kings County](<https://covelightcare.com/assisted-living/california/kings-county>) — 6 licensed homes
- [Lake County](<https://covelightcare.com/assisted-living/california/lake-county>) — 2 licensed homes
- [Lassen County](<https://covelightcare.com/assisted-living/california/lassen-county>) — 1 licensed home
- [Madera County](<https://covelightcare.com/assisted-living/california/madera-county>) — 6 licensed homes
- [Marin County](<https://covelightcare.com/assisted-living/california/marin-county>) — 50 licensed homes
- [Mendocino County](<https://covelightcare.com/assisted-living/california/mendocino-county>) — 17 licensed homes
- [Merced County](<https://covelightcare.com/assisted-living/california/merced-county>) — 24 licensed homes
- [Monterey County](<https://covelightcare.com/assisted-living/california/monterey-county>) — 39 licensed homes
- [Napa County](<https://covelightcare.com/assisted-living/california/napa-county>) — 35 licensed homes
- [Nevada County](<https://covelightcare.com/assisted-living/california/nevada-county>) — 8 licensed homes
- [Placer County](<https://covelightcare.com/assisted-living/california/placer-county>) — 237 licensed homes
- [San Benito County](<https://covelightcare.com/assisted-living/california/san-benito-county>) — 3 licensed homes
- [San Luis Obispo County](<https://covelightcare.com/assisted-living/california/san-luis-obispo-county>) — 95 licensed homes
- [Santa Barbara County](<https://covelightcare.com/assisted-living/california/santa-barbara-county>) — 96 licensed homes
- [Santa Cruz County](<https://covelightcare.com/assisted-living/california/santa-cruz-county>) — 28 licensed homes
- [Shasta County](<https://covelightcare.com/assisted-living/california/shasta-county>) — 44 licensed homes
- [Siskiyou County](<https://covelightcare.com/assisted-living/california/siskiyou-county>) — 2 licensed homes
- [Solano County](<https://covelightcare.com/assisted-living/california/solano-county>) — 166 licensed homes
- [Stanislaus County](<https://covelightcare.com/assisted-living/california/stanislaus-county>) — 102 licensed homes
- [Sutter County](<https://covelightcare.com/assisted-living/california/sutter-county>) — 8 licensed homes
- [Tehama County](<https://covelightcare.com/assisted-living/california/tehama-county>) — 10 licensed homes
- [Tulare County](<https://covelightcare.com/assisted-living/california/tulare-county>) — 46 licensed homes
- [Tuolumne County](<https://covelightcare.com/assisted-living/california/tuolumne-county>) — 2 licensed homes
- [Ventura County](<https://covelightcare.com/assisted-living/california/ventura-county>) — 257 licensed homes
- [Yolo County](<https://covelightcare.com/assisted-living/california/yolo-county>) — 22 licensed homes
- [Yuba County](<https://covelightcare.com/assisted-living/california/yuba-county>) — 5 licensed homes

## Sources

- DHCS ALW enrollment records · CDSS licensing roster, as of September 23, 2026 <https://www.dhcs.ca.gov/services/long-term-care-alternatives-home-and-community-based-service-options/assisted-living-waiver-program-participating-facilities/>