These centers are designed to not only provide social and recreational services, but nursing care as well (especially for individuals with dementia who have special care needs), and various forms of therapy and restorative or maintenance treatments, where needed. The day centers may be staffed with nurses, physical therapists, speech and occupational therapists, and/or social workers, and often have activity directors and other staff to assist them. Consequently, the programs can be expensive. However, they can also provide important assistance when necessary. Under certain conditions, Medi-Cal may cover part or all of the cost. Many facilities also offer a “sliding scale”, or adjustable fees for service, based upon your income. For additional information, please call the North Valley Neurology Memory Clinic social work staff at 916-474-6380.