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Care that’s personal, professional, and dependable.

Access Home Care was built to make it easier for families to find qualified, compassionate support. Our goal is simple: help seniors stay safe and comfortable at home, with dignity and respect.

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Our promise

Dignity first: Respectful, patient care in every interaction.
Clear communication: Families stay informed and supported.
Safety-minded: Routines and supervision that reduce risk.
Flexible support: Care plans that evolve with your needs.

Meet the Team

Professional, warm, and consistent care, backed by clear communication with families.

Preston Miller, RN

President & CEO

More than two decades ago, Preston faced a challenge many families know too well: the struggle to find dependable, high-quality care for a loved one. That personal experience, paired with his lifelong respect and compassion for seniors, sparked a mission to make professional, reliable home care easier to access for families throughout the Central Valley.

With nearly three decades of experience in the home care industry, Preston’s expertise is backed by a deep clinical foundation. He earned his Registered Nurse (RN) licensure in 1992 and a Bachelor’s degree in Healthcare Management, eventually serving in the ICU and cardiac care units at Doctors Medical Center before transitioning his focus entirely to home care.

When Access Senior Home Care launched in 2011, it was more than a business, it was a commitment to the community. As a Central Valley local, Preston genuinely enjoys being a trusted resource to seniors and their loved ones, whether they are Access clients or simply seeking guidance. His focus remains the same today as it was at the beginning: helping people stay safe, supported, and comfortable at home with care that is both compassionate and expertly managed.

Paige Miller

General Manager

Paige joined the Access team in 2013 as a dedicated caregiver, gaining invaluable firsthand experience in senior care. Her talent for detail and organization led her to become Billing Manager in 2014, before she transitioned into her current role as General Manager in 2015. By directing our recruitment and internal teams, she ensures Access maintains the highest standards of care and professionalism. Today, she keeps operations running smoothly by overseeing accurate billing, coordinating long-term care insurance claims, and ensuring ongoing client satisfaction. With over a decade of experience, she ensures every family receives the same level of dedicated support she provided on her very first day.

Teresa Bryan-Miller

Account Executive & Quality Care Liaison

Teresa joined Access in 2024 as our Account Executive, bringing a Bachelor of Arts in Sociology and over three decades of dedicated experience in the geriatric and home health industry. In her dual role, she develops key marketing strategies, evaluates the unique needs of you or your loved one, and conducts start of care introductions to ensure a seamless transition into our services. To ensure the highest standards of care, Teresa performs regularly scheduled home visits to monitor ongoing client and family satisfaction and stays current on all client matters. By staying closely involved in every case, she serves as a knowledgeable advocate who ensures our care remains consistent, personal, and well managed.

Christy Dixon

Account Executive

Christy joined Access in 2013, bringing a Bachelor of Science in Business Marketing. Her professional journey includes five years as an Activities Director and two years in Social Services within skilled nursing facilities, giving her a unique understanding of the overall well-being and needs of seniors. This diverse experience allows her to develop strategic marketing while evaluating the unique needs of each client we serve. Christy also conducts start of care introductions to ensure a seamless transition into our services. With over a decade of experience at Access, she remains a dedicated advocate focused on long-term client satisfaction and community connection.

Nancy Shaffran

Staffing Manager

Nancy joined the Access team in 2011 as a caregiver, gaining the firsthand experience that now informs her leadership as Staffing Manager. After transitioning to Staffing Coordinator in 2014, she was promoted to her current management role in 2024, overseeing the vital coordination of our care team. She manages all scheduling to ensure a reliable and consistent experience for every family we serve. With over 13 years of experience at Access, Nancy’s deep knowledge of our staff and our mission ensures the highest level of personalized support.

Desiree Franco

Recruiting & Performance Coordinator

Desiree joined Access in 2013, bringing five years of prior caregiving experience and a deep commitment to dependable, compassionate service. By supporting our after-hours staffing and working directly with clients, she gained a comprehensive understanding of both the hands-on and operational sides of home care. After serving as our Quality Care Manager in 2021, she transitioned into her current role as Recruiting & Performance Coordinator. Today, Desiree leads our recruiting efforts and employee performance management, ensuring every team member meets the high standards our families expect. Her knowledge in coordinating on-call staffing ensures that Access remains a reliable resource for our clients.

Our mission

To deliver reliable in-home support that protects independence, reduces stress for families, and brings real peace of mind.

Safety

Thoughtful routines and supervision designed to reduce risk.

Consistency

Care plans and scheduling that help life feel stable again.

Compassion

We treat every client like family — with respect and patience.

Communication

Families stay informed through clear, timely updates.

Let’s talk

If you’re exploring care options, we can help you make a clear plan.

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