To the Editor: On April 4, 2010, an earthquake measuring 7.2 on the Richter scale struck the Mexican border city of Mexicali. The epicenter was 32 miles south of Calexico, California, a medically underserved border city. The earthquake displaced 84 seniors in Calexico when their assisted living facility was condemned. Existing disaster plans did not provide specific guidelines for management of displaced seniors, and relief services were limited (1). We describe actions taken by a local adult day health care center (ADHC) to assist these displaced older adults.