LAKESIDE, Calif. -- The state said it's going to start offering interest-free loans to rural hospitals and community clinics to help them stay open during the budget impasse, but those in the San Diego area are already being affected.

The lack of budget was on the mind of State Controller John Chiang, who visited National city on Friday.

"I do a daily track and when it's the end and I can't wait any more then I'll issue IOU's," said Chiang.

The Home of Guiding Hands in Lakeside is a home for the developmentally challenged that provides 24-hour care for 165 individuals full-time and up to 400 part-time. It gets 90 percent of their funding from the state.

"We have utilities we have to pay [and] we have mortgages we have to pay," said Mark Klaus, the executive director of the Home of Guiding Hands. "The biggest difference is that given the needs of our individuals, 80 percent of what we spend goes to supporting them."

Klaus said the state is still paying but wonders for how much longer.

While Madeline Sophie's Center does not house the developmentally challenged, the situation is similar.

Up to 366 people come to the center on a daily basis to learn to work on their skills with student teachers and earn a small paycheck.

"They'll be at home by themselves and nothing else to do and just be miserable," said Lisa Spencer a student teacher at the center.

Out of a $6.2 million budget, 80 percent comes from the state.

But with the budget impasse, some employees are worried.

"It's shaky not knowing if we're going to get paid or not," said Debra-Turner Emerson of Madeline Sophie's Center. "It's very worrisome for everybody here."

Emerson said they've already had to make cuts but with other centers closing, she won't be able to accommodate too many more.

"I want to know if they're getting paid and if they've taken a pay cut because we sure have," she said.

Mitch Gricman, a 10-year client of the center, told 10News, "If they place wasn't here, I'd be sunk."