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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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If this is actually truly abt having someone there for 24/7 oversight, a (1) caregiver will not suffice. Your Aunt will need at a minimum 2 persons employed full time by her. And someone hired to do housekeeping. All will need w-2, w-9, with appropriate deductions for FICA. Personally I think you should do i-9s as well.
If you are somehow thinking that room&board will count towards wages, so this will lessen the costs, loose that thought. Room&board is a “perk” and not “in-kind”. Every State has a Labor Board and wage theft is an easy peasy investigation to them to do and find the erstwhile employer at fault because it’s a rare homeowner who will do the scheduling and time tracking that can be overified to show no wage theft happened. Labor board will forward their findings to IRS and State tax authorities.
So can it be done? Certainly can but how big of a nest egg does your Auntie have? Like $200-300K per year??? If she’s 100, her kids are themselves older, likely themselves in their 70’s or early 80’s. So are they up for doing the time management & reporting on your Aunts employees?
I agree that when 24-hour care becomes necessary always hire more than one person. Splitting the week and alternating weekends off between caregivers is usually the arrangment that works best. This way the client's home is not anyone's residence. So if you have to fire someone, they leave. No eviction necessary. I do not agree about hiring a separate housekeeper. Two full-time caregivers can handle the cooking, cleaning and laundry as well as the care duties. I always did. Most caregivers assume they will be handling housekeeping too. Don't hire one who doesn't thinks so. Also room and board are factored into the wages paid. Caregivers who stay at a client's house and do round-the-clock do not get paid hourly. They're salary and do not have to be paid minimum hourly wages. The same way waitstaff and hairdressers are not paid minimum wage. They get tips. Room and board for a live-in caregiver is sort of like tips. This is factored in as part (not all) of their wages.
Does your 100-yr old Aunt have the financial resources to pay for all the care she needs without others chipping in to cover?
Are you aware that in many states there are labor laws/caregiving laws that make any caregiver an actual employee and you/your Aunt an actual employer? This means quarterly reporting of income, issuing W2 at year end, paying overtime, etc.
If you hire privately, you won't know that person's background. You will need more than 1 caregiver. You won't have any subs if the caregiver is sick or suddently quits (which happens a lot). There is no ready accountability if the caregiver behaves inappropriately (like theft, abuse, ID fraud) whereas an agency would have ultimate accountability, have subs, and take care of the employee issue for you. That is why their rates are higher.
As freqflyer noted, you absolutely expect 1 person to be "on call" 24/7... they need time off, breaks and vacations. Also, someone who lives in your Aunt's home may be her tenant (in some states there are exceptions for live-in aids) and this would make firing and removing her/him very difficult outside of eviction.
This forum has many, many posts about the woes brought on by privately hired, cash-only live-in aids. There are also horror stories about agencies, but at least they have ultimate legal responsibility.
Mapela, you could try a website call Care.com. Please note that a live-in caregiver could be doing the work of 3 full-time caregivers each day, and that will be very exhausting. Chances are that person would eventually leave, and you would be back to square one.
Also, States have laws as to how many hours a caregiver can work. So if your Aunt needs help, let's say at 2 in the morning, the caregiver may have already used her allotted hours.
You will need to draw up an employment contract, if you haven't already, stating what is required of the caregiver, the number of hours to work each day, and the salary. Also whether you will be doing the payroll taxes, or if the caregiver is an Independent Contractor who will handle her own taxes. Also list what days the caregiver will have off.
There is so much to think about regarding live-in caregivers.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
If you are somehow thinking that room&board will count towards wages, so this will lessen the costs, loose that thought. Room&board is a “perk” and not “in-kind”. Every State has a Labor Board and wage theft is an easy peasy investigation to them to do and find the erstwhile employer at fault because it’s a rare homeowner who will do the scheduling and time tracking that can be overified to show no wage theft happened. Labor board will forward their findings to IRS and State tax authorities.
So can it be done? Certainly can but how big of a nest egg does your Auntie have? Like $200-300K per year??? If she’s 100, her kids are themselves older, likely themselves in their 70’s or early 80’s. So are they up for doing the time management & reporting on your Aunts employees?
I do not agree about hiring a separate housekeeper. Two full-time caregivers can handle the cooking, cleaning and laundry as well as the care duties. I always did. Most caregivers assume they will be handling housekeeping too. Don't hire one who doesn't thinks so. Also room and board are factored into the wages paid. Caregivers who stay at a client's house and do round-the-clock do not get paid hourly. They're salary and do not have to be paid minimum hourly wages. The same way waitstaff and hairdressers are not paid minimum wage. They get tips. Room and board for a live-in caregiver is sort of like tips. This is factored in as part (not all) of their wages.
Are you aware that in many states there are labor laws/caregiving laws that make any caregiver an actual employee and you/your Aunt an actual employer? This means quarterly reporting of income, issuing W2 at year end, paying overtime, etc.
If you hire privately, you won't know that person's background. You will need more than 1 caregiver. You won't have any subs if the caregiver is sick or suddently quits (which happens a lot). There is no ready accountability if the caregiver behaves inappropriately (like theft, abuse, ID fraud) whereas an agency would have ultimate accountability, have subs, and take care of the employee issue for you. That is why their rates are higher.
As freqflyer noted, you absolutely expect 1 person to be "on call" 24/7... they need time off, breaks and vacations. Also, someone who lives in your Aunt's home may be her tenant (in some states there are exceptions for live-in aids) and this would make firing and removing her/him very difficult outside of eviction.
This forum has many, many posts about the woes brought on by privately hired, cash-only live-in aids. There are also horror stories about agencies, but at least they have ultimate legal responsibility.
Also, States have laws as to how many hours a caregiver can work. So if your Aunt needs help, let's say at 2 in the morning, the caregiver may have already used her allotted hours.
You will need to draw up an employment contract, if you haven't already, stating what is required of the caregiver, the number of hours to work each day, and the salary. Also whether you will be doing the payroll taxes, or if the caregiver is an Independent Contractor who will handle her own taxes. Also list what days the caregiver will have off.
There is so much to think about regarding live-in caregivers.