A friend recently relocated to CA (leaving her marriage out of state) and agreed to move in to help with my boyfriend's 91 year old mom. Mom's condition is dementia and it's been recommended that she never be left alone. Most of the time we are home and mom goes to adult care T/TH all day. Additionally right now home health care is provided a few times a week for bathing, PT and behavioral evaluation. She's basically On Duty if we go to dinner, take a short trip (2 nites) or need help with an errand. Her room and about 1/2 her food is provided. She has her own room and bath and hours are 11-7pm 5 days a week - but really much less. What do you pay someone for this? Thank you.
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As ECAmbassador & Lisa indicated (more risk & liability) - whoever's home is being used can be held liable for injury to the caregiver while performing designated duties in the home. Right now - the level of care and watchfulness may not be much, but as the dementia gets worse, the duties will change. Whatever agreement is drawn up should include the option for either party to ask for periodic 'reconsideration' of expectations and costs.
If you should decide to take the Licensed Caregiver route - please ask the agency if they provide background checks on their employees. Some agencies do not.
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The important things to consider for your own safety are a background check for the caregiver, liability insurance (perhaps your homeowners insurance covers this, you'll have to call to ask), and Worker's Compensation must be paid for the caregiver (or you can face heavy fines as the employer). You can pay the person no less than minimum wage for your area (which varies even throughout California, you'll need to look it up), and time and a half after 9 solid hours of care, and time and a half after 45 hours of care in any work week. Those are the minimums. I also recommend that you check all of his/her references.
These are things that a full employment agency does for you, including the insurance, bonding, Worker's Compensation, and extracting state and federal taxes from the caregiver's paycheck. The huge advantage of an agency caregiver is that they have been vetted, and liability falls on the agency, not on your own shoulders as an independent employer.
There should also be a Plan of Care, which is the list of tasks the caregiver is expected to perform. Communication of expectations is key.
I was also considering to allow a women with a child. I thought it would be about $20 to $30 an hour. (reduced some for the room and board). A contract would be drawn up.
I know there is training available.
Who pays the caregiver depends on whether you are on State Aid or paying bills out of your own income. So the fee for the State Aid might be different. I would expect the caregiver to have specific days off.
They could not smoke and they would have to keep the house clean. They would have use of my car for Dr. Appt. Since grocery shopping relaxes me, I will continue to do that chore.
Now that I have said all of the above, I have concerns as to whether my Partner would even allow another person to care for him. He is such a reserve and private person. I believe for awhile, they would only be needed days.
With that being said caregivers are in general not paid enough for the extremely important services that they provide. Whether it is for a few hours or a full time service, they are in essence providing safety and security for the person they are caring for and reducing the potential of what many call "caregiver burnout" for family caregivers.
Depending on your location the average hourly fee for a home care service who employs their caregivers is anywhere from $17-$20 an hour(often times with a minimum service time). There are variances of course based on the location and the services being provided.
If you decide to use a person who is not employed by a service then you do assume more risk and increased liability. The same applies to the caregiver. However, this does not translate to a low hourly rate. If you put things in perspective a 24 hour service for an agency at the rate of $17 hour is approximately $408/day or $12,240/month.
Reducing the rate by a few dollars is reasonable. If you were to pay a service $20 then reducing it to $18, $17 or even $16 is fair. Reducing it by half is not. As your loved ones needs change so will the role of the live in caregiver. If the person is everything you hoped for then it makes sense pay them fairly to secure the relationship.
My jewelry dissappeared and our pain med diissappeared when we fired him.
He left the state and went back to Texas , his home town and our police dept would not even try to get him back so he got away scott free. Be very very careful.