NEW Caregiver Placement & Case Management Program

Posted on September 28, 2015

Caregiver Placement & Case Management
Caregiver Placement
Case Management Program

RATES Start at $17 per hour OR $240 per day

The Traditional Home Care Experience at a Lower Cost.

At Constant Companions, we understand the need to find care at a lower price, WITHOUT sacrificing quality, oversight and accountability. Constant Companions has developed a simple, user-friendly program that combines the cost-savings of a direct-hire with the oversight and case management provided by a traditional agency.

For the Caregivers:

  • Background Screening
  • Reference and Employment Checks
  • In-Person Interviews
  • Psychological Testing
  • Verification of Certifications

For the Client:

  • Initial In-home Assessment
  • Custom Care Plan
  • Care Coordination – Collaboration with Community and Health Resources to ensure optimal care
  • On-going Case Management:
    • Continuous review and update of Care Plan
    • Continuous review of Care Notes submitted by Caregivers to determine the need for a re-assessment or change in Care Plan
  • Recommendation of best matched caregivers based on interview, client satisfaction surveys and CareProfiler questionnaire
  • Terminating Caregiver services, on behalf of the client
  • Scheduling/Replacing Caregivers

Payroll and Human Resources Services:

  • Obtaining W-4 and I-9
  • Facilitating Payroll Process on Your Behalf
  • Facilitating Quarterly & Annual Reporting on Your Behalf
  • Maintaining General & Professional Liability Ins.

Rates are determined by hourly rate set by caregiver upon registration with Constant Companions Home Care and Service Fee that includes all of the activities and services listed above. This option is recommended for those who need 8+ hours/day care at home.

Our traditional home care services continue to be available, including full employment status of the caregiver under Constant Companions Home Care.

Contact us for immediate assistance:
Constant Companions Home Care

Are Home Care Agencies Obsolete?

Posted on September 24, 2015

Personalized Home Care

Personalized Home Care

Recent changes in the employment and regulatory market have made hiring caregivers through an agency financially more difficult for families.

In response, many people have turned to the internet marketplace to essentially, ‘place an order’ for a caregiver ‘at cost’, leaving the traditional agency out of the entire transaction. This begs the question, ‘Are Home Care Agencies Obsolete?’.

Are Home Care Agencies Obsolete? We say, ABSOLUTELY NOT! What a family gets with a reputable home care agency is immeasurable. Quality home care is not a mail-order industry, where you pick a caregiver out of a catalog. Home Care is a very intimate business that requires a personal touch and oversight with experience and accountability. While it is true, going to the website catalogs, that claim to have 1000s of caregivers, may be cheaper, it is important to understand what it is that the agency actually does in order to provide peace of mind and the best home care experience possible for your family.

A common reason for going to the online marketplace that agencies are running away with huge margins, while underpaying caregivers. The truth is that the industry standard for a ‘profitable’ agency is between a 13% and 17% margin. Much of what an agency charges goes into overhead and activities, performed on the client’s behalf:

For the Caregivers:

  • Background Screening
  • Reference and Employment Checks
  • In-Person Interviews
  • Psychological Testing
  • Skill Testing
  • Verification of Certifications
  • On-going Training

For the Client:

  • Initial In-home Assessment
  • Custom Care Plan
  • Care Coordination – lining up additional services that could be needed, in the local area and collaboration with services already in place such as hospice or home health
  • On-going Case Management:
    • When condition of the client has changed the Care Coordination will update the Care Plan and seek additional community resources
    • Regular revision of Care Notes submitted by Caregivers to detect any patterns that would indicate the need for a re-assessment of the client’s condition.
  • Recommendation of caregivers that would work best in each individual situation, based on interview, client satisfaction surveys and CareProfiler questionnaire
  • Terminating Caregiver services, on behalf of the client
  • Scheduling/Replacing Caregivers – due to illness or otherwise

Payroll and Human Resources Services:

  • Obtaining w-4 and I-9 and registering that information with the IRS within 10 days
  • Payroll
  • Employer Taxes
  • Unemployment Insurance Payments
  • Worker’s Comp Payments
  • Handling wage assignments
  • Handling unemployment claims
  • Handling any government paperwork that comes in on behalf of the caregiver
  • Providing for paid sick leave (mandated – 3 days a year)
  • Assuring TB clearance
  • Assuring ongoing training
  • Maintaining a drug-free environment through random drug testing
  • Maintaining a General and Professional Liability Insurance policy
  • Bonding – not attainable by an independent caregiver

Yes, you can get a caregiver from the online catalog for $12/hour, but you DO become the employer and are responsible for all of the items listed in our Payroll and Human Resources section above. When properly paying an employee, that $12/h becomes more like $17/h.  While, no doubt, people will try to avoid the “employer” status by claiming a caregiver is independent, it is a dangerous thing to do. If you are paying your caregiver directly AND directing them on how to do their job, YOU ARE THE EMPLOYER. ONE claim to Unemployment or the Labor Board by that caregiver, can have a domino effect, inviting all employer regulatory agencies to come knocking on your door, resulting in audits and fines, and very likely, unwanted IRS attention.

When you pay an agency like Constant Companions Home Care, you are not just paying for a caregiver, your are paying for customized care, oversight and follow-through. Your are also transferring the burdens of being an employer and all that entails so that you can focus your attention on what matters most, your loved one.

Written by Gabriela Brown
Owner, Constant Companions Home Care

Constant Companions Home Care has been providing quality home care since 2003 to the residents of San Diego, Fallbrook, Escondido, Rancho Bernardo, Poway, Temecula, Murrieta, Menifee, Hemet and Riverside.

Constant Companions is Walking to End Alzheimers #WALK2ENDALZ in Temecula.

Posted on September 12, 2015


Team Constant Companions Home Care is Walking to End Alzheimer’s #WALK2ENDALZ in Temecula.

Walk to End Alzheimer’s #WALK2ENDALZ in Temecula

Constant Companions Home Care is putting together a Walk to End Alzheimer’s Team!

We are very excited to be participating in our first ever Temecula walk and would like to extend an invitation to any and all people in the area who have been affected by this debilitating disease. The walk will be on September 27th at the Promenade Mall in Temecula at 9:00am. If you would like to join us for the walk, registration is at 7:00 am.

Over the years, it has be our privilege to provide Alzheimer’s care for many individuals and their families. Seeing the suffering first hand has made us more committed than ever to providing the loving support that both the client and the family’s needs. Our caregivers are wonderful and compassionate, the clients and their families are amazing and courageous. We strive to provide moments of joy and relief but sadly, it is often not enough to ease the perpetual underlying stress and sadness.

Funding for research remains stagnant while the cost to treat and care for these individuals continues to climb. Currently, 5 million Americans have Alzheimer’s. That number is expected to grow to 16 million by 2050. The costs are staggering, 17.9 billion hours of unpaid care, a contribution to the nation valued at $217.7 billion.

We are committed to working with the Alzheimer’s Association in supporting their work because when one person has Alzheimer’s, it touches so many lives. The Alzheimer’s Association has been amazing in their efforts to fund research into the treatment, prevention and the ultimate cure. It is also a resource and support system for the millions of people that are caring for or living with Alzheimer’s.

If the statistics bear out,  there is a very good chance that all of us will have to face this disease in our lifetime either as a caregiver or the patient. Take a moment to look at our Walk to End Alzheimer’s page and let us know how you can help out. You can walk with us and raise money from your family and friends or you can donate directly to our team.

The goal is $2,000. For the cost of a latte, less than a fast food meal, less than the price of a movie ticket….If every person who reads this post donates $5, we will surpass our goal!

Please go here to sign up and/or donate at Team Constant Companions


Senior Care Basics – Is it Time For a Caregiver?

Posted on September 2, 2015

Senior Care Services with Constant Companions Home Care

Talking about senior care services

Many ‘adult children’ are faced with when to start the process of hiring a caregiver for their parents or looking at other senior care options. Often, older adults become very adept at concealing their increasing inability to maintain their surroundings and to attend to their health.

Here a some warning signs that your parent(s) may need senior care assistance:

  • Unkempt refrigerator with food that is spoiling
  • Weight loss or poor diet
  • Frequent and often unexplained bruising
  • Noticeable unpleasant body odor and decline in grooming habits
  • Resistance to showering or bathing
  • Smell of urine in the house
  • Forgetting and/or missing important appointments
  • Trouble walking, balance and overall mobility, including getting up from a seated position
  • Difficulty performing once-familiar tasks, either due to confusion or forgetfulness.
  • Overall forgetfulness or confusion
  • Continuous loss/misplacement of items in the home
  • Unable to stick to medication schedule, either forgetting or doubling up by accident.
  • Dirty, cluttered, unkempt environment
  • Unopened mail that contains, bounced check notices, late notices or attempts to collect via bill collectors
  • Less of interest in hobbies and activities previously enjoyed
  • Less interest in socializing with friends or family
  • Noticeable changes in mood or extreme mood swings

Not all of these signs will show up at one time.

If you notice that your parent is experiencing an increase in the above warning signs, it is time for the talk. This is an uncomfortable conversation for both of you.  Try to be calm and use the above list to cite specific reasons for your concern in a non-accusatory tone. It is only natural for a parent to become defensive and it will go much better if you are able to make every attempt to reassure them that this in no criticism but loving concern. A good approach in this situation is to remember and remind them that you are in this together,  and the conversation is a two-way street.

If your parent is unwilling to concede that they may need help, it may be fear of losing their independence and having to transition to a new environment such as a nursing home or assisted living facility. It could also be fear of spending money. Outliving one’s resources, is a very common fear.  Instead of deflecting these fears, this may be a good time to discuss all of the options available and take note of what their true wishes are and how you might be able to accommodate now and  in the future.

Many seniors wish to stay in their own homes for as long as possible. Home care, offers one-on-one personal care assistance, allowing them to remain in their home and community. The benefit of home care is that as their needs increase, the level of coverage can increase, so to start, coverage and costs associated can be relatively small. Home care can  provide the appropriate level of care and support as a seniors’ needs change. A reputable home care agency will provide a care plan and on-going case management to address changes and concerns.

Once a plan is made, then there will be the discussion on how to pay for it. Most long-term care, whether in a facility or at home is paid out of pocket. There are a few avenues or revenue to explore:

Long–term care insurance – helps cover the cost of home care  or care at a facility. Most policies require at least the need for assistance with 2 activities of daily living.  It can cover much of the cost of home care – depending on the policy terms.

VA Aid & Attendance Benefit – If your loved one served in the U.S. military, financial assistance might be available to provide a veteran with home care. There is also a need to demonstrate the need for assistance with at least 2 activities of daily living, as with long-term care insurance. We recommend taking a look at VeteranAid.Org for details.

State and local programs – Your local Department of Aging or Area Agency on Aging should have information on any local and state-funded programs that offer care for seniors who meet certain criteria. This care can be limited, but may provide enough coverage to keep them safely at home

Viatical Life Settlements – If your loved one has a life insurance policy, there are companies that offer insurance owners the option to sell their policies in exchange for a lump sum payment that is greater than the cash surrender value.

Government funding – Medicaid programs in most states support home care services as an alternative to nursing homes  for low-income seniors.

All in all, if you find your parent or loved may soon be in need of additional care, now is the time to act. Discussing the options for care and how to pay for it is preferable before a crisis. Let us know if we can be of any further assistance.


Submitted by Gabriela Brown, CSA
Constant Companions Home Care