Home Care – The Facts
Many families do not understand the differences in the types of caregivers for hire and the risks involved with having the wrong person in their home. The chart below helps to outline your choices and responsibilities. Remember that not every “agency” screens their caregivers the same. This page will help you with questions to ask to ensure you and your family are safely cared for.
Questions to ask when choosing a home care provider
- Are you licensed by the Dept. of Social Services
- Does your company do drug screening on every caregiver?
- Does your company require a TB test for every employee?
- Are the caregiver’s employees of your company?
- Does your company do background checks on all caregivers?
|Screen, train & supervises staff||Caregivers are not employees||Hired privately by client|
|Caregivers are employee||Do not withhold payroll taxes||Clients are responsible for all payroll taxes & worker’s compensation|
|Carry liability insurance, workers’ compensation, and bond caregivers||Do not carry workers’ compensation||Clients should review IRS laws|
|Best option when having people come into your home||California law does not require registries to disclose that they are not the employer||It is difficult for families to effectively screen caregivers|
|Who is Responsible?||Home Care Agency||Home Care Registry||Private Hire|
|Locate, screen, interview, train||x||Will not train||Client Responsible|
|Check employer references||x||?||Client Responsible|
|Verify US work authorization||x||?||Client Responsible|
|Negotiate salary/benefit||x||x||Client Responsible|
|Determine work schedule||x||Client Responsible||Client Responsible|
|Supervision of staff||x||Client Responsible||Client Responsible|
|Caregiver replacement, if needed||x||x||Client Responsible|
|Worker compensation insurance||x||Client Responsible||Client Responsible|
|Employment requirements (social security tax, Medicare tax, unemployment insurance, fed. & state tax, bonding, liability insur.||x||Client Responsible||Client Responsible|