North County Home Care

Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care, Uncategorized / 11.07.2017

California legislators always act as though they care about protecting the personal information of Californians, unless of course, there's a political or financial reason to go against their core value - which is exactly what's happening to cause a lawmaker and union to propose a new law which violates caregiver privacy. An Article written by Dan Morain of the Sacramento Bee sums it up in the headline, "In the name of helping workers, this bill would strip them of basic privacy." Put basically, Assemblyman Ash Kalra, D-San Jose, has an Assembly Bill 1513 that would "require that employees of private firms, who care for elderly and infirm people in their homes, must divulge their cellphone numbers, mailing addresses and email addresses to unions that seek to organize them." The Assemblyman claims the whole purpose is for the unions to be able to provide more training to the caregivers, but that's a patronizing falsehood. Our caregivers have wonderful and adequate training, at least 12 hours a year ongoing. I can't name a single caregiver who wants more training or less privacy. It's a veiled attempt at using power to support a special interest, the SEIU Union, which gives millions of dollars to lawmakers every year, and helped finance the campaign of Assemblyman Kalra. Home Care agencies across the state are speaking out for their employees, posting comments on the newspaper article and asking lawmakers to do what's right, now what they are paid by special interest groups to do. Our employees have no interest in having their personal information handed out to the highest bidder. The SEIU is the same union which has made 24 Hour Care too expensive for most elderly people, causing caregivers to lose their 24 hour shifts because lawmakers are too afraid to add a "sleep time" deduction that would allow the caregiver to not be paid while they slept overnight. This is what most other states allow, and the Federal Wage Orders allow for sleep time deductions, as well. However, California lawmakers refuse to correct this flaw in our state wage orders, out of fear of upsetting the union. As the minimum wage goes up, caregivers will lose these coveted 24 hour shifts and see their pay drop. That's not union protection. This is what I wrote in response to the Sacramento Bee article. I'm urging state Lawmakers to stop the assault on caregiver privacy. I am not comfortable with personal employee information being shared unless it's for public safety reasons under subpoena from appropriate authorities. That is real protection. To claim that this bill is about training is creating an obviously false sales-pitch. No one really buys that. It's a self serving bill with no true public interest and to insinuate otherwise is patronizing. More elected officials need to take the long view, what's best for California and our workers. No hard working caregiver wants her cell phone,...

Aging Parents, Alzheimer's/Dementia, At Home Care Solution, Caring for Elders, Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care / 24.08.2016

[caption id="attachment_1886" align="alignleft" width="150"] Client with home care needs and her loyal caregiver.[/caption]   Home care needs are inevitable for most of us, and planning instead of simply reacting helps promote a safer and less stressful home care experience for family members.  At Home Nursing Care is here to help with your home care needs. It's been called the Silver Tsunami, a burst in the number of elderly individuals and as a result, an increase in home are needs.  The Silver Tsunami definition is: a dramatic increase in the number of Americans who are 65 years or older.   Due in part to birth rates (the baby-boom), medical and scientific advancements, and more people are living longer. For the first sixty years of the 20th century, life expectancy grew by about 2.5 years.  But from 1960 to 2007 - life expectancy expanded by a whopping 4.2 years.  Currently, anyone fortunate enough to hit 65 has an average life expectancy of 18.6 more years. Keeping on the statistics train, 1 in 8 Americans is now 65 or older.  That segment currently makes up 12.9% of the population, but it will jump to 19.3& of the population by 2030, according to the US Department of health and Human Services. Many older people live alone.  Since older women outnumber older men and have longer live spans, half of all women aged 75 and older live alone. [caption id="attachment_1211" align="alignleft" width="150"] Loren is the exception - this home care client lived to nearly 103![/caption] In California, 25% of all seniors live by themselves, and about of third of those seniors have some form of disability. Being able to age comfortably, either in place or in a suitable assisted living environment, takes some planning, especially financial planning.   A recent AARP study found that 31.6 % of seniors have experienced a substantial decline in their home's value over the last three years, and a quarter of all seniors have exhausted their personal savings. Paying for in-home care, such as the care offered by my company, At Home Nursing Care, can feel out of reach for some seniors.  Those with good long term care policies experience less stress when hiring in-home help.  I know of a 60 year old man who pays $300 a month for his long term care insurance.  His father had Alzheimer's disease, so this man worries that within a couple of decades he'll need substantial home care.  His policy will currently pay $300 a day for care, an amount that will rise over time.  That amount should cover his needs, whether he chooses a live-in caregiver in his home or a specialized memory care community. Reverse mortgages are another option for seniors with limited cash reserves.  They are available to people 62 or older who own their homes.  The amount of money available is based on age, current interest rates and a home appraisal.  The draw-back is the cost/fees involved, so be sure to consult a financial planner and someone experienced with reverse mortgages.  Beware of potential scams. Home care clients are especially vulnerable to the...

Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care, Uncategorized / 23.08.2016

At Home Nursing Care earns accreditation to provide quality home care. At Home Nursing Care  proudly announces it is accredited by the Accreditation Commission for Health Care (ACHC) to provide quality home care services.  Accredited services include; private duty aide, companion/homemaker care, nursing and home infusion.  “We are proud and thank our employees, clients and community partners for helping us reach this goal,” says Lauren Reynolds, Founder/Administrator of At Home Nursing Care. [caption id="attachment_1500" align="alignleft" width="150"] Lauren Reynolds[/caption] Accreditation means a health care agency promotes quality home care by meeting stringent national standards.  As a result, it is awarded accreditation status.  At Home Nursing Care achieved accreditation for both areas it serves, San Diego and Los Angeles. The Accreditation Commission for Health Care is not-for-profit and, as a result, it has independently stood as a symbol of excellent quality home care evaluation since 1986. “I am proud that our caregivers welcomed this challenge and excelled,” says Reynolds, "They cared about meeting this goals, and therefore they have learned extra skills to provide the best care for their clients." At Home Nursing Care provides dementia care, companionship, personal care, light housekeeping, errands, RN case management, medication management and home infusions.   It staffs nurses in hospitals and nursing facilities.  In addition, the agency assigns nurses to work local school districts.  This allows medically fragile children the support needed to attend classes with their peers. Especially relevant, Reynolds understands the challenges of having a loved one who is helpless, in pain, or facing a loss of independence.  Her own mother inspired her to open At Home Nursing Care in 2010.  This was after her mother needed quality home care while battling terminal cancer at the young age of 58.  Prior to opening the agency and becoming a Certified Home Care Manager, Reynolds had a 15-year career as an award-winning Investigative Reporter/News Anchor for San Diego's ABC 10 News. [caption id="" align="alignright" width="127"] Adriana BeischlI[/caption] [caption id="attachment_1969" align="alignleft" width="150"] Culver City Office[/caption] As the need for quality home care services grew, Reynolds expanded At Home Nursing Care to Los Angeles, where she was raised, in 2013.  Her lifelong friend,  Adriana Beischl, manages the LA location.  In addition, she is a Certified Home Care Manager and the  Culver City Rotary named her Rotarian of the Year 2015 in recognition of her community service. The agency has an A+ from the Better Business Bureau and embraces a customer service culture that sets it apart. They want their clients to be 100 percent satisfied. For more information on quality home care services in Los Angeles or San Diego,  visit the At Home Nursing Care website , call San Diego, 760-634-8000, Los Angeles 310-692-9792.    You may also contact At Home Nursing Care by completing the form below. [formidable id="3"]...

Aging Parents, North County Home Care / 10.04.2012

State of the art new hospital set to open in La Jolla on 2016. More than 200 San Diegans turned out  Monday to celebrate the groundbreaking of the Jacobs Medical Center,  a new 245 room facility that will house three new specialty hospitals: the Hospital for Cancer Care, the Hospital for Advanced Surgery and the Hospital for Women and Infants. [caption id="attachment_163" align="alignleft" width="300"] From left, Dr. David Brenner, Carol Vassiliadis, Joan and Irwin Jacobs, Chancellor Marye Anne Fox[/caption] Named for benefactors Joan and Irwin Jacobs, who donated $75 million dollars to the project, the Jacobs Medical Center will have private rooms, interactive technology, and will serve as a bridge between research being carried out at UC San Diego and bedside hospital care. Lauren Reynolds, President and C.E.O. of At Home Care Solution, the leading provider of in home care across San Diego, served as Master of Ceremonies.  She is an active member of the Alumni Association and graduated from UC San Diego in 1994.   [caption id="attachment_174" align="aligncenter" width="300"] Lauren Reynolds Introducing Guests[/caption] "I am so proud of my alma mater," Reynolds remarked, "...

Health Care Reform, Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care / 08.02.2012

On February 21, 2011, hundreds of employees and owners of home care agencies will gather in Sacramento to lobby against harmful home care legislation that threaten to drastically increase the costs seniors pay for in home care. One bill, SB411, co-sponsored by the SEIU, the Service Employees International Union, and Senator Cullen Price,(D- Los Angeles) calls for licensing home care in California and also certification of home care aides. While reputable home care companies, who are members of the California Association for Health Services at Home, support licensing the growing home care industry, they oppose this bill unless two very harmful provisions are amended. First, in this home care services act, SB 411 will require that employers pay for training for their employees, and then pay an annual fee of up to $180 per employee. This is an exorbitant fee and it’s higher than any other fee we can think of imposed on companies in California.    This added expense to have an “annual” certification will cost the average home care agency an estimated $20,000 to $50,000 per year, an expense that will have to be passed onto consumers who already struggle to be able to afford care to stay in their homes. Secondly, the bill will require all home care aides to have their names and where they work posted publicly on a website, which invades their privacy and threatens their personal safety.  In addition, it provides a launching pad for identity thieves who will already be able to gather a great deal about the home care workers. One employee, Georgetta, a former nurse, said “that’s not safe; I don’t want anyone who goes online to know where I am working.” Home care agency owners and their employees instead want to support licensing, but to have home care workers names and employers not posted publicly. Also, it’s a waste of time and money to force companies to renew the certification of their employees “annually”.  A much better plan would be to have the certification revocable if there was any crime, similar to what happens with Certified Nursing Assistants and nurses. On top of those two harmful provisions, SB 411 would cost the state an estimated $25 million dollars, at a time when the state is cutting services and grappling with a massive budget deficit. A much lower cost option is AB 899.   The California Association for Health Services at Home is supporting AB 899 by Assemblywoman Mariko Yamada (D-Davis), chair of the Assembly Committee on Aging and Long Term Care.  It would license home care agencies and would not post employees names and placed of work online. As the elderly population is expected to double over the next 20 years, costs must be controlled or seniors will be forced to find care in the underground economy, or worse, they'll end up in nursing homes paid for by Medicaid.  We urge those who are concerned about these issues to contact their State Senator or Assembly member and urge no on SB 411, unless amended until it makes common and economic sense.  ...

Caring for Elders, Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care / 31.01.2012

Many people are wondering how a proposal to end a federal "exemption"for personal care attendants and home care aides will end up affecting the costs for clients and employment home health care laws for employers. In a presentation to home care employers, attorney John Gilliland tried to stress that while major changes may be in store, agencies will be able to adapt. "This wont put you out of business," he said, clients will still need help.   A sad, unintended consequence is that the higher costs associated with the changes will force some seniors into skilled nursing homes rather than aging in place at home. A proposal by the U.S. Labor Department would end an exemption that allows employers to not pay overtime to "companions" who provide care in someone's private home.   This exemption has allowed longer shifts, such as 12 hour shifts and "live-in", where the caregiver spends 24 hours in the home, but generally sleeps eight hours a night. The proposed change would also mandate that caregivers be paid minimum wage, something that's already law in California. Gilliland said that there are 17 states across the country which have already eliminated the exemption and companies and clients have adjusted. For live in care, he said, clients will be given a choice:  Do they want continuity of care with one caregiver for most of the week at a higher rate, or do they want costs lowered by having multiple caregivers in the home working less than 40 hours total? Archana Acharya, an attorney with Murphy Law Group in Los Angeles, said of the proposed changes, "It's a grey area right now." Hypothetically, in California, here is how the rule change for live in care may play out. Right now families are charged a basic rate for 16 hours of work, provided the caregiver gets 8 hours of sleep, five of those hours uninterrupted. The average rate in San Diego County is $200 - 240 per day for that service. Under the new plan, if a family wants more continuity of care, for a 24 hour "live-in" shift, they could expect to pay a regular rate for the first 8 hours, time and a half for the second eight hours, and double time for the last four hours, adding up to sixteen hours per day of work.  Eight hours of sleep time could be deducted from the employee's pay and the client's costs, if the employee actually got 8 hours of sleep.  The costs to the client would likely be as much as $300 a day. Another requirement of the proposed rule change is that records must be kept of any interruption of sleep time.   Employees would have to keep a time sheet noting any reason for waking up overnight.  In California, if an employee gets less than five hours of uninterrupted sleep, they must be paid for all 24 hours.    It's at that point that the costs would skyrocket for clients, and it would probably be less expensive to move into a nursing facility.  Worst case, the client would...

Aging Parents, Alzheimer's/Dementia, At Home Care Solution, Health Care Reform, North County Home Care, San Diego Caregivers, San Diego Home Care / 13.01.2012

A recent USA Today article states that there is an increase in seniors living over the age of 90.  According to author Haya El Nasser “The number of people living to age 90 and beyond has tripled in the past three decades to almost 2 million and is likely to quadruple by 2050”. Seniors who live longer generally have some sort of disability or need help at some level of living. Sandy Markwood, CEO of the National Association of Area Agencies on Aging, indicates that the focus needs to be on being able to help these seniors live at home as long as possible as nursing home cost could rise to average $72,000 a year. Long Term Care at any level, in the home, assisted living or nursing home can add a tremendous cost to seniors and their families. Government Programs Only Pay For About 16% Of Long Term Care Government programs such as Medicare, Medicaid and the Veterans Administration will cover the cost of long-term care under certain conditions. Medicare will cover rehabilitation from a hospital stay or limited care at home if there is a skilled (medical) need. The Veterans Administration will cover the cost of nursing home care indefinitely if the veteran is at least 70% service-connected disabled. The VA will also cover other forms of home-based or community-based care if there is a medical need. Medicaid will cover both medical and non-medical related long-term care but in order to qualify for Medicaid a person has to have less than $2,000 in assets and income that is insufficient to pay the cost of care. Funding Long Term Care with your Life Insurance Policy Drawing cash from life insurance or changing a life insurance policy should only be done after reviewing with an expert advisor.  Loss of the policy and death benefit could prove to be a detriment.  If, however you have accumulated cash in a life insurance policy and no longer need the coverage you may consider using the cash for long term care or purchasing a LTC rider to your current policy. New insurance products are being developed to cover both life insurance and long term care insurance. ElderLawAnswers reports: “A new law makes the purchase of products that combine annuities or insurance policies with long-term care insurance more attractive. These "hybrid" products are gaining in popularity due to a law that went into effect January 1, 2010, making distributions from life insurance and annuities tax-free when used to pay for long-term care. The same law also allows owners of annuities or life insurance policies to exchange their old policies for insurance for long-term care or hybrid policies without being taxed.” Combination sales which include life insurance, annuities and traditional long-term care coverage are becoming popular with insurance companies and may prove a method of financing long term care.  Investigate closely, however to find what exactly will be covered.  Some policies do not cover home care costs or complete costs of nursing homes. Long Term Care Insurance Funding for All Long Term Care Needs The first long-term care...

Aging Parents, Alzheimer's/Dementia, At Home Care Solution, Health Care Reform, Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care / 21.12.2011

On December 15th, The Department of Labor announced a new proposed rule that could dramatically change how seniors and those with disabilities access home care.  The proposal would eliminate a long standing federal labor code exception that allows home care agencies and private families to avoid paying overtime and minimum wage to live-in caregivers.    (In California and many other states, minimum wage is already mandated by state law and paid, but the overtime exemption still exists.  Most reputable agencies in California already pay higher than minimum wage for hourly home care workers.) The overtime exemption dates back to 1974 and it was intended for domestic employees who “provide companionship services for individuals who (because of age or infirmity) are unable to care for themselves…” The idea was to allow a family or individual to hire a “caregiver” and set a wage for live-in, allowing the family to avoid excessive regulations regarding mandatory breaks, paperwork, etc.   Over the last three decades, the exemption has also been used by third party employers, such as home care agencies, to put caregivers in the home for so called “live-in” shifts.   The caregiver is typically paid for 16 hours of work per day and is given 8 hours of rest. The caregivers take meal breaks in the home and have access to restrooms, a phone, tv, and rest as needed.  However, regular labor codes, such as providing a 15 minute break every five hours of work, are not applicable. The Labor Department cited a large growth in the home care industry and a growing number of workers employed as caregivers as a reason to re-examine the live-in overtime exemption. Under the rules proposed December 15th, home care agencies and registries would no longer be able to use the exemption for live-in workers.   It’s not yet clear if that would mean live-in caregivers would have to be paid minimum wage the first 8 hours, time and a half the second four hours, then double time the next four hours.  If that is true, the cost to seniors and their families would go up by roughly 50 percent per day.   The result could be that families would turn to the underground economy for care and would perhaps hire unscrupulous individuals who are not vetted, trained, or supervised. Under the proposed new rules, Individuals and families could still use the exemption if they hired privately, however, that use would be narrowed.  For example, they could not hire a “professional” caregiver, or someone who provides care as a vocation.   They’d be able to use the exemption only if they hired a family member, friend, or someone who doesn’t ordinarily earn income from caregiving. The proposed rule clarifies that only incidental housework could be performed by the live-in caregiver.  Tasks such as cleaning dishes or doing a load of laundry would be okay.  Vacuuming would not be okay. Other incidental tasks to be allowed would include bathing, dressing, grooming, toileting, driving to appointments, feeding, etc. It’s also not clear what affect this would have on nannies or babysitters,...

Aging Parents, Alzheimer's/Dementia, At Home Care Solution, Health Care Reform, Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care, Uncategorized / 13.12.2011

There is no question health care spending is a critical issue.   Approximately 17 % of our gross domestic product is related to expenditures in health care, an amount that's seen a steady rise. Health care reform was proposed as a solution to the rising costs, but Steve Espinoza of the Hospital Association of San Diego and Imperial County warns the road ahead is clouded with fog and haze. Take Accountable Care Organizations for example.  Espinoza explains them this way, "It's like a unicorn, everyone knows what it is, but no one has ever seen one." What is Health Care Reform? The Health care reform is a 10 year process, with a watershed year being 2014, assuming the constitutional challenges are met and an individual mandate to buy insurance or face a penalty survives. Accountable Care Organizations are one part of the plan.  Put simply, ACO's are a way to reduce costs, by reducing unnecessary tests or procedures.  Those in the organization would share the cost savings and the potential risks of getting less reimbursement for undesirable outcomes.  Another major goal is to reduce hospital readmission rates within a 30 day period for the same diagnosis. Espinoza likens the idea to a TV Manufacturer, say Sony for example.  Sony uses lots of different vendors for the parts...

Aging Parents, Alzheimer's/Dementia, At Home Care Solution, Caring for Elders, Lauren Reynolds, North County Home Care, San Diego Caregivers, San Diego Home Care / 13.12.2011

Caregivers often don’t recognize when they are in over their heads until they reach a breaking point.  Short-term the caregiver can handle it. Long-term, help is often needed. A typical pattern with an overloaded caregiver may unfold as follows: 1 to 18 months - the caregiver is confident, has everything under control and is coping well. Other friends and family are lending support. 20 to 36 months - the caregiver may be taking medication to sleep and control mood swings. Outside help dwindles away and except for trips to the store or doctor, the caregiver has severed most social contacts. The caregiver feels alone and helpless. 38 to 50 months - Besides needing tranquilizers or antidepressants, the caregiver's physical health is beginning to deteriorate. Lack of focus and sheer fatigue cloud judgment and the caregiver is often unable to make rational decisions or ask for help. It is often at this stage that family or friends intercede and find other solutions for care. This may include respite care, hiring home health aides or putting the disabled loved one in a facility. Without intervention, the caregiver may become a candidate for long term care as well. At Home Care Solution provides nurse case management, social worker case management, and high quality certified nursing assistants, home health aides and caregivers to assist when families become overwhelmed.  We provide care on an hourly basis and we specialize in high quality and affordable live-in care for 24 hour peace of mind. With the holiday season upon us, caregivers feel even more stress -- with planning, shopping and participating in holiday activities. This is a perfect time for family and friends to step up and provide some respite time and caregiving help.  Whether it is provided personally or arranged as a gift of services to be provided by a professional respite company or home care provider, it is a welcome gift. An article in “Today’s Caregiver” states: “Nearly one in four caregivers of people with Alzheimer’s disease and other dementias provide 40 hours a week or more of care. Seventy-one percent sustain this commitment for more than a year, and 32 percent do so for five years or more. One of the best gifts you can give someone caring for Alzheimer’s is something that provides a bit of respite and relieves the caregivers stress. The Gift of time: Cost-effective and truly meaningful gifts are self-made coupons for cleaning the house, preparing a meal, moving lawn/shoveling driveway, respite times that allow the caregiver time off to focus on what he/she needs.” It is also important to note that hiring professional care provider services can provide valuable ongoing support to an overloaded caregiver. A financial planner, care funding specialist or a reverse mortgage specialist may find the funds to pay for professional help to keep a loved one at home. A care manager can guide the family and the caregiver through the maze of long term care issues. The care manager has been there many times -- the family is experiencing it for the first time. An elder law...