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Making an educated choice about hiring in home care requires knowing the rules, the risks and how to mitigate them. This applies to families and professionals, such as fiduciaries - advisers hired by clients or appointed by the courts to oversee a person's financial, health and living affairs. Fiduciaries have an added potential liability in that they may be considered "co-employers" if they exercise any supervision or direct any of the care being provided in the home. This was the theme of a presentation given by At Home Nursing Care founder Lauren Reynolds and attorney Elizabeth Murphy at the 22nd Annual PFAC (Professional Fiduciary Assocation of California) Conference in San Francisco. It's a conference dedicated to giving fiduciaries the tools to protect seniors and the vulnerable. [caption id="attachment_2568" align="alignleft" width="224"] Attorney Elizbeth Murphy with AHNC Founder Lauren Reynolds[/caption] The Need: The number of people using nursing facilities, alternative residential care places or in home care services is expected to jump from 15 million in 2000 to 27 million in 2050. Among people who reach age 65, more than two-thirds will need long term care in their life time, and an American turning 65 years old today will incur $138,000 in future long term care costs such as in home care. The most common diagnosis for residents of Nursing homes is Alzheimer's/Dementia. The diagnosis most commonly seen for in home care is diabetes. The Rules: Since January 1, 2016, home care providers have required a license under the Home Care Services Consumer Protection Act. There are two licenses that apply - a non-medical home care license issued by the California Department of Social Services (CDSS), or a home health agency license issued by the California Department of Public Health. Our agency, At Home Nursing Care, has both licenses. Under the CDSS license, home care aides must be registered, which includes a background check that goes backwards indefinitely, in sharp contrast to the more established practice in California of going back 7 years for a criminal clearance. The requirements also include a TB test and initial and annual training. The unintended consequence of this requirement has been a shortage of qualified caregivers to provide in home care. Many aides cannot pass the background test due to mistakes they made 20 to 30 years ago, such as a DUI or shoplifting as a teenager. So far 7,700 in home care aides have requested "exemptions" from the CDSS rules. Home Care Providers have been requesting that the CDSS change their rules because so many aides have now gone underground, working privately under the table with little protections for seniors. Many previous home care companies are now calling themselves "employment agencies" or "referral services" to get out of having a license at all. Also - the CDSS license does not require that home care providers conduct any supervision of the aides that they place with clients. In contrast, under the CDPH...

At Home Nursing Care and Reneu Health present best practices for safe transfers - whether you are a professional caregiver or nurse or a family member caring for someone you love. Understanding safe transfers helps improve the in home care for elderly or physically limited loved ones and keeps caregivers safe....

A woman living in an assisted living community in Lemon Grove thought she was losing her mind. Each week, she noticed money disappearing from her room. She never noticed anyone taking her items, and people she questioned knew nothing about it. She was losing sleep, wondering if early dementia was fogging up her thoughts. “Am I imaging that I am losing things?” she thought to herself. When she mentioned her concern to her daughter, the young woman placed a hidden camera in her mother’s room. Sure enough, the video showed the janitor walking into the room at night, opening up the safe and taking the elderly woman’s belongings. Assistant Deputy District Attorney Paul Greenwood related that story during a meeting of the North County Estate Planning Council on February 2, 2017. The focus of the meeting was Exploitation to Abuse: Spotting and Dealing with the Dangerous Threats to Our Aging Clients. Greenwood said the Lemon Grove case, the judge was compelled to sentence the janitor to 270 days in custody when the victim testified, “I thought I had dementia, this caused not only financial harm but emotional harm as well.” Supporting client use of cameras in the home is one way that a quality home care agency can promote client safety and security. The management staff of At Home Nursing Care is aware that about 25% of our clients or their family members install cameras in the home. Our philosophy is that it protects the client, our caregivers and the agency by showing what we did and what we didn’t do. Anything that gives our families peace of mind we applaud. Greenwood explained that financial abuse is committed by caregivers paid and unpaid, and sadly the perpetrators are most often members of the family. “Who is doing the abuse?” he said, “The son, the grandson, the hired caregiver who got too close.” Greenwood described elder financial abuse as any instance when someone over age 65 is deprived of their property. It’s a felony if the loss is greater than $950, anything less is a misdemeanor. But Greenwood stated that he tries to look for ways to charge a felony, even in smaller cases. He gave this example: a caregiver steals $500 by forging a client’s check - that would be a misdemeanor. However, the moment that caregiver walks into a bank to deposit the check, that caregiver has committed a 2nd degree burglary, which is a felony. He described another case which led to changes in banking laws in 2003. In that case, a limo driver picked up a woman from the skilling nursing facility where she was living in Encinitas. The limo driver took the woman to the bank, where he asked her to liquidate an account and provide him with a $97,000 cashier’s check. The bank teller didn’t do much to investigate the transaction; instead she asked the limo driver who he was. He claimed he was the woman’s attorney and...

This fall, At Home Nursing Care is celebrating five years of helping clients live a better life at home with quality home care. Thank you to our staff, clients, care partners, referral sources, physicians, and community members for putting your trust in our services. [caption id="attachment_1966" align="alignleft" width="150"] We are licensed and accredited.[/caption]...

[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...

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"]...