Adult Day Care

Adult Day Care

What is Adult Day Care? Adult day care centers are designed to provide care and companionship for seniors who need supervision or assistance during the day. There are two types of adult day care: adult social day care and adult day health care. Adult social day care provides meals and social activities. Adult day health care also includes some health services, transportation and counseling. How do I pay for Adult Day Care? Adult Day Care services are paid through VA benefits, Medicaid, or out of pocket. Check with your local regional VA Benefits office or Medicaid office for specific coverage. Adult Day Care services can range from $25-$100/day.

Recent Answers

Senior Specialist

There are many options one can take when trying to hire a care giver. You can either hire direct (sites like: Care.com, Honor, HomeHero) or go through a care giving agency (companies like Visiting Angels, Home Instead, Senior Helpers). There are many differences between the two types one being the... (more)

There are many options one can take when trying to hire a care giver. You can either hire direct (sites like: Care.com, Honor, HomeHero) or go through a care giving agency (companies like Visiting Angels, Home Instead, Senior Helpers). There are many differences between the two types one being the liability and the second one being price.

Going through an agency will be about $2-6/hr more expensive depending on your area however you eliminate the issue of liability as it falls on the agency. You don't have to worry about workman's compensation insurance, background check, payroll tax liability, payroll tax processing, being in compliance with over time laws and finding a backup care giver.  Basically you pay more for that peace of mind.

Now if you hire direct, the biggest advantage is price. It is significantly cheaper, and the cost savings can range between 5-25%. Yes, the savings can add up especially if you require lots of hours but there is also more leg work on your part. If you are the person that is willing to get the workman's compensation insurance and process the biweekly payroll tax then by all means hire direct. 

But my next question to you is if you hire direct; What if your caregiver is sick and calls you that day that they can not show up for work? Do you have a back up plan or care giver? That is why ultimately going through an agency is better because they will be responsible for finding that back up care.

If you are worried about hours and cost there are other options to explore for care during the day such as Adult Day services. Click on this link to find out more about Adult Day services: http://nadsa.org/

Good luck with your research.

Admond

We at Care Giving Answers strive to provide helpful and relevant information to senior citizens and their families and... (more)We at Care Giving Answers strive to provide helpful and relevant information to senior citizens and their families and loved ones. The material provided through our site is made available for informational purposes only. In no way should users of our site rely or act upon any information provided herein without seeking appropriate professional advice (medical, legal or financial). Users should independently verify the accuracy, completeness and relevance for their specific purposes. The information provided through our site is not intended to constitute professional advice and in no way forms or constitutes a professional-client relationship of any kind.

Senior Advisor

It's not the question of who is better, but understanding the difference between the two and the risk associated with them.  Understanding this can save you money and protect you from potential legal problems.  Here are some components to consider.   Care-plans: When it comes to caring for a loved... (more)

It's not the question of who is better, but understanding the difference between the two and the risk associated with them.  Understanding this can save you money and protect you from potential legal problems.  Here are some components to consider.  

Care-plans:

When it comes to caring for a loved one by a registry, you may be responsible for knowing what services they need.  By going through an agency, they are responsible for making sure you get the right services from the right caregiver. They match caregivers to clients based on their personalities and skill-set needed.

Taxes & Injuries:

By using a registry, you are responsible for reporting and paying taxes, social security, and providing worker’s compensation (in case of a work related injury in the home) for the caregiver. They are essentially your employee.  Failure to do so can result in fines and penalties. Most agencies employee W-2 employees — not 1099. You should pay the agency directly (never the caregiver), and the agency manages all taxes and expenses related to employment that are required by the state and federal governments.

Hiring and Scheduling:

Hiring someone from a registry, you are responsible for the interviewing and hiring process. You will also be responsible for scheduling. If a caregiver calls out or doesn’t show up, you will need to find their replacement.  Agencies have experience with hiring compassionate and dependable caregivers. They are also responsible for scheduling and ensuring reliable and consistent care.

Supervision:

Going through a registry, you are in charge and responsible for managing the caregiver’s performance.  An agency will manage all of the employees and should perform unscheduled supervisory visits.

Theft:

You will be responsible for losses if the employee steals from you or your loved one when you go through a registry.  Agencies should be licensed (if required by state), insured, and all of their employees should be bonded.

Background Checks:

When using a registry you need to verify if they have done a background check.  Not all do.  You are responsible for this and neglecting to order and review a background check could place your loved one in danger.  Agencies provide background checks on all of their employees. They should be screened through criminal background checks and license checks, and are required to provide the proper identification.

Please consider these things when bringing someone in to care for a loved one.  

We at Care Giving Answers strive to provide helpful and relevant information to senior citizens and their families and... (more)We at Care Giving Answers strive to provide helpful and relevant information to senior citizens and their families and loved ones. The material provided through our site is made available for informational purposes only. In no way should users of our site rely or act upon any information provided herein without seeking appropriate professional advice (medical, legal or financial). Users should independently verify the accuracy, completeness and relevance for their specific purposes. The information provided through our site is not intended to constitute professional advice and in no way forms or constitutes a professional-client relationship of any kind.

Private Fiduciary, Trustee,Conservator, Financial Advisor

Agencies employ the workers they offer you, where as a registry is a listing of workers available for you to employ as household employees!  Be careful with this in California, the state laws here are nasty!

We at Care Giving Answers strive to provide helpful and relevant information to senior citizens and their families and... (more)We at Care Giving Answers strive to provide helpful and relevant information to senior citizens and their families and loved ones. The material provided through our site is made available for informational purposes only. In no way should users of our site rely or act upon any information provided herein without seeking appropriate professional advice (medical, legal or financial). Users should independently verify the accuracy, completeness and relevance for their specific purposes. The information provided through our site is not intended to constitute professional advice and in no way forms or constitutes a professional-client relationship of any kind.