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Live-Ins in Home Care: What You MUST Know

Candyce Slusher

Updated: Feb 3



Ever wondered about the ins and outs of live-in care? Let's break it down in a relatable way.


Why Live-Ins Can Be a Game Changer:

Live-in care is a hidden gem for families needing 24/7 monitoring without breaking the bank. It's more affordable than traditional hourly care and can keep your loved ones out of pricey assisted living facilities.


The Live-In Home Care Journey Through the Years:

Before 2015, live-in caregivers had some leeway with overtime rules. But post-2015, things got stricter. Understanding these changes is key for caregivers and agencies.


What to Keep in Mind for Live-In Care:

1. Overtime Exemption 101:

- The DOL mandates a care provider must stay with a client for five days straight (120 consecutive hours) to be exempt from overtime laws.

- Clients' personal care needs can't exceed 20% of the time. Moderate to severe dementia or heavy care needs may not be live-in appropriate.


2. Room and Board Basics:

- Caregivers don’t need to bring their own groceries. They prepare and eat meals with the client.

- Live-ins need a dedicated place to sleep and should not get up more than once per night to stay rested and capable.


3. Finances:

- Ideally, a live-in caregiver works 7 days on, 7 days off, paid at a daily rate.

- If staffing 1 person for 5 days and shifts on weekends, overtime may apply. Ensure proper billing.

- If in a 4-day/3-day pattern without an overtime exemption, ask caregivers to sign an agreement for a lower base wage with overtime pay for hours over 40.


4. Staffing Considerations:

- Finding the right caregiver is like finding a gem. They must maintain a professional relationship with clients and families.

- Regular supervisory visits and unannounced pop-ins are essential to ensure quality care.


**Wrapping It Up:**

Live-in care is a game-changer for families needing round-the-clock support. Understanding the rules, staffing hurdles, and financial puzzles helps create a nurturing environment for clients. With attention to detail and a creative approach, live-in care can truly transform lives.

Please reach out if you have any questions, Book a Free 20 minute call. Book Online | Slusher


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