<div style="font-size:10pt;font-family:arial,helvetica,sans-serif;color:black;"><p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Cleora sub for July 21</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">2088 words</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Help Wanted</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">by C. S. Boyd</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Twenty plus years ago, I started using care givers. With my
failing eyesight and some mobility restrictions, I needed help with house work
and reading my mail. I asked my visually impaired friends what they did. Some
had family members they could depend on. A couple of my male friends were
hiring students from a local college. This was a good source since these
students needed flexible hours, and were capable of doing the more exacting
work they required. However, as a female, I didn't feel this would be a safe
way for me to find helpers. I decided, instead, to use a home health care
agency knowing that they were required by law to do background checks on the
people they sent into other people<b><u>’s</u></b></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="mso-spacerun:yes"> </span>homes.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">See correction above.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">At first, I used someone once a month, then a couple of
times a month, and now three times a week. Around nine years ago I noticed a
dramatic decline in the quality of care givers I was receiving. </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">To date, I have used five different agencies. Nine if you
count the number of times the agency I was using either sold out to or was
taken over by another agency.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The Owners of the good agencies I've used started their
business because of frustration they experienced when they went looking for a
care giver for a family member. When they started their business, they hired
people they would be willing to have taking care of their own loved one. Over
time, as the business grew, they turned more of the responsibility over to
others. These people were chosen with the same care they used to select care
givers, but these people, while good people, didn't share the commitment and
passion the owner did and didn't have the instinct for selecting quality care
givers. As the owner became less involved with the business, While they still
wanted to provide quality care for their clients, the service degraded into the
same kind of business they had sought to replace. In other cases, the agency
was bought out by another agency and office personnel were replaced, or given
different operating instructions for conducting business. Again, The end result
!</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">was that the business became the same as the ones they had
sought to replace.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Let's face it. People who need help are often cranky,
frustrated by their own inability to take care of their own needs, sometimes in
physical discomfort, and may be inclined to take all this out on their care
giver whether they mean to or not. People are needed that have the confidence,
compassion, maturity, and self-esteem to be willing to do the task the way the
care receiver wants it done, and accept that the person they are helping knows
best how something will work for them. People are needed who can provide care
with the understanding and compassion that instills confidence and trust in the
care giver.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">For this reason, a care giver has to be a very special
person. They need to be someone who understands and provides good care without
taking advantage of the person or abusing the person they are caring for. They
need a high enough self-esteem that they don't become offended when the person
they are caring for wants them to do the task in a particular way.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Government regulation is not enough to insure quality care.
It is as important to check out the agency as it is for the agency to check out
their care givers. There are a few things that can be done to try to weed out
the agencies that may not have quality people in their pool.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">1. What is the agencies mission statement?</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Some I've seen:</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Your Home, Your Way.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">To Us, It's Personal</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The mission statement conveys what the company owner wants
you to believe they will provide. In most cases this is the true feeling of the
owner. However, it doesn't necessarily indicate that the people working for him
have been successful in hiring people that will fulfill the promise.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">They all claim to match compassionate, reliable care givers
with each person<b><u>’s </u></b>personality and needs<b><u>. </u></b></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Same error.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="text-decoration:none"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">2. How does their help wanted ad read?</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The ad for people may say something like
"you’re compassion and heart can truly make a difference in the
lives of aging adults." They will say they need people who are inspired to
help others.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The first question to ask, is how well the agency fulfils
these high sounding words.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">How to you ascertain this?</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="text-decoration:none"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Does the ad also say: "No experience necessary, we will
train."</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Training likely consists of anything from a 30 minute
lecture on how to sign in and out of the shift, general information about what
to do if the client doesn't answer the door, and things they are not allowed to
do. Some agencies take up to a week to provide more detailed training in the
types of duties the job may entail.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">How do you find out what their training consists of?</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="text-decoration:none"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">If this is a person on their first job as a care giver, they
likely have no idea what to expect. If you don't mind taking raw material and
you have the time and energy to provide someone on the job training while you
pay them by the hour, this could be your opportunity to train someone exactly
the way you want. Some flaws in this plan are the same as for the employer
giving a young person their first job opportunity. Finding a person willing to
learn, and that has the right disposition for the job. You may find that this
new hire is going to realize this isn't what they want to do at all, and you
will never see them again. They may also think that little trinket on your
mantle is cute and you will never miss it. Some will resent you telling them
how you want them to do something, and refuse to do it your way.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">So why not get someone that responds to your own add<span style="mso-spacerun:yes"> </span>and train them?</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="mso-spacerun:yes"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Check the agencies help wanted ad. If they are looking for
people with three to five or above years experience, this gives a better chance
of finding a good fit.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Good idea.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">3. Do they charge for filing a long Term Care insurance
claim?</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">If you have a Long Term Care policy that has been activated,
most likely you cannot file the claim. It has to come from the agency. Don't
let the agency tell you that they have a fee for filing the claim, and that you
can avoid the charge by filing it yourself. This works for your medical
insurance where the doctor's office provides you with a SUPER that has all the
medical codes and all you have to do is fill out the claim form, attach the
SUPER and send it in for reimbursement. To file the LTC claim yourself, you are
going to need to be able to document the care givers clock in and out time,
prove that the ADLs were done, and that the care giver was a qualified person.
This information is available only through the agency. If you have a sharp
family member or friend willing to do the work, or you are able to spend the
time and hassle you can try it. Check with your insurance to find out what they
require. My insurance wants a list of tasks done on the shift including the t!</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">ime the ADLs were done. The time must be within the shift
time. This must be done for each day service is provided and signed by both me
and the care giver. You may be able to get the agency to provide you a report,
but in my case, each day has to be signed by both me and the care giver. The
invoice the agency sends you showing the dates of service and amount of time
for each day is not enough. The insurance company needs proof that the service
was actually provided by a qualified person within the shift time. You can
understand this. They have to be sure you and your neighbor or family member
didn't make up some stuff, sign it, and send it in for reimbursement. For this
reason, I don't think it is reasonable for an agency to charge for filing the
claim. </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">What does a long term insurance pay for. </span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">This sounds very important.<span style="mso-spacerun:yes">
</span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Don’t assume your reader knows what you are talking about. </span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">This one doesn’t<span style="mso-spacerun:yes"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">It sounds very<span style="mso-spacerun:yes">
</span>complicated.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="text-decoration:none"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">I have only dealt with one agency that wanted to charge for
filing the claim. This agency did not have quality care givers and it was a
hassle every month to have to find out what was wrong and get them to resubmit
the claim sometimes as often as five times before they got it right so I could
get my reimbursement.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">“<b><u>The messeage I get is that what ever they do, </u></b></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">you have to pay for it. </span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">It must be filed with a insurance company. </span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">But you don’t get cooperation with<span style="mso-spacerun:yes"> </span>providers to do that. It </span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">sounds like something<span style="mso-spacerun:yes">
</span>you should have a guarantee<span style="mso-spacerun:yes"> </span>about
before hiring them.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""><span style="text-decoration:none"> </span></span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">4. How do they expect to be paid </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Most companies will tell you that you are responsible for
the bill regardless of if you have long term insurance or are paying out of
pocket. I have found a couple that will try to have the insurance company send
the payment directly to them, and the client is only responsible for paying
what is not covered by the policy like mileage charges, charges for filing the
LTC claim, and any other fees the agency may charge. I personally, prefer to
have the insurance reimburse me. </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">I think your<span style="mso-spacerun:yes">
</span>fighting<span style="mso-spacerun:yes"> </span>a war you cannot win.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">5. What is their afterhours policy?</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The government requires that an agency cover the phones
24/7. Different agencies handle this in one of three ways that I know of. There
may be other ways, but the ones I've encountered are.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The main number may be either answered 24/7 or forwarded to
an answering service. They may have an afterhours number to a cell phone that
is taken with whoever is on call.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Try calling the agency of interest after regular business hours.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">If an answering service answers, the agency may be alright,
but put them at the bottom of your list and keep looking.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Good advice.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Some answering services are very good, so this shouldn't
scratch the person off completely, but it isn't a good sign.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">If you get voice mail. Again, the person on call may be
talking to another client and couldn't pick up the line. Or, most likely in my
experience, they are busy with some personal activity and just don't answer.
One way to ferret this out, if you are very interested in the agency every
other way, leave a message. If the call is returned promptly, keep them on the
list. If more than 30 minutes passes without a call back, scratch them off.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><u><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Good advice.</span></u></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">The main number is actually answered 24/7 by a person that
is actually at work and can answer your questions even though it is not regular
business hours. This is the best and I have only talked to one that does this.
Similar to this is when the owner or other office staff answers, and can
address client needs, but wants you to call back during regular hours to
discuss services.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">5. How thorough is their check?</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">Do they just do the minimum required by the state? </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">I tried to get specifics on what checks are required by my
state, but was unable to get that information. In talking to various agencies
I've used, I'm pretty sure a criminal background check and a check with DPS are
required, I think there is a third check but I don't know what that is. Some
agencies will also check the national record, but I don't think this is
required on the state level. Some agencies also do a drug test on a regular
basis, and I'm told there are as many as five possible checks. The more checks
the agency does, the better. I've had a little experience with abusive people.
In my experience, these people do not change. They only walk the straight and
narrow as long as they know someone is watching.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman"">I am still learning, and add new things to my list as my
needs change and I discover more things I need to be aware of. These agencies
are audited periodically. Supposedly they don't know ahead of time when this is
going to happen. The auditors will look over the agencies records and pick up
to 10 clients at random to visit and interview to check on the services being
provided. I'm not sure how good this audit is. I was aware of a couple of
issues with some of the agencies I have used, and was surprised when I learned
they had been audited and got a satisfactory report. Hopefully, this will
provide the reader some guidance in doing the best possible job to acquire help
for yourself or your loved one.</span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;mso-fareast-font-family:"Times New Roman""> </span></p>
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