ABOUT THE AGENCY
Can your agency provide all of my care needs?
If No, will your agency help coordinate or help find the additional
services or products I need?
Is there an additional charge to help coordinate or help find those
services or products?
Is the agency: Licensed, bonded, and insured?
Does your agency carry malpractice insurance?
Is the owner of the agency local?
____ ____ ___ How long has the agency been in business in my community?
Is the agency JCHAO (Joint Commission on Accreditation of
Healthcare Organizations) accredited?
Is the agency a member of any professional organizations?
Does the agency get inspected by an outside organization?
May I see the inspection results?
Am I able to reach someone from the agency at all hours?
Does your agency have a client list of references I can call?
Does my caregiver get evaluated on the care I receive?
Have the agency’s caregivers passed criminal background checks
& drug screening?
Have personal references been secured on all caregivers?
How is my caregiver supervised?
Am I able to talk to my caregiver’s supervisor if needed?
Will I always have the same caregiver?
Has my caregiver been trained in giving the care I need?
Do caregivers receive continuing education & training?
Will I be able to choose my caregiver?
Can I request an alternative caregiver if I am unhappy?
Does the agency provide full-time “Live In” caregivers?
And if Yes, is there a discounted rate for care services?
ABOUT THE CAREGIVER
Is the caregiver an agency employee or an independent
contractor with a registry?
Are the caregiver’s: Licensed, bonded, and insured?
Does the caregiver have workers’ compensation coverage?
Does the agency do a background screening on caregivers?
Are caregiver’s driving record and driver’s license checked?
Will my caregiver speak my language?
____ ____ ___ How many years of experience does my caregiver have in the kind
of care I will be receiving?
Will my caregiver be fully informed of my care needs and
ABOUT THE CARE
Will the agency design a care plan for me?
Is my care plan written? Do I get a copy?
Does the agency consult my family when designing my care plan?
Does the agency consult my doctor when designing my care plan?