Hiring Private Duty Home Care Workers:

Due to the cost and the increasing shortage of home health aides, many families seeking to hire in-home staff turn to private individuals rather than working through an agency. While at first glance this seems reasonable, it can also cause numerous problems and create unexpected liabilities for the family, who becomes the employer.

http://www.caregiver.com/channels/ltc/articles/hiring_private_duty.htm

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