When hiring a home care worker you have two main options. You can hire someone who is self-employed or you may choose an agency that employs home health care workers. There are pros and cons to each arrangement.
One of the benefits of hiring self-employed home care workers is that they can be more flexible and often charge less than an agency. However, be sure to consider that you will responsible for screening, hiring and training the worker as well as supervising activities and performance reviews. You will need to file tax and immigration forms and be responsible for replacing home care workers during holidays, vacations and sick days.
Home care agencies take over these responsibilities. The higher fees they charge cover this administrative support and supervision. It is important for you to know what questions to ask in order to make the best choice.