Inviting a caregiver into your loved one’s home is a big decision. Asking the right questions up front helps you compare agencies fairly and find one that is a good fit.
These are the questions we would ask if we were choosing care for our own family. A good agency will be happy to answer every one of them.
Licensing and safety
- 1Are you licensed by the Pennsylvania Department of Health? Home care agencies in Pennsylvania need a state license. Ask to see it.
- 2Are your caregivers employees or contractors? An agency employs its caregivers. A registry refers workers who are paid by you, which can make you their employer.
- 3What checks do caregivers go through? Ask about criminal background checks, references, health screening and how their skills are checked.
Caregivers and training
- 4How are caregivers trained, especially for dementia, mobility or personal care?
- 5Can we meet the caregiver first, and ask for a change if it is not the right match?
- 6Will we see the same caregiver regularly? Familiar faces matter, especially for someone living with dementia.
The care plan
- 7Who writes the care plan, and will we get it in writing?
- 8How do you keep families updated about how visits are going?
- 9How often is the plan reviewed, and how quickly can hours change if needs change?
Costs and contracts
- 10What is the hourly rate, and are nights, weekends or holidays charged differently?
- 11Is there a minimum visit length, or a long contract to sign?
- 12How much notice do we need to change or cancel care?
Our guide to home care costs in Pittsburgh explains what usually shapes the price.
When things go wrong
Two more things are worth asking: what happens if your caregiver is sick or on vacation, and who you can call if you have a concern. You want a clear answer to both.
- Check that the agency holds a Pennsylvania Department of Health license.
- Ask whether caregivers are employees, and what checks and training they have.
- Get the care plan and costs in writing before care starts.
- Ask about backup cover, and who to call with a concern.
This article is general information to help you compare providers. Licensing rules can change, so check current requirements with the Pennsylvania Department of Health.