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National agencies are franchised and, what appears great in one state, may vary from county to county. You do not even have to go far! It's just like McD'!
Would you consider "fast food" when it comes to your parent's well being? Check LOCAL agencies!
Here's a personal story: I work in home healthcare. A long time ago I interviewed with Visiting Angels for a supervisory position. At the end of the interview the interviewer offered me the job and wanted me to go out on a job that very same day. She hadn't checked my references or done a search on me with the national family registry or checked to see if my license was valid and in good standing. She had no idea what kind of person I was. I turned down the job. She was just going to send me to some person's house without knowing a thing about me! That's an agency that doesn't care about their clients and if they don't care about their clients they're not going to care about their employees.
Then I interviewed with another agency. A local agency, privately owned. After the interview I was offered the position provided that my background check, license, and references were clean. They scheduled me for a shift in 4 days provided all my bona fides came back positive. I accepted the job at this agency and I have learned that not only do they care about their employees but they take a personal interest in their (our) clients as well. If you look up my agency online you will not see one negative comment or review and I'm proud to work there.
Stay away from Visiting Angels and do your research. There are good agencies out there.
Ask friends and family if they can refer you a good caregiver. It will cost you less if you hire private caregiver (if you pay cash!) Interview every person, ask if they are willing to pass drug test and back ground check.
Good luck!