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My 95 year old great grandmother has early on set dementia and has a caregiver. The caregiver picks up grocery's once a week and does light cleaning, she is also supposed to pick up a sandwich if grandma wants one while she is out. There is a pre paid debit card that she pays for the grocery's and sandwiches for.  come back to the house and told my grandmother that she forgot to use the card and paid cash my grandmother does not know how much stuff costs so she gives her $60 . i am very upset about this because i also have a caregiver and mine would never except money from me and this women keeps taking my grandmother out of money i know that it is not a lot of money but its my grandmas not this woman she is paid out of the check book every month to the company that hired her. that pays there fee and the amount that is charged on the card for that month also can any one please give me advice if i am wrong or how to handle this. also we are in washington state not sure if laws or rules are different in states?

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I would think that if advances are necessary, the agency would have arrangements for them so that there are no financial transactions between the paid caregiver and your grandmother. The agency could also advance the funds and the caregiver be responsible for an accounting to the agency. Your grandmother should be out of the loop on this.
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I have experience with two large senior caregiver agencies. Both have strict rules about not accepting cash or gifts. And just a FYI - I believe "early on-set" dementia occurs prior to age 65. In your loved ones case it is dementia. Perhaps did you mean she is at the beggining stage? Don't mean to be picky - just wondering.
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I have to agree. Absolutely contact this caregiver's employer. She's got a little scam going on here and it doesn't matter how much money it is, it's wrong. She's financially exploiting your great grandmother.
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I'm sure if your great grandma had no cash available and couldn't reimburse her she would remember to use the debit card. All agencies have policies against this, it is unethical and if it goes far enough illegal. If she is untrustworthy she shouldn't work around a vulnerable person, inform her employers.
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Call her employeer..
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