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My client lives at home he has a young man living with him who won't help him and is eating his food making a mess if kitchen and bathroom. suggest I also clean up after roomate

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If you're working through an agency, notify them of the situation and ask that a supervisor intervene to establish work responsibilities, documented in writing. You shouldn't be cleaning up after a roommate.

If you're working independently on your own, have a meeting with your client and also establish boundaries of what you'll do and don't.

If he insists that you clean up after the slob, you need to decide whether or not you want to keep this job enough to do that. If you don't, start looking for another job, perhaps with an agency so you have more protection from a client who exploits you. But don't give notice until you have another job lined up.
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When I was cleaning houses I had a customer who asked me to make the beds, well, that is maids service and I don't do that but I wanted to keep the job, so I made the beds. Your primary care duties come first, then - only if you have enough time - you could consider cleaning up the kitchen if you value keeping your placement there. If you feel that is not something you agreed upon or are willing to do then you choose between just leaving the messes or moving on, simple.
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MS. Brown, who pays your fees? The client? Medicaid? Client's family? Typically, a caregiver is hired to handle client related issues. In other words, the client's meals and dishes, the client's laundry, and related activities of daily living. If there are other job opportunities for you, it might be time to pursue them. Ultimately, the client will ot have anyone willing to work for him and willhave to change his instructions or get the room mate in tow.
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Who is this young man living with your elderly client? A relative, or a renter.
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