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Have you looked into the possibility of Medicaid for mom? It might take a while so looking into the application process now might be a good idea.
Not all facilities have "Medicaid Beds" and she might be on a waiting list.
There are lots of others that post that know soooo much more about Medicaid than I do hopefully they will respond and give some insight.
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If you plan on firing a anyone for theft, you better have undeniable proof. If not, just state that the situations isn't working.

We live in a litigious world and accusations of wrong doing can end in lawsuits if you are dealing with an entitled, irresponsible jerk. Tread lightly when dismissing someone.

If you have an accountant or know someone that does, ask them about doing the payroll or you can use a payroll company that is set up to be the "employer" meaning they file the payroll under their company tax numbers and have workman comp insurance, etc.

I don't know about all industries but my workmans comp annual minimum was 1,500.00. So it may be well worth what they charge, or I also had to pay a 200.00 bond for unemployment insurance. Speak to your insurance broker for guidance on workman comp, your state will help you with unemployment and other state requirements and the IRS can help you with SS/Medicare, FUTA, and Fed Withholding.
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IMPinky Sep 2021
Thank you, ITRR. That was my immediate concern, that Mom would make the accusation without proof and open herself up to a lawsuit. Thank goodness she came to her senses overnight and called to apologize this morning for going off half cocked. Her comment was that she hasn't been herself since this last UTI. Well, that's partly true, but I believe it's part of an overall downhill slide. But if she at least admits that her thoughts/attitude were wrong, to me that's a step in the right direction.

I looked up some general info about Workers Comp in California, and it said about $800-$900 a year for household employees. I think now I can get an actual quote since I have CG's DMV report. And the most economical payroll service quoted $45 a month to help get an employer ID, handle payroll including withholding, FICA, SDI etc and file quarterly taxes, end of year filings, basically everything but Workers Comp.
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Dementia leads to illusions, but carers do sometimes steal. My suggestion is to leave a few coins in a couple of places and see if any disappear. Don’t tell mother – she might pick them up herself. If a few go, then yes there is a problem, and it might get worse. My sister had 24/7 carers for my late BIL, and one of them (and she seemed the nicest one) stole around a thousand dollars from her bag.
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IMPinky Sep 2021
Eesh! a thousand dollars! That's a lot of cash to keep around! Obviously a bad idea when people are coming into your home. You know, Mom used to be head waitress at a popular restaurant, and occasionally would suspect that a busboy was stealing tips. So she would set them up, as you suggest, and would invariable catch them at it! She had thought to try this with CG, but just hasn't had the energy to deal with it...
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You state that your moms memory is very poor.
You do not indicate if she has been diagnosed with any type of dementia.
The thought/fear that someone is stealing from you is a common one with dementia for the simple fact that they do not know what happened to the missing item so the assumption is that it was stolen.
There is not much that you can do about the thought/fear other than try to work around it using diversion, therapeutic fibs.
You can tell mom that you can’t fire one caregiver without having another in place first so the one will have to stay until a replacement can be found, vetted and trained. By the time all that would be done mom will be “ok” with keeping the caregiver she has now.
Hopefully the caregiver is understanding and can work with this type of scenario.
I do think your mom should be tested for dementia.
It might be wise to put in cameras so that you can monitor mom when the caregiver is not there. IF you are dealing with dementia mom should not be left alone.
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IMPinky Sep 2021
Thank you, Grandma1954. We are very aware that her memory has been failing and she is actually scheduled for a neurology assessment. Her last primary care physician had put a dementia diagnosis in her chart, but none of us are aware that she was ever tested. This actually caused a problem recently when Mom went in for a procedure with a specialist who didn't know her and he refused to allow her to sign the consent. I had to reach her daughter (my SIL) to give phone consent before the doc would proceed. When we questioned the current PCP about it, she ordered the assessment. It would have been done by now, but Mom got a UTI and we rescheduled.

I like your answer about having to put another CG in place before firing the current one. That will probably work. In so many ways, Mom is still very sharp and functional. But she is having more and more trouble remembering events, conversations and things in the house that she moves or changes. Between CG, SIL and myself we cover nearly every day through mealtimes, meds and appointments, more if she is ill. But the funds are not there for more paid hours, and family is about at our limit of time we can put in without sacrificing others who need us, or our own health. I feel like Mom will soon be needing placement but again, the funding just doesn't exist, even with the VA benefit. Meanwhile, I'm trying to extend the hours we get from VA by looking at direct hire with all the legal requirements met.
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