We are now on our 6th caregiver in the past year. First 2 went home (Belize and El Salvador) and never came back. Next one only came in once out of 3 days and had excuses for not coming in the other 2 days so I told her it was not working. Then we hired an agency. Agency provided an aide that had English difficulty and a cat allergy (although we told the agency she had a cat). Next, the agency provided someone who was out frequently and we were not told until the last minute that we would have a replacement even though the aide told them she would be out a month in advance. We never had the same replacement. For the fee we paid to the agency, to have a replacement 4 times in a 2 month period of time was too much. We have hired another private pay who was recommended by her home care nurse. Mom seems to think her aides are here to do housework and complains that they don't clean well. I am left to deal with the fallout. If this one does not work out, I am going to move to another country and not take my husband, my mom , my kids or grandkids.