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I don't think it is any of the agencies business if you want to show your gratitude by giving the actual caregivers a TIP or gift. They just want their cut and it isn't for them, they get paid, it is a personal expression to the person that has stepped up and gone the extra mile to ensure that your loved one is receiving excellent care.
That's what I would do.
It IS the agency's business if their aides do not follow the guidelines of their business. What you are suggesting would be a very unkind thing to do to a nice person.
To me, this is a personal between you and the aide.
Do what your heart tells you to do.
As was mentioned below, I did send a letter to the bosses praising her work. It's all I could do.
Separate aide? Give her what you like and tell her not to offer the information to anyone.
When my mom was home and we had an aide, we got her a gift card to a local store. She was appreciative.
Now mom is in a NH. I wanted to get something for the staff also. The NH didn't want individual gifts, they wanted something for the staff. I happened to be in their lunchroom and saw a Keurig, I bought them several large boxes of K-Cups and brought in coffee cake the day I delivered it to them. I too thought of giving gift certificates to a local pizza place for a delivery order this year. It is so hard this year as they don't want anything homemade. I may do the k-cups again with a pizza gift certificate.
I wouldn't ask the agency for permission, nor would I tell them.
It is the season and it isn't a bad thing to show your appreciation.
It places some caregivers in a situation where they could not receive a gift even if it were allowed.
And then there are the stories where a caregiver is financially taking advantage of the person they are caring for.
Now that said...
I would give the caregivers I hired a Gift Card. the limit was $25.00 (this was to keep it fair to each of them) but I also wrote a letter for each of them that they could use as a reference letter and the ones that worked for an agency I wrote a letter to the agency as well.
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