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His daughter rarely sees him and his son never visits. Both will call him occasionally. He lives alone as he has been divorced for many years. Neither of them will invite him over for the holidays. My issue is once when he was in the hospital - before I began working for him - he signed over his house to his children and his daughter is his POA. His money is running out and I have drastically cut my hours from 6 per day to 4 per day and now it's just 2 hours per day. I'm there to make sure he eats and takes his meds. I hate to leave him alone, so I'll stay, when time permits, for 3 to 4 hours and not charge him. He's been recently diagnosed with the beginnings of dementia. My concern is that he's worried about his finances and would like to get his house back in his name but his daughter won't hear of it. What he wants is a reverse mortgage but it doesn't look like they're going to budge. His daughter told him that getting a reverse mtg is a bad idea. I have started the process for him to get help with IHSS (In-Home Supportive Services), but that might take a while before it kicks in. I have been a private CareGiver for a man (79)  for almost two years now. My question is: With what his two children are doing, by not helping him, could that be considered elder abuse or elder neglect?

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Some would call signing his wealth over to his children good financial planning, as long as at least 5 years have passed he is now free to apply for medicaid without having to worry about spending down his assets.
Keep a log of your hours and send POA daughter the bill, and if you are concerned he isn't safe living on his own ask APS to investigate.
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If he signed over the house over five years ago, Medi-Cal will start paying for his care when he has less than 2K in assets. The POA will have to cooperate by revealing his financials.
California is a filial responsibility state. They can go after the children who received assets or refuse the Medicaid application.
I always tell people to avoid reverse mortgages. Most of the lenders are hungry predators who foreclose rapidly.
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We don't know the full story here. Often (not always) when children are neglectful of their parents there is abuse and child neglect in the background. I wouldn't focus on judging the children at this point, but in helping the man.

I agree with cwillie on both points -- send your bill to the POA. Mention in a brief note any concerns you have about the man's safety. If the POA will not allow the hours he needs, or if he needs more than you can provide, contact APS.
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916nana, I bet this is a situation where the grown children wanted their Dad to move to Independent Living and he had refused. And since he is of clear mind he can do what he wants, even with beginning dementia.

I had to deal with that with my own parents who refused to leave a house with a lot of stairs, and both were fall risks, and Mom refused caregivers and cleaning crews. It's becomes so very stressful to the grown child when one's parents do that, that it becomes a point where you just want to shrug your shoulders and walk away, but still watching from a distance.

Sounds like the grown daughter is using tough love on her Dad, hoping that he will take notice that he needs much more help. Don't throw a wrench into this by staying more hours and not charging him.

No, this isn't elder abuse/neglect because the person still has a clear enough mind to do for himself.

As for a Reverse Mortgage, I would not recommend it in this case. It is only good if the person has enough money to live on and wants more money to use for investments, vacation, remodeling, etc.
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916nana, hey, I'm a Nana too!

Are you comfortable enough to speak frankly to the POA/Daughter, about your concerns about her Dad's care? Does she provide him with enough financial resources to take care of her monthly needs and personal wants, or is he fully capable of managing his ow monies and bill paying? Maybe this "running out of money", is her way of forcing him to accept the fact that he needs additional care, such as Assisted Living, in which case they would have to sell his home, to pay for that, or certainly speak with a elder care financial layer, to access how to arrange his board and care needs. Obviously at some point he will no longer be able to continue to live alone in his own home, and I certainly hope they aren't planning to rob him of what is probably his biggest asset! Why did he sign his home over in the first place? What are his capabilities, or lack there of?

And why is it, that neither of his children will plan to spend the Christmas holiday with him? Is there some significant dysfunction in play from the past?

Something is very Off in this situation, and they are clearly not treating him very nice, so ther must be a lot more to this story, to basically abandon him, when he obviously need more help, than they are addressing.

You have been stuck in a very uncomfortable position, but it is clear that you care for this gentleman. Getting a needs assessment is definitely on the right track! You are wise ti reach out, and hopefully you will get some good ideas from the awesome caregivers on this site!

You will have to share more info, but that is part of making the best of the gaining great advice here, and it is nice, that it is all anonymous too!

Good luck finding ideas towards a better solution! Happy Holidays!
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I was in that situation, witnessed this with a neighbor whose daughter rarely visited. She was clearly neglected in a very bad way. There was nothing I could do to influence the situation. Also I couldn't conclude "abuse" by the mother. Later I found out that the daughter couldn't possibly do caregiving because her own husband was beating her. We cannot judge!

In another situation, my friend wondered why her elderly neighbor rarely got a visit from her son. As it turned out, the son was working his butt off at his job plus a single divorced parent and his boss wouldn't let him have the days off he needed. A month later, the son started to visit his mom again after he was able to change his work hours. We cannot judge!
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As someone said--we don't know the whole backstory---but I don't think this is "elder abuse" it's more likely "elder neglect". You could contact APS, but that could stir up a hornet's nest.
Try peacefully talking to the POA daughter. Calmly. Get your information straight and "legally" correct. See how that goes. If there is a lot of pushback and you are not being paid and this gentleman is in danger...then call APS. The kids will not enjoy dealing with them.
FYI: MANY adult children take a giant step away from elderly parents. So many reasons why. As a person who had a poor relationship with my mother all my life, I have found it very hard to deal with her after daddy died. She doesn't "enjoy" my company and I have sometimes had to take 4-6 month breaks and not see her. Now she is developing dementia and has become so much kinder, I can be around her and not go insane within 5 minutes.
If you "knew everything" perhaps you'd have a better understanding of this man's kids. You are an angel to work extra hours for no pay....I do wish you luck in all of this.
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With a POA comes responsibilities, and if his daughter is not doing anything to help him, then I would call APS. Tell her you are staying later without pay, and you either can or will not continue doing that (I don't know your financial situation). You do not know what this man did to these two adult children, so therefore do not judge their actions now. A reverse mortgage is a bad idea, and since his daughter has POA, she can stop anything you may try to do. You are just the hired help and do not have any legal obligations. It is nice you are staying, but be careful. This man, in his dementia state, could accuse you of stealing or hurting him, and then you would be out of a job. Keep your own welfare as your number one priority. This is a family matter and you are not family. Thanks for helping out!
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I agree with all who say there's probably more to this story.
My mom has always been hard to deal with. But now that she's 85 and blind she's impossible to deal with. There are issues between us that go way back, but the most recent was her treatment of our dad while dying of prostate cancer. There were signs of mental and physical abuse. We had to move him to a nursing home, when all he wanted to do was pass in peace in his own home. But mom would not utilize the help we lined up and did not like strangers in her home. She verbally abused him and did so with her windows open so neighbors could hear. She obviously had issues with his past affairs, but choose to stay with him and hate him. I think she considered his cancer a punishment for his behavior. Sad.
Fast forward to today, she's as helpless as a baby, refuses to cooperate, won't use tools that benefit blind people, wont write a will, wont sign DNR, won't sell her home, can't live in it with out help, can't afford but 3 months of paid help...the list goes on and on. She did give my sister and brother POA. And every time her future is discussed she accuses me and sister of wanting to put her away and that we're really not helping her at all and all she wants is to go home and do the best she can. The truth is we never mention nursing homes, we are trying to make her living with us work. It is emotionally and physically draining trying to help her. My siblings and I have all gotten so frustrated with mom that we have have all wanted to dump her off at her home and walk away. But we too have worried about getting charged with elder abuse and neglect.
All that said, perhaps his son and daughter have similar issues with him. You never know. I think fate or karma has a way of catching up with all of us in the end. Talk to the daughter, be professional and try not to be too judgmental, until the facts are in. Good luck and God bless your kind heart.
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Such good help here, i hope it helps you find the best way to help without jeopardizing yourself. And without fanning any low flames. Its tough to be an observer who wants to help.
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