Caregiver Contract for Emelina Direct Health Care

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24 Hour Senior Home Care Agency !
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17418 Chatsworth Street Suite 201C Granada Hills CA 91344 !
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www.YourDirectHealthCare.com!
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info@yourdirecthealthcare.com!
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818-447-7595 ( Office) !
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1-866-814-4825 ( Fax ) !
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This contract is entered this ____day of _____________ in the
year ______ This contract is between “ Your Direct Health Care”
and the care provider/giver _____________________________.
The purpose of this contract is to provide non medical in home
senior care services to client(s) of Your Direct Health Care.
Some of the many services you may provide as a caregiver are:
meal preparation, medication reminders, light housekeeping and
acitivites of daily living such as assistance w bathing, dressing,
toileting. Caregiver will be asked to only do jobs within their
scope of practice. Caregiver understands that they are never to
drink on the job. Caregiver is given a 3 strike warning in which
after 3 strikes caregiver shall be put on probation.

Strikes can occur with issues such as excessive tardy behavior
or not filling out time sheets properly after multiple warnings,
and other improper behavior, such as no-show, friends/family
with client.
Caregiver realizes that client is under the agency “Your Direct
Health Care” therefore all payment will occur from the agency
!(not the client) as the caregiver is as an employee of the agency.
Pay periods are twice monthy: from the 28th to the13th and the
14th thru the 27th. Time sheets must be turned in by the13th
and 27th so that caregiver can be paid on time-the 14th &
28th respectively. You may take a picture and email your time
sheets here to info@yourdirecthealthcare.com. Payment can be
set up through your bank for direct deposit or caregiver can have
checks mailed to them or picked up if need be. In addition the
caregiver has agreed to the pay rate of _____ dollars per hour
or_____per day. If you would like your pay deposited into your
bank, (fastest method), please attach a voided check so we can
deposit money into your account.
Caregiver also agrees that by signing this contract that they will
not solicit or offer private services to client. In event caregiver
breaks this contract and upon investigation is found to have taken
client for private pay, then caregiver is liable to pay agency
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5,000 dollars for any and all damages. Furthermore, caregivers
information will be passed to other caregiver agencies and home
health agencies as a RED ALERT case warning other agencies
of caregiver's work ethic. We are an equal opportunity employer. !
Furthermore ! caregiver can not leave client alone even in the
event of a family emergency. Caregiver must wait until another
caregiver comes. If caregiver leaves client without anyone, then
legal charges for abandonment can be placed on caregiver. !
Your family and friends are not to be at client's home or place of
residen. Your main focus is the care of client, therefore time
spent on smart phones, lap tops, tv's or other devices is to be
limited. Reports of excessive use will be reason for strikes and/or
dismissal.

!When you commit to working with us, we and the clients expect
you to show up on time. If you ever get sick, your child gets sick,
or some emergency occurs then we need to have evidence as a
doctors letter or other verifiable proof that you cant work. Calling
us ! and telling us your child is sick with no proof from a Doctor
will not permit us to give you the time off.
If you can not make it to work we ask for two weeks notice. If you
have an emergency you can never leave client alone. If you get
sick or have another emergency which prevents you from working
you must have a doctors note or valid proof. Calling in sick the
day before work with no medical proof does not count. You also
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agree to give us two weeks notice should you not be able to do
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Caregiver Name:!
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Caregiver Signature:!
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Caregiver Address: !
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Caregiver Birth:!
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Caregiver Social: !
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Date:!
job.!
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Bank Info for direct deposit or attach voided check: !
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