Hiring a caregiver directly, without an agency, can mean better continuity and a lower hourly cost. It also means every step an agency would handle is now yours — including the ones families most often skip.
An agency employs the caregiver, handles payroll and insurance, and sends a replacement when someone is sick. A private hire usually costs less per hour and often means one consistent person — but you become the employer, and there's no backup unless you build one.
Tammy Gold, LCSW, is the author of Secrets of the Nanny Whisperer (Penguin) and the founder of the Care Map Method™. She helps families define what a parent needs, evaluate caregivers and agencies, and set up care that lasts.
A caregiver working in your parent's home is usually a household employee, which can bring payroll, tax, and insurance obligations. Rules vary by state — a household payroll provider or elder law attorney can confirm what applies. In California, independent caregivers can register on the state's Home Care Aide Registry; ask whether yours is.
Book an hour and Tammy works through whichever step you’re on — with you, and where it helps, directly with your candidate.
One hour with Tammy, by video or in person in Los Angeles.
$189
Screening call, reference questions, clinical interview, and trial-day checklist.
Download free ↓Questions first? Text (818) 308-1358 · info@caremapmethod.com
Tammy is not an agency and has no affiliation with, or financial interest in, any agency or caregiver you use. She provides independent guidance; decisions remain your family’s. Legal, tax, visa, and licensing questions belong with the appropriate professional or agency.