1.In a survey we conducted internally, the cost for live-in/24-hour care doubled from $250 to $550 per day average in Los Angeles, pushing the price above a skilled nursing facility on a per day basis.
At the rate he mentions of $250 per day, hourly wages would be $10.4 for 24/7 live in care giver. So he was paying less than minimum wage in California. Let's revise that number to meet the minimum wage. It comes to $360. That number of $550 is inaccurate. The correct number is $480 (8 hours of regular pay at $15 per hour if you are in California and 16 hours of $22.5 per hour) So in California the cost went up from 360 to 480. That's a 33% increase not the over 100% increase he states.
2.Families were forced to reduce caregiver hours or fire their agency completely (and go under the table).
This seems to suggest that families were ok with exploiting the care givers even if they had to go "under the table". What kind of care givers will take less than mandated by law? Ones that can be exploited because of their immigration status?
3. Hundreds of thousands of caregivers who were unable or unwilling to be employed as W-2 workers were either removed from their families or let go by their domestic referral agency.
????what?? unable to be employed as W-2? why? Is it because they are not legally allowed to work in the country without a permit? Not willing to work as W-2?? I don't understand why someone would not want to work as a full time W-2. Are they trying to avoid paying taxes? Either ways this is a choice that the caregiver has to make. They would rather make $10.41 and hour than go to $15 or $22.5? Something doesn't smell right.
4. Seniors struggled with “continuity of care” issues as agencies started rotating multiple caregivers in and out of houses throughout the day to avoid overtime costs. This had an especially negative impact on Alzheimer’s and dementia patients.
I get this. I do. My grandmother was bedridden for 12 years and we had a live in caregiver and I know my grandmother would sometimes get confused and scared if we got a replacement when the caregiver was on vacation.
5.The additional rotations in shifts increased gas, parking and transportation costs and added a layer of complexity to scheduling.
This is a problem for the agency. This is where you can have your USP. Don't cry about it. Figure out a kick ass algorithm to reduce scheduling complexity.
6.Caregivers saw their working hours and income reduced, seniors weren’t able to get the 24/7 care they needed, and home care agencies saw a significant a decline in revenue from live-ins.
Caregivers only saw a reduction in working hours and income because agencies didn't want to pay overtime and pass the cost down to the family.