Providing quality care in your home...
Terms of Service Agreement
At-Home Services, Inc., 514 N. "H" St., Ste B, Lompoc CA 93436
Tel: 805 736-8249, Fax 805 736-8258, E-mail info@at-homeservices.com
This Agreement is between At-Home Services, Inc., and the Payment Guarantor named on the reverse side. It is the full agreement. Any amendments are effective only when signed and dated by both parties.
At-Home Services, Inc.'s Responsibilities:
1. Provide services listed on the reverse side in a courteous, conscientious, and effective manner during the hours stated.
2. Maintain bonding and professional liability insurance coverage for all staff.
3. Make a best effort to provide services with the resources available. If service cannot be provided for reasons beyond our control, At-Home will immediately notify the Client or their representative. At-Home may end service immediately with notice if the Client or others around client cause or allow breaches of Client's Responsibilities that At-Home believes are unsafe or notably interferes with its care givers' performance. At-Home may, for other reasons including non-payment, terminate service by giving the Client or Guarantor 7 days written notice.
4. Guarantee that service will meet the Client and guarantor's personal satisfaction. If you are not satisfied with our service for any reason, tell one of our supervisors within 24 hours and there will be no charge for that visit.
Client and Payment Guarantor's Responsibilities:
1. Provide At-Home staff with accurate descriptions of the client's health, emotional, and physical status and needs.
2. Provide all equipment and supplies to complete the agreed upon services.
3. Allow the immediate return of all service logs and records maintained by staff while providing services.
4. Immediately communicate any incident or suspicion of staff misconduct including discourtesy, theft, poor sanitation, or physical or emotional abuse to an At-Home supervisor, or to the S.B. Co. Adult Protective Services, Tele: 737-7043.
5. Treat At-Home's staff with courtesy. Allow services to be conducted in an environment and by methods that are safe for both the client and the caregiver.
6. Directly contact an At-Home supervisor to change services agreed upon here. Correspondingly, the Client and his or her representative will not contact At-Home's service staff outside of assigned service hours.
7. Pay a $1,000.00 finder's fee to At-Home Services, Inc. and collection costs if any, if the client, guarantor, or immediate family employs for any purpose any At-Home staff member within 180 days after last receiving services from At-Home.
8. Pay for service hours provided and billed. Services hours are billed in increments of the one half hour (0.5). Service time includes fifteen (15) minutes of travel time at the end of the visit. Pay the greater of 2.0 hours or half the scheduled time if the Client or their representative reduces or cancels service with less than one full business day's notice (24.0 weekday hours) except for hospitalization or the end of life.
9. Accept the ultimate responsibility for making payment in full even when a third party promised to pay. Make full payment within 10 days of being invoiced. Pay a delinquency fee of 1••• %per month on the unpaid balance. Pay reasonable administrative and legal costs for the collection of unpaid charges.
Use Santa Barbara County as the venue to resolve any disputes.
Guarantor's Initial _____
End of Terms of Service Agreement
Message to Prospective Clients and Families
Spring 2012
Dear Prospective Clients and Families,
Re: In-Home Care Services
Thank for your interest in our services. We provide personal care and homemaking services to seniors in Lompoc and Santa Maria.
We believe you will find our service to be of high quality and good value. Each of our staff members have been carefully selected. Most have completed nurse assistant certification training. We conduct thorough reference and background checks including finger print national criminal history search, validate their skills, and insure their actions before they begin assignments. All staff receive regular supervision and ongoing training. All are evaluated once each month on their performance. On going training includes reviewing CPR and first aid steps. Each is able to communicate well with spoken and written English. Supervisors are directly available by cell phone, 24 hours every day. They visit clients at least monthly to ensure your expectations are being met. With over 40 staff members we are able to make good matches for personalities and skills, and provide seven day a week and split shift service. We guarantee your satisfaction with our performance.
Our services are adapted to meet your individual needs. They can include personal care, homemaking, shopping, transportation, medication management, and house cleaning. Services can be temporary, as when recovering after hospitalization or ongoing for an extended period of time. In most situations service is available from $19.50 to $26.50/hr., depending on the length of each visit, frequency, and time of day. Live-in (24hr sleep over) service is $312.00/da. Auto transportation is available for $.50/mile, with a $20.00 minimum charge. It is usually not necessary to prepay for services. Schedules can be changed with one business day's notice. Services are invoiced weekly. We will bill insurance when coverage is available. Our complete service agreement is shown below the letter.
Please feel free to call me and discuss your needs. We will provide you with a no-obligation proposal for services.
Sincerely,
Jim Small, President and Executive Director
Webmaster and Design: Andrea Maritzer Fine © 2012
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We strive to meet each of these ten standards continually for each client. Your needs are systematically assessed to create an individualized service plan.
We assumed all was done correctly. After mother passed away, we received a letter from the California Franchise Tax Board.
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