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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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And the little boy's parents and grandparents are... where? The reason I ask is not mere curiosity, it's also to gauge whether you expect this situation to be short-term, long-term, permanent or what.
What sort of help do you and your wife need? What are your mother's care needs, beyond general assistance?
I’m assuming that the toddlers parents are MIA due to drug use &/or incarceration and so are beyond participation in care or financially, my answer is based on that..... in many ways a lot of what needs to happen for each is similar in that as a first start you need to legally have paperwork to establish your ability to oversee care of mom & grandkid..... for her it’s having a DPOA & for toddler some sort of release of their parental responsibility & over to you. So do you have these & if not you need an atty to draw these up.
As far as time & energy goes, Getting the toddler into a day program will be easier as there will be lots of options & price ranges. I’d do that so it gives you time to deal with your mom and finding a solution for mom’s care as she’s going to be more time consuming. If you are totally new to the world of “early childhood development” (aka programs before entering PreK) circa this millennium, it is NOT what you did when your kids were little 40 years ago. Kids now are expected to come into PreK already used to the classroom rhythm that a program provides.... like knowing “little voice”, using a cubby / a sit upon / 2 finger touch / white & interactive board use / play date & dump table etiquette etc. In my experience as a very much late in life mom is that kids nowadays that stayed at home with grannie or mom without being in a regular organized early childhood program are flummoxed and disadvantaged when they finally enter PreK or K. It’s already July so the lists for fall semester programs are getting filled so you may need to cast a wider net to find a program. I know for my city (New Orleans) where I’d suggest you start (Parenting Center at Children’s Hospital & the JCC’s). If your in a bigger city you may want to post that as lots of us on this site have city & state specific experience we can share.
For your mom, if you think she is medically “at need” for skilled care in a NH & has her medical chart that reflects this, I’d suggest you look to getting her into a NH and using her $ and assets to pay her care. Not your $ but hers. She goes in as private pay needing skilled nursing care. If she runs out of $ then she applies for Medicaid. So it needs to be a NH that is both private pay and Medicare and Medicaid beds. Most states Medicaid do NOT pay for AL, plus she’s 96, so having her move into a NH means she will not have to move & transition from AL to NH in a few months. If there has not been any commingling of her $ and yours then I think you should be able to do the paperwork needed for the financial documentation required by Medicaid. If there has been gifting, or transferring of her money in large amounts to you or others, or your too overwhelmed then I’d suggest you just fold it and get an elder law atty to shepherd her Medicaid application. Her $ pays for the atty. You can’t do it all & if there’s glitches ahead let an atty deal with it from the start. Try to have a date night for yourself too.
Also I’m not trying to sound harsh about kids & drugs, but those in their 20’s & 30’s caught up in opioid or meth addictions and unable to properly parent their still dependent offspring so the grands end up parenting version 2.0 is the Shakespearian tragedy for our times. It’s not at all like dealing with the adversity of cancers or deployments as those have some sense of logic. There is no logic for a Fentanyl addict.
So thank you all for your answers. I was not expecting such complete assumptions and advice but to explain We have 8 children, my oldest died of a fentanyl overdose in 2009. Her daughter is the oldest of four. She is the mother of my great grandson. Our youngest died in the womb at 8 months. My gran daughter is a product of a culture void of much morality and too much choice. She has signed over custody and guardianship to us. My mother is a very active and healthy 96 year old that was forced out of her condo by Hurricane Harvey on Houston. The home was a total loss so she moved to our home in NC. She will receive help from American veterans since my Dad was an enlisted man in the army during WW2 1942 - 1946. I hope That gives you the background you wanted. You can go to You Tube and type in Jew, Graham and Reagan and see a video about me.
Will any of your other 7 children help out with the toddler? Not to be harsh but you are 70, and the child is 17 months? I could barely keep up with a baby / toddler when I was 30! Bless you for taking this on! Kids today are a whole new thing,, they need to know computers in first grade, and kindergarden required knowledge that we learned in first grade! I can see where you need some help here.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
And the little boy's parents and grandparents are... where? The reason I ask is not mere curiosity, it's also to gauge whether you expect this situation to be short-term, long-term, permanent or what.
What sort of help do you and your wife need? What are your mother's care needs, beyond general assistance?
As far as time & energy goes, Getting the toddler into a day program will be easier as there will be lots of options & price ranges. I’d do that so it gives you time to deal with your mom and finding a solution for mom’s care as she’s going to be more time consuming. If you are totally new to the world of “early childhood development” (aka programs before entering PreK) circa this millennium, it is NOT what you did when your kids were little 40 years ago. Kids now are expected to come into PreK already used to the classroom rhythm that a program provides.... like knowing “little voice”, using a cubby / a sit upon / 2 finger touch / white & interactive board use / play date & dump table etiquette etc. In my experience as a very much late in life mom is that kids nowadays that stayed at home with grannie or mom without being in a regular organized early childhood program are flummoxed and disadvantaged when they finally enter PreK or K. It’s already July so the lists for fall semester programs are getting filled so you may need to cast a wider net to find a program. I know for my city (New Orleans) where I’d suggest you start (Parenting Center at Children’s Hospital & the JCC’s). If your in a bigger city you may want to post that as lots of us on this site have city & state specific experience we can share.
For your mom, if you think she is medically “at need” for skilled care in a NH & has her medical chart that reflects this, I’d suggest you look to getting her into a NH and using her $ and assets to pay her care. Not your $ but hers. She goes in as private pay needing skilled nursing care. If she runs out of $ then she applies for Medicaid. So it needs to be a NH that is both private pay and Medicare and Medicaid beds. Most states Medicaid do NOT pay for AL, plus she’s 96, so having her move into a NH means she will not have to move & transition from AL to NH in a few months. If there has not been any commingling of her $ and yours then I think you should be able to do the paperwork needed for the financial documentation required by Medicaid. If there has been gifting, or transferring of her money in large amounts to you or others, or your too overwhelmed then I’d suggest you just fold it and get an elder law atty to shepherd her Medicaid application. Her $ pays for the atty. You can’t do it all & if there’s glitches ahead let an atty deal with it from the start. Try to have a date night for yourself too.
Also I’m not trying to sound harsh about kids & drugs, but those in their 20’s & 30’s caught up in opioid or meth addictions and unable to properly parent their still dependent offspring so the grands end up parenting version 2.0 is the Shakespearian tragedy for our times. It’s not at all like dealing with the adversity of cancers or deployments as those have some sense of logic. There is no logic for a Fentanyl addict.