A home care agency built to be worth trusting
A&A Legacy Care Services is a licensed non-skilled home care agency serving Philadelphia County and Montgomery County, Pennsylvania.
To provide compassionate, reliable, and high quality non-medical home care services that support the dignity, independence, and well-being of every client we serve in Philadelphia and Montgomery County.
That sentence is the whole business plan. Everything below is just the detail of how we intend to keep it.
What we are, precisely
We are a home care agency licensed by the Pennsylvania Department of Health, Division of Home Health under 28 Pa. Code Chapter 611. That means we provide non-skilled care: help with daily living, companionship, respite, and support around the house.
We are not a home health agency. We do not provide skilled nursing, wound care, injections, or any medical treatment. We can help someone take medication they are managing themselves, but we cannot administer medication. If what you need is skilled care, we will tell you that on the first call and help you find the right provider instead of taking the work.
Why we are so specific about this
Plenty of agencies blur the line between home care and home health because it widens the market. Blurring it puts a caregiver in a position to do something they are not trained or permitted to do, in somebody's house, with no clinician present. We would rather turn work away.
How we hire and train
Every caregiver clears all of the following before they are assigned to anyone. These are regulatory requirements, and we treat them as a floor rather than a target.
- A face-to-face interview and two verified referencesEvery reference is a real, checkable reference from someone who is not a relative, confirming the person can do this work.
- Pennsylvania State Police criminal history reportObtained before hire, reviewed against the disqualifying offences set out in the regulations, and kept on file.
- ChildLine clearance where it appliesRequired whenever a caregiver may serve a consumer under 18.
- Tuberculosis screening before any home visitCompleted before the first assignment and documented in the caregiver's file.
- Competency confirmed before the first shiftTen core subject areas for every caregiver, plus six more for anyone providing hands-on personal care.
- They are our employees, not contractorsWe carry the payroll taxes, the insurance, and the supervision. You do not become somebody's employer by accepting help.
What competency actually covers
Before a first shift, every caregiver has addressed ten core subject areas: confidentiality; consumer control and the independent living philosophy; instrumental activities of daily living; recognising changes in a person that need to be reported; basic infection control; universal precautions; handling emergencies; documentation; recognising and reporting abuse or neglect; and dealing with difficult behaviour.
Anyone providing hands-on personal care covers six more: bathing, shaving, grooming and dressing; hair, skin and mouth care; help with walking and transferring; meal preparation and feeding; toileting; and assistance with self-administered medication.
Competency requirements per 28 Pa. Code § 611.55.
Supervision does not stop after the match
A supervisor monitors each assignment on an ongoing basis: whether the plan still fits, whether the caregiver is doing the work as written, and whether anything in the home has changed. If the match is not working, say so. Changing caregivers is a normal request, not a complaint.
Where we work
Philadelphia County and Montgomery County, Pennsylvania. Care is available 24 hours a day, 7 days a week. The administrative office is open Monday to Friday, 9:00 AM to 5:00 PM, and the on-call line covers everything outside that.
Let us talk about what would actually help.
No cost, no obligation, and no pressure. Tell us what the week looks like and we will tell you honestly whether we are the right fit.