Understand the risks of hiring a private caregiver and how to protect your loved one every step of the way
Written by
By Ivy Shelden
Published
08 May 2026

You want to hire a private caregiver, but inviting someone you don’t know into your loved one’s home can feel risky.
The good news is you can do this safely.
With the right background checks, insurance, and a clear vetting process, you can hire directly and feel confident in your choice.
In this guide, we’ll walk through the most common risks of hiring a private caregiver and how to protect your loved one at every step.
Yes, there are some risks to hiring a private caregiver.
When you hire on your own, you’re taking on responsibilities that an agency would usually handle, like background checks, insurance, taxes, and backup coverage. It can feel like a lot at first.
But it’s all manageable.
With the right process in place, you can hire privately and feel just as confident in your decision.
Here’s what you’ll want to think about:
We’ll walk through each of these step by step so you know exactly what to do.
Start with the basics.
Before you look at experience or schedule interviews, make sure the person you’re considering is who they say they are. It’s more common than you might think for details like work history or credentials to be inaccurate.
Here’s what you’ll want to ask for upfront:
On Herewith, this step is already handled. Every Helper verifies their identity when they create an account, so by the time you’re browsing profiles, you know that piece is in place.
A quick search isn’t enough.
Lower-cost background checks can miss records in other states, show outdated information, or skip important databases entirely. If you’re hiring on your own, this step is on you.
A thorough background check should include:
You can run these checks yourself through services like Checkr or GoodHire, or work with a licensed provider. Just make sure you have written consent before running anything.
On Herewith, this is built into the process. You can browse Helpers first, but no one can be hired until they pass a background check through Checkr. If a Helper doesn’t pass or renew their check, their profile is removed from the platform.
A background check shows you someone’s history. An interview helps you understand who they are.
Interviews are where you get a feel for a potential caregiver’s experience, personality, and whether they’re a good fit for your loved one.
Before you meet, it helps to prepare a few focused questions.
Some important topics to cover:
When you speak with references, be direct. Ask how they handled challenges, whether they were reliable, and if they would hire them again.
And trust your instincts.
If something feels off, it’s worth paying attention to.
On Herewith, you can message Helpers directly before making a decision, while keeping your contact details private. You can also explore our guide to interviewing Helpers for more questions to ask.
This is one step many people overlook.
Most homeowner’s insurance policies don’t cover household employees. If your caregiver is injured in your home, you could be responsible for medical costs and lost wages.
There are two types of coverage to understand:
If you’re hiring on your own, it’s worth talking to your insurance provider about adding household employer coverage. Policies can vary, so make sure you understand exactly what’s included.
On Herewith, professional liability insurance is built into every booking through Herewith Protect. Coverage goes up to $1 million and is tied to your household, so it stays in place even if you switch Helpers. Plus, you can add on workers’ compensation coverage through Herewith, simply let our Customer Support team know.
When you hire a caregiver privately, you’re the employer.
That means things like payroll taxes, tax withholding, and unemployment insurance are your responsibility. It’s one part of hiring that often gets overlooked, but it’s important to get right.
Here’s what you’ll typically need to handle:
It can feel like a lot at first.
If you don’t want to manage it yourself, there are payroll services that specialize in household employers.
On Herewith, you can opt into tax and payroll support through HomeWork Solutions right in the platform, so you’re not figuring it out on your own.
Even the most reliable caregiver will need time off.
If you don’t have a plan in place, a last-minute cancellation can leave you scrambling to fill the gap.
A few things to think through ahead of time:
This is one of the harder parts of hiring on your own.
If a caregiving arrangement falls through, it’s up to you to find coverage.
On Herewith, you can book a one-time Helper for backup support without starting over. You can browse available Helpers, message them, and book same-day if needed.
Even with a careful hiring process, it’s important to stay aware once care begins.
Most caregiving relationships go well, but knowing what to do if something feels off is part of keeping your loved one safe.
A few signs to watch for:
If something doesn’t feel right, trust that instinct.
Talk with your loved one if you can, keep track of what you’re noticing, and address concerns with your caregiver clearly and early.
In an emergency, call 911 right away.
On Herewith, you’re not handling this alone. Customer Support is available if you need help with a concern, and there’s a clear process for reporting issues when needed.
Check out Herewith’s Community Guidelines to learn more.
Hiring privately used to mean taking on everything yourself.
You could save money and have more flexibility, but it also meant handling background checks, insurance, and all the details that come with being an employer.
Herewith makes that a lot easier.
Every step we’ve covered is either handled for you or built into the platform, so you can focus on finding the right fit for your loved one.
Here’s what’s included with every booking:
You still get the flexibility of hiring privately, without having to manage everything on your own.
Learn more about in-home senior care services on Herewith.
The main risks include incomplete background checks, legal and tax responsibility as a household employer, gaps in insurance coverage, and not having backup care if your caregiver can’t make a shift. The good news is all of these can be managed with the right process in place on Herewith.
Start with a thorough vetting process. Verify identity, run a background check, check references, and take time to interview carefully. You’ll also want the right insurance in place and a backup plan if care falls through. If you’re using a platform like Herewith, many of these steps are handled for you.
At minimum, you’ll want a national criminal search, a sex offender registry check, an SSN trace with identity verification, and a global watchlist search. If your caregiver will be driving your loved one, it’s also a good idea to check their driving record.
It’s recommended to hire caregivers who carry professional liability insurance to reduce the financial risks to yourself as a household employer. On Herewith Helpers carry up to $1 million in coverage.
Platforms like Herewith help you find local Helpers for in-home care, with identity verification, background checks, and insurance built into the process. This can make hiring privately feel much more manageable, since you’re not handling every step on your own.
If a Helper doesn’t pass their background check, they can’t be hired on the platform. Helpers are also required to complete ongoing checks, so if something changes, their profile is removed until they’re eligible again.
If it’s an emergency, call 911 right away. For non-emergency concerns, document what you’re noticing, talk with your loved one if possible, and address the issue directly with your caregiver. If you’re using Herewith, Customer Support can help guide you through next steps and reporting. Call 415-506-9776 or email support@herewith.com.
Still need help?
Call our Support team for further assistance.
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Copyright 2026
Herewith provides a platform to assist Helpers and care recipients in connecting regarding in-home non-medical care opportunities. Herewith does not employ any Helpers, nor does it recommend any Helpers and/or care recipients who use its platform. User information provided in profiles, posts, and otherwise on the Herewith platform is not generated or verified by Herewith. Each user of Herewith’s platform is responsible for conducting their own vetting before determining whether to enter into an employment relationship and for their own conduct, including compliance with applicable laws.