Adaley Inc provides the administrative framework (payroll, taxes, and insurance) so you can receive personalized support. Under our EOR model, you identify the caregiver who best fits your family’s culture and needs, and we hire them as an Adaley employee to work specifically with you.

Under our full service agency model, you tell us what your coverage needs and care preferences are and will be match you with support professionals on our roster.

2 Managing Your Caregiver

Because your caregiver is someone who works in your home and with your loved ones, you are responsible for the day-to-day direction of services:

Scheduling: You and your worker may coordinate all dates and times directly.
Training: You provide instructions on the client’s specific care routines, house rules, and safety needs.
Daily Supervision: You oversee the worker’s performance and ensure they are meeting your family's expectations.

3 Timekeeping & Billing Rules

To ensure your worker is paid on time and we remain compliant with Regional Center regulations:

Minimum Shift: The shortest billable session is 15 minutes.
Rounding Rule: Shifts are rounded to the nearest quarter-hour using the standard 7/8 minute rule (e.g., 1 to 7 minutes past the quarter-hour rounds down; 8 to 14 minutes rounds up).
Authorization Limits: You must ensure the worker stays within the total hours authorized by your Regional Center and avoids unauthorized overtime. Adaley Inc. cannot pay for hours that exceed your current authorization.

Form Example: A shift variance of 1:07 becomes 1:00; whereas 1:08 rounds up to 1:15.

4 EVV & Shift Approvals (Required)

California law requires Electronic Visit Verification (EVV) for all services.

The App: Your DSP must clock in and out using our mobile system (Aaniie SmartCare) at your location.
Sign-Off: At the end of every shift, an authorized individual must review and sign off on the digital record.
Payroll Deadline: We cannot process paychecks without a verified EVV record and your signature. Timely approvals ensure your worker is paid on schedule.

5 When to Contact Adaley

While you manage the daily schedule, please notify our office immediately if:

Safety/Incidents: Any injury or emergency occurs involving the client or worker.
Changes: You receive a new authorization or your Service Coordinator changes.
Hiring/Terminating: You have a new person to refer for hire, or you no longer wish to work with a current employee.
Support: You have questions about regional center, your services, or the Aaniie SmartCare app.

1 Client Information

Client First Name * Client first name is required.

Client Last Name * Client last name is required.

Home Address Line 1 * Address line 1 is required.

Home Address Line 2

City * City is required.

Zip Code * Valid zip code is required.

2 Your Information (Person Filling Out This Form)

Your First Name * Your first name is required.

Your Last Name * Your last name is required.

Your Relationship to Client * Please state your relationship to the client.

Your Cell Phone Number * A valid 10-digit telephone number is required.

Your Email Address * A valid email address is required.

Preferred Method(s) of Contact *

Phone Call Text Message Email

Please select at least one contact option.

When is the best time to call you, if needed? *

Weekday Early morning (6:00am - 8:00am Pacific time) Weekday Morning (8:00am - 11:00am Pacific Time) Weekday Afternoon (11:00am - 4:00pm Pacific Time) Weekday Evening (4:00pm - 8:00pm Pacific Time) Weekends

Please choose at least one preferred time option.

3 Regional Center & Oversight

Regional Center * Regional Center selection validation is required.

Regional Center Service Coordinator / Case Manager Name

Emergency Contact First Name * Emergency contact first name is required.

Emergency Contact Last Name * Emergency contact last name is required.

Emergency Contact Phone Number * Emergency contact telephone line is required.

Anyone not allowed in the home

Confirm home has running hot and cold water, a sewage system, and is generally safe and habitable. * Environmental habitability verification check is required.

People living in the home & their relationship to client

Describe any pets in the home

Client's Favorite Activities

Worker Preferences

4 Worker Schedule Preferences

Preferred Care Schedule *

5 Attestations & Electronic Consent

Agreed to the following *

I have read the Services Guidelines above and understand my role in hiring, scheduling, and supervising the direct support professional worker providing services to me.

I agree to the 15-Minute Billing and 7/8-minute rounding requirements.

I understand my mandatory role in reviewing and approving EVV shifts daily/weekly to ensure accurate & timely payroll.

I understand that I am responsible for managing my authorized hours.

I understand the full Client Services Manual can be accessed at adaleyinc.com/rcmanual and a digital copy will be sent to the email address provided in Section 2 once services begin.

You must explicitly review and accept all 5 mandate clauses to proceed.

Electronic Signature * Legal digital execution validation signature field cannot stay blank.

Thank you! Your intake registration has been successfully submitted.

Adaley Inc.

Your partner in possibility.

contact@adaleyinc.com +1-510-800-6696 (Call/Text) www.adaleyinc.com

Providing direct support, personal assistance, and home respite choices under California's Lanterman Act framework in partnership with local Regional Centers.

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