Caregiver Portal
KindCare Home Health Care Services
Daily Clarity Sheet
Caregiver Visit Record
0%
Visit Information
Client Name *
Visit Date *
Caregiver Name *
Start Time
End Time
1
Before You Arrive
Complete before entering the home
0/6
Review these 6 things before every visit. No exceptions.
I have reviewed the client's care plan for today
I know the client's current mobility level and assistance needs
I have checked for any health alerts or changes since last visit
I have the client's emergency contact information with me
I am arriving on time — or I have notified the office of a delay
I am dressed professionally and appropriately for care work
2
During the Visit
Non-negotiable — every task, every visit
0/11
Every task. No passive presence. Full engagement from arrival to departure.
Greeted client warmly by name — genuine, not mechanical
Completed initial assessment — mood, energy, appearance, mobility
Personal support assistance as per care plan (bathing, grooming, hygiene)
Mobility assistance and transfers — no rushing, full support
Companionship and genuine engagement — real conversation
Meal preparation or assistance as per care plan
Medication reminder given (non-clinical, per care plan only)
Light housekeeping completed as per care plan
Maintained client dignity and respect throughout entire visit
Addressed all client and family requests or concerns
Final reassessment before leaving — client is safe and settled
Additional Tasks optional
3
After the Visit
Your report — complete before leaving
Your report is how the family knows their loved one is in good hands.
Overall Client Status Today *
Client Mood & Behaviour *
Changes Since Last Visit optional
Family or Client Requests optional
!
Call the Office Immediately If...
Check all that apply — then call
If ANY box is checked — call (226) 280-1661 immediately. Do not wait.
Client has fallen or been injured
Client is confused, disoriented, or unresponsive
Client refuses care or becomes agitated or distressed
Client has not eaten or taken fluids today
You observe an unsafe home environment or situation
Client requests or needs to go to the hospital
You witness any sign of abuse, neglect, or mistreatment
Any situation that feels wrong — trust your instincts
🚨
Emergency Contacts
Sign-Off & Submit
This report will be sent to KindCare management
Caregiver Confirmation *
🚨
What To Do Right Now
Follow these steps in order
1
Is this a life-threatening emergency?
Fall with injury · Unresponsive · Chest pain · Stroke symptoms · Severe confusion · Not breathing

If YES → Call 911 immediately. Stay with the client. Then call Andres.
If NO → Continue to Step 2.
2
Stay with the client
Do not leave the client alone under any circumstances until you are relieved or emergency services arrive. Your presence is the most important thing right now.
3
Call Andres immediately
Call (226) 280-1661 right now. Be ready to answer:
· What exactly happened?
· When did it happen?
· Is the client safe right now?
· Is anyone else in the home?
4
Andres will call the family
Do not contact the family yourself unless Andres is unreachable after 3 attempts. KindCare handles all family communication during incidents. Keep the client calm and comfortable while you wait.
5
Document everything
After the situation is resolved, complete this Daily Clarity Sheet fully. Note the exact time you observed the issue, what you did, and what happened next. This record is permanent.
The One Rule
When in doubt — call 911 first, then call Andres. Never hesitate between the two. You cannot undo a delay. Trust your instincts. If something feels wrong, act.
Report Submitted
Your Daily Clarity Sheet has been sent to KindCare management. Great work today.