Sessions to work through care decisions with someone who does this for a living. Most end with a written plan. They do not include a caregiver. If you need care at home, send a home care request.
Free 15-minute intro callPick the one closest to your situation. Each goes to the sessions that fit it.
Equipment, follow-ups, and prescriptions settled before discharge day.
Everything coordinated before discharge, so coming home is organized from the first hour instead of improvised for two weeks.
What you get: review of the discharge instructions, equipment ordered and confirmed, follow-up appointments booked, provider contact list assembled, home readiness checked, and a written transition plan for the first two weeks.
Why it matters: Small things get missed in the first days home: a prescription nobody filled, a follow-up nobody booked, a shower with no grab bar. This service is meant to catch them before discharge.
Timing: most useful in the 48 hours before discharge. Call as soon as a discharge date is mentioned.
Who provides care, how it is paid for, and who does what.
A written care plan built around your person: their routines, their preferences, their actual home, and what your family can realistically sustain.
What you get: a documented plan covering daily care needs, safety, medications, appointments, emergency contacts, and who does what. Written in plain language you can hand to a caregiver, a sibling, or a hospital.
Why it matters: Care that lives in one person's head falls apart when that person gets sick or has to be away. A written plan does not depend on any one person.
Best booked as: a 60-minute session. Thirty rarely covers a full plan.
A 90-minute family meeting with someone who knows what care costs and how it works.
What you get: a pre-call with the organizing family member to set the agenda, a 90-minute conference in person or on video, and a written record of what was decided and who agreed to do what.
Why it works: One sibling believes round-the-clock care runs $3,000 a month. Another is certain Medicare covers it. Neither is right, and they have been arguing about it for six weeks. Once real numbers, real options, and real timelines are on the table, a lot of the conflict goes away.
What I bring: what care actually costs in this region, what Medicaid and waiver programs do and do not cover, what a direct care worker may legally do, what tends to break down at 2am when nobody has planned for it, and what other families in this position have chosen.
What this is not: I am not an attorney and I am not a certified mediator. I do not decide who is right, and the written record is a summary of your family's decisions. It is not a legal agreement and it binds no one.
When I will refer you elsewhere: contested guardianship or power of attorney, suspected financial exploitation, estate or inheritance disputes, and questions about whether someone still has capacity to decide. Those need an elder law attorney or a physician. If the conflict runs deeper than information, a certified elder mediator is the right call and I will say so.
I take notes and ask your questions, by phone or video anywhere in Pennsylvania, or in person in the five counties.
I join your appointment by phone or video: a telehealth visit, or an in-person visit with me on speakerphone in the exam room.
What you get: a 15-minute prep call beforehand to build your question list, presence for the appointment, and a written summary the same day covering what was said, what was decided, and what happens next.
Why it works: No travel means no drive time to pay for, and it is available anywhere in Pennsylvania rather than just our five counties. Most appointments fit a 60-minute booking. Choose 30 minutes for a short follow-up.
Honest limits: I cannot see how someone walks into the building or looks in the waiting room, exam-room audio is sometimes poor, and some practices require written consent before a third party joins. If physical presence is what your person needs, book in-person instead. I will tell you if I think that is the case.
I meet you there. Specialist consultations, care conferences, discharge meetings, second opinions, and any appointment where the information matters and one person cannot hold all of it.
What is included, $100: a prep call to build your question list, two hours with you at the appointment, notes taken throughout, questions asked on your behalf, and a written care summary of what was said, what was decided, and what happens next.
Beyond two hours: $50 per additional hour.
Why the summary is included: The written summary is what you still have next week, and what you can forward to a sibling who could not be there. That is why it is part of the price.
Where: Montgomery, Chester, Delaware, Bucks, and Philadelphia counties. Mileage included within 20 miles of King of Prussia. Please book at least 48 hours ahead so there is time for the prep call.
What applies to you, and what to apply for first.
A systematic look at Medicare, Medicaid, VA benefits, and long-term care insurance to find coverage nobody has claimed.
What you get: a review of what your person is enrolled in, what they may be eligible for and are not using, and a written list of what to apply for in what order.
Worth checking: VA Aid and Attendance, long-term care policies that include a care coordination benefit, and supplemental benefits on Medicare Advantage plans.
Bring: insurance cards, any policy documents, and a list of current providers. A 60-minute session is usually the right length.
MAWD, OLTL, and ODP waiver guidance: eligibility, applications, and the mistakes that cost families time.
What you get: a plain-English explanation of which program fits your situation, what the application actually asks for, and a checklist of documents to gather before you start.
Why it matters: PA waiver programs are hard to work out on your own, and mistakes on an application can cost months.
Please note: this is guidance, not legal or financial advice, and Gilgal does not file applications on your behalf.
A live workshop for family caregivers. Free talks are on the Events page.
No obligation, no pressure. We will work out what you need, and tell you honestly if it is not us.
Every session includes a written follow-up summary with specific next steps. You are never charged to find out whether we can help.
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These sessions do not include a caregiver. Send a home care request and we will get back to you the same business day, or read how Gilgal Care Team and Family-Led Care work.
Live and virtual, in monthly cohorts of no more than twelve.
Everything Pennsylvania requires a direct care worker to know, taught by someone who writes the compliance policies rather than someone reading from a binder.
Start tonight and finish when you can. Available anywhere, and you do not need to be in Pennsylvania.
Three courses in the digital library.
The bootcamp is a good place to start. If you are further along, we may be hiring.
Training is educational and does not by itself satisfy an employer's obligations under 28 Pa. Code Chapter 611. Certificates document completion of instruction; competency evaluation remains the responsibility of the employing agency or registry.
Bring any stage: thinking about starting, an LLC and no idea what comes next, or a deficiency letter from the Department that you do not understand.
Chapter 611 application guidance, policy review, startup roadmap, pricing strategy, and DOH inspection prep.
Why it is different: most consultants selling home care startup advice have never held a license. This guidance comes from an application that went through, including the parts that came back for correction.
You leave with: a written summary and a specific next-step list, not general encouragement.
Both bundles are instant downloads. The Done-For-You bundle includes a kickoff call where we tailor everything to your agency.
The full licensing library as an instant download: policies, forms, checklists, and the order to do them in. You customize the documents to your agency and work at your own pace.
Who it is for: founders with more time than budget who want to understand the regulations as they build, rather than receive a finished binder.
Works in any state. The structure and the documents are portable; you adapt the regulatory citations to your own state's requirements.
What it does not include: customization to your agency, and no kickoff call. If you would rather have that handled for you, the Done-For-You Bundle is the same library, personalized, for the Mid-Atlantic.
Every policy exhibit, intake form, service agreement, and staff document your Chapter 611 application needs, customized to your agency and not a generic template.
How it works: you complete a short intake about your agency, and every document is personally customized to your name, address, and operations before delivery.
Your kickoff call is included, so please book it. After you purchase, schedule your Done-For-You Kick Off Call here → That call is where we go through your intake, tailor the documents to how you actually plan to operate, and map your next steps.
Every policy is referenced to the specific regulatory section it satisfies, so when a surveyor asks, you can point to the answer.
Built for the Mid-Atlantic: Pennsylvania, Maryland, Virginia, Delaware, New Jersey, and Washington DC.
Compare: consultants charge $3,000 and up for the same scope. This is $597 because the work is already done and tested.
Start with a free 15-minute call, or go straight to a session. No obligation either way.
Every session includes a written follow-up summary with specific next steps.
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Gilgal Home Care & Registry · King of Prussia, Pennsylvania · Serving Montgomery, Chester, Delaware, Bucks, and Philadelphia counties
A Pennsylvania licensed home care agency and registry — connecting families with qualified caregivers, and equipping the next generation of care professionals.
© 2026 Gilgal Home Care & Registry. All rights reserved. King of Prussia, PA 19406.
Licensed by the Pennsylvania Department of Health under 28 Pa. Code Chapter 611 as both a home care agency and a home care registry. Family-Led Care is our name for the registry model: Gilgal refers independent contractors and does not employ, supervise, or set the compensation of the contractor you select.
