Karena is the best senior caregiver I have ever encountered. I am a regional manager of a senior living company so I have worked with hundreds if not thousands over the years. I don't say she is the best lightly. When it came to my own Father in Law, we opted for in home care. Before Karena, we had been through a dozen or more caregivers and none worked out. Once Karena stepped in everything was perfect. She is knowledgeable, punctual, engaging and she cares for the entire household. She understood not only how to give the finest level of care I have ever seen (and I manage caregivers and nurses for living) but she understood how to support and empower my Mother in Law and the entire family. She was engaged, reliable and amazing. If you can, hire her today. I cannot recommend her enough.