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We have since found a private person, who was someone in our neighborhood and friend-of-a-friend, who is much better; no they are not background checked or received formal training, but for what our parent needs, they are reliable, and do not try to talk into expensive lunches, sell them things or bad-mouth me.
So my advice is, whether going thru a large chain or local person, be sure to keep tabs on their activities every single visit, and consider leaving a hidden voice recorder device (which was very revealing).
It was shortly after tthat everything went to hell in a handbasket.
I must have started to doze a little because i heard her get up persumably to go to the bathroom ,when i heard the back door and screen door open, i was instantly off the couch and getting my slip on shoes on snd gave chase. Because gram waas trying to leave off our back deck which has steep steps. Not wanting her to take a header off the deck i grabbed ahold of her coat to pull her back away from the steps. She promptly lost her shit, started yelling for help wheen i tried to get her back in the house i begged her to stop yelling and she procedded to try to break my hand all the while still screaming for help i told her she was hurting me and she said she wanted to hurt me and wrapped a hand around my neck and tried to push ME down the steps. I was by myself because my dad had needed to take one of our cars to the dealer to get it fixed. thank fucking god my neighbor was home she came running over and tried to diffuse the situation which was unsuccessful. an gram booked it to the road and tried to flag down a passing car by standing in the middle of the road , needless to say the frigging cops were called i nearly had a panic attack on the way to the dealer to go fetch my father and I couldn't sleep last night because of nightmares the look in her eyes when she came after me and tried to strangle me will haunt me for the rest of my life, I love my grandma but she was actively trying to kill me and don't had my neighbor not shown up she might have succeded.