First Choice In-Home Care started as a small, family-based organization and soon began to grow rapidly as the company's reputation for providing care you can trust spread throughout the community.

Today, First Choice In-Home Care provides services to over 1,500 clients annually throughout King, Pierce and Snohomish counties and provides over one million service hours annually to our population of adults and children in need.

 

Jim Lord, Executive Director First Choice In-Home Care

Jim Lord

Executive Director

Seventeen years ago, in 1999, my wife, Rhona and I founded a small home care agency that got started by providing personalized care to our six incredible clients. We called this company First Choice In-Home Care and created it to serve the needs of our vulnerable communities located throughout King, Pierce and Snohomish counties in Washington State.

A lot has changed since then and today we provide in-home personal care to over 1,500 clients annually and employ over 1,100 of the finest, best trained and respectful home care aides, nursing assistants and registered nurses in the industry…who do work that matters every single day.

One thing that hasn’t changed is our purpose; which is to provide responsive, respectful and caring services and to ensure that First Choice In-Home Care is a company that in all ways is all about helping people.

As the Executive Director of First Choice In-Home Care for the past seventeen years, I have the great privilege of developing and implementing concepts, structures and methodologies that allow us to deliver services in a manner that is state-of-art and always mindful that our job is to maintain the health, safety and happiness of each person we serve.

Our Home Care Agency has grown tremendously over the last several years. In 2002, First Choice In-Home was awarded a contract with the Division of Developmental Disabilities (now called the Developmental Disabilities Administration) in King, Pierce and Snohomish counties. This contract allows us to provide care to our population of children and adults with very special care needs. Now in 2016, we are the largest provider serving this wonderful population in the State of Washington, a job that is always rewarding.

In 2010, we were awarded home care contracts in King, Pierce and Snohomish counties to provide services to our aging adult population. These contracts with City of Seattle Human Services, Pierce County Community Connections and Snohomish County Human Services require a great deal of State and Federal mandated compliance, which includes three comprehensive audits of our home care agency each year. 

In 2014, we were awarded a Home Health Aide contract through the Veterans Administration and now have the honorable privilege of providing care to our Veterans who served our country so proudly.

At First Choice In-Home Care, we are a group of highly motivated individuals, who have come together to do as a team, the one thing we all do naturally in our daily lives…which is to help people.

Thank you for your interest in First Choice In-Home Care. Whether you’re seeking to learn about home care for a loved one, exploring partnership opportunities or considering employment with us, I’m confident you’ll find the information you need as you explore FCIHC.com. 

Sincerely,
Jim Lord
Executive Director


See Jim's Bio
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Steve Hay

Director of Operations

I attended the University of Colorado and majored in Chemical engineering and manufacturing production management. I became very interested in computers and programming during his time there and spent time working in their computer lab on one of the few CDC 6400’s in the world at the time.

After 10 years in real estate, I formed a computer consulting business and spent most of the next 20 years specializing in customer relationship management systems. My customers included some of the largest insurance companies in Washington State as well as numerous associations and hospitality related businesses. I became a full time employee of the largest Dell reseller in North America in 2007 as their Senior Database Engineer.

I joined First Choice in 2012 and applied my skills automating business processes to the Home Care business and helped First Choice deliver a more efficient, data driven service than any other Home Care organization in the State of Washington.


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Ryan Asman

Fiscal Manager

I have the honor of paying all our terrific home care aides and ensuring their payroll related needs are met.  I take great pride in knowing that my work directly helps our valuable home care aides who in turn deliver top quality care to our client population.  In addition to payroll related activities, I also work closely with the Client Services staff to ensure all client needs are met.

I joined the United States Navy out of Lake Havasu City, AZ and was stationed at NAS Whidbey Island where I flew on P-3 Orion Submarine hunters.  In the military I learned the discipline and attention to detail needed to succeed here at First Choice In-Home Care.  After the military I attended Western Washington University where I majored in Financial Economics.  After graduation I came to First Choice In-Home Care and never looked back, it was one of the best decisions of my life.


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Carleen Pierson

Program Manager

I graduated from Central Washington University with a degree in Sociology and Family Studies and started working at First Choice in 2012 as a Job Coach/Home Care Aide. I was drawn to First Choice because I wanted to work in an environment that helped people and made a positive impact on their life.  After a couple of months working in the field I was promoted into the office as a Direct Care Supervisor and continued to grow with First Choice.

Growing up, my father taught me that if you do something you are passionate about you will never work a day in your life; this is something that First Choice has given me, passion.  I am passionate about helping every individual maintain their independence and live in their own home safely.   I am proud to be the Program Manager of First Choice In-Home overseeing all client services operations throughout King, Pierce and Snohomish Counties. Every day I wake up knowing I have the opportunity to touch people’s lives, help them in a real way that other are not able.  Working with our clients gives my life so much meaning, I might make a positive impact in these lives of our clients, our Care Givers and they do the same for me every day.


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Edward Alhart

Manager of Training

I oversee and develop the training department here at First Choice In-Home Care. I have been with the organization since 2013, and in my time here I have helped First Choice become regarded as one of the best training centers in the State of Washington.

Most of my background comes from my experiences rather than formal education – I served with our United States Armed forces, and worked as a Law Enforcement officer in Florida, prior to relocating to Washington. When I first joined First Choice, I worked as a Caregiver for a number of clients and felt like for the first time, I was truly making an impact in peoples’ lives. All my prior positions had a very fast paced “deal with the crisis and move on” feel to them, but I loved the attitude that First Choice fostered with its employees, that of providing real care to our clients and treating everyone with kindness, fairness and patience.

When the opportunity to join the Training team presented itself, I jumped at the chance because I love to teach AND learn, and it was a good opportunity for both. Currently, First Choice offers numerous training opportunities that my team and I are happy to provide to all our Caregivers, including Home Care Basic Training, CPR / First Aid / BLS courses, Individualized training for Specialized Needs, Nurse Delegation and Diabetes instruction, and coming up in April 2016 we are pleased to add Crisis Prevention Strategy and Right Response Training to our list of available educational resources.

I personally believe that providing the best training resources and being open and available to talk to our Caregivers about their skills and identifying areas for growth is one of the keys to ensuring that the care they provide is safe, respectful, competent and trustworthy.


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TJ Lord

Manager of Human Resources

My association with First Choice In-Home Care all started 17 years ago when our founders, my parents, cemented a methodology for locating quality Caregivers for the Agency’s first Client, my brother Corey. As they moved to assist other in-need members of our community, each family they helped made it possible to continue on and assist the next.

My responsibilities started small; accounting reconciliation projects after school, filing paperwork and other administrative tasks. When it came time for me to choose a career path, I knew there was only one direction I could go and when I was offered the opportunity to work as a Direct Care Supervisor, managing the daily needs of one of our Client Caseloads, I took it and haven’t looked back.

As the Human Resources Manager, my overarching responsibility is to ensure that our Client Services Team has access to a high volume of quality Caregivers to directly service their Client Caseloads. I take pride in my HR Team’s ability to drive candidates and identify those special characteristics that make a dependable, trustworthy and successful member of our Caregiver ranks.


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Angela Gaviglio

Home Care Manager

Throughout my life, my passion has always been helping others and college is when I chose my career path for social work. I attended Washington State University and received a Bachelor’s degree in Human Development. As part of my degree I interned with Child and Family Welfare Services where I shadowed social workers advocating for children and helping families get the support they need to better provide for their family, emotionally and financially. After graduating college, I started my career as a Social Services Coordinator at Salvation Army. At Salvation Army I helped clients in time of financial crisis, facilitated our weekly meal program open to the public and coordinated donations.

 

In January 2015 I joined the First Choice In-Home Care team as a Direct Care Supervisor. The shared passion for helping others and the team oriented structure is what drew me to working with First Choice. I enjoy coming to work every day and being able to work as a team to help improve other’s lives and enable them to live in their homes safely. I am now a Home Care Manager, in which I am still able to work with clients and caregivers, but also get to help lead a team of Direct Care Supervisors grow in their career.

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Shannon Bereiter

Home Care Manager
I started with First Choice In-Home care in July 2015 as a Direct Care Supervisor, and now work as one of our Home Care Managers leading a team of Direct Care Supervisors.

 

I graduated from the University of Washington with degrees in Psychology and Anthropology. I found my passion for social work when I had the opportunity to volunteer at a crisis intervention phone line, where I was able to provide emotional support and suggest resources to people in need of assistance.  At First Choice I get to expand these skills by working closely with both clients and caregivers. I love the opportunities that I am given every day to make a positive impact in someone’s life.

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Lindsay Cormier

Lindsay Cormier

Senior Direct Care Supervisor

I started with First Choice In-Home care in March of 2017 as a Direct Care Supervisor, and have since become one of the three Senior Direct Care Supervisors working out of our Bellevue office.

 

After experiencing personal loss, I found my passion for policy and was determined to insert myself into the world of social work. I graduated from Saint Leo University with a Bachelor’s degree in Social Work and a desire to be the voice of those without one. While in the process of obtaining my degree, I had the privilege to work for an in-home assessment and counseling agency where I was able to interact closely with my clients while developing meaningful relationships and rapport. For a two year period I worked in early childcare education with a focus in children with special needs, but found myself missing my involvement with the geriatric community. Working at First Choice has given me the opportunity to interact with diverse caseload of clients of a variety of ages and diagnoses. I am beyond grateful to work for an agency that has encouraged me to grow as a social worker while I continue to learn from my clients every day I come to work. 

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Lauren Maulden

Senior Direct Care Supervisor

I started with First Choice In-Home Care in June of 2016, after graduating from Oregon State University with a degree in Human Development and Family Sciences. I was drawn to First Choice because of the level of positivity and empathy our team brings to our work, every day. I am proud to be part of an agency that works together to foster independence for clients of all ages.

I began my career in social work as support staff in a Montessori School and later transitioned into crisis intervention in a homeless shelter. During school, I also had the opportunity to intern at a child abuse prevention agency, which worked diligently to foster healthy relationships within families. First Choice has allowed me the opportunity to continue to grow both professionally and personally and I thank everyone that works hard with us to provide support for our community

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Julia White

Senior Direct Care Supervisor

I began working for First Choice in 2015 as a Direct Care Supervisor servicing clients in King and Snohomish County. First Choice has provided me with many opportunities for personal and professional growth, where I can continue to learn new ways to navigate the challenges of our client population. I take pride in knowing that every day I get to work with families and help my clients work towards independence. I have grown into the role as a Senior Direct Care Supervisor in our Pierce County office, where I get the privilege of leading a team of supervisors who all share similar passions.

I graduated from University of Washington Tacoma with a degree in Social Work. I focused my studies and service hours on disproportionality of youth in the greater Tacoma area. My involvement with youth was primarily within Tacoma Public Schools. I lead a mentoring program while I worked at Chief Leschi Schools as a social worker/counselor. These experiences drove my passion to immerse myself in issues surrounding diversity and social justice. I am privileged to continue my involvement in the Greater Tacoma area through First Choice in servicing members of this diverse community.

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Taylor Dukes

Senior Direct Care Supervisor

I’ve always had a passion for helping those who aren’t in a position to help themselves, and was able to pursue that passion at Gonzaga University, where I graduated with a degree in Psychology. During my time there, I worked with at-risk children and adolescents through the public schools of Spokane, and found myself working directly with children with a variety of developmental disabilities. 


I started with First Choice In-Home Care in August 2016 as a Direct Care Supervisor as a way to help those in need and do work that matters. Working at First Choice allows me to positively impact the lives of not only our clients, but our client’s families, and gives me the unique opportunity to see the lasting effects of the effort and compassion that our wonderful caregivers put forth every day. I love getting to come into a place of work that allows me to do work that’s worth doing.


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Sarah Henderson

Senior Direct Care Supervisor
Shortly after graduating from Pacific Lutheran University in June 2016, I began working for First Choice In-Home Care. I had graduated with a BFA in Studio Arts, and wasn’t sure what direction I was headed, but am so glad that I found First Choice!  I’ve fallen in love with the team and with what we do—providing and coordinating care for the vulnerable adults and children in our community, giving them every opportunity to lead fulfilling and independent lives.  I couldn’t be happier serving my community alongside such a dedicated team of individuals.

Working at First Choice gives me the unique ability to apply both my analytical and creative brain to solve complex problems. I love working with clients and caregivers to tackle problems head on, establish and tweak schedules, and come to creative solutions to issues. Getting that phone call from a well-served client or happy caregiver is what I strive for!  I feel lucky leaving the office each day knowing that I made a difference in someone’s life, and will continue to do so.

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