Every home care arrangement depends on someone getting through a door. Keys, door codes, lockbox combinations, garage remotes, and gate latches decide whether a shift starts on time. They also wear out. People move, codes spread, locks get changed, and nobody tells the agency. Treat access like equipment. Log it, name an owner for each item, and inspect it on a schedule.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

Why access is a maintenance item

A caregiver who cannot get in is a missed shift. A missed shift is a failure, whether or not anyone wrote it down. Access problems look small on the day they start. They grow when nobody knows who holds the spare key or which code still works.

Access also needs a record. When someone enters the home, you should be able to see who, when, and under which key or code. Keep that record on paper in the house binder or in the file you share with the agency. Do not rely on memory.

What to log

Write one line for each item. Keep the list short enough to read in a minute.

  • Every physical key, with the name of the person who holds it and whether it is a copy or the original.
  • Every door code, with the name of each person who was given it and the last time it was changed.
  • The lockbox location and the name of the person who holds its combination. Store the combination itself in a sealed envelope, not on the same sheet as the list.
  • Garage remotes, gate remotes, and alarm codes.
  • Any key kept at the agency office, and the agency's written rule for returning it.
  • Who may request a code change, and who must be told when one happens.

Name an owner for each entry

Every line needs one name. Not 'the family.' A person. If your sister holds the spare key, she owns the check that it still exists and still opens the right door. If the agency holds a key, the agency owns the return rule. An entry with no owner is the one that fails.

Schedule the recheck

Pick a fixed day for the check and write it into the binder. Walk the list against the house. Confirm each key is where the log says, each code still works, each remote opens its door, and each named person still holds the job. Mark what you checked, the date you checked it, and who checked it. Repeat the check after any staffing change, any lock or code change, and any change to who lives in or visits the home.

When a key goes missing

Change the lock or the code the same day. Do not wait to see whether the key turns up. Tell the agency in writing and ask them to confirm what they changed on their side. Ask for the written record of who had access in the period before the loss. A sound agency will answer that question without fuss. An agency that cannot answer it has told you something about its records.

What to ask the agency

  • How do you log keys and codes that your caregivers hold?
  • Who on your staff can request a key or code change, and how quickly does it happen?
  • Do you keep a record of each entry and exit at the home, and can I see a sample?
  • What happens to a key when a caregiver leaves your company?
  • Who do I call after hours if a lock fails?

Where this fits

Access sits beside every other part of the arrangement. A key log is also a list of who can walk into the house, so it belongs next to your screening questions and your choice of agency. Read how a quote is laid out before you agree to terms that cover entry and returns, and build time for the recheck into the same plan you use for supplies and errands. For a plain walk-through of quote terms, see how to read a home care quote. For a planning view of the year, see Budgeting a Year of Home Care. For how this review treats the agencies it covers, see How We Rate.

If a lock is old or a gate sticks, the county building office can tell you which permits apply to repairs. The regional area agency on aging can point you to general help with home repairs. Those offices are useful for the physical side of access. The log is still yours to keep.