EMPLOYER’S NAME  : xxxxxxxx
AGE :                        75 yrs. old
WHO LIVE WITH HER:  man ALONE
LANGUAGE :              HEBREW only
DAY OFF :                  Pay for 2 Saturdays
ROOM     :                  separate room

PHYSICAL and MEDICAL CONDITION’S :

– Starting of DIMENTIA
– Using Diaper
– Using with Walker

He is a nice lady with good heart.