Illness and Injury Prevention Plans When Hiring In-Home Caregivers
Hiring a caregiver to assist with the needs of your loved ones at home is a significant decision for any family. Along with finding the right person, California law places certain responsibilities on families as employers—especially when it comes to workplace safety. One area that often raises questions is whether families must create a written Illness and Injury Prevention Program (IIPP) for caregivers they employ in their homes.
Below, we break down when this requirement applies and what families need to know to stay compliant and protect both their caregivers and themselves.
What Is an Illness and Injury Prevention Program (IIPP)?
An IIPP is a written workplace safety plan required by California’s Division of Occupational Safety and Health (Cal/OSHA) for most employers. It outlines how an employer will identify, prevent, and address workplace hazards to keep employees safe.
Domestic Workers and the IIPP Requirement
Who Are Domestic Workers?
Domestic workers are individuals you hire to perform services in your home, including:
- Caregivers and personal attendants (those who supervise, feed, and dress someone needing assistance)
- Nannies and childcare providers
- Housekeepers, cooks, and other household staff
Are Families Required to Have a Written IIPP?
For most families hiring caregivers or other domestic workers in a private home, Cal/OSHA does not require a written IIPP. This exemption applies to private households that employ domestic workers such as caregivers, nannies, and housekeepers.
There are some situations where a written IIPP may be required:
- If the home is used as a residential care or assisted living facility: If you operate your home as a business providing care to multiple clients (not just your own family), you may be considered a business employer under Cal/OSHA rules and would be required to have a written IIPP.
- If you employ multiple workers and the work environment is comparable to a business: For example, if you have several unrelated caregivers working regular shifts, or if you provide care as a business venture, you could fall outside the private household exemption and be subject to IIPP requirements.
For typical family arrangements—such as hiring a caregiver for an elderly parent or a nanny for your children in your private home—there is no requirement to create a written IIPP. However, if your situation resembles a business more than a private household, consult Cal/OSHA or a qualified professional to determine your obligations.
Best Practices for Workplace Safety When Employing Caregivers
Even if not required by law, it’s wise to:
- Communicate clearly about health and safety expectations.
- Provide training on safe lifting, use of equipment, and infection prevention.
- Keep emergency contact information and first aid supplies accessible.
- Encourage open communication about any hazards or concerns.
Final Thoughts
Maintaining a safe and healthy environment is always in everyone’s best interest. If your caregiving arrangement is more complex or business-like, seek professional guidance to ensure compliance with Cal/OSHA requirements.
The Nuddleman Law Firm assists families, trustees and other fiduciaries when hiring or employing workers in the household. Robert Nuddleman frequently presents trainings and seminars regarding best employment practices, including when working with caregivers, companions and personal attendants. If you have questions about your workplace, contact the Nuddleman Law Firm.