For families
Senior care at home
Personal care, companion care, respite. Hospital to home transitions.
- 65+
- Private pay
- Hospital to home
- Long-term care insurance
New Program
See the Youth ProgramOur new Youth Program is launching soon. Built for Ohio families and DODD-eligible youth.
Serving Toledo, Maumee, Sylvania & Perrysburg
Home care that keeps families where they belong.
In-home support, DODD services, and community programs across Northwest Ohio. IO, SELF, and Level One waivers, local funds, and private pay accepted.
- Same-day callbacks, 7 days a week
- Most care starts in 48 to 72 hours
- Most Medicaid waivers cost $0
Reliance Care hero slideshow
"Waiver paperwork done in days, not months. My mother is home and safe."
Start a free assessmentSlide 1 of 5. "Waiver paperwork done in days, not months. My mother is home and safe."
Nursing Home Alternative
Keep mom or dad at home instead of moving to a facility. 24-hour care, familiar surroundings, and the dignity of staying with family.
Credentialed. Certified. Accountable.
DODD Certified
IO, SELF, and Level One waiver provider
All 88 Counties
Ohio Department of Developmental Disabilities approved
Bonded & Insured
Full agency liability and workers' comp coverage
Background Verified
BCI + FBI checks on every caregiver
Minority-Owned
Toledo-based, Lucas County rooted
5.0 Family Rating
Verified reviews across Northwest Ohio
We are hiring DSPs across Toledo and Northwest Ohio. Competitive pay, flexible shifts, real growth.
The Reliance Promise
Matched with a caregiver in 48 hours, or your first week is on us.
Most Ohio providers take two to four weeks to staff a new client. We will not. After your in-home assessment, we present two to three matched caregivers within 48 hours. If we miss, your first week of private-pay care is free, and we waive your intake fee.
Personal care clients only. Waiver placements (IO, SELF, Level One, local funds) follow county authorization timelines.
What backs the promise
Pre-screened caregiver bench
We reject 7 of every 10 DSP applicants before they ever meet a family.
Same-day intake review
Coordinators triage every new family within hours, not days.
Match, do not assign
You see two to three caregivers picked for personality, language, and schedule. You choose.
On-call RN, 24/7
Clinical questions get clinical answers. Emergency respite when something goes wrong.
Start where you are
For guardians
DODD and disability services
Homemaker personal care, ISP support, day programs. All ages.
- All ages
- IO
- SELF
- Level One
- Day programs
Community Life
Care that gets people out into the world.
Group outings, day trips, and weekly traditions our clients actually look forward to. This is what a good week with Reliance looks like.
Weekly
Cedar Point
Annual season visits with full support staff.
Weekly
Toledo Metroparks
Weekly walks, picnics, and accessible trails.
Weekly
Go-Cart Racing
Adrenaline outings for our thrill-seekers.
Weekly
Bowling Nights
League-style weekly bowling at local lanes.
Weekly
Swimming
Indoor pools year-round for low-impact movement.
Weekly
Out-of-Town Trips
Day-trips and overnighters across Ohio.
0
Ohio counties certified
0+
Ohio families served
0+
Years combined experience
0/7
On-call nurse access
Services
Senior home care and DODD services, under one roof.
Senior in-home care alongside developmental disability services for children and adults. The full continuum, coordinated by people who know each other by name.
For Seniors
Senior Home Care
- Personal care, bathing & mobilityDaily
- Medication reminders & meal prepDaily
- 24-hour, live-in & respite careOn request
- Private pay & local funds acceptedFlexible
Children & Adults · DODD
Community & Day Programs
- HPC, respite, vocational rehabDaily
- Group homes & adult day servicesResidential
- CANS assessments & on-call RNClinical
- IO, SELF & Level One waiversWaiver
Flexible Options
However your family pays, we make it work.
Most families
Ohio DODD Waivers
IO, SELF, and Level One waivers. We handle the paperwork and case manager coordination from day one.
County board
Local Funds
County board and local funding sources for individuals with developmental disabilities. We help navigate the process.
Flexible hours
Private Pay
Direct billing for families who prefer to pay out of pocket. Transparent rates, no hidden fees.
Insurance billing
Long-Term Care Insurance
We work with most major LTC carriers and handle claims documentation so you do not have to.
The Principles
Why families stay.
Five commitments we keep on every case. Not aspirations. Operating rules.
- 01
Coordinators who answer the phone.
Real people in Lucas County. No call center, no menu trees, no twelve-minute holds. The same coordinator follows your family from intake through the first weeks of care.
- 02
Waiver paperwork in days, not months.
IO, SELF, Level One, local funds, and private pay. We handle the forms, the calls to your case manager, and the timing.
- 03
Caregivers matched, not assigned.
Background-checked, drug-tested, certified. Then matched to your family on personality, language, schedule, and what your loved one actually needs help with.
- 04
An RN on call, around the clock.
Clinical questions get a clinical answer. Same-day emergency respite when something at home goes wrong. Family updates without you having to ask.
- 05
Built for the next decade. Run by your neighbors.
Modern operations behind every visit. The team at your door is local, and acts like it.
Lucas County, Ohio
Toledo, Maumee, Sylvania, Perrysburg.
Local coordinators, local caregivers, local routes. The same people you call are the people you see at your door.
In your neighborhood
When you see the van, help is already there.
Our branded vans transport clients across Toledo, Maumee, Sylvania, and Perrysburg every day. Local plates. Local faces. The same coordinator you spoke with on the phone.
What families tell us, after a few weeks in.
Within days we had a coordinator at our kitchen table and a caregiver in the home that same week. My mother is safe and her caregiver knows her by name.
Our son has independence we didn't think possible. The team feels like neighbors, not a vendor.
Clear, honest, fast. Our DODD plan finally feels like it fits our family.
From our Facebook page
Real recommendations from real Ohio families.
These are recommendations posted to our public Facebook page by families we care for. Read a few here, then head over to see the rest, including photos from our outings.
Loved on Facebook
Tasha W.
Daughter of a private-pay client
“Reliance had a coordinator at our kitchen table within 48 hours and a caregiver in the home the same week. Our caregiver Robin has not missed a single morning in eight months.”
Recommended on Facebook . April 12, 2026
Marcus B.
Son, IO waiver family
“We bounced between two other agencies before Reliance. They actually listen. My brother has autism and needs the same caregiver every day. Reliance has held that schedule for over a year.”
Recommended on Facebook . March 30, 2026
Patricia M.
Spouse, dementia care
“I needed respite to keep my own sanity. Reliance set up four hours twice a week and the caregiver, Denise, has become family. She brings my husband his crossword every morning.”
Recommended on Facebook . March 8, 2026
Jamal R.
DODD SELF Waiver family
“We self-direct my brother's SELF waiver and Reliance handles the billing and DODD paperwork so we don't lose our weekends. They sat with our SSA and got it right the first time.”
Recommended on Facebook . February 4, 2026
- Read more recommendations on Facebook
From the Toledo office
The latest in Ohio Medicaid, DODD, and home care.
Authority updates and plain-English answers, written by our coordinators as new questions and state changes come in.
What good days look like
A team that walks beside you, not just in to check a box.
Most afternoons look like this. A caregiver, a coordinator, a client, and an unhurried walk. Care here is a relationship, not a shift.
- Coordinator + caregiver, every visitPair
- Background-checked, locally trainedTrust
- Family updates without you askingWeekly
Common questions from Ohio families
Your next step
Still have a question on your mind?
There are no wrong questions here. Talk to a real coordinator - no script, no pressure, no commitment. We'll listen first and help you figure out the next step, even if it isn't us.
Typical response in under 10 minutes during business hours. After-hours messages are returned the next morning.
What working with us looks like
From the first call to the first visit.
- Step 01
Call or request a callback
Two minutes. A coordinator listens. No script.
- Step 02
Quick intake review
Waiver options, urgency, and what's needed. Same day.
- Step 03
In-home assessment
A coordinator visits to meet the family and the home.
- Step 04
Care plan & caregiver match
You meet the caregiver before day one.
- Step 05
Care begins in 48–72 hours
Weekly check-ins until everything feels right.
One call to begin