I'm so glad I can still come here and get perspective. Your input is so valuable to me when this is a tough thing to share and I have to be careful who I say it to. THANK YOU!!! To each of you. I will respond more thoroughly tomorrow.

Today the Staff Supervisor at our agency was on holidays. I really needed to sort some things out before I leave. I got an email this morning that the agency could not bridge the half hour in the mornings I needed between my overnight girl I have coming here while Ashley is away. She has to leave for work by 7:30 and J does not start until 8. Normally J is very accommodating but she was refusing to have her hours altered and would not come in early. This left a huge hole in our schedule. Being short staffed - we did not know how to fix this. The agency had left it open. This needed to be resolved. I was so upset about this by lunchtime - trying to figure out who I could ask to come over. We don't have a lot of close friends or neighbours here. Josh and I went out for lunch and he offered to stay up next week to be here. That would solve one problem but then my overnight girl would lose her work. I thought I could pay her some consolation for it. But I would still have the problem the following week.
Then I got an email from the Clinical Supervisor. She let me know they were training a new worker starting on Tuesday to relieve the burden of too many hours for the workers. This is a good solution to one problem. I spoke with her about the second problem (the early mornings and a couple of extra evening hours next week as well). She contacted the office staff and explained that I needed this resolved ASAP.
Then I got an email that they had hired another PSW to come in each morning and for the extra evening shifts. That solves the problem. The nice thing here is that this new person is willing to do this on other occasions as well. BONUS!!! It is so hard for Josh and I to get out in the evenings on occasion or for me to stay a bit later than 8 at one of my charity meetings.
So this part has ended well. J still worries me. I just creeped her FaceBook and her profile pic is of her and Ryan! (I believe she needs permission to do that - I'm not happy about it). And there are other things. But she IS a good worker.
I'm going to spell out my expectations with the agency and have them do a review with the workers.
I will write more tomorrow. Thanks for the great suggestions.

Barb