About Us

We are a Team;
here to support You

We find our work extremely rewarding as we match loving caregivers to seniors in need of “a little help,” and provide peace of mind to both seniors and their families.


We enrich the lives of all those we work with, wherever they may be on life’s journey

Core Values

Service: we work hard to exceed the expectations of our clients, provide peace of mind for their families, and create a meaningful environment for our employees.

Integrity: we strive for authenticity and hold ourselves accountable to our commitments. We say what we do, and do what we say.

Community: through our care and educational opportunities, we create space for staff, clients, care partners, and community members to connect and collaborate.

Compassion: we take the time to understand the diverse needs and experiences of all those we work with.

Our History

  1. With a Little Help (WALH) has a long history of providing outstanding service and compassionate care in the Puget Sound area. It all began in 1995 when Andrew Rauch started Sequoia In-Home Care after looking for care for his parents and discovering the lack of quality options to help them stay in their home and age in place.

  2. Marcia Ives started With a Little Help, inc after working as an activities coordinator in an assisted living community and realizing the great need for companionship for older adults who lived in their own homes and who were often isolated from the important social stimulation her residents received in the group setting at the facility she worked at.

  3. Paul Sivesind joined Sequoia as the company’s Administrator taking over the companies daily operations.

  4. After starting a family and another business in a separate field Andrew sold Sequoia and Paul took over ownership and continued to manage the company

  5. Both Sequoia and WALH began operations in NW Seattle and each prided themselves on being small scale, high quality, local services supporting individuals and families to remain safe, comfortable and as independent as possible in their homes. In 2016 they merged, taking the name With a Little Help, inc. the merger was a natural fit due to the similar and complimentary services, similar service area and common philosophies. The merger was part of Marcia’s retirement strategy as well as both her and Paul knowing that they would ultimately be a stronger company together

  6. Marcia sold her remaining shares of the company and Paul became the sole owner of WALH

  7. WALH is optimistic to be entering the 20’s with the team it has in place and looks forward to being an employer of choice and top home care provider for years to come!

Paul Sivesind

Paul Sivesind


Paul is proud to be the owner of With a Little Help. The opportunity to employ and support staff who work so hard to help others brings much satisfaction to what has become Paul’s calling.

Paul is a PNW native and grew up with a large, blended family. Athletics played a significant role in his upbringing and still does today, with basketball being one of his passions. Over the years, he has coached various levels, ranging from middle school girls to college men, and he continues to play a couple of days a week with a group of friends that have been playing together for many years. Paul enjoys the great outdoors, exploring and traveling near and far, and draws a lot from experiencing different cultures.

After graduating from Seattle Pacific University, thinking he would become a teacher and coach, his career trajectory shifted to home care with a chance encounter and job offer that sparked his passion for this field and led him down the home care path.

Community service and non-profit board leadership are important to Paul. He recently served on Sound Generation’s (formerly Senior Services of King County) board of directors from 2015-2021 (board Chair in 2020 and 2021). Paul has held board leadership positions for other non-profit organizations such as the Ballard Alliance, Ballard Rotary, and the Ballard NW Senior Center.

Paul is very proud of the staff that works at WALH and is optimistic for the company’s future. He is looking forward to seeing the company continue to grow and become even more successful for all who are a part of it.

Cindy Serrano

Cindy manages day-to-day operations and business development.

Cindy Serrano

Director of Operations and Business Development

Jamie manages day-to-day operations and administration.

Jamie Weller

Director of Operations and Administration
Jessi Chamness, Care Team Manager

Jessi manages our caregivers & scheduling team.

Jessi Chamness

Care Team Manager

Chelsea manages Scheduling & Caregiver Support.

Chelsea Coy

Care Coordinator

Makayla keeps everything working!

MaKayla Poirier

HR Generalist

Rachel helps others start their caregiving journey.

Rachel Lustig

HR and Recruiting Coordinator

Peris coordinates care and scheduling between caregivers and clients.

Peris Wanjiku

Care Coordinator

Jennifer is focused on care management.

Jennifer James

Client Service Specialist

Kim oversees the scheduling and care coordination team.

Kim McDuffee

Care Team Supervisor

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