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.


With a Little Help carefully matches mature, responsible caregivers with clients to create mutually rewarding relationships. We honor the experiences, wisdom and contributions of our clients, their families and our employees. In everything we do, our choices come from the heart.


We seek to create a caring, loving environment that nurtures the soul and inspires both our clients and employees to live their lives to the fullest. Success to us means that our clients, their families and our employees would recommend us to a friend or loved one.

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 is proud to be the owner of WALH. Employing and supporting staff who give themselves to help improve the lives of others, brings much satisfaction to what has become Paul’s calling.

Paul is a PNW native and grew up with a large, blended family. Sports played a big role in his upbringing and still do today, with basketball being his passion. Over the years he has coached various levels, including 7th grade girls and college men, and he continues to play a couple days a week with a group of friends that have been playing together for many years.

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.

Paul enjoys the great outdoors as well as exploring and traveling near and far and draws a lot from experiencing different cultures. WALH’s talented and dedicated staff along with the company’s growth and stability has allowed Paul the opportunity to be on the road or in the air and be confident his company is moving forward, living its mission and upholding its values “and that is a great feeling”.

Community service and non-profit board leadership is important to Paul. He currently serves on Sound Generation’s (formerly Senior Services of King County) board of directors as board Chair in 2020. Paul has held board leadership positions for other on-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 see the company continue to grow and become even more successful for all who are a part of it.


Kristen manages day to day operations

Kristen Burton

Executive Director

Shawn is focused on Marketing, Education & Community Relations

Shawn D’Amelio

Director of Business Development

Mary is primarily engaged with Client Assessments & Family Support

Mary Reynolds

Client Assessment Specialist

Cindy is focused on Client Case Management

Cindy Serrano

Client Services Manager

Jamie's primary role is handling Billing, Payroll & Benefits

Jamie Weller

Business Office Manager

Brandi Manages Scheduling & Caregiver Support

Brandi Stockdale

Care Coordinator

Jessi manages our Caregivers & Scheduling Team

Jessi Chamness

Care Team Manager

Jasmine manages Scheduling & Caregiver Support

Jasmine Nelson

Care Coordinator

Allison Manages Recruiting, HR & IT

Allison McGrath

Recruiting and HR Specialist

Rebecca Manages Kristen! 😀

Rebecca Harrington

Client Services

Becky Gillmor

Accounting Consultant

We Are Here to Ease Your Burden