AssureCare paid live-in caregivers a flat daily rate while their work stretched from early morning into interrupted nights. Washington’s Supreme Court held that the state’s wage exemption was unconstitutional as applied to caregivers in adult family homes.
Constitutional rulingTL;DR
- Six caregivers lived and worked in AssureCare adult family homes, providing resident care, cooking, cleaning, transportation and administrative work.
- They received $110 to $145 per day regardless of hours. Their schedules generally began at 5:00 or 6:00 a.m., continued until 10:00 p.m. or midnight and included interrupted sleep.
- The caregivers sued in 2023, alleging unpaid minimum wages and overtime as well as missed meal periods, rest breaks and sick leave.
- Washington’s Supreme Court held that live-in caregiving in adult family homes is dangerous work requiring statutory safeguards under the state constitution.
- The court ruled that bookkeeping difficulties and predicted financial consequences did not reasonably justify exempting these caregivers from the Washington Minimum Wage Act.
- The decision did not determine retroactivity, damages, the caregivers’ separate equal-protection claim or the remaining wage claims.
For these workers, the court held that living where they worked could not become the reason they lost the safeguards designed to limit unhealthy hours and labor conditions.
Transparency notice: This article relies on the Washington Supreme Court’s majority opinion, concurrence and dissent, including excerpts from declarations and expert evidence reproduced in the decision. The majority accepted the record as sufficient to affirm partial summary judgment; Justice Johnson’s dissent argued that the evidence was too generalized and disputed to support that ruling. The opinion resolved the exemption’s constitutionality as applied, not all liability or remedies in the lawsuit.
The Facts
Caregiving at AssureCare did not divide neatly into work time and home time. Jocylin Bolina, Adolfo Payag, Madonna Ocampo, Honorina Robles, Hollee Castillo and Reginald Villalobos lived in adult family homes owned and operated by Marcelina and Gerald Macandog. Residents had physical or cognitive limitations and needed different levels of assistance.
The caregivers helped residents bathe, dress, eat, use the toilet and walk. They cooked, cleaned, did laundry and maintenance, bought groceries, drove residents to appointments and handled administrative work. At night, a caregiver generally made rounds to check residents, help them use the bathroom and reposition them to prevent injuries.
Room and board came with the job. The workers did not pay for rent, utilities, internet or food, and they had access to a vehicle. Family members and significant others could also live in the homes without paying household expenses. AssureCare relied on those benefits in defending the arrangement.
The pay did not change with the hours worked. The majority also said AssureCare kept no employment documents recording meal periods, rest breaks, sick leave or other personal leave.
The caregivers sued AssureCare, alleging violations of the Washington Minimum Wage Act and challenging the live-in exemption under the state constitution.
After granting partial summary judgment to the caregivers, the trial court certified its constitutional ruling for immediate appellate review.
The Washington Supreme Court affirmed and sent the case back to the trial court for further proceedings.
How Residency Became a Labor Rule
Washington’s Minimum Wage Act establishes basic employment standards, including minimum wages and overtime. The former statutory provision at issue exempted workers who lived where they worked. AssureCare argued that this reflected the practical difficulty of separating personal time from work time in a shared residence.
The distinction mattered because AssureCare employed both live-in and non-live-in caregivers. According to the concurrence, both groups performed the same resident-care work. Shift workers remained protected by the wage law; live-in workers did not.
Home and workplace were the same place
They were paid a flat daily rate, remained available for resident needs overnight and were treated as falling within the live-in exemption.
The work ended with the shift
The concurrence emphasized that non-live-in adult family-home workers doing the same tasks received Minimum Wage Act protections.
The caregivers received room and board where residents needed continuous coverage.
Pay remained between $110 and $145 regardless of the hours worked that day.
Resident care interrupted meals, rest periods and sleep, according to the record accepted by the majority.
The workers’ residence became the statutory basis for withholding protections that applied to shift workers.
What the Arrangement Meant for the Caregivers
The practical consequence was not simply a different payroll calculation. The majority described workers who were expected to respond to residents during the day or night, whose meal and rest periods were often interrupted and who routinely lacked meaningful opportunities for uninterrupted sleep.
“I slept on a recliner or the floor in the common area of the home.” Declaration of caregiver Adolfo Payag, quoted by the majority
Honorina Robles said her sleeping area was a recliner in a television room. She placed cardboard in the sliding glass door so people outside could not see her sleeping. Those descriptions undercut the idea that room and board necessarily functioned as an adequate substitute for enforceable workplace protections.
The concurrence supplied a fuller account of the declarations. Caregivers attributed insomnia, headaches, blurred vision, stomachaches, mental-health problems and constant fatigue to repeated sleep disruption. They also described back, shoulder and knee injuries from moving residents, exposure to blood and other bodily fluids, needle pricks, infectious illnesses and physical attacks from confused or upset residents.
The majority did not rely on every detail cataloged by the concurrence. It did conclude that the evidence demonstrated significant musculoskeletal risk, physically injurious work, long hours and routine sleep deprivation. That was enough for the court to classify live-in caregiving in adult family homes as dangerous work under Washington’s constitution.
The Evidence—and the Dispute Over It
The central factual disagreement was not whether caregiving could be difficult. It was whether the record was specific and developed enough to establish that live-in caregiving at adult family homes qualified for special constitutional protection.
Declarations, studies and injury data
The caregivers submitted personal declarations and an expert report. The majority cited research reporting musculoskeletal symptoms among 88.4 percent of nursing assistants in nursing homes and 44.07 intentional injuries per 10,000 workers in residential-care settings without skilled nursing.
The concurrence also cited Washington workers’ compensation data showing claim rates for a broader category containing adult family homes were about 33 percent higher than all industries statewide and 25 percent higher than health care overall.
Low reported injuries and permitted breaks
Owner Marcelina Macandog said the caregivers were not required to work 24-hour shifts, could resume interrupted breaks and received vacation and sick leave. She reported one workers’ compensation claim across 16 years and said the plaintiffs had not reported workplace injuries to her.
AssureCare also argued that room and board had value and that imposing minimum-wage and overtime requirements could destabilize the adult family-home industry.
Was the record specific enough?
The majority said AssureCare did not meaningfully dispute evidence that the industry required long hours, physically harmful work and routine sleep deprivation. The concurrence characterized the material conditions as undisputed.
Justice Johnson’s dissent argued that the studies grouped together different care settings and occupations. In his view, the record lacked live-in-specific injury data and should not have produced a constitutional ruling at summary judgment.
What the Court Actually Decided
Washington’s privileges and immunities clause prohibits the state from granting a privilege or immunity to one class on terms unavailable to others. When a law implicates a fundamental right of state citizenship, courts ask whether it grants such a benefit and, if so, whether reasonable grounds support the distinction.
The majority’s reasoning proceeded in three steps.
The state constitution requires laws protecting people in jobs that are dangerous to life or harmful to health.
The exemption gave adult family homes immunity from mandatory labor standards and the benefit of lower labor costs.
Bookkeeping difficulty and predicted financial consequences did not justify denying safeguards to workers in a dangerous occupation.
The former exemption violated the state constitution as applied to live-in caregivers at adult family homes.
The court carefully limited the right it recognized. It did not say every worker has a constitutional right to the Minimum Wage Act itself. It held that the constitution requires statutory protection for workers in dangerous or unhealthy occupations and that, on this record, the Minimum Wage Act supplied the applicable safeguards.
“An accounting principle and the potential for negative financial consequences are not reasonable grounds for denying constitutionally required safeguards set out in the MWA.”
“Accordingly, we hold that former RCW 49.46.010(3)(j) violates article I, section 12 as applied to live-in caregivers.”
The ruling affirmed partial summary judgment. It was not a final determination of all wage liability, and it did not invalidate the exemption in every occupation or every factual setting.
The Dissent’s Warning
Justice Johnson agreed that the caregivers raised legitimate workplace concerns but argued that the majority had acted on an underdeveloped record. The studies addressed nursing homes, assisted-living settings and broad worker classifications rather than isolating live-in caregivers at adult family homes.
The dissent also challenged the majority’s statement that the Minimum Wage Act was the only applicable worker-protection framework. It pointed to the Washington Industrial Safety and Health Act, which requires employers to provide a workplace free from recognized hazards and does not exempt live-in workers.
In Johnson’s view, AssureCare’s evidence created enough factual doubt to defeat summary judgment. A trial court should have developed a more specific record before declaring the exemption unconstitutional, he wrote, particularly because the majority’s reasoning could affect challenges to other statutory exemptions.
The History the Majority Did Not Decide
The caregivers argued that domestic-worker exclusions were rooted in the historic denial of federal labor protections to Black workers, women and other marginalized groups. The majority acknowledged what it called a “disturbing history of racism and sexism” in domestic and agricultural labor exclusions.
It did not find that discriminatory intent caused Washington’s live-in exemption. The court said it did not need to decide that issue because the exemption already failed the privileges-and-immunities analysis. The caregivers’ separate equal-protection claim remains before the trial court.
Justice Mungia’s concurrence went further, arguing that the exclusion continued to burden a home-care workforce in which people of color, women and immigrants are overrepresented. That analysis was part of the concurrence, not the majority’s holding.
What Remains Unresolved
The largest immediate question is whether the constitutional decision applies only going forward or also reaches earlier work. AssureCare asked the Supreme Court for prospective application. The court declined to decide because the trial judge had not ruled on the issue and the question concerns the scope of the remedy rather than the exemption’s constitutionality.
The opinion also did not calculate unpaid wages, determine damages or resolve the caregivers’ remaining claims. Those matters return to the trial court. Nor did the record establish how many adult family homes use comparable live-in arrangements or quantify the industrywide cost of complying with the wage law. AssureCare warned of destabilization, but the court did not make a finding about the scale of that risk.
What a Legitimate Fix Looks Like
Editorial analysisAny durable response has to address the failure the court identified: residency cannot serve as a substitute for enforceable labor safeguards. That means recording actual work time, accounting for interrupted sleep and breaks, and staffing homes so resident coverage does not depend on treating a caregiver’s presence as unlimited availability.
Room and board may remain valuable to workers, residents and employers. Under the court’s reasoning, however, those benefits cannot by themselves justify removing wage and safety protections from people performing dangerous work. The details of compliance and any remedy remain for the trial court, lawmakers and regulated employers; the Supreme Court did not prescribe a staffing model.
What to Watch
- The trial court must address the scope of relief, including the still-unresolved dispute over retroactive or prospective application.
- AssureCare and the caregiver plaintiffs still have unresolved wage claims and other issues to litigate on remand.
- The caregivers’ equal-protection challenge remains live and could require the trial court to confront the exemption’s alleged discriminatory history.
- Any legislative response will have to account for the Supreme Court’s holding that bookkeeping convenience and financial concerns do not justify denying safeguards to this category of workers.
The constitutional question has been answered only as applied to live-in caregivers at adult family homes. The unanswered question is what that answer will require AssureCare to pay or change for work performed under the former exemption.
The source document for this investigation is attached below.



