About In Home Care

Mandy Calvano


She has resided in the Coachella Valley since 1987. She began her career in the home health care business working with and being mentored by her Grandmother Joan Walker of Health Concepts. Having worked with her grandmother for over 16 years, Mandy developed a passion for caring for her clients and her community. When her grandmother passed away, Mandy’s desire to continue to serve her community lead her to form Custom Care Solutions. Mandy is constantly educating herself to assure that the newest advances in home health care are provided to the clients that place their trust in her. She also serves on the board of ACT 1 and is an active member of the Palm Desert Chamber of Commerce.

Misty Howell

Director of Operations

She is a lifelong Coachella Valley resident. She has extensive experience in the medical field, as well as accounting and property management. With the knowledge she has obtained throughout the years, she has become a well-respected member of the community and has a passion for helping all those she comes in contact with. Misty is also a member of ACT 1  as well as an active member of the Palm Desert Chamber of Commerce.

Dominick Calvano

Service and Community Consultant

He has resided in the Coachella Valley since 2010. In home health care has been his career focus for several years. Dominick has a rich background in marketing and customer service.. He has a real passion for helping meet the needs of his clients and community. Dominick is currently on the board for ACT 1, and is serving as President of the Board of Directors, for Alzheimers Coachella Valley. This newly formed 501(c)(3), is offering services and programs to support caregivers and patients struggling with Alzheimer’s disease, and other types of dementia.

In home care providers can contribute so much to the quality of life for Alzheimer’s patients as well as anyone disabled or convalescing. Not only in utilizing skilled professional’s expertise in developing and monitoring, a specific plan of care, but sometimes just having a fresh new set of eyes on a situation that has become overwhelming for a family caregiver. Custom Care Solutions,

having experienced so many of the problems facing our aging community, has seen first-hand the positive response from Alzheimer’s patients, stroke recovery patients and more, as a result of in home care and companionship. It is through these experiences that we have developed such a dedication and passion for care at home.

Each and every patient whether it be an Alzheimer’s patient, or post-surgical recovery, to companionship at home, has specific needs and requirements. There are many components to the patient’s plan of care. How much time is the family able to help? Does the family caregiver need training to effectively care for the patient? Is an in home care provider needed for trips to the doctor’s office or grocery store? The list goes on and on. One of the most important services that an in home care provider can do is, have a periodic assessment done by a registered nurse that can report changes in the patient’s condition to the physician and family so changes can be made as required.

As a responsible in home care provider with over 20 years combined experience, and a company that has cared for numerous Alzheimer’s patient’s on a daily basis, we would like you to take a moment to read our monthly newsletter. It offers ideas and insight that may be helpful to the family caregiver, as well as arm yourself with knowledge of what you should expect of any in home care provider you may work with.