Caregiver / Med Tech NOC SHIFT 10 PM-6:30 AM

Company Description

Fair Oaks Estates is a locally owned assisted living and memory care community on Fair Oaks Boulevard in Carmichael. We’ve served families across the Sacramento Valley for more than 20 years, and we’re a 63-bedroom community.

We provide assisted living, memory care for residents with dementia. That means our caregivers get to know people over time, through real changes, rather than rotating through strangers. Understanding what each resident actually needs, and helping without taking away what they can still do themselves, is the whole job.

We’re locally owned, not a national chain. The people who make decisions here are on site, and our caregivers have a supervisor they can actually reach.

We’ll be straight with you about pay: we start at California minimum wage and move up from there. What we can promise is a schedule you can plan a real life around, paid orientation and training, and a team that won’t leave you alone on a hard night.

Job Description

THE ROLE

Fair Oaks Estates is hiring a full-time overnight Caregiver who is also trained and certified as a Medication Technician.

Read that in the right order, because it matters: this is a caregiving job first. The bulk of your night is direct resident care, the same as any other NOC caregiver. Only a limited number of medications go out during overnight hours, so the Med Tech side is a real responsibility but a small slice of the shift.

It does mean a longer runway before you are on your own. You complete caregiver training first, then medication training and supervised med room time on top of it. All of it is paid, and none of it is rushed.

Nights are quieter, but they are not easy, and we won’t pretend otherwise. You’ll be the one awake while our residents sleep: doing safety checks, turning and repositioning, answering call lights, helping people to the bathroom at 2am, and keeping someone who wakes up confused and frightened calm until they can settle again. With a memory care neighborhood here, nighttime wandering and disorientation are a real and regular part of this shift.

When something goes wrong at night, you’re the one who catches it first. Because a manager is not always on site overnight, you also help make sure the building is staffed, that your coworkers get their breaks, and that the morning team walks into a clear picture of the night.

It suits a particular kind of person: steady, observant, self-directed, and comfortable being trusted with more than one job at once. If you do your best thinking in the quiet, and you’d rather be relied on than hovered over, this shift tends to be a good fit.

THE SCHEDULE: WHAT "4 ON, 2 OFF" ACTUALLY MEANS

If you haven’t worked this kind of rotation before, here’s how it works:

You work four nights in a row. Then you get two days off. Then the pattern starts over. Four on, two off, continuously.

Because the cycle is six days long and a week is seven, your nights off move through the calendar rather than landing on the same days every week. One cycle your nights off might be Tuesday and Wednesday; the next they might be Monday and Tuesday; eventually they land on a weekend. Everyone on this rotation gets weekends off regularly. They just come around on a cycle instead of every week.

What this means for you in practice:

•  You get a two-day break every six days, instead of working five straight and waiting for Saturday.

•  You work about 20 nights a month rather than the usual 22, for full-time hours.

•  Your schedule lives in an app, not on a break room wall. You can see your rotation weeks ahead, pick up open shifts when you want extra hours, swap shifts directly with a coworker, and request time off from your phone.

•  You will work some weekends and some holidays. We’re telling you that up front rather than letting you discover it later.

•  Four nights in a row is genuinely easier on your body than scattered single nights. Your sleep gets a chance to settle into a rhythm instead of flipping back and forth all week.

•  One honest note: this shift crosses midnight, so a shift that starts Monday at 10:00 PM ends Tuesday at 6:30 AM. We’ll map out exactly how your four nights fall on the calendar before your first week.

Shift hours: 10:00 PM to 6:30 AM.

Full-time, scheduled on a six-week rotation.

PAY

Starting pay: $16.90 per hour (California minimum wage)

Top of range: $17.90 per hour

Overtime: paid at time-and-a-half, per California law

Raises are based on performance, experience, and attendance, not on time served.

WHAT YOU’LL DO

•  Take a full handoff from the evening shift, including who’s unsettled, who’s unwell, and what to watch for

•  Perform safety checks and rounds throughout the night

•  Turn and reposition residents on schedule to prevent pressure sores

•  Answer call lights within minutes and assist with overnight toileting and incontinence care

•  Change soiled linens and clothing discreetly, without ever making anyone feel ashamed

•  Redirect and reassure memory care residents who wake disoriented, anxious, or trying to leave

•  Monitor for and respond to falls, breathing changes, pain, and other changes in condition

•  Escalate to Care Managers per protocol when a resident needs more than caregiver support

•  Report any change in a resident’s condition immediately: weight, mood, falls, skin tears, bruises, or not eating

•  Monitor oxygen and the call system; complete incident reports as needed

•  Keep exterior doors secure and the community safe through the night

•  Handle overnight laundry and housekeeping during quiet stretches

•  Prepare for the morning shift by setting out supplies and staging the day’s needs

•  Document in Eldermark before the end of your shift and give a clear, complete handoff to the AM shift

•  Escalate emergencies per protocol

THE MED TECH PART OF THE ROLE

Only a limited set of medications goes out overnight, so this is a smaller part of your night than the caregiving is. It still has to be done exactly right.

The training stacks. You complete the full caregiver orientation and floor training first, then medication training and supervised time in the med room on top of it. You are a caregiver who also passes medications, in that order, and you are trained in that order too.

•  Pour and pass the overnight medication schedule and PRNs per doctor’s orders

•  Document every med pass, and make sure the EMAR is complete before you leave

•  Verify the narcotic count at shift change and report any discrepancy to a manager immediately

•  Audit the med cart so no expired medication stays in it

•  Check Fax for new physician orders and follow up on them

•  Keep a seven-day supply of each resident’s medications on hand and reorder before it runs short

•  Keep the med room operating within company guidelines and Title 22 at all times

•  When no manager is on site, confirm staffing levels are met and make calls if coverage falls short

•  Make sure your coworkers actually get their meal periods and rest breaks, and that showers and skin checks are documented

•  Run the change of shift meeting so the morning team knows exactly where things stand

•  Alert management to any change in a resident’s condition as soon as you notice it

•  Make sure your hall is covered before you clock out

WHAT WE OFFER

•  A rotation you can build a life around. Four on, two off, visible weeks ahead in the scheduling app.

•  Scheduling you control from your phone. Our app shows your rotation weeks out, lists open shifts you can pick up when you want extra hours, lets you swap shifts directly with a coworker, and handles time-off requests. No paper schedule taped to a wall, and no chasing down a manager to trade a day.

•  Your days are open. Daytime appointments, classes, and school pickup are all possible on this schedule in a way they aren’t on days.

•  A calmer pace than day shift, and real autonomy in how you run your night.

•  You are not on your own out there. Calls to the facility are answered 24 hours a day, and managers are reachable by digital communication through the night.

•  Paid initial training, delivered onsite and through accredited online training providers. It covers ADLs, building and fire safety, emergency response, postural supports, and restricted health conditions, plus dementia care and hands-on shadowing.

•  Training happens on day shift, so you learn the residents and the routines before your first night.

•  Medication Technician training on top of your caregiver training, all on the clock. You finish caregiver orientation and floor training first, then complete the medication training California requires, including the hands-on shadowing hours you do before assisting anyone with medications, plus supervised floor time in the med room.

•  Paid annual medication in-service after that. If you arrive without Med Tech training, that is fine. What you learn here stays with you.

•  Paid continuing education every year, onsite and online, including dementia care.

•  The same residents every night. You’ll know who wakes at 3am like clockwork and what settles them.

•  Health coverage for regular full-time employees. You’re eligible the first of the month after your 90-day anniversary.

•  Paid sick leave for every employee, accrued at one hour for every 30 hours worked, and available to use after 90 days.

•  Paid vacation for regular full-time employees after one year of continuous employment.

Qualifications

• REQUIRED

  •  18 years or older, authorized to work in the United States

  •  Fingerprint clearance through Community Care Licensing, completed before your first day

  •  A health screening and TB test from a licensed physician, completed before your first day

  •  A valid First Aid card which must be kept current. Cards renew every two years.

  •  Scrubs on the floor, plus low-heeled, closed-toe, slip-resistant shoes. You supply your own.

  •  Able to assist another caregiver in transferring residents weighing 100 to 250 pounds, daily, and to turn and reposition residents safely

  •  Comfortable providing hands-on personal care, including toileting and incontinence care

  •  Able to stay alert and attentive through a full overnight shift

  •  Sound judgment working independently. You’ll make first-response calls before anyone else is on site.

  •  Reliable transportation to Carmichael for a late-night start and early-morning end

  •  Available to work overnights on a four-nights-on, two-days-off rotation, which includes some weekends and holidays

  •  Willing to complete the full caregiver training first, then Medication Technician training on top of it, including 16 hours of hands-on shadowing before you assist anyone with medications, supervised med room floor training, and a competency exam. We provide all of it, paid.

  •  Careful, consistent documentation. Medication records and narcotic counts have to be exact.

  PREFERRED, NOT REQUIRED

  •  Previous overnight or night shift experience, in any field

  •  Previous caregiving experience, whether professional or caring for your own family

  •  High school diploma or GED

  •  Current Medication Technician training, though we will train you if you don’t have it

  •  Comfortable with electronic documentation

  WHO DOES WELL HERE

  Night people, genuinely, not people hoping to sleep through the shift. This job needs someone awake, alert, and moving.

  Beyond that: people who are careful. Passing medications and counting narcotics rewards the same trait that good caregiving does, which is paying close attention when nobody is watching. If you are the sort of person who double-checks rather than assumes, both halves of this job will suit you.

  And people who stay calm when something happens at 3am and the first decision is theirs to make. Who can walk into a dark room where someone is frightened and confused, and be the reason that person settles instead of escalates.

  If you’ve been the person your family turned to when someone needed care, you already have the part of this job we can’t teach.

Additional Information

Fair Oaks Estates

8845 Fair Oaks Boulevard, Carmichael, CA 95608

Reports to: Resident Care Director, Resident Care Coordinators, and Med Room Supervisor

SCHEDULE SUMMARY

Overnight shift (NOC), 10:00 PM to 6:30 AM. Four nights on, two days off, rotating. You work four consecutive nights, then have two consecutive days off, and the cycle repeats. Nights off rotate through the week, so weekends off come around regularly rather than falling on the same days each week. Schedules are managed in our scheduling app, where you can view your rotation weeks ahead, pick up open shifts, swap with coworkers, and submit time-off requests.

Because this shift crosses midnight, a shift beginning on one calendar day ends the following morning. We’ll map out exactly how your four nights fall before your first week.

We also hire for AM (6 AM to 2:30 PM) and PM (2 PM to 10:30 PM) shifts. If overnights don’t fit your life, ask us about the others.

GOOD TO KNOW BEFORE YOU APPLY

•  Scrubs are required on the floor, along with low-heeled, closed-toe, slip-resistant shoes. You supply your own.

•  No cell phones on the floor at any time. Personal calls happen on your break.

•  There is a mandatory staff meeting once a month.

•  We do not handle resident money, ever. That protects you as much as it protects them.

•  We provide and pay for the training this job requires, onsite and through accredited online providers. We do not sponsor or pay for outside professional licenses such as CNA or LVN.

•  Med Tech time-off requests are submitted 30 days in advance, and Med Tech coverage runs on a rotation that includes weekends and holidays.

•  Your meal period must start before the end of your fifth hour. If the floor makes that impossible, tell a supervisor right away rather than skipping it.

HOW TO APPLY

Apply online through this posting. Upload your resume, and a cover letter if you have one. If you don’t, apply anyway. We care more about who you are than how the paperwork looks.

Questions before you apply? Call us at (916) 944-2077.

We read every resume and cover letter daily, and we respond within 48 to 60 hours. You will not be left wondering.

What happens next:

1.   You apply here, and we review your resume and cover letter.

2.   If we’d like to move forward, we send you an email invitation to complete a short online questionnaire, about 10 minutes, along with a few remaining application items.

3.   Selected applicants are invited to an in-person interview here at the community, so you can see where you’d be working and meet the people you’d be working with.

4.   Fingerprint clearance, health screening, and TB test. California Community Care Licensing requires all three before your first day. These are completed at your own expense, and we’ll walk you through exactly where to go.

5.   Paid orientation, and your first shift. Orientation is on day shift, so you learn the residents and the routines before your first night.

Fair Oaks Estates is an Equal Opportunity Employer. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, and veteran status. If you need an accommodation during the application process, call us at (916) 944-2077.