With a Little Help, Inc

Services for Seniors | 206.352.7399

Serving King and South Snohomish Counties

In The Office

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.

Read on to find out more about each of the individuals that work in the With a Little Help office, what exactly they do for the company, and how they came to be interested in the field of senior care.

Marcia Ives

Licensed Caregivers - MarciaIn 2000 Marcia created With a Little Help when she personally discovered great joy from interactions with seniors that encouraged them to stay engaged in life, lessened their isolation, and that assisted with basic daily tasks. She created With a Little Help, became the company’s first caregiver, and is very pleased to be the conduit for a great number of people who have found their way to the rewarding work of caregiving.  Marcia feels greatly blessed to have been given the opportunity to be of service to seniors and their families, and is honored to have positively impacted so many lives through simple acts of loving kindness.

Because of the extremely competent and dedicated managers at the With a Little Help office, in 2014 Marcia was able to move to the Methow Valley where she lives an amazing life surrounded by the beauty of nature and in such an amazing outdoor mecca.  Marcia and her partner Mel ski, bike, hike, swim, camp, kayak or golf as regular activities, and have become very involved in their new community, especially in regard to working towards supporting seniors as they age in a rural community.  Marcia spends a week in the With a Little Help office in Seattle each month, and in 2016 she chose to bring a partner on board as a move toward her plan to retire someday.  With a Little Help merged with Sequoia In Home Care, and their owner, Paul Sivesind became her partner.

Paul Sivesind

P1030074 - CopyProviding quality care to those in need as well as offering meaningful and supportive employment to staff are things that bring Paul much pride. He is excited to have joined Marcia, to own and guide With a Little Help, as they will continue these efforts together.

Paul feels blessed to have been born and raised in the Seattle area and though he lives alone, family has always been close by and a big part of his life. Basketball is a lifelong passion of his and he enjoys playing, watching and coaching the game.

Paul’s journey in the home health care field began shortly after graduating college where he studied to become a teacher. In 2005 he took a position at a home health agency in Seattle and it was there that his passion for the senior care industry was sparked. It was the interactions with both the caregivers as well as the clients receiving the care that made him want to pursue a career in this field. After seeking ways to provide higher quality services and employment he joined Sequoia In-Home Care Service in a management position in 2007 and became the owner of the company in 2010. Providing quality care and a supportive environment for his staff was always a priority and that is why he is now so excited to be partnering with Marcia and joining WALH as they have always shared the same values.

Paul has become very involved with several community organizations, holding leadership roles on the board of directors for the Ballard Chamber of Commerce, Rotary Club of Ballard, Ballard NW Senior Center and Sounds Generations (formerly Senior Services of King County).

Shawn D’Amelio
Director of Business Development
Washington Home Care Association Vice President
Blooming with the Boomers Conference Chair
EvergreenHealth Seasons of Hope Committee                                                                                                End of Life Washington Advisory Board

Before joining With a Little Help, Shawn worked as a private care manager for a client with Alzheimer’s disease. This experience, as well as her ongoing journey with her own mother’s struggles with dementia and various health issues, led her to With a Little Help where she enjoys working with a team of caring professionals dedicated to providing excellent care with the personal touch she values. Shawn enjoys the process of bringing resources and people together, creating relationships that give peace of mind to families and their loved ones.

In her role as the Director of Business Development she is guiding With a Little Help’s growth while keeping Paul’s vision in sight, making sure that every client and employee is treated with respect and dignity.

Education being a passion for Shawn, she  serves on the board for the Washington Home Care Association as the Vice President as well as the Blooming with the Boomers Conference Co-Chair.  Shawn also serves on the EvergreenHealth Seasons of Hope Fundraising Committee which raises money to support their Palliative Care and Hospice Programs. She also sits on the Advisory Board for End of Life Washington.

Growing up in the Great Northwest, Shawn enjoys outdoor activities like camping, horseback riding, hiking, river rafting and gardening. She has a passion for combining food, family, friends and fun.

Mary Reynolds
Client Assessment Specialist
Caregiver Trainer

Mary Business Card Pics (2)Mary’s mother suffered a life changing stroke and needed to move to an assisted living community. In managing her mother’s care, Mary spent a lot of time with her mother and her mother’s friends. They had a lifetime’s worth of experience, wisdom, and good stories. She joined With a Little Help to continue to have her life enriched by meeting and learning from seniors. At With a Little Help, Mary wears two hats: as a Client Assessment Specialist, she meets with new prospective clients and gets to know them and their needs in order to ensure the best possible relationship between client and caregiver. In addition, she leads orientation of our new caregivers along with continuing education classes on current caregiving topics. Mary is a native to the Seattle area. In her leisure time she enjoys shopping for antiques, gardening, and spending time with family.

Cindy Serrano
Client Assessment Specialist

Cindy is a born and raised Seattle area native. She attended the University of Washington with a focus in Public Health. During her college days she obtained her Certified Nursing Assistant license and had the pleasure of working in an assisted living facility with Alzheimer’s and Dementia residence. Before joining the With A Little Help team, Cindy worked in a variety of medical office settings. She has many years of experience in working in the administrative healthcare field helping people receive the quality care they deserve. Cindy has a warm and welcoming smile and enjoys exploring the Pacific Northwest and all it has to offer. She recently moved to Snohomish, with her partner, Francis, and their absolutely wonderful 1 year old daughter, Charlie.

Jessi Domholt
Lead Care Coordinator

Licensed Caregivers - JessiBefore working at With a Little Help Jessi was a preschool teacher by day and moonlit as a caregiver for her grandmother who was diagnosed with cancer. When her grandfather had a couple strokes and ended up on hospice, Jessi was inspired by the care her received. She enjoyed the difference she could make in someone’s life by providing care and began looking to continue the meaningful work she had experienced with her own family. That is how Jessi found With a Little Help. Since Jessi became a caregiver she has never been happier and has added many clients to her “family” and has stayed in touch with them throughout her transition into her new role as a care coordinator for With a Little Help.

Jessi was born and raised in Bothell and has always enjoyed what the Pacific Northwest has to offer.  She spends her free time with family and friends hiking and camping with her two dogs in tow. She loves a good book, traveling and watching the Seahawks (hopefully) win on Sundays!


Brandi Stockdale
Care Coordinator

Brandi was raised in Eastern Washington and moved to Seattle in 1997 for work, where she met and married her husband, Paris. Brandi was a stay-at-home mom and caregiver for her father-in-law before she became a caregiver for WALH in 2010. She is excited to be working in the office, side-by-side with the wonderful Care Coordinators that have supported her all of these years. In her spare time, she enjoys the many Seattle area beaches and spending time with her family and close friends.

Jasmine Wendt
Care Coordinator

Jasmine was born and raised in California. She grew up in the Bay Area before moving to Seattle for college. Jasmine comes from a family of missionaries, and loves visiting their orphanage in Mexico every chance she gets!  After working in various senior home settings, Jasmine became a caregiver for With A Little Help in the beginning of 2018.

Jasmine has loved getting to know new clients and provide care for them with a happy heart.

Taking on the new care coordinator role in the office, Jasmine loves the challenge and appreciates the fun and supportive atmosphere?

Mary Beth Herold


Licensed Caregivers - MaryMary Beth is an almost-native Seattleite and other than for one, brief year in college, has never live anywhere else. She has crunched numbers for many years working for large and small public accounting firms, private businesses and independently. With A Little Help is lucky to have her expertise.

When not in front of the computer, Mary Beth enjoys reading, knitting, quilting, cooking, baking and visiting her daughters as they move around the country.



Kristen Burton

Executive Director

Kristen joined With a Little Help in January 2018.

During her career she has worked at many Seattle based companies, including: Starbucks, SHAKTI Yoga, Aegis Living, the Space Needle and Chihuly Garden & Glass.

Although she enjoyed each experience, it wasn’t until she started working with seniors that she truly understood the power of excellent customer service.

For the past 5 years Kristen has been working in assisted living.  She chose to become a certified care giver to better understand her residents, their families and the caregiving team.  This allowed her to expand her knowledge and hands on experience with seniors; including working with: hospice, mental health, dementia and Parkinson’s.

Kristen is passionate about the senior industry, building a strong family culture in our office and running each business as if it were her own.  She always has a chair available and encourages visitors to the office, so please stop in and say hello!


Merry Lou

Office Staff

Merry Lou is a 5-year-old Standard Poodle and the newest addition to the With a Little Help home office.

She became a “working dog” at just seven weeks old!  She has spent most of her time working I communities helping seniors with dementia.

Please come in and meet her – she loves visitors!

If you don’t like dogs – don’t worry.  Merry is trained to be calm, gentle and not approach people until allowed to do so.  She is hyper-allergenic and does not shed.

Outside of the office, Merry Lou enjoys long walks, cookies, tennis balls and the beach!

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