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.

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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

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 Marcia’s & 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 Chair.  Shawn also serves on the EvergreenHealth Seasons of Hope Fundraising Committee which raises money to support their Palliative Care and Hospice Programs.

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.

Elizabeth Berg
Human Resource Recruiter/Specialist


Although a Colorado Native, Elizabeth Berg considers herself an “adopted Pacific North Westerner” since she moved to Seattle in 2006. After spending almost a decade working in hospitality she was drawn to a more fulfilling career and decided to pursue a career helping people. After she graduated from the University of Washington with a BA in Psychology, she worked as a Human Resources coordinator for a local company in warehouse distribution. She realized her passion was supporting employees and helping others to find opportunities through gratifying and worthwhile work. After a few years in HR, she took time off to be a stay at home mom.  Elizabeth began looking for a reputable, local company to lend her HR skills and passion for social justice and she landed at With a Little Help. Elizabeth is thrilled to find compassionate caregivers for WaLH’s wonderful clients. Elizabeth loves being a mom, music, art, dancing, writing, technology and meditation.

 Jeanne Coeuille
Director Client Services

Licensed Caregivers - JeanneJeanne started at With A Little Help in 2000 as a caregiver because of her interest in helping people. She loved listening to people’s histories and working with younger clients with disabilities. As the company grew, Jeanne’s sharp memory and organizational excellence found a new home in the administrative office. As the Director of Client Services, Jeanne wears many hats, but her primary focus is always on the happiness of our clients. “My favorite things about my job are my interactions with our seniors and their families and working with our wonderful caregivers,” she says.

As a former travel agent, Jeanne also loves to help clients plan the trip of their dreams. Jeanne was raised in Seattle and graduated from Seattle University. She has always been attracted to jobs that offer a high level of one-on-one contact with people.

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!

Estee Beard
Care Coordinator

Estee (2) - CopyAfter losing her Dad, Mom and kitty Bert in 2007 she began researching different career options. While working at the Kona Wellness Center and the Southwest College of Naturopathic Medicine during the following two years she discovered her new path.
Upon returning to Seattle in 2009, she began seeking a role that would impact peoples’ lives in a positive way. “With a Little Help is the perfect avenue for me to use my customer service skills combined with my compassion for people. I love helping seniors receive nurturing and professional care.” Estee is a Seattle native who has returned after living in Hawaii and Arizona for eight years. Estee’s professional background includes sixteen years of years in management at Seattle’s Best Coffee and Starbucks. Estee loves having potlucks, playing Scrabble and going on walks, rain or shine!

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.



Kathleen D’Amelio
Human Resources Assistant

Licensed Caregivers - KathleenKathleen is a member of a large extended family that has afforded her the time to share her life with great grandparents, grandparents and dozens of elderly aunts and uncles. This experience has had a profound and positive effect on her life. Kathleen takes great pleasure doing all she can to support the staff at the home office. “Each member of the team makes a unique contribution that ultimately is responsible for matching the best possible caregivers with each individual client,” Kathleen says. Kathleen is a native New Yorker who moved to Seattle in the mid-sixties and graduated from Western Washington University. She had fifteen years experience in sales and marketing prior to leaving the workforce to raise her son and daughter who are now in their twenties.






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.



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