An Inside Look at Legal and Compliance of an Eight-Figure Home Care Company

Lawyers. Home Care. California. Need we say more… I sat down with Angelo Spinola, ‘the lawyer of home care’, shareholder at Poslinelli, and one of his clients, Yazmin Hamilton, VP of Compliance at industry giant, 24 Hour Home Care. Angelo talks about audit pitfalls, misunderstood regulations, when to bring in outside counsel, and how to be proactive before it’s too late. Yazmin breaks down her 20-person compliance team, what they’re focused on, how they operate, and lessons learned scaling across states, services, and payor sources. These two keep what could be a dry legal episode, fresh with stories and frameworks applicable to any home care business.

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min

Dec 30, 2025

An Inside Look at Legal and Compliance of an Eight-Figure Home Care Company

Miriam Allred (00:00)
Hey everybody, welcome back to the Home Care Strategy Lab. I'm your host, Miriam Allred. It's great to be back with all of you. Today in the lab, I'm joined by two guests. I've got Angelo Spinola, the shareholder and co-chair of the Home Health and Hospice Practice at Polsinelli And then we also have Yazmin Hamilton, the vice president of compliance at 24 Hour Home Care. I've been looking forward to this conversation with both of you. Thanks for joining me here in the lab.

Angelo Spinola (00:26)
Thanks for having us.

Yazmin Hamilton (00:28)
Thank you.

Miriam Allred (00:29)
Let's get right into it. Let's start with some storytelling, some introductions, and then some storytelling, and then we'll get into the meat of the conversation. I would like to have both of you introduce yourselves, talk a little bit about your tenure in home care, your kind day in the life of what you're up to, and then we'll get into why we're here today. So Angelo why don't we start with your introduction and then Yazmin over to you.

Angelo Spinola (00:50)
Sure, ⁓ Angelo Spinola, co-chair of the Home Health, Home Care and Hospice Practice Group here at Polsinelli. My first entry into home care was actually as a live-in caregiver in college. That's what I did to ⁓ help pay for college. It didn't take long for me to realize that other live-in caregivers were better at being live-ins than me.

and that I would probably be better serving the industry in a different role. I loved it. I loved the guys I was working with, autistic guys in a group home setting, working weekends and able to study at night and do those things. But quickly recognize the level of compassion and love that you've got to have for your client. It's a unique. ⁓

Type of person that can do that. Well change diapers and do all those type of things So so I moved on then to law and started practicing law and specializing in the industry I did that first at a employment boutique shop ⁓ for many years and then as my clients Started asking for us to do more work than just employment law to do regulatory and transactional work and those type of things

I moved to Polsinelli and I've been here for the last about five years.

Miriam Allred (02:13)
Awesome. And we call you the lawyer of home care. So wear that title loud and proud. One just quick question, Angelo, you've told this to me, but I don't know if the general public has heard this, but why did you become a lawyer? what kind of, maybe some personal events that led you down this path of becoming a lawyer.

Angelo Spinola (02:28)
Yeah,

I saw honestly, I was trying to figure out what could be the one thing that I would do that would make my dad proud of me, who is not particularly proud of me. you know, my annex as a, as a teenager, ⁓ and I just wanted to prove to him that, know, I could do something and then, you know, really developed a passion for the law. Right. It wasn't anything, you know, that I, I, felt like compelled to do and

school. I remember doing a mock trial in high school and really liking that and really doing well at that. But it wasn't a particular dream of mine. I thought that I would probably go into some kind of public policy work for law. Got recruited by the big firms and haven't looked back since.

Miriam Allred (03:17)
Awesome, awesome, one more to come from you. Yazmin, tell us a little bit about yourself.

Yazmin Hamilton (03:22)
Well, interestingly enough, ⁓ know, kind of piggybacking off of Angelo, I had a very different experience. Although I'm VP of compliance, I went via the route of law school. And Angelo, for me, I can honestly remember being five years old and being asked in kindergarten, what do want to be when you grow up? And the answer was an attorney. No idea where it came from. No idea, like I didn't know anyone, so I have no idea if it was TV. I can't give you a core memory of where that came from other than I knew law school.

was in my future. However, very quickly into law school, ⁓ I went into law school wanting to save the world and go into criminal justice and criminal defense work. And just quickly, like most of us learned, that it takes a lot more than one person to change the world. But I also knew that I wanted to do something that had an impact, but allowed me flexibility to be a mom and to be a very active and full-time mom. Even though I had no kids, I wasn't married.

I knew that was something I wanted in my vision and after law school, I think, no, actually I lied. During undergrad, when I graduated, I intended to take a year off. So I had to take a year off to do some caregiving of my own with my folks and there was just some time that I needed to take off for that one year. So I took a gap year and it was intended to be a year to mostly be helpful and I got an interim, like an internship just as something to do.

while I took that year off and it turned into a 10-year career. It was a software company that had a need for someone with kind of business law background, wage and hour type stuff. And so after a year, I decided that I was going to go back to law school and rather than quitting, they offered to continue to employ me full-time if I went to law school part-time. So I did an evening program and immediately was working in something completely unrelated to home care.

first 10 years of my life kind of building my career more in a compliance realm, made a decision after law school graduation that I did not want to formally practice or work at a law firm. I wanted something that was a little more untraditional and more corporate America and I went into a compliance route and have kind of been building the career. I started off in software then it rolled into retail and when I came to 24 four years ago home care was very

much a very different space. People will say compliance is compliance is compliance. However, this is a very different space, but I will say what made it great is that I feel like I finally found four years ago my landing pad where I'm doing something that finally makes a difference. So I'm getting to check that mark off of my original journey in law school was I wanted to change the world. I wanted to change the work, the way that our criminal system and our justice system operates. Although this is a very different space,

It allows me that opportunity to truly make a difference, to have a purpose, to know that we're not trying to make sales. It's not about the profit in this industry. It matters, but it's about the people's lives that we're impacting, the families that we're able to get care for. And that's kind of been the journey, a little bit different, but very much kind of ended up in a place where I'm very happy where I am.

Angelo Spinola (06:43)
Congratulations on being a recovering lawyer. I hope to be there one day.

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