About Us
A History of Caring
and Managing
Beginning college as a pre-med student and graduating with a business degree foretold David’s future. Following his medical interest, he’s been a Hospice Volunteer, a Certified Nurse Assistant, a Certified Medical Technician, a Licensed Massage Practitioner, an Alternative Health Practitioner, a Primary Caregiver, a Patient Advocate, and a Care Manager.
Concurrently, he initiated and managed several successful businesses in Landscape Maintenance and Design, Estate Preparation for Sale, Home Repair, Alternative Medicine, and Care Management fields.
David’s medical and business proclivities merged when he became a California Licensed Professional Fiduciary and started True Fiduciary Service, specializing in cultivating a person’s vision for their remaining years and providing a manageable plan to ensure the best outcome.
Meet Our Team:
Marina May
Boutique Life Planner
Intuitive Listening Skills to Enhance Your Lifestyle
Marina May
Fiduciary in Training
Boutique Life Planning
Marina May brings a unique blend of empathy, communication expertise, and creative problem-solving to her role as Boutique Life Planner.
With a special ability to connect with individuals from all walks of life, Marina has honed her intuitive listening skills through years of studying the interactions between people and horses.
In her capacity as a Boutique Life Planner, Marina seeks to enhance your life by uncovering your deepest wishes and crafting creative solutions to your needs.
Marina’s holistic approach ensures you receive compassionate care addressing not only your financial and medical needs, but your overall well-being.
Melynda Ruckels, RN, MSN, MSMCTRN Advocate
The Heart of Health Care – Compassion & Empathy
Melynda Ruckels, RN, MSN, MSMCT
RN Advocate
Melynda is a Registered Nurse (RN) with a Master of Science in Nursing of over 45 years. She has a clinical background in Emergency Room, Intensive Care, Cardiac Rehabilitation and as a Community Health Nurse. She is a visiting Professor of Nursing at American River College.
Melynda is a vital member of True Fiduciary Service. She understands that being sick causes stress that contributes to unclear thinking and decision-making and believes that everyone needs an advocate during times of illness.
Some of the ways you can expect Melynda to advocate for you are:
- Work closely with your fiduciary for appropriate medical care.
- Ask pertinent questions of your doctors and healthcare team that most people do not know to ask. She can translate complicated medical terminology for you into layperson’s terms.
- Educate you about your condition/diagnosis and other therapeutic options.
- Ensure that all necessary tests are ordered, and not repeated.
- Attend in person or by video your doctor’s appointments to ensure clear communication between all your doctors.
- Evaluate your medications and supplements for safety, interactions, and any side effects.
Gene Altaffer, MS, CMC Director of Care Management
The Art of Assessment and Care Planning
Gene Altaffer, MS, CMC
Director of Care Management
Gene has a Masters in Gerontology from the University of Southern California and has worked in many avenues along the continuum of long-term care, including with dementia patients. He has volunteered for the Alzheimer’s Association and belongs to several networks where professionals meet to discuss the challenges and benefits of working with the aging population.
Over the last 20 years, he has assisted over a thousand clients and their families in care planning and coordination as well as filing insurance claims and obtaining approvals. He’s is a Certified Care Manager through the National Academy of Certified Care Managers (NACCM) and a member of the Aging Life Care Association. Locally, he volunteers for Freed, an organization dedicated to helping people with disabilities and seniors who wish to live out their lives in their own home.
Kimberly Vasey
Account Manager / Court Advocate
Wholeheartedly devoted to serving your needs!
Kimberly Vasey, BA
Account Manager / Court Advocate
With 17 years of experience advocating for the elderly, Kimberly is passionate about navigating the complexities of healthcare, legal matters, and social services to address your concerns, and connect you with the resources and services you need. Protective and dedicated to the rights of older adults, she helps prevent their exploitation.
TFS also recognizes her extensive experience in banking, accounting, court-related matters and real estate, including office management and brokerage reporting. Her background in art helps her think creatively and bring innovative solutions to the table.
Kimberly enjoys gardening and the outdoors, hiking with her German Shepherd, and making jewelry.
True Fiduciary Service is a member of the Professional Fiduciary Association of California, Gold Country Estate Planning Council, the Elder Care Provider’s Coalition and an Aging Life Care Corporate Partner.
We are licensed by the Professional Fiduciaries Bureau,
a division of the California Department of Consumer Affairs.
