Grandmother caregiving in African American communities is a tradition used across social classes and circumstances of adult children and grandchildren. Yet, in the literature, it is viewed as a strategy used when the well-being of children is in jeopardy, families have low-incomes and limited resources, and parents are experiencing social problems. However, Mrs. Marian Shields Robinson is serving as a grandmother caregiver to the first African American First Family in the White House. This article provides an expanded view on the variations of grandmother caregiving by critically analyzing it and Mrs. Robinson’s role to provide social workers with four implications for practice.