FIRST AMENDMENT TO AGREEMENT AND PLAN OF MERGER FIRST AMENDMENT (the "First Amendment") to Agreement and Plan of Merger (the "Original Agreement") dated as of January 3, 1997 among STAR MULTI CARE SERVICES, INC., a New York corporation ("Star"), EFCC...

                 FIRST AMENDMENT TO AGREEMENT AND PLAN OF MERGER

           FIRST  AMENDMENT  (the "First  Amendment")  to Agreement  and Plan of
Merger (the "Original  Agreement")  dated as of January 3, 1997 among STAR MULTI
CARE SERVICES,  INC., a New York corporation ("Star"), EFCC ACQUISITION CORP., a
New York  corporation and a wholly-owned  subsidiary of Star ("Merger Sub"), and
EXTENDED FAMILY CARE CORPORATION, a New York corporation ("EFCC").

           WHEREAS,  each of Star,  Merger  Sub and EFCC  has  entered  into the
Original  Agreement  and now desires to make  certain  changes to said  Original
Agreement;

           WHEREAS,  the Boards of Directors  of Star,  Merger Sub and EFCC have
approved  the  changes  to the  Original  Agreement  set  forth  in  this  First
Amendment.

           NOW,  THEREFORE,  in  consideration  of the  mutual  representations,
warranties,  covenants,  agreements  and conditions  herein,  the parties hereby
agree as follows:

           1.         Section  7.2(a)  is hereby  deleted  in its  entirety  and
                      replaced by the following:

                      "(a)       The Merger shall not have been  consummated  by
                      September 15, 1997, unless such failure of consummation is
                      due to the failure of the terminating  party to perform or
                      observe any covenant,  agreement or condition hereof to be
                      performed  or  observed  by it at or  before  the  Closing
                      Date;"

           2.         Except as expressly  amended by this First Amendment,  the
Original  Agreement and all of its terms,  covenants,  conditions and provisions
are hereby  ratified and  confirmed  in all respects and shall  continue in full
force and effect.

           IN  WITNESS  WHEREOF,  the  parties  hereto  have  caused  this First
Amendment to be signed by their respective  officers  thereunto duly authorized,
as of the 6th day of April, 1997.

EXTENDED FAMILY CARE CORPORATION                 STAR MULTI CARE SERVICES, INC.


By: /s/ Xxxxxx Xxxxxx                            By: /s/ Xxxxxxx Xxxxxxxxx
   ---------------------------                      ---------------------------
   Xxxxxx Xxxxxx, Vice President                    Xxxxxxx Xxxxxxxxx, Chairman
                                                    and Chief Executive Officer


                                                 EFCC ACQUISITION CORP.


                                                 By:/s/ Xxxxxxx Xxxxxxxxx
                                                    ---------------------------
                                                    Xxxxxxx Xxxxxxxxx, Chairman
                                                    and Chief Executive Officer