Comment Not everyone insists on doing it remotely (Score 1) 730
Are you looking hard enough for a solution to the problem? I encounter businesses all the time who want their IT firm to work on site. They also have problems trusting anyone with remote access to the data, especially when confidential medical or financial records are involved.
There are competent IT support firms that will do on site administration for you. In some cases, they can even be more affordable than the remote support types. You just have to look around! If you're in the Phoenix, Arizona area, my PC Techs is one example. They will provide an expert who will come to your business every time you need, and will work on site as long as you need them: http://www.mypctechs.com/