Caregiver Jobs in Sierra County
This page covers all of Sierra County: Loyalton, Sierraville and Calpine on the east side, and Downieville, Sierra City, Goodyears Bar, Alleghany and Pike on the west. Requests from the county's six residential ZIP codes appear above as families post them.
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Finding in-home caregiver jobs in Sierra County
Sierra County is small. The Department of Finance counted 3,153 residents on January 1, 2026, of whom 756 live in Loyalton, the only incorporated city, and 2,397 in unincorporated communities. The county splits its services between two ends: Social Services keeps offices at 202 Front Street in Loyalton and 22 Maiden Lane in Downieville, and the county contracts with one nonprofit for rides in eastern Sierra County and another in the west. Before you take a job, check which side of the county the client lives on and how far that is from you.
The population is old. ACS 2020–2024 puts 963 residents at 65 or older, 35.1% of the total, with a median age of 54.7. More than half of the county's 1,219 households (52.4%) include someone 65 or over, and an estimated 303 are an older person living alone. The survey also counted 42.5% of housing units as vacant. On your profile, name the communities you will travel to and whether you can do longer shifts.
Families looking for private caregivers in Sierra County
Real postings from families on CaregiverConnect, matched to Sierra County by distance.
No open postings in Sierra County right now
No family within 60 miles has an open posting today. A profile created now is visible to Sierra County families as soon as they join, and they can send you a direct request.
This list is generated from live postings on CaregiverConnect. We never show sample, demo or expired jobs here.
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Caregiver jobs by city and town
Each page below has its own local research and shows live postings near that place. Towns without a page yet are covered by this hub.
The communities of Sierra County
Sierra County has one city and a scattering of unincorporated communities, and no separate town pages here. The county's own service split, east and west, is the most useful way to read it.
- LoyaltonThe only incorporated city, with 756 residents, the Social Services and Public Health offices on Front Street, the Eastern Plumas Health Care nursing facility and clinic, and the senior center that runs east-side rides.
- Sierraville and CalpineEast-side communities on the Incorporated Senior Citizens ride list; the Public Health community health van stops in both.
- DownievilleSecond Social Services office on Maiden Lane, the Western Sierra Medical Clinic, and the Golden Rays office that schedules west-side rides.
- Sierra City and Goodyears BarWest-side communities with Golden Rays fares of $10 and $5 from Downieville.
- Alleghany and PikeVisited by the county's community health van, which offers free vaccines and blood pressure checks.
Types of caregiver jobs in Sierra County
IHSS is the main source of paid home care. The county describes its providers as independent: the recipient is the employer and hires and supervises the provider, and authorized tasks can include housecleaning, meals, laundry, shopping, personal care, rides to medical appointments and protective supervision. Facility work is concentrated in Loyalton, where Eastern Plumas Health Care runs a 39-bed skilled nursing facility and in October 2026 listed both a per diem and a full-time CNA opening there. Private families also ask for companionship and help around the house.
- Senior caregiving: day-to-day help so an older adult can stay at home.
- Personal care: bathing, dressing, grooming, transfers.
- Companion care: company, errands, appointments, light help.
- Dementia care: routine-based support for memory loss.
- Respite care: cover so a family caregiver can rest or work.
- Live-in: room and board as part of the arrangement.
- Overnight: supervision through the night.
- Part-time and full-time: set by day and time block on your profile.
Caregiver pay in Sierra County: how much caregivers make
Public figures first, then what they mean for private work. Statistics describe employed aides across the North Valley-Northern Mountains Region of California nonmetropolitan area (Sierra and nine other counties); private rates on CaregiverConnect are agreed between each caregiver and family and are not tracked by any agency.
| Measure | Hourly | Source and coverage |
|---|---|---|
| Home health and personal care aides, North Valley-Northern Mountains Region of California nonmetropolitan area (Sierra and nine other counties) | $16.50 median ($17.00 mean) | BLS OEWS, May 2025; 5,000 jobs; concentration 1.73× national |
| IHSS provider wage, Sierra County | $18.50 | CDSS; effective January 1, 2026 |
| California minimum wage | $16.90 | effective January 1, 2026 |
| Nursing assistants, North Valley-Northern Mountains Region of California nonmetropolitan area (Sierra and nine other counties) | $22.66 median | BLS OEWS, May 2025 (certified roles, for comparison) |
Who is the employer. A family that hires you directly is your employer under California's Domestic Worker Bill of Rights. The state minimum wage ($16.90 an hour from 1 January 2026; some cities set more, for example $17.75 in the City of San Diego) is the legal floor, and a personal attendant earns overtime at 1.5× after 9 hours in a day or 45 in a week. The main exceptions are IHSS recipients and an employer's own parent, spouse or child. Source: California DIR, Domestic Worker Bill of Rights FAQ.
Sierra County has no wage figures of its own in the BLS survey. BLS groups it with Colusa, Glenn, Lassen, Modoc, Nevada, Plumas, Siskiyou, Tehama and Trinity in a ten-county nonmetropolitan area, where in May 2025 the 5,000 home health and personal care aides had a $16.50 median and a $17.00 mean, and nursing assistants a $22.66 median. CDSS sets the Sierra County IHSS provider wage at $18.50 an hour from January 1, 2026, $1.60 more than the $16.90 state minimum. The UC Berkeley ordinance inventory lists no local minimum wage in the county, so private work starts at $16.90, with overtime for personal attendants after nine hours a day or 45 a week.
About 5.1% of Sierra County's labor force was unemployed, on average, between August 2025 and August 2026, according to EDD estimates, below California's 5.3%; monthly figures ranged from 4.0% to 6.4%. The labor force is about 1,436 people, and hours authorized through IHSS in Sierra County give a provider regular, county-paid work that does not depend on how many private families are hiring at once.
How to enroll as a provider in Sierra County, with the office phone lines and orientation steps, is in the IHSS Sierra County guide. IHSS wages for every county we cover, with effective dates, are in the IHSS pay by county guide.
How the public numbers relate to private rates, and what affects them, is covered in the caregiver pay guide.
Caregiver requirements in California, applied to Sierra County
Non-medical care arranged directly with a family does not require a state license. The Home Care Aide Registry applies when a licensed home care agency employs you, and the state licensing file lists no home care organization in Sierra County. For IHSS work, contact Social Services in Loyalton, (530) 993-6720, or Downieville, (530) 289-3711. CDSS sets out four steps to finish within 90 days: deliver form SOC 426 in person with a government photo ID and original Social Security card, complete Department of Justice fingerprinting (state law makes you pay; CDSS puts the cost at $40 to $90), attend the county orientation, and sign the SOC 846 agreement. The Attorney General's Live Scan list shows no site in Sierra County, so ask Social Services where to go. The county pages describe no separate Public Authority. Caregivers must report suspected elder abuse. See California caregiver requirements.
Training and career resources near Sierra County
Offices, employers and rides for Sierra County caregivers, confirmed with each organization in October 2026.
- Sierra County Social Services (IHSS and APS)Two offices: 202 Front Street, Loyalton, (530) 993-6720, and 22 Maiden Lane, Downieville, (530) 289-3711. Ask either one about provider enrollment and the next orientation. The county's 24-hour emergency contact is (530) 289-3720.
- Eastern Plumas Health Care, Loyalton campusThe skilled nursing facility at 700 Third Street holds up to 39 residents and offers physical and occupational therapy. EPHC's job board listed a per diem CNA post and a full-time CNA post for the Loyalton facility in October 2026. Nursing director: (530) 993-6141.
- Loyalton Medical ClinicEPHC's outpatient clinic at 701 Main Street, Loyalton, open Monday to Thursday, 8:00 to 5:00, (530) 993-1231. Its services include adult medicine and senior care, so clients you support may be patients here.
- Western Sierra Medical Clinic, DownievilleAt 209 Nevada Street, with medical, medication-assisted treatment, pediatric and dental services, weekdays 8:00 to 5:00 with a lunch break; (530) 289-3298. The organization posts careers on its website.
- Del Oro Caregiver Resource Center educationDel Oro, based in Citrus Heights, counts Sierra among its 13 counties and offers free educational sessions open to the public across that region, a low-cost way to learn more about caregiving. (916) 728-9333.
- County-contracted rides, east and westSierra County has no fixed-route bus. In the east, Incorporated Senior Citizens of Sierra County runs rides from the Loyalton Senior Center: $3 in Loyalton, $7 to Sierraville or Portola, $12 to Truckee or Reno, (530) 993-4770. In the west, Golden Rays Senior Citizens charges $5 within Downieville or to Goodyears Bar and $10 to Sierra City, (530) 798-8555.
Sierra County in numbers
ACS 2020–2024 finds that 69.2% of the county's workers drive to work alone, 16.8% work from home and none were counted commuting by public transit; the average trip takes 24.3 minutes. English is the only language at home for 90.3% of residents five and older.
CDPH's licensed facility file (data date September 16, 2026) lists no general acute care hospital with a Sierra County address. Its health facilities are the 39-bed skilled nursing facility and clinic in Loyalton, both run by Eastern Plumas Health Care, and Western Sierra Medical Clinic sites in Downieville. The state's community care files list no residential care home for the elderly in the county. Related pages: Nevada County, Plumas County and Yuba County.
How to find private caregiver jobs in Sierra County (no agency)
CaregiverConnect is a marketplace, not an agency. Families post what they need, caregivers apply, and the two of you work out the arrangement directly.
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Full-time, part-time or live-in; days and time blocks; hourly rate; travel radius; vehicle.
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Name, email, ZIP code, password. Your profile is live immediately for families in your radius.
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Open postings plus a matched list. Apply, or answer a family's direct request; the family chooses who to hire. Applying to open postings and starting a new conversation are part of Caregiver Premium ($7.99/month, cancel anytime). Replying to a family who contacts you is always free.
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Caregiver jobs near Sierra County
Families often post from neighbouring towns. Set your travel radius in your profile and you will appear in their searches too.
Useful reading before you apply
How to become a caregiver in California: requirements, HCA registry, IHSS and CNA explained
Which rules apply to a caregiver in California depends on who pays them. A plain-language map of the Home Care Aide Registry, IHSS provider enrolment and CNA/HHA certification, with the official sources.
How much do caregivers make in California and Arizona? BLS, IHSS and minimum wage (2026)
Median hourly pay for home health and personal care aides by metro area from the May 2025 BLS survey, county IHSS wages, state minimum wages, and how private rates relate to them.
Private caregiver jobs near you: how to find them without an agency
Where families who hire directly actually look, how to be found, what to put in writing, and the legal basics of being a household employee.
Caregiver interview preparation: questions families ask and how to answer them
What a family interview for private caregiving work really covers, the questions to expect, the questions you should ask, and what to bring.
- CDSS, IHSS wages by county
- BLS OEWS May 2025, North Valley-Northern Mountains Region of California nonmetropolitan area
- BLS OEWS, May 2025 metropolitan and nonmetropolitan area definitions
- California EDD, Local Area Unemployment Statistics (LAUS), 12-month average August 2025 to August 2026
- UC Berkeley Labor Center, inventory of local minimum wage ordinances
- California DIR, Domestic Worker Bill of Rights FAQ
- Sierra County, Social Services
- Sierra County, In Home Supportive Services
- CDSS, Provider enrollment steps (SOC 847)
- California Attorney General, Live Scan locations by county
- Eastern Plumas Health Care, Skilled Nursing, Loyalton clinic and job board
- Western Sierra Medical Clinic, Downieville location
- Sierra County, Transit (with Golden Rays and Incorporated Senior Citizens fare schedules)
- Sierra County Public Health and community health van calendar
- Del Oro Caregiver Resource Center
- CDPH, Licensed and Certified Healthcare Facility Listing (data date September 16, 2026)
- CDSS Community Care Licensing, facility files (file date May 25, 2025)
- California Department of Finance, E-1 population estimates 2026
- U.S. Census Bureau, ACS 2020–2024 5-year profiles DP02–DP05, Sierra County
Caregiver jobs in Sierra County: frequently asked questions
What is the Sierra County IHSS phone number?
IHSS is handled by Sierra County Social Services: (530) 993-6720 at 202 Front Street in Loyalton, or (530) 289-3711 at 22 Maiden Lane in Downieville. You can apply with the county's social services application or by phone.
What do IHSS providers earn in Sierra County?
$18.50 an hour from January 1, 2026, per the CDSS wage table, the same rate as Nevada and Plumas counties. Pay follows the county where the client lives.
Where do I get fingerprinted for IHSS?
The Attorney General's Live Scan directory returns no location inside Sierra County. CDSS tells applicants to wait for the county's fingerprinting instructions, so ask Social Services which site to use before you book.
Are there CNA jobs in Sierra County?
Yes, at Eastern Plumas Health Care's Loyalton skilled nursing facility, which had per diem and full-time CNA openings posted in October 2026. Apply through jobs.ephc.org.
How do clients without a car get around?
Through the two county-contracted ride services. They mainly serve older adults and people with disabilities and take other riders when there is space; Golden Rays runs longer trips from Downieville, for example $25 to Grass Valley or $50 to Reno.
Where do Sierra County families post?
On the Sierra County family page, which feeds the list at the top of this page. Caregivers join and apply for free, and keep all of their pay.
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