Live-In Caregivers in Alameda, CA: 24-Hour Home Care

Local figures

Live-In Caregivers in Alameda, CA: the local picture

2,231

residents 85 or older (2.9% of all residents)

5,151

households headed by someone 65+ own their home (66%)

47%

of Alameda homes have 3 or more bedrooms (52% in Alameda County)

$16.90

California minimum wage per hour

About 2,231 Alameda residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 47% of homes in Alameda have three or more bedrooms (52% in Alameda County), while 22% have one bedroom or none, where live-in care rarely works; the median home has 4.7 rooms.

Of Alameda households headed by someone 65 or older, 5,151 own their home and 2,682 rent; among householders 85 and older it is 768 owners and 419 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Alameda compared with Alameda County and California

Census figure	Alameda	Alameda County	California
Residents 85 or older	2.9%	1.9%	1.9%
Residents 65+ in households who live alone	26%	23%	23%
Residents 65+ with a disability	29%	31%	33%
Residents 65+ below the poverty line (approx.)	10%	11%	12%
Residents 65 or older	18%	15%	16%
Residents 5+ who speak a language other than English at home	34%	47%	44%
Median income, households headed by someone 65+	$83,244	$80,351	—

Older residents in towns around Alameda

Town	Distance	Residents 65+	Residents 85+
Oakland, CA	2.7 mi	64,520	7,698
Piedmont, CA	5.8 mi	2,347	303
San Leandro, CA	5.9 mi	16,601	2,092
Emeryville, CA	7.1 mi	1,440	231
Brisbane, CA	8.1 mi	798	80
San Lorenzo, CA	8.2 mi	5,177	505

Emergency hospitals near Alameda

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Alameda Hospital	Alameda, CA	2.0 mi	4 of 5	(510) 522-3700
Highland Hospital	Oakland, CA	4.9 mi	1 of 5	(510) 437-4800
Kaiser Foundation Hospital - San Leandro	San Leandro, CA	5.7 mi	2 of 5	(510) 454-1000

Straight-line miles from the center of Alameda. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Alameda

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.90 an hour (the California minimum; the May 2025 median aide wage, $16.50, is below it), a live-in caregiver paid for 50 hours a week costs about $3,662 a month (53% of the $6,937 monthly median income of Alameda households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,303 a month (177% of the $6,937 monthly median income of Alameda households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

Before you hire

What to know before hiring a live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Live-In Caregivers in Alameda: common questions

Where is the nearest emergency hospital to Alameda?

Alameda Hospital in Alameda, about 2.0 mi in a straight line from the center of Alameda (Medicare hospital file). Its listed phone number is (510) 522-3700. In an emergency, call 911.

How much does live-in care cost in Alameda?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $16.90 an hour (the California minimum; the May 2025 median aide wage, $16.50, is below it), a live-in caregiver paid for 50 hours a week costs about $3,662 a month (53% of the $6,937 monthly median income of Alameda households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,303 a month (177% of the $6,937 monthly median income of Alameda households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Alameda?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Alameda it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Alameda

More senior care near Alameda

Live-In Caregivers in nearby cities

Other care in Alameda

More for Alameda families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

Live-In Caregivers in Alameda, CA