Live-In Caregivers in Los Altos Hills, CA: 24-Hour Home Care

Local figures

Live-In Caregivers in Los Altos Hills, CA: the local picture

396

residents 85 or older (4.7% of all residents)

1,489

households headed by someone 65+ own their home (100%)

96%

of Los Altos Hills homes have 3 or more bedrooms (57% in Santa Clara County)

$16.90

California minimum wage per hour

About 396 Los Altos Hills 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. 96% of homes in Los Altos Hills have three or more bedrooms (57% in Santa Clara County); the median home has 10 rooms.

Of Los Altos Hills households headed by someone 65 or older, 1,489 own their home and 0 rent; among householders 85 and older it is 179 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Los Altos Hills compared with Santa Clara County and California

Census figure	Los Altos Hills	Santa Clara County	California
Residents 85 or older	4.7%	2.0%	1.9%
Residents 65+ in households who live alone	9.0%	19%	23%
Residents 65+ with a disability	23%	31%	33%
Residents 65+ below the poverty line (approx.)	3.7%	9.4%	12%
Residents 65 or older	31%	15%	16%
Residents 5+ who speak a language other than English at home	39%	55%	44%
Median income, households headed by someone 65+	$246,705	$92,440	—

Older residents in towns around Los Altos Hills

Town	Distance	Residents 65+	Residents 85+
Palo Alto, CA	2.1 mi	13,369	3,034
Los Altos, CA	2.3 mi	6,377	839
Loyola, CA	2.5 mi	806	89
Mountain View, CA	4.0 mi	10,012	1,499
Stanford, CA	4.5 mi	692	105
Portola Valley, CA	5.2 mi	1,889	508

Emergency hospitals near Los Altos Hills

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
El Camino Health	Mountain View, CA	3.1 mi	4 of 5	(650) 940-7000
Stanford Health Care	Stanford, CA	4.1 mi	5 of 5	(650) 723-4000
Palo Alto Va Medical Center	Palo Alto, CA	5.2 mi	5 of 5	(650) 858-3939

Straight-line miles from the center of Los Altos Hills. 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 Los Altos Hills

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 (18% of the $20,559 monthly median income of Los Altos Hills 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 (60% of the $20,559 monthly median income of Los Altos Hills 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 Los Altos Hills: common questions

Where is the nearest emergency hospital to Los Altos Hills?

El Camino Health in Mountain View, about 3.1 mi in a straight line from the center of Los Altos Hills (Medicare hospital file). Its listed phone number is (650) 940-7000. In an emergency, call 911.

How much does live-in care cost in Los Altos Hills?

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 (18% of the $20,559 monthly median income of Los Altos Hills 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 (60% of the $20,559 monthly median income of Los Altos Hills 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 Los Altos Hills?

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 Los Altos Hills 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 Los Altos Hills

More senior care near Los Altos Hills

Live-In Caregivers in nearby cities

Other care in Los Altos Hills

More for Los Altos Hills 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 Los Altos Hills, CA