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

Local figures

Live-In Caregivers in San Leandro, CA: the local picture

2,092

residents 85 or older (2.4% of all residents)

6,468

households headed by someone 65+ own their home (73%)

50%

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

$16.90

California minimum wage per hour

About 2,092 San Leandro 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. 50% of homes in San Leandro have three or more bedrooms (52% in Alameda County), while 20% have one bedroom or none, where live-in care rarely works; the median home has 4.7 rooms.

Of San Leandro households headed by someone 65 or older, 6,468 own their home and 2,416 rent; among householders 85 and older it is 1,053 owners and 280 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

San Leandro compared with Alameda County and California

Census figure	San Leandro	Alameda County	California
Residents 85 or older	2.4%	1.9%	1.9%
Residents 65+ in households who live alone	23%	23%	23%
Residents 65+ with a disability	33%	31%	33%
Residents 65+ below the poverty line (approx.)	11%	11%	12%
Residents 65 or older	19%	15%	16%
Residents 5+ who speak a language other than English at home	55%	47%	44%
Median income, households headed by someone 65+	$69,643	$80,351	—

Older residents in towns around San Leandro

Town	Distance	Residents 65+	Residents 85+
San Lorenzo, CA	2.4 mi	5,177	505
Ashland, CA	2.7 mi	2,604	303
Cherryland, CA	3.6 mi	2,186	290
Castro Valley, CA	5.5 mi	12,214	1,338
Oakland, CA	5.7 mi	64,520	7,698
Alameda, CA	5.9 mi	13,824	2,231

Emergency hospitals near San Leandro

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Kaiser Foundation Hospital - San Leandro	San Leandro, CA	1.2 mi	2 of 5	(510) 454-1000
Eden Medical Center	Castro Valley, CA	4.6 mi	4 of 5	(510) 537-1234
Alameda Hospital	Alameda, CA	7.2 mi	4 of 5	(510) 522-3700

Straight-line miles from the center of San Leandro. 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 San Leandro

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 (63% of the $5,804 monthly median income of San Leandro 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 (212% of the $5,804 monthly median income of San Leandro 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 San Leandro: common questions

Where is the nearest emergency hospital to San Leandro?

Kaiser Foundation Hospital - San Leandro in San Leandro, about 1.2 mi in a straight line from the center of San Leandro (Medicare hospital file). Its listed phone number is (510) 454-1000. In an emergency, call 911.

How much does live-in care cost in San Leandro?

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 (63% of the $5,804 monthly median income of San Leandro 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 (212% of the $5,804 monthly median income of San Leandro 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 San Leandro?

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 San Leandro 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 San Leandro

More senior care near San Leandro

Live-In Caregivers in nearby cities

Other care in San Leandro

More for San Leandro 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 San Leandro, CA