Start a Caregiver and Nanny Placement Agency

A caregiver and nanny placement agency screens and places caregivers and nannies with families and senior living facilities, earning placement fees of one to several thousand dollars each. It feels saturated, but demand for vetted caregivers keeps outrunning supply, especially at the high end. You check your state's rules, set up as a placement (not employment) agency, build a real screening stack (background checks, reference calls, certification verification), recruit a vetted bench before advertising, and price with a replacement guarantee. Startup runs $500 to $3,000, margins run 50 to 70 percent, and in a trust business your vetting and a handful of named happy families are the product.

Families and facilities desperately need caregivers they can trust with their children or parents, and thorough vetting is exactly what they are too busy or unequipped to do themselves, so they pay a placement fee for a screened match. The reframe most people miss: your vetting is the entire product, not your access to candidates, because anyone can find warm bodies but a rigorously screened caregiver with references and a background check is what a worried family pays thousands for. Demand outruns supply, especially at the high end, referral sources (discharge planners, care managers, therapists) meet families in urgent need weekly, and a replacement guarantee makes families comfortable paying the fee.

The market feels saturated with care apps and agencies, so people assume there is no room. The overlooked reality is that demand for genuinely vetted caregivers keeps outrunning supply, especially at the high end where families will pay a premium for rigorous screening. Because most entrants compete on volume rather than trust and vetting, the agency that makes screening its product and builds referral relationships stands apart in a business that runs entirely on trust.