Compare 26 live-in nannies in O Fallon offering full-time, in-home child care and flexible support for busy families. Compare rates and reviews to find the best fit.

Live-in nannies in O Fallon, MO:
Care Member says "Highly recommended! Leeza was on time. She has a Very calm and inviting personality. My 2 year old instantaneously gave her a big hug when she walked...
Care Member says "Christina has a gift at helping a person in the way they need to be helped. My son has some neuro-diverse behaviors and she would come in regularly and...
Meghana S. says "Theresa was the first nanny we had for our then 5 week old baby. And boy, did we get lucky having her as our nanny. Theresa was on top of feeds, naps and...
Brooke H. says "She is able to jump in and get to know your kids quickly and easily!"
Carey K. says "Mary Catherine has taken care of our children for almost 3.5 years. She has cared for our daughter since she was one, as well as our son from the time he...
Care Member says "Aronica is great with kids!! They get so excited to see her! She is very patient, caring, friendly and responsible! She definitely one your kids will...
Showing 1 - 20 of 26
26 live-in nannies are listed on Care.com
The average post rate is $17.50/hr as of April 2026
The average star rating for rated live-in nannies is 5.0
Live-in Nannies in O Fallon, MO are rated 5.0 out of 5 stars based on 4 reviews of the 26 listed live-in nannies
- Care member
- Care member
- Meghana S.
The cost of a live-in nanny in O Fallon, MO typically includes both wages and housing-related benefits. As of April 2026, the average hourly rate is $17.50, but many families structure compensation as a weekly salary. In addition to pay, families usually provide room and board, which may include a private bedroom, meals, and utilities. Total compensation can vary based on experience, number of children, schedule expectations, and any additional household responsibilities. You can explore more details on live-in nanny costs.
A live-in nanny in O Fallon, MO provides full-time child care while living in the family’s home. Responsibilities often include preparing meals, managing daily routines, assisting with school schedules, organizing activities, and helping with light household tasks related to the children. Because they live in the home, live-in nannies can also offer more flexible coverage for early mornings, evenings, or travel needs.
Live-in nannies in O Fallon, MO often work structured full-time schedules, typically ranging from 40 to 50 hours per week. Some roles require additional flexibility for evenings or weekends, which should be clearly outlined in advance. Even though the nanny lives in the home, it’s important to establish clear working hours, boundaries, and expectations around overtime to ensure a healthy arrangement for both the family and the nanny.
A live-in nanny can be a great fit for families in O Fallon, MO who need consistent, flexible child care. This arrangement is especially helpful for parents with demanding or irregular schedules, frequent travel, or multiple children. It also allows for more continuity in care and can simplify daily routines. Deciding whether it’s the right option depends on your family’s lifestyle, space at home, and level of support needed. You can learn more about whether you need a live-in nanny.
When hiring a live-in nanny in O Fallon, MO, it’s important to evaluate both professional experience and personal compatibility. Look for candidates with relevant childcare experience, strong references, and a communication style that aligns with your family. You should also discuss expectations around schedule, privacy, household boundaries, and responsibilities to ensure a smooth and respectful living arrangement. Resources like tips for hiring a live-in nanny and how to hire a live-in nanny can help guide your search.
Compensation for live-in nannies in O Fallon, MO generally includes a combination of wages and non-cash benefits. In addition to their pay, most nannies receive housing, meals, and utilities as part of the arrangement. Some families also offer paid time off, health stipends, or transportation support. The overall package can vary depending on experience, job scope, and the level of flexibility required.