Your next question may be “So what do I do if my nanny is sick or going on vacation, and is not able to work?” We offer a backup nanny service to our clients, where we will send a fully pre-screened back-up nanny to your home in your nanny’s absence. Our backup placement fee is charged at the $25.00 rate. The family is then responsible for paying the backup nanny directly at $20.00 dollars plus an hour, depending on the number of children.