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The location does it impact the hourly cost of a licensed nanny?
Yes, certainly! It is even the main criterion that will determine the price of your childcare provider. But we can not really speak of regional effect, since it would mean that within a region, the hourly costs are about the same; which is not true!
Home childcare providers in rural areas.
A large number of childcare providers work in rural areas. There are therefore more people offering services than there is demand and wages are mostly lower.
Contracts are rare too. In these regions, this profession is considered precarious work. You may also need to drive further to the home of your childcare provider or if she is responsible for picking them up, she will need a driving license and a personal vehicle.
In the city it's more expensive...
Although there are many facilities for childcare, the childcare places are still insufficient relative to need in big cities. Hourly rates for licensed nannies are much higher.
Even prices from one big city to another can be dramatically different. Ask other parents you know how much they pay for their home childcare provider so that you have an idea of the going rate in your city.