Nanny Sick Leave Laws: State Requirements for Household Employers | Beverly

Nanny Sick Leave Laws: State Requirements for Household Employers

Updated February 22, 2026 · 8 min read

There is no federal law requiring paid sick leave for household employees. However, a growing number of states and cities have passed their own paid sick leave mandates — and many of them explicitly include domestic workers. If you employ a nanny in one of these jurisdictions, providing paid sick leave is not optional. It is the law.

This guide breaks down which states require paid sick leave for nannies, how accrual works, and what you need to include in your employment contract.

Key Takeaway

Over 15 states mandate paid sick leave for domestic workers, with annual entitlements ranging from 24 to 48 hours. Even where not required, providing 5 to 7 paid sick days is the industry standard. Accrual typically starts on day one, and you cannot retaliate against a nanny for using accrued sick leave.

State Paid Sick Leave Requirements

State Annual Entitlement Accrual Rate Applies to Household Employers?
California40 hours (5 days)1 hour per 30 hours workedYes
New York40 hours (5 days)1 hour per 30 hours workedYes (employers with 5+ employees get paid; fewer get unpaid)
Washington40 hours1 hour per 40 hours workedYes
Massachusetts40 hours1 hour per 30 hours workedYes
Connecticut40 hours1 hour per 40 hours workedYes (employers with 50+ employees; check local laws)
Illinois40 hours1 hour per 40 hours workedYes
Colorado48 hours1 hour per 30 hours workedYes
Washington, D.C.24-56 hours (based on employer size)1 hour per 37/43/87 hours workedYes
New Jersey40 hours1 hour per 30 hours workedYes
Oregon40 hours1 hour per 30 hours workedYes

Important: Many cities (San Francisco, New York City, Seattle, Chicago, Philadelphia, and others) have their own sick leave ordinances that may provide greater protections than the state law. Always check both state and local requirements.

How Sick Leave Accrual Works

Most state laws allow two approaches to providing sick leave:

Accrual begins on the nanny's first day of work, though some states allow a waiting period (typically 90 days) before the nanny can use accrued leave. Track sick leave balances and include them on pay stubs where required by state law.

What Sick Leave Can Be Used For

State sick leave laws typically allow employees to use accrued leave for:

Best Practices for Household Employers

  1. Document it. Include your sick leave policy in the nanny contract with accrual rates, caps, and usage rules.
  2. Track it. Maintain a log of accrued, used, and remaining sick leave. Include the balance on pay stubs.
  3. Do not retaliate. You cannot fire, demote, or reduce hours because your nanny uses protected sick leave. Anti-retaliation provisions carry significant penalties.
  4. Exceed minimums. Offering more than the legal minimum shows you value your nanny's well-being and helps attract better candidates. Most families in the Beverly network offer 5 to 7 sick days regardless of state requirements.

For the complete picture on employer obligations, see our nanny tax guide.

FAQ

Do I have to give my nanny paid sick leave?
It depends on your state and city. Over 15 states and numerous cities mandate paid sick leave that applies to household employees. Even where not required, providing paid sick days is industry standard.
How many sick days does a nanny get?
State mandates range from 24 to 40+ hours of paid sick leave per year (roughly 3 to 5 days). The nanny industry standard is 5 to 7 paid sick days per year.
Can I require a doctor's note for nanny sick days?
In most states, you can require a doctor's note only for absences of three or more consecutive days. Some states prohibit requiring documentation for shorter absences. Check your state and local laws.

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