✦ Sick child care · Switzerland · day one to day four and beyond

Sick child care in Switzerland — including day four, which nobody else answers

Swiss law gives you up to three days off to care for a sick child against a medical certificate. Every page on this subject stops there. What almost none of them tell you is that SECO states the wage-continuation duty runs only until an adequate replacement solution is found, that a Kita will exclude a feverish child and still charge you for the month, that the Red Cross in Zurich cares for sick children only in exceptional cases, and that the best-known corporate alternative works out at CHF 572 for an eight-hour day. This page covers all of it, and then covers day four.

★★★★★4.9in Switzerland · from 536 client reviews since 2019Switzerland
Sick child care in Switzerland — a nanny caring for an unwell child at home while the parents work
Cover from day four onwards
Rundil, Qualified carer
CHF 45.40/hour incl. VAT
Per child · minimum 2-hour session · published rate, no referral fee
The alternative most parents find
profawo: CHF 49 an hour plus a CHF 180 referral fee — CHF 572 for an eight-hour day
The line that changes everything
SECO: your employer must keep paying only until an adequate replacement solution is found
What this page does differently: The full legal position, quoted, with the pay rules separated from the time-off rulesWhat the Red Cross actually covers, canton by canton — Zurich and Bern give opposite answersA published hourly rate for the day your leave runs out and your child is still unwell

Who looks after a sick child in Switzerland? The short answer

Written to be read at half past six in the morning, with the answer in the first line of each paragraph.

In short

For the first three days, you do — and the law protects you. Art. 36 Abs. 3 of the Arbeitsgesetz obliges your employer to release you for the time needed to care for a sick child, up to three days, against a medical certificate. It applies to employees with children up to the age of 15. Ask for the certificate at the first consultation, because your employer is entitled to see one before granting the time.

After that, the law expects you to have arranged somebody else. SECO states that the wage-continuation duty exists only until an adequate replacement solution is found. Read that carefully: it limits how long your employer must keep paying you, not how long you may stay home. The Swiss system is built on the assumption that a working parent procures replacement care, and it does not tell you where to get it.

The obvious places often say no. A Kita will exclude a child at 38.5 °C measured axillary, in the ear or at the forehead, will usually ask for 48 hours symptom-free before return, and will still bill the full monthly tariff for the days your child was at home. The Red Cross covers sick children in Bern and Aargau but states plainly in Zurich that sick children are cared for only in exceptional cases.

That is the gap this page exists to close. Rundil sends a vetted, insured, Rundil-employed carer to your home at a published rate: CHF 42 an hour for a Qualified carer excluding 8.1% VAT, per child, minimum two-hour session. No referral fee, no membership, no employer paperwork. Book through the form or send a WhatsApp message; if the crisis is today, say so and we will tell you what is available today.

What Art. 36 Abs. 3 ArG actually gives you — and what it does not

The three-day rule is quoted everywhere and understood almost nowhere. The German wording settles it.

The provision reads: "Der Arbeitgeber hat Arbeitnehmern mit Familienpflichten gegen Vorlage eines ärztlichen Zeugnisses die zur Betreuung kranker Kinder erforderliche Zeit im Umfang bis zu drei Tagen freizugeben." The operative verb is freizugeben — to release, to grant time off. The article says nothing whatsoever about money. That single omission is the source of nearly every misunderstanding a Swiss parent has about this rule.

Three things follow, and they matter on the morning you need them. First, the entitlement is triggered by a medical certificate, not by your word. Second, it is capped at three days per illness event — not three days a year, and not three days per child. Third, Abs. 1 of the same article defines Familienpflichten as the care of children up to the age of 15, alongside care duties towards relatives in need of assistance. A parent of a 16-year-old is outside the provision entirely.

Time off Art. 36 Abs. 3 ArG

Your employer must release you for the time required to care for a sick child, up to three days, once you present a medical certificate. This is a public-law obligation on the employer and it cannot be contracted away in your favour or against it.

It covers the time required. If your child recovers by lunchtime on day two, the entitlement stops there. If the illness runs longer, the article stops at three days regardless of how unwell the child still is.

It says nothing about pay. A page that tells you Switzerland gives you "three paid days" is merging two separate legal instruments and will mislead you the moment your employer disagrees.

Pay Art. 324a OR

Wage continuation flows from the Code of Obligations, not from the Arbeitsgesetz. Caring for your own sick child is treated as fulfilling a legal duty under Art. 276 ZGB, which is what brings Art. 324a into play at all.

That means the two questions have different answers, different sources and different limits. You can be entitled to the time and still be arguing about the salary, which is exactly what happens in practice.

It also means the pay side carries its own ceiling — and, as the next section shows, a condition that most parents have never been told about.

The precise formulation to use with an HR department: Art. 36 Abs. 3 ArG gives me the time; Art. 324a OR governs whether it is paid. Presenting them as one rule is the fastest way to lose an argument you should win.

The sentence from SECO that changes what you should do next

This is the most consequential line in Swiss sick-child law and it appears on almost no page written for parents.

SECO, the federal State Secretariat for Economic Affairs, publishes an FAQ on employees prevented from working. On caring for a sick child it states: "Die Lohnfortzahlungspflicht besteht jedoch nur solange, bis eine adäquate Ersatzlösung gefunden wird oder – im Falle gesundheitlich beeinträchtigter Kinder – die Betreuung durch die Eltern aus medizinischen Gründen nicht mehr als notwendig erachtet wird."

Translated with the emphasis where the German puts it: the wage-continuation duty exists only for as long as it takes to find an adequate replacement solution — or, for a health-impaired child, until parental care is no longer medically considered necessary. The qualifier attaches to the Lohnfortzahlungspflicht, the employer's duty to keep paying. It does not attach to your right to be absent. Nobody is telling you to leave a sick child alone once a nanny becomes theoretically available.

Say it the right way round. The correct reading is "your employer only has to keep paying you until an adequate replacement solution is found". The wrong reading — "you only get time off until…" — is what circulates in expat forums and it frightens parents into decisions they need not make. Time off and pay are governed separately, and only the pay carries this limiter.

Now look at what the clause implies about the design of the whole system. Swiss federal guidance does not treat replacement care as an optional extra for organised families. It treats it as the expected outcome — the thing a working parent is assumed to be arranging while the first days of wage continuation run. The law builds a bridge and openly states that the bridge is short. What it never does is tell you what stands on the other side.

No plan
You improvise on the morning
The clause is quoted at you instead of used by you.
  • Your employer can point to the SECO wording once alternatives exist
  • Grandparents, neighbours and favours are not a solution you can schedule twice a winter
  • Unpaid leave, holiday days or a lost deadline become the default outcome
  • The Kita keeps invoicing while your child is at home and unable to attend
  • By day four there is no statutory instrument left to invoke at all
Rundil
You have a replacement solution
The clause stops being a threat and becomes a plan.
  • A vetted, insured carer at your address, booked in hours rather than months
  • A published rate — CHF 42 an hour excluding VAT for a Qualified carer, per child
  • Rundil is the legal employer, so there is no payroll, no AHV and no contract for you to sign
  • Minimum two-hour session, so a half-day handover is a real booking
  • The same service is there in week two, which is where every statutory route has already ended

The pay rule, and the quota nobody tells you is shared

Art. 324a OR is where the salary comes from — and it takes your child's sick days out of the same annual pot as your own.

Because caring for your own sick child counts as discharging a legal duty under Art. 276 ZGB, Art. 324a OR applies and your employer owes wage continuation for a limited period. How limited depends on your years of service and on which cantonal scale your employment falls under: the Berner, Basler or Zürcher Skala. In the first year of service all three converge on roughly three weeks. From the second year they diverge sharply.

Art. 324a OR wage-continuation scales by year of service. The allowance is a single annual quota covering every cause of absence.
Year of serviceBerner SkalaZürcher SkalaBasler Skala
Year 1~3 weeks~3 weeks~3 weeks
Year 24 weeks8 weeks9 weeks
What the allowance coversAll causes combinedAll causes combinedAll causes combined
Separate pot for a sick child?NoNoNo
Swipe to view all columns →

The row that matters is the last one. Days spent caring for a sick child come out of the same annual allowance as the employee's own illness. There is no separate children's pot sitting alongside your personal one. A parent who spent a fortnight flat with influenza in January has already consumed part of the budget that would otherwise have covered a child's ear infection in March. Nothing on the payslip flags this, and most employees discover it only when the wage continuation stops.

Read together with the SECO clause, the picture is coherent and uncomfortable. Your employer owes you a finite, shared allowance, and even inside that allowance the duty to pay lapses once adequate replacement care exists. Neither rule is unreasonable. Both assume something the statutes never supply: a carer you can actually engage, at a price you can see in advance, on the day you need them.

Practical consequence: treat the statutory days as a bridge, not a budget. If you use them as a budget you will exhaust them by February and have nothing left for your own illness. If you use them as a bridge — day one to arrange, day two to hand over — the quota lasts the winter.

Care leave and the 14-week Betreuungsurlaub — two articles that get confused

Art. 329h and Art. 329i OR are routinely merged into one entitlement. They are not the same thing and only one of them is about serious illness.

A large amount of advice in circulation blends these two provisions, usually producing a claim that Swiss parents get fourteen weeks off for a sick child. That is wrong, and believing it will cost you. The two articles cover different situations, run on different timescales and are paid by different bodies.

Art. 329h OR — Betreuungsurlaub, short form up to 3 days per event, 10 days per year

This is paid leave to care for a family member or partner with a health impairment. The cap is explicit: höchstens drei Tage pro Ereignis und zehn Tage pro Jahr.

It is the article that sits closest to the everyday reality of a child who is ill several times over a winter, and the annual ceiling of ten days is the number worth remembering.

Ten days is not a working month. Two children with staggered infections can consume it before the spring, at which point you are back to the same question this page is built around.

Art. 329i OR — Betreuungsurlaub, long form 14 weeks, serious impairment only

This is the fourteen-week leave for a child who is gesundheitlich schwer beeinträchtigt by illness or accident. It must be taken within an 18-month Rahmenfrist that starts on the first day the leave is drawn.

It is compensated through the EO as a Betreuungsentschädigung at 80% of average income, capped at CHF 220 a day. The child must be under 18 when the impairment begins.

The threshold is high by design: a significant and unpredictable change in the child's state of health, and a markedly increased need for parental care. It has nothing to do with a routine fever, a stomach bug or a winter ear infection, and anyone telling you otherwise is misreading the statute.

If your family is facing a serious diagnosis, Art. 329i and the EO Betreuungsentschädigung are a substantial and genuinely valuable protection, and the BSV page linked below is the right place to start. For everything short of that — the ordinary, repeated, thoroughly disruptive illnesses of early childhood — the fourteen weeks are simply not available, and the honest answer is the three-day rule plus whatever you arrange yourself.

For anything clinical — whether your child needs to be seen, when they are well enough to return to a group setting, what a symptom means — speak to your paediatrician or call the cantonal medical helpline. This page is about the employment law, the childcare market and the money. It is not medical guidance and we will not pretend otherwise.

Day four: the question no ranking page answers

Search this topic and you will find a dozen pages that end on day three. Here is what the fourth morning actually looks like.

Children do not read the statute. A middle-ear infection runs five to seven days. A stomach bug plus the 48-hour symptom-free rule that most Kitas apply on return can keep a child out for four or five days without anything unusual having happened. The three-day entitlement is therefore not a description of childhood illness. It is a description of how long an employer must wait before the problem becomes entirely yours.

Day 1

The certificate and the scramble

You call the practice, get the ärztliches Zeugnis and notify your employer. Art. 36 Abs. 3 ArG covers you. One parent stays home and the day is written off.

Day 2

The quiet clock starts

Wage continuation is running against your shared Art. 324a allowance. Your employer may reasonably ask what your replacement plan is, because SECO tells them the duty to pay ends when one exists.

Day 3

The entitlement expires

The statutory release ends today. The child is frequently not better today. Holiday days, unpaid leave or a partner's goodwill are what remain.

Day 4

The gap

No statutory instrument applies. The Kita still cannot admit the child and is still invoicing. This is the morning Rundil was built for, and it is the one the entire ranking set is silent about.

We checked what the competing pages say about the fourth morning. ch.ch, which will almost certainly win the featured snippet for this query, states the three days, advises you to look for an alternative solution as quickly as possible, and names the Red Cross — without mentioning that the Red Cross in Zurich excludes sick children, without a price, without a lead time and without any answer for day four. The Local covers three days, ten days and fourteen weeks and omits the SECO replacement clause entirely. Espacedroit is paywalled after the introduction. Moneyland, IamExpat and the employment-law sites cover entitlement only.

Not one page ranking for this question tells a parent what to do on day four. That is not a criticism of the legal writers, who are describing the law accurately. It is a description of the gap: the statutory answer runs out days before the illness does, and the market is where the rest of the week has to come from.

If the fourth morning is already here and you are reading this at 06:40, the fastest route is the WhatsApp number at the top of this page. Tell us the postcode, the age of the child and the hours you need covered. If today is not possible we will say so immediately rather than leave you waiting on a callback. For a same-day requirement, our emergency nanny cover in Switzerland is the right entry point.

Your Kita will exclude a feverish child — and still charge you for the month

Both halves of that sentence are published policy. Together they are the reason a paid-for childcare place is worth nothing on a sick day.

kibesuisse, the national association of Swiss childcare institutions, publishes the guidance that most Kitas base their exclusion policies on. The thresholds are specific: exclusion at 38.0 °C measured rectally in infants, or 38.5 °C measured axillary, in the ear or at the forehead. Return is typically permitted after 48 hours symptom-free. The association is explicit about why: Kita staff are "ausgebildet, nicht-kranke Kinder zu betreuen" — trained to care for children who are not ill.

That policy is correct and we would defend it. One febrile toddler in a room of twelve is an infection-control problem, the staffing ratio does not allow for a child who needs one-to-one attention, and a group room is a poor place to recover. The issue is not the exclusion. The issue is what happens to the invoice.

Exclusion thresholds from kibesuisse national guidance, 2023 edition; billing position from published Swiss Kita terms and conditions.
What the Kita doesPublished positionEffect on a working parent
Temperature threshold, infants38.0 °C rectalChild cannot be admitted
Temperature threshold, other measurement38.5 °C axillary, ear or foreheadChild cannot be admitted
Return to care~48 h symptom-freeA two-day bug becomes a four-day absence
Staff remitTrained to care for children who are not illNo in-house alternative exists
The monthly tariffPayable in full during absenceYou pay for a place you cannot use
Swipe to view all columns →

On the billing, the sector does not hide it. A published set of Swiss Kita terms states it flatly: "Der pauschale Monatstarif ist auch bei Abwesenheit des Kindes (Krankheit, Unfall, Ferien) zu bezahlen (Rückerstattungen und Reduktionen sind ausgeschlossen)." The flat monthly tariff is payable even when the child is absent through illness, accident or holiday, and refunds and reductions are excluded.

Excluded and charged. A five-day private Zurich Kita place runs to roughly CHF 3,950 a month, about CHF 182 a care day, and none of it comes back on a day your child is not admitted. On a sick day you are paying the Kita and paying again in lost working hours — which is the honest way to look at what replacement care actually costs you net. Our nanny versus Kita comparison sets out the full arithmetic.

One practical step, worth taking before you ever need it. Ask your provider for the exclusion policy and the return-to-care rule in writing, together with the Betriebsferien calendar. Knowing the exact temperature threshold and whether your Kita applies 24 or 48 hours symptom-free turns a chaotic morning into a decision you have already made. Providers publish these documents readily; the example linked below is a typical one.

✦ Instant estimate

Price the days you actually need covered

Put in the hours, the number of children and the tier. You get the real figure, per child, including 8.1% VAT, before anyone calls you back.

Nanny tier
Hours per week
Good to know

The monthly figure uses 4.33 weeks, the same convention Swiss payroll uses to turn an hourly contract into a salary. Rates are charged per child with a two-hour minimum session, and 8.1% VAT is already inside the numbers on the right. Flex is the on-demand rate for anything booked under 48 hours ahead.

Estimated cost per week
CHF610
12 hrs/week · Experienced nanny
≈ CHF 2,640 per month · incl. 8.1% VAT
A guide rather than a quote — every family's week is different. What it will never do is grow later: there is no placement fee, no registration fee and no admin fee on the Childcare Plan.
  • Per child · minimum 2-hour session · VAT included above
  • Free cancellation up to 48 hours before
  • Zero AHV, BVG and UVG — Rundil is the employer

Qualified

Vetted, checked and English-speaking — the everyday tier.

CHF 42/h
CHF 45.40 incl. 8.1% VAT
  • Criminal-record extract and CPR verified before assignment
  • Level with the all-in cost of employing a nanny yourself
  • CHF 908 a week at 20 hours, incl. VAT
Book Qualified
★ Most popular

Experienced

Several years in the job with references we have called.

CHF 47/h
CHF 50.81 incl. 8.1% VAT
  • Everything in Qualified, plus verified references
  • Compares with a CHF 34/hr gross private hire, all-in
  • CHF 610 a week at 12 hours, incl. VAT
Book Experienced

Expert

Degree in education or childcare, primary-curriculum aware.

CHF 54/h
CHF 58.37 incl. 8.1% VAT
  • Everything in Experienced, plus a teaching background
  • The band a specialist private hire reaches at CHF 38–40 gross
  • CHF 700 a week at 12 hours, incl. VAT
Book Expert

Flex

On-demand: under 48 hours' notice, evenings, weekends, holidays.

CHF 55/h
CHF 59.46 incl. 8.1% VAT
  • Qualified-standard nanny, available at short notice
  • No premium for a sick child or an emergency day
  • CHF 119 for a two-hour minimum session, incl. VAT
How Flex works
Honest comparison

Two ways to get a carer into your home on a sick day

You can find and employ somebody yourself, or you can book a carer we already employ. On a day-four morning the difference is measured in hours.

You are the employer
Employing a nanny directly
CHF 44.87 an hour of care actually delivered, on the worked Zurich base case above. No VAT — but everything below is yours.
  • Registration with the cantonal Ausgleichskasse, monthly payroll, a Lohnausweis and a compliant contract — largely in German
  • CHF 8,817 a year of AHV, ALV, FAK, UVG, BVG and KTG on the base case, paid by you
  • A one-off placement fee of CHF 6,000 to 12,000 if you use an agency, plus registration and VAT
  • Continued salary during illness on the cantonal scale — eight weeks in year two on the Zurich scale, roughly CHF 10,900, uninsured unless you bought KTG
  • Four weeks of paid holiday during which you have no childcare and are paying for it anyway
  • Statutory notice periods to unwind the arrangement: one month in year one, two months from year two
  • Exposure of up to CHF 40,000 in fines for undeclared employment or for using an unlicensed agency
Genuinely cheaper on raw hourly price in one situation, which we set out below: two or more children, many hours a week, and a household willing to be an employer.
Rundil is the employer
The same care, bought as a service
CHF 45.40 an hour incl. 8.1% VAT on the Qualified tier — 53 rappen an hour more than the direct-hire base case, per child.
  • No registration, no payroll, no Lohnausweis, no German-language contract — one monthly invoice
  • Zero AHV, BVG and UVG for your family: the contributions are inside our rate, not on top of it
  • No placement fee and no registration fee — the first invoice is for hours of childcare
  • Sick pay is our liability, and guaranteed replacement cover means you still have care that day
  • You pay for hours delivered, so holiday weeks are simply not billed
  • No notice period and no minimum contract — change, pause or stop, free of charge 48 hours ahead
  • Compliance risk sits with a licensed Swiss company rather than with a household
Read the two columns as a swap, not a saving. For one child you pay approximately the same money either way. What you are buying with it is the removal of the employer role: no registration, no contributions, no placement fee, no sick-pay scale, no holiday cover gap and no notice period. If that is worth nothing to your household, employ directly — the arithmetic on this page is the same arithmetic you would use to do it well. If it is worth something, the price of removing it is about 50 rappen an hour.
Where the CHF 8,817 goes

Every contribution on this page. None of them yours.

The employer column of the table above is a real bill someone pays. When you book Rundil, the person paying it is Rundil. We are a managed childcare service, not a placement or nanny agency: we employ the nanny, so the AHV number, the BVG number, the accident cover, the sick pay and the notice period are ours. Your household never registers as an employer and never files anything.

CHF 0
of AHV, BVG, UVG, FAK or payroll — on any tier, at any number of hours
The contributions are inside the rate
Not added at the bottom of the invoice, not billed quarterly, not recalculated when she has a birthday and the BVG credit steps up.
Nothing before the first hour
No placement fee of CHF 6,000–12,000, no registration fee of CHF 160–890, no setup cost. The first invoice is for childcare.
You pay for hours delivered
Holiday weeks are not billed and a cancelled session 48 hours ahead costs nothing — so the paid-to-worked gap does not exist here.

"Ask the Red Cross" is the standard advice. In Zurich it fails.

The Swiss Red Cross runs home childcare canton by canton, and the cantons give opposite answers on sick children. This is the single most useful fact on this page.

Federal and cantonal information pages routinely point parents at the Swiss Red Cross for care of a sick child at home. It is good advice in several cantons and useless in the largest one. SRK home childcare is organised by cantonal association, and each association writes its own admission policy, its own income-scaled tariff and its own lead time. The differences are not cosmetic.

SRK cantonal home childcare positions as published by each association, 2026. SRK tariffs are income-scaled; Rundil rates are flat and per child.
Cantonal SRK associationSick children?Hourly tariffLead time and minimum
ZurichOnly in exceptional casesCHF 6 / 12 / 18 / 30Within 24 h in emergencies · min 3 h · to age 12
BernYes — explicitly coveredCHF 7.50 – 4048 h notice, or 24 h if requested before 11:30 · min 3 h
AargauYes — illness or accident of the childIncome-scaledHome childcare, cantonal terms apply
Rundil, Switzerland-wideYes — it is the core serviceCHF 45.40 incl. VATShort notice · min 2 h · published rate
Swipe to view all columns →

Zurich states it directly: "Kranke Kinder werden nur in Ausnahmefällen betreut." Sick children are cared for only in exceptional cases. The service is otherwise excellent value — CHF 6, 12, 18 or 30 an hour depending on household income, a three-hour minimum, children up to twelve, and a response within 24 hours in an emergency — but the emergency it is designed for is a parent who is ill or hospitalised, not a child who is.

Bern says the opposite, in as many words: "Ja, unsere Kinderbetreuerinnen und Kinderbetreuer sind auch gerne für Sie da, wenn Ihr Kind krank ist." Yes, our carers are also there for you when your child is ill. The tariff runs from CHF 7.50 to CHF 40 an hour by income, the minimum is three hours, and the lead time is 48 hours — reduced to 24 if you request before 11:30. Aargau likewise names illness or accident of the child among the situations it covers.

So the stock answer breaks precisely where most of the demand is. If you live in Bern or Aargau, call the Red Cross first — the income-scaled tariff is far below anything a commercial provider can offer, and we will say so. If you live in Zurich or Zug, the Red Cross is not your sick-child answer, and the 48-hour lead time in Bern means it is rarely the answer for a fever that appeared this morning either.

Two further limits apply across the associations and are worth knowing before you make the call. Capacity is finite and winter is the peak: the same weeks in which every family needs cover are the weeks in which volunteers and staff are themselves ill. And the income scaling that makes the service so affordable also means a high-earning household in Zurich or Zug pays the top rate for a service that, in Zurich, will not take a sick child anyway. We operate across both cantons — nannies in Zurich and nannies in Zug.

What the corporate alternative costs: CHF 572 for one day

profawo is the best-known emergency and sick-child provider in Switzerland. Its published economics are the benchmark this page is priced against.

ETH Zurich publishes the terms it has negotiated with profawo for its staff, which makes them the clearest public figures available in this corner of the market. The rate is CHF 49 an hour, plus a CHF 180 referral fee per placement. For a single eight-hour day that is CHF 572, or CHF 71.50 per hour once the referral fee is spread across the day. ETH reimburses 50–100% of day one and 50–80% of day two.

One eight-hour sick day, compared
profawo: 8 × CHF 49 = CHF 392, plus CHF 180 referral fee
CHF 572 for the day — CHF 71.50 an effective hour

A Rundil Qualified carer for the same eight hours is CHF 42 excluding VAT, which is CHF 45.40 including 8.1% VAT, giving CHF 363.22 for the day with no referral fee of any kind. The gap on a single day is roughly CHF 209. Across four sick days in a winter it is more than CHF 800, and the referral fee recurs with each new placement rather than being paid once.

profawo figures as published by ETH Zurich for its staff; Rundil rates are per child, minimum two-hour session, VAT at 8.1% included.
One eight-hour day of sick-child careHourlyFeesDay total
profawo, via an employer agreementCHF 49.00CHF 180 per placementCHF 572.00
Rundil Qualified, incl. 8.1% VATCHF 45.40NoneCHF 363.22
Rundil Experienced, incl. 8.1% VATCHF 50.81NoneCHF 406.45
Rundil Expert, incl. 8.1% VATCHF 58.37NoneCHF 466.99
Rundil Flex, incl. 8.1% VATCHF 59.46NoneCHF 475.64
Swipe to view all columns →

There is a second and more important limitation in the ETH arrangement, and it is not about price. The scheme is open to employees and students of ETH only, for children aged 0 to 12, and ETH states explicitly that its own emergency childcare is not sick-child care. CERN operates a comparably closed population. These are excellent benefits for the people who have them and completely unavailable to everybody else — which is most of the country.

The market shape, stated plainly. Income-scaled Red Cross cover exists in some cantons and excludes sick children in the biggest one. Employer schemes exist for a few thousand people at a handful of large institutions. Everyone else pays a commercial rate. Our contribution is to publish ours: CHF 42 / 47 / 54 / 55 an hour excluding VAT by tier, per child, two-hour minimum, no referral fee and no membership. The full breakdown is on the nanny price in Switzerland page.

What actually happens when you book a sick day with us

Four steps, written out so you know exactly what you are committing to before you send the message.

1

You tell us the postcode, the age and the hours

Send the booking form or a WhatsApp message with three things: where you are, how old the child is and which hours need covering. If it is for today, say so in the first line. We answer with what is genuinely available rather than a promise to look into it, because on a sick morning a vague answer is worse than a negative one.

2

We assign a carer and tell you who is coming

You get the name of the carer assigned to you, their experience and their languages before they arrive. Every Rundil carer is employed by us, vetted, reference-checked and covered by our insurance. You are not being sent a stranger from a listings site and you are not signing an employment contract.

3

The handover happens at your front door

Ten minutes is usually enough: the medication schedule your doctor has set out, the temperature log if you are keeping one, the routine, the food, the nap, the emergency numbers and where things are. The carer follows the instructions you and your paediatrician have given, and never adjusts a prescribed regime.

4

You get one invoice, and you can extend

Billing is per booked hour, per child, with a two-hour minimum session, and VAT is stated separately. If day four turns into day six, you extend the booking rather than restarting a process. There is no referral fee, no membership and no employer paperwork at any point.

On what the carer will and will not do: our carers look after a child who is unwell at home. That means quiet supervision, comfort, fluids, meals, temperature monitoring where you have asked for it, and administering medication exactly as you have instructed in writing. It does not mean nursing care, diagnosis, or any decision about whether a symptom needs a doctor. If a child deteriorates, the carer contacts you first and follows the escalation you have agreed. For anything clinical, your paediatrician or the cantonal medical helpline is the correct call.

On infection, we are straightforward. Our carers work in multiple households, so tell us what the illness is when you book. Some conditions we cover readily; for others we will discuss precautions or say honestly that in-home cover is not the right answer that day.

The commitment is small and deliberately so: a two-hour minimum session, a published rate and no ongoing obligation. Families who use us for one sick day in November frequently book again in February, which is the whole point of not putting a membership or a referral fee in front of a parent having a bad morning.

How to have the conversation with your employer

You are in a stronger position than you think, provided you separate the two rules and arrive with a plan.

Most disputes about sick-child absence in Switzerland are not really disputes about the law. They are the result of two people quoting different articles at each other. Separating the time from the pay, and arriving with a replacement solution rather than an apology, changes the tone of the conversation almost completely.

What to say on the first morning the notification

State that you are invoking Art. 36 Abs. 3 ArG, that you are obtaining a medical certificate, and give a realistic estimate of the hours you expect to be unavailable. Specific beats apologetic.

Ask, in the same message, whether the company has an internal policy on care leave. Larger Swiss employers frequently have one that is more generous than the statutory floor, and it is rarely advertised.

Send it in writing. On day three, when the entitlement lapses, a written trail of what you notified and when is worth having.

What to say on the third morning the handover

Say that you have arranged replacement care from tomorrow and give the hours you will be working. This is exactly the outcome the SECO guidance anticipates, and it converts you from a problem into a person who has solved one.

If you need a partial day — a carer from noon, or cover for two meetings — say that too. A two-hour minimum session means half a working day is a real, bookable thing rather than a compromise you have to negotiate.

Do not volunteer holiday days before you have checked the internal policy and the cantonal scale that applies to your contract. Once holiday is taken it does not come back.

One structural point that catches out households where both parents work. The three-day entitlement attaches to each employee individually, so both parents have their own. Splitting the week — one parent on Monday and Tuesday, the other on Wednesday — halves the effect on each career and preserves each person's Art. 324a allowance. Very few couples do it deliberately.

If you are the employer rather than the employee, the same facts run the other way and they are worth knowing. A booked carer costs a fraction of an absent senior employee, the SECO clause means the wage-continuation duty ends once one exists, and several of our clients now expense sick-child cover as a straightforward continuity measure rather than a benefit.
Loved by Swiss families

What families say about Rundil

★★★★★4.9out of 5· 536 verified reviews· 100% recommend
★★★★★

We have had a wonderful experience with Rundil Childcare. Our child felt comfortable from the beginning, and the communication with us has always been clear and reassuring. It has made managing our weekly schedule so much easier.

S
Sarah M.
Zürich · Regular childcare
★★★★★

Rundil helped us find reliable support for our two children after school. The childcare has been warm, attentive and dependable, and the children genuinely look forward to the time they spend together. We are very pleased with the service.

D
Daniel K.
Zug · Two children
★★★★★

We needed occasional childcare that could fit around our changing work commitments. The process was straightforward, and the support we received was professional and caring. It is reassuring to know we have someone dependable when we need help.

L
Laura P.
Geneva · Occasional hours
★★★★★

Our daughter settled in very quickly and always seems happy and relaxed after each visit. We particularly appreciate the regular communication and thoughtful attention given to her routine. Rundil has been a great support for our family.

R
Rebecca T.
Basel · Weekly childcare
★★★★★

We contacted Rundil for evening childcare and were very happy with the experience. Everything was handled calmly and professionally, and our children felt safe and comfortable. We would happily use the service again.

M
Michael R.
Lausanne · Evening hours
★★★★★

The childcare support has been reliable, friendly and very well suited to our family. Our son enjoys the activities and attention, while we appreciate the punctuality and good communication. It has given us real peace of mind.

S
Sophie L.
Lucerne · At-home childcare

Sick child care in Switzerland — the questions parents actually ask

Eighteen answers, each written to stand on its own, with the legal source or the figure in the first sentence wherever there is one to give.

Who looks after a sick child in Switzerland?
For the first three days, the parent does — Art. 36 Abs. 3 ArG obliges your employer to release you for the time needed to care for a sick child, up to three days, against a medical certificate. After that the system assumes you have arranged replacement care. Your Kita cannot admit a feverish child, the Red Cross covers sick children in Bern and Aargau but only exceptionally in Zurich, and employer schemes such as profawo are limited to staff of participating institutions. Everyone else engages a private in-home carer, which is the service Rundil provides across Switzerland.
How many days off do I get for a sick child in Switzerland?
Up to three days per illness event under Art. 36 Abs. 3 ArG, granted against a medical certificate, for children up to the age of 15. It is three days per event rather than three days a year, and it is an obligation to release you from work rather than a guarantee of pay. Separately, Art. 329h OR provides paid care leave for a family member with a health impairment, capped at three days per event and ten days per year. The two provisions sit alongside each other and neither extends beyond a few days.
Is sick child leave paid in Switzerland?
Usually yes, but not because of the three-day rule. Art. 36 Abs. 3 ArG uses the word freizugeben — to grant time off — and is silent on pay. Wage continuation comes from Art. 324a OR, which applies because caring for your own child fulfils a legal duty under Art. 276 ZGB. How much is paid depends on your years of service and the Berner, Zürcher or Basler scale: roughly three weeks in year one, then four, eight or nine weeks in year two depending on the scale.
Does my employer have to keep paying me while my child is ill?
Only until an adequate replacement solution is found. SECO states that the Lohnfortzahlungspflicht — the wage-continuation duty — exists only for as long as it takes to find adequate replacement care, or until parental care is no longer medically necessary in the case of a health-impaired child. Note carefully what that limits: the duty to pay, not your right to be absent. It is also why arranging a carer quickly protects your position rather than weakening it, and why the statutory days are best used as a bridge.
Do sick child days come out of my own sick leave allowance?
Yes — days spent caring for a sick child are drawn from the same annual Art. 324a allowance as your own illness. There is no separate quota for children. Under the cantonal scales the first year of service gives roughly three weeks in total for all causes combined; the second year gives four weeks on the Berner scale, eight on the Zürcher and nine on the Basler. A fortnight of your own influenza in January therefore reduces what remains for a child's infection in March, and nothing on your payslip warns you.
Can I take 14 weeks off if my child is ill?
Only if the child is seriously health-impaired. Art. 329i OR provides a 14-week Betreuungsurlaub for a child gesundheitlich schwer beeinträchtigt by illness or accident, to be taken within an 18-month framework period, compensated by the EO at 80% of average income and capped at CHF 220 a day. The child must be under 18 when the impairment begins, and the threshold requires a significant, unpredictable change in condition with a markedly increased care need. A routine fever or winter bug does not qualify.
At what temperature will a Swiss Kita send my child home?
At 38.0 °C measured rectally in infants, or 38.5 °C measured axillary, in the ear or at the forehead, following kibesuisse national guidance. Return is typically allowed after 48 hours symptom-free, though individual providers set their own rule and some apply 24 hours. kibesuisse explains the reason plainly: Kita staff are trained to care for children who are not ill, and a group room cannot safely hold a febrile child. Ask your provider for the exact threshold and return rule in writing before you need it.
Do I still pay the Kita when my child is off sick?
Yes. Swiss Kita terms bill a flat monthly tariff that does not reduce for absence. One published set of conditions states it directly: the flat monthly tariff is payable even when the child is absent through illness, accident or holiday, and refunds and reductions are excluded. At a private Zurich five-day tariff of about CHF 3,950 a month, roughly CHF 182 a care day, none of that returns on a day your child cannot be admitted. You pay the Kita and you pay again in the working hours you lose.
Does the Red Cross look after sick children in Zurich?
Only in exceptional cases. SRK Zurich states that sick children are cared for only in Ausnahmefällen. Its home childcare service is otherwise very good value at CHF 6, 12, 18 or 30 an hour depending on household income, with a three-hour minimum, children up to twelve and a response within 24 hours in an emergency — but it is designed primarily for a parent who is ill or hospitalised. This is why the common advice to "ask the Red Cross" fails for a sick child in the largest canton.
Does the Red Cross look after sick children in Bern?
Yes. SRK Bern states explicitly that its carers are also there for you when your child is ill. The tariff is income-scaled from CHF 7.50 to CHF 40 an hour, the minimum booking is three hours, and the standard lead time is 48 hours, reduced to 24 hours if you request before 11:30. SRK Aargau likewise names illness or accident of the child among the situations it covers. If you live in either canton, call them first — the income-scaled rate is below anything a commercial provider can offer.
How much does sick child care cost in Switzerland?
Rundil charges CHF 42 an hour for a Qualified carer, CHF 47 Experienced, CHF 54 Expert and CHF 55 Flex, all excluding 8.1% VAT, per child, with a two-hour minimum session. CHF 42 excluding VAT is CHF 45.40 including it, so an eight-hour day is CHF 363.22. The best-known alternative, profawo, is published by ETH Zurich at CHF 49 an hour plus a CHF 180 referral fee per placement — CHF 572 for an eight-hour day, or CHF 71.50 an effective hour. Red Cross rates where sick children are covered are income-scaled and lower.
What is profawo and can I use it?
profawo is a Swiss provider of emergency and sick-child care, usually accessed through an employer agreement rather than directly. ETH Zurich publishes its terms: CHF 49 an hour plus a CHF 180 referral fee per placement, with ETH reimbursing 50–100% of day one and 50–80% of day two. Access is limited to ETH employees and students, for children aged 0 to 12. ETH also states that its own emergency childcare is not sick-child care. If your employer has no such agreement, the scheme is not available to you.
What do I do on day four when my child is still ill?
Day four is where the statutory answer runs out, so it has to be solved commercially. The three-day release under Art. 36 Abs. 3 ArG has expired, the Kita still cannot admit the child, and no further instrument applies to an ordinary illness. The practical options are a partner or relative, unpaid or holiday leave, or a private in-home carer. Rundil covers exactly this: a vetted, insured, Rundil-employed carer at your address at a published hourly rate, booked in hours rather than weeks, with a two-hour minimum.
Can I get a nanny at short notice for a sick child?
Often yes, and short-notice cover is a core part of what we do rather than an exception we tolerate. Send the postcode, the age of the child and the hours you need, and say in the first line if it is for today. We answer with what is genuinely available instead of promising to look into it. Availability is tightest in the winter peak, when demand across the whole sector rises at once, so a household that has booked with us before is quicker to place than one starting from scratch.
Does a Rundil carer give medication to a sick child?
A carer administers medication exactly as you instruct in writing, following the regime your doctor has set. What a carer does not do is make clinical judgements: no diagnosis, no changes to a prescribed schedule, and no decision about whether a symptom warrants a consultation. If a child deteriorates, the carer contacts you first and follows the escalation you agreed at handover. For anything medical, your paediatrician or the cantonal medical helpline is the right call, not us and not this page.
Is sick child care available for school-age children too?
Yes. A child sent home from primary school with a temperature creates the same problem as a Kita exclusion, often with less notice, and school absence rules are typically stricter about return than parents expect. Our carers cover school-age children at the same published rates, per child, with the same two-hour minimum session. Where the requirement is really about the regular gap between the end of the school day and the end of yours, our after-school nanny service is the better fit.
What if both my children are ill at the same time?
One carer can look after siblings in the same household, and our pricing is per child, so two children with a Qualified carer is CHF 84 an hour excluding VAT, or CHF 90.80 including it. That is the honest position and it is the point at which our pricing is least competitive against a directly employed nanny, whose wage does not change with the number of children. What you get in exchange is that we are the employer, the carer is insured and vetted, and cover is arranged if the assigned carer is unavailable.
Should I hire a nanny directly instead for sick days?
It rarely works for sick days specifically, because a directly employed nanny is a permanent arrangement and a sick day is an unpredictable one. Employing someone in Switzerland makes you an employer: AHV, ALV, UVG, FAK, BVG above the threshold, the NAV Hauswirtschaft minimum wage and a payroll every month. It makes sense when you need regular weekly hours. For episodic cover four or five times a winter, booking a carer we already employ avoids all of it and you pay only for the hours you book.
Where we work

One price, every canton

Rundil charges the same rate everywhere in Switzerland. What changes canton by canton is the cost of the alternative — so the gap between employing a nanny yourself and booking one from us is widest in Vaud and narrowest in Zug.

Zürich ≈ CHF 47/h to employCHF 31.50 gross · FAK 0.98% · Kita CHF 131–149/day · Nanny service Zürich →
Zug ≈ CHF 49/h to employCHF 32.40 gross, the priciest large canton · FAK 1.35% · Nanny service Zug →
Basel ≈ CHF 43/h to employCHF 28.60 gross · FAK 1.10% · cantonal minimum wage CHF 22.20 · Basel sick-pay scale
Bern ≈ CHF 43/h to employCHF 28.95 gross · FAK 1.45% · a nanny's wage deductible at only 50%
Luzern ≈ CHF 45/h to employCHF 30.10 gross · FAK 1.37% · city minimum wage CHF 22.75 from January 2026
Genève & Lausanne ≈ CHF 37–40/h to employLowest wages, highest FAK at 2.29% and 2.88% · Geneva CTT-EDom floor CHF 24.59
"To employ" means the all-in cost per hour of care actually delivered if you hired a nanny yourself at that canton's average wage, using the multiplier worked out on this page — not the wage. Rundil's rate in all six is CHF 42, 47 or 54 an hour excl. VAT. Read more in the childcare blog hub or start with the managed nanny service.

If today is the emergency, start here

The rest of the cluster covers the arrangements that stop a sick morning from being a crisis next time.

Emergency nanny cover

For a same-day requirement — a fever at 06:30, a Kita closure or a carer who has fallen ill themselves.

Get cover today →

What a nanny costs

Every tier, the VAT arithmetic and the difference between our rate and employing somebody yourself.

See the rates →

Nanny vs Kita in Switzerland

Including the exclusion policy, the flat monthly tariff and what a paid-for place is worth on a sick day.

Compare properly →

After-school nanny care

For the regular gap between the end of the school day and the end of your working one.

See the cover →

You have seen the whole calculation. Now see the invoice.

CHF 42, 47 or 54 an hour excl. 8.1% VAT, per child, minimum two hours. No placement fee, no registration fee, no employer paperwork and no minimum term — a vetted, English-speaking nanny assigned in 48 to 72 hours.