Not too long ago, Washington, D.C., litigator Leslie R. Cohen faced every working parent’s nightmare: Her nanny departed with little notice, leaving her small son with no after-school supervision. “I was in a total panic as to how I was going to deal with my child,” she says. “I had nobody home to greet him.”

New mother Dana M. DiCarlo faced a similar dilemma. “I had daycare lined up, and I was very happy with my daycare,” she says, but then her 4-month-old became too sick to attend. A part-time associate, Ms. DiCarlo could ill afford at-home care for her child.

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