I just found the most amazing, helpful website and I wanted to share: www.sittercity.com. I've been struggling to find a competent babysitter for our 5-year-old who has autism and I found this site. There's a fee, but they have a free trial if you want to check it out (and if you just want to browse the listings, there's no charge.) You can enter all kinds of things into the search criteria to find a sitter near you, including age, experience (including for special-needs kids), price, first-aid certification, and background checks. Even when I entered a comprehensive list of criteria, I found over 50 listings, all local. I'll let you know how it goes, but in the meantime, I highly recommend you check it out!