Can a caregiver pilot applicant include a spouse who is also working in Canada?

Generally, yes: a spouse or common-law partner can typically be included as an accompanying family member in a caregiver pilot application, and the fact that they are already working in Canada under their own permit does not usually prevent this. In many cases a spouse can continue working, and depending on the specific circumstances may be able to apply for their own open work permit rather than one tied to a single employer.

A detail people sometimes overlook is that including a spouse in the application and the spouse's own work authorization are two separate things; being listed as an accompanying family member on the caregiver's file does not automatically extend or change the spouse's existing work permit. The spouse's status generally needs to be maintained or renewed on its own timeline, and any switch to a different kind of work permit requires its own separate application and approval.

Because eligibility for accompanying family members and open work permits depends on the specific pilot's current rules and each person's individual circumstances, confirm how your spouse's existing work authorization interacts with your caregiver application through IRCC's published guidance, or speak with an immigration lawyer about coordinating both files together.