I’m curious to know the answer, too. I used to deploy my software on-prem back in the day, and that always included an installation of Microsoft SQL Server. So, all of my clients had at least one database server they had to keep operational. Most of those clients didn’t have an IT staff at all, so if something went wrong (which was exceedingly rare), they’d call me and I’d walk them through diagnosing and fixing things, or I’d Remote Desktop into the server if their firewalls permitted and fix it myself. Backups were automated and would produce an alert if they failed to verify.

It’s not rocket science, especially when you’re talking about small amounts of data (small credit union systems in my example).