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Anonymous
We have always considered doctor's appointments to be covered under sick leave first, then vacation leave if there is no sick leave remaining.
Anonymous
Our nanny has the same issue: never runs by date options for her summer vacation. Despite being told to.

One time she dropped a bomb that it was the week if my second child's due date- we said no, need to pick another week. First week of school should be a No as well.

I work a job where every personal appointment is posted ahead of time on a 50 person group calendar and you need written pre approval for vacation weeks so bosses can ensure business continuity.

And I agree, as a care provider you cannot do appointments during the day without causing an issue. Try to find doctors and dentists that have weekend days- they do exist. Or again, consult with employer on dates and times. 13 in five months seems like a lot for anyone, much less a solo nanny.
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