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[quote=Anonymous] Nanny here. You have to let her go. Write her an honest but overall positive letter of recommendation, come up with the best severance plan you can based on your circumstances (given that it sounds like  part of the problem is that she is more concerned about the short-term worry of her next paycheck then the longer-term worry of her health, I would probably opt to pay for her health care directly for a longer period of time versus giving larger severance in the short term).  Offer to serve as a reference for her, and let her know that you wish her the best and would love to have her work as a date night sitter for your kids and keep that relationship with them, but that the current set up is clearly not working for her and is potentially unsafe for the children.   Perhaps she can find a job as a mother's helper for a stay-at-home mom who might pay a little less but will be able to work with frequent absences, or maybe she needs to work part time for a little while so that she can give herself more rest. Regardless, it is obvious  that the pace of her job with you is not conducive to her health, and her health issues are not conducive to the safety of your children. It is not working and it's time to be honest with yourself about that. [/quote]

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