I've never worked for a family that gave non-holiday gifts. Words go a long way! I just got an after hours text from my boss thanking me for organizing the bookshelves today. I love that she notices the extra things I do for them and takes the time to thank me. It really motivates me to do more. I once spent two hours deep cleaning my old employer's kitchen and she never noticed. Though I enjoyed my past job, I work much harder at my current one where they are very vocal about how appretiative they are of what I do for them. If you really want to spend a few dollars on her, I know I would really enjoy a craft from the kids (ranging from a construction paper card to paint your own pottery - it's all precious to a loving nanny). I would also appreciate baked goods (extra gold star if it fits into my diet/preferences), or getting off work a half hour early to beat traffic. Talk to her, ask her about her weekend. If she mentions a scratchy throat and you happen to be at the store, pick her up some tea. The point is, think about what what you can DO to show her you appreciate her, rather than what you can buy.