I don't expect a gift at all, that being said, I definitely love getting them and appreciate them immensely! I have one family who refuses to accept any reduced fees due to any closures I may have, including vacation. They also spoil me silly for my birthday and Christmas, last year they took my husband and I out to a really lovely restaurant. One of my other families last year (no longer with me) gave me a box of weird mints, but a really lovely heartfelt card, so that was nice. Another family, of whom I cared for their twins, gave me nothing at all, didn't even say thanks