Deductions & credits

Most of what I see online is that a 1099 for a nanny isn't appropriate.  In this instance, since the nanny is working out of her home and is controlling the work there, should I potentially just consider this an in-home day care.  In other words, if she isn't a household employee, shouldn't I consider her a self-employed sole proprietorship?  Would I need to issue a 1099 to a self-employed sole proprietorship?