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Child-care options can make choosing confusing

Many parents would just as soon stay at home with their children and do without child care programs. But it’s one of the unavoidable facts of life today, given the financial need to work, career choices or the desire of parents for some child-free time.

For parents, locating the right caregiver can be one of the most important decisions in a young child’s life, says Naomi Dubin, a social worker with The Children’s Mercy Hospital of Kansas City, Mo.

Selecting child care can also be confusing because there are several options to choose from, depending on the needs of both the parents and the child.

Parents must decide if they are seeking full-time learning/instruction placement or simply a babysitter for several hours a day. Are parents searching for a child care center, day care in private homes or arranging for a caregiver to come to the home. Children with disabilities or developmental delays may be eligible for special day care/learning programs at day care centers. (TLC and Cradles and Crayons are two such examples in Kansas City.)

Choosing the right day care to suit a family’s needs can be difficult and costly. Parents may encounter waiting lists for their preferred choice. Day care can be expensive when parents are not eligible for financial aid or payment based on a sliding scale.

While parents search for a suitable program, they should keep in mind that the best child care programs should provide a safe, nurturing and stimulating atmosphere for your children.

"Where you place your children for child care is a crucial decision and one that parents need to take seriously. Parents must search carefully to locate quality, affordable child care," Dubin says. Many families Dubin sees use relatives or church-related centers for child care with good results.

Most states require licenses for child-care programs. To receive the license, a child care facility must meet certain guidelines, which set standards for things like child-staff ratios, meals, sleeping space, sanitation, and indoor and outdoor space.

Child care for children under two

For children less than two years old, it is generally best to have only one caregiver in addition to the parents. Infants especially need consistent, warm, nurturing relationships with all of their caregivers.

This can be accomplished by having a person come to your home to care for your child, or by taking your child to a home day care provider or to a child-care center that separates infants from older children.

The child care center should also have a high ratio of caregivers to infants (ideally one caregiver per three infants). It is also beneficial for your child to have the same caregiver throughout the day care years.

Child care for children over two

When children reach age two and socialization with other children becomes important, the best choice is often a child care center. Centers usually offer a more enriching environment than a child might have at home or in a home day care setting. And at a child care center, the caregivers are more likely to be professionally trained to care for children.

There are also many home day care situations that are good for older children. However, there is a wide variety in the kind and amount of stimulating activities that home programs offer. Many home day care providers take advantage of equipment lending libraries, public libraries and neighborhood park programs. They also provide creative programs for children.

Sometimes, a combination of home day care and nursery school works well for children, but remember to factor in transportation between the two.

Making the selection

When you are choosing a child care program, visit the facilities you are considering. Look carefully at how the children spend their time. Are they enjoying themselves? How much time is spent watching television? Do the programs and equipment provided match the developmental levels of the children? Is there good light and ventilation?

It is also important to observe the personality and behavior of the staff as they interact with the children. The caregivers’ philosophy about discipline, nutrition and safety should be compatible with your own.

Most quality child care programs have a booklet on their policies. Ask for a copy.


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