Child Care: Questions to Ask About Infant/Toddler Center-Based
Care
Ask the Child Care Provider:
- Is the child care center licensed? Is the licensing
permit current?
- What are the tuition payments? When are they due?
- What are the hours? Holiday and vacation schedule?
- Is an initial registration fee required? What are
admission requirements?
- Are there extra charges for such things as meals,
transportation, or late pick-up?
- Are fees reduced if more than one child enrolls?
- Are deductions offered for periods of absence?
- Is financial assistance available?
- Is safe transportation provided?
- What is the caregiver-to-child ratio? Federal guidelines
for centers suggest no more than 1:3 for infants; 1:4 for
toddlers; 1:8 for children aged 3 to 6.
Observe or Ask About:
Facility
Does the center have:
- carpeting, pads, and drapery to absorb extraneous noise?
- child-sized furniture?
- a cheerful, colorful atmosphere?
- ample developmental and age appropriate toys and art
materials?
- plenty of indoor and outdoor space?
- special areas for quiet and active play?
- smoke detectors and fire extinguishers? Regular fire
drills? Alternate exits?
Staff
Does the staff:
- genuinely seem to enjoy cuddling, holding, and talking to
my baby?
- seem cheerful, warm, and affectionate?
- welcome my questions and suggestions?
- share my childrearing philosophy?
- take time to share my child's experiences with me?
- really listen and talk to the children?
- have low turnover?
- sensitively handle feelings of fear, shyness, upset, and
anger?
- respect each child's unique background and interests?
- guide rather than direct behavior?
- kneel or sit at child's eye level?
- spend individual time with each child?
- actively play with children, indoors and out?
- emphasize children's strengths and accomplishments?
- handle discipline positively?
- establish and consistently maintain limits?
Program
Does the program:
- balance active, physical activities with quiet, restful
ones?
- provide ample rest and nap times?
- prohibit play that could quickly get out of hand?
- encourage children to express themselves?
- patiently encourage toddlers to solve some problems on
their own?
- provide ample opportunities for children to feel good
about themselves?
- help children deal with feelings constructively?
- provide security through a well-defined, predictable
schedule of daily activities?
- balance structured and unstructured activities?
- design graduated goals for each child?
- encourage language development?
Health and Safety
- Are important phone numbers posted near the phone?
(Examples include police, fire, poison control center,
hospital, children's physician, ambulance.)
- Does the staff always know how to get in touch with both
parents?
- Does my child receive constant supervision, indoors and
out?
- Is my baby checked often when in a crib or playpen?
- Is all baby equipment strong, stable, and in good repair?
- Are the crib slats no more than 2 and 3/8 inches apart?
Does the crib have protective bumper pads? Does the
mattress firmly abut the side of the crib?
- Does the center have separate cribs and crib sheets for
each infant?
- Do strollers or infant seats have safety harnesses?
- Are the crib and playpen free of toys that could be used
to climb out?
- Can all doors inside the center be opened from the
outside at all times?
- Are the outside doors and windows locked?
- Do strong screens or metal bars cover the windows?
(especially important above ground level)
- Do all glass doors have decals?
- Are the rooms well ventilated and comfortable year-round?
- Are the bathroom facilities clean and easily accessible
to children?
- Are latched safety gates placed at the top and/or bottom
of stairways?
- Are stairways and walkways free from clutter? Are floors
free from spills, slippery surfaces, or small throw rugs?
- Are small, sharp, or otherwise dangerous items out of
reach or locked in a cupboard, drawer, or cabinet?
(Examples include pins, thumbtacks, paper clips, matches,
lighters, knives, plastic bags, scissors, guns, razor
blades, glassware, and working appliances.)
- Are poisonous items stored out of reach or locked in
cupboards, drawers, or cabinets? (Examples include
cleaning products, polish, bleach, medicines, cosmetics,
perfumes, aerosol cans, and first aid supplies.)
- Are the center and yard free from poisonous plants?
- Is my child kept away from dangerous places like the
stove or hot water faucets?
- Do all electrical sockets have protective covers?
- Has attention been paid to objects that could be pulled
or knocked over? (Examples include tablecloths,
electrical cords, lamps, furniture.)
- Are toys safe, clean, and in good repair?
- Are play surfaces, indoors and out, softened with
carpeting or wood chips?
- Do children get a daily dose of fresh air and sunshine,
weather permitting?
- Do children seem safe with one another?
- Is the outdoor area fenced and free of hazards?
- Is the play equipment safe and appropriate for my child's
level of development?
- What is the procedure for medical emergencies?
- What are the policies regarding illness? (for example,
are parents contacted if another child has a contagious
disease? Does the caregiver have a substitute in
case she gets sick?)
- Is a physician on-call? Are medical records maintained?
- Is the staff trained in early childhood education, CPR and
first aid?
Meals
- Are the meals nutritious and healthy?
- Are healthy snacks served mid-morning and mid-afternoon?
- Are menus varied and posted for my review?
- Is the staff knowledgeable about my baby's food
requirements and feeding schedule?
- Are children allowed to leave food on their plates? (They
should never be forced to eat.)
- Are portions small and second helpings available?
- Who plans the menus (dietitian or other staff)?
- Is the kitchen clean?
Written by Donna Warner Manczak, Ph.D., M.P.H.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.