Choosing child care is one of the most important decisions
your family will make. It is important to look at several
different options. What is good for other children may not
be the best for your child. You will need to compare price,
hours, quality of program, and location of different child
care options. Child care options include:
- center-based child care
- family child care
- in-home child care
- before and after school child care.
If possible, both parents should participate in the child
care selection process. Your child should be present for at
least some of the time while you observe and interview
caregivers.
When choosing child care you should:
- Meet with the directors and staff or caregiver to discuss
your expectations.
- Spend an hour or two observing active and quiet
activities at all facilities you are seriously
considering.
- Review the licensing files, if possible.
- Ask for references and check them.
- Talk with other parents from the facilities.
- Above all, trust your instincts and ask questions.
What is center-based child care?
Child care centers provide an organized group setting away
from home. Most centers take children 3 to 5 years of age
who are toilet-trained. Some have infant or toddler
nurseries for children younger than 3.
Preschools and child care centers can be commercially owned
or sponsored by a community organization such as a church or
recreation center. Your employer may have an on-site child
care center or a reimbursement account to help you save
money to pay for child care.
Advantages:
- Usually has planned program of activities and greater
choice of play materials.
- Caregivers are usually trained and experienced in child
development.
- Licensing is required, ensuring minimum health, safety
and enrollment standards.
- Usually less expensive than in-home care.
- Your child plays with other children.
- Generally open 12 hours per day year-round with both
full-and half-day schedules available (nursery schools usually
open half-days and closed the same months as regular school).
- Closures due to caregiver being ill are unlikely.
- Staff is supervised.
Disadvantages:
- Your child may be less comfortable in a group setting and
receive less attention than in an informal home
environment.
- Your child will be around to more children and so will
probably be sick more often. When your child is sick you
will not be able to send him to the child care center.
- You may need to agree to year-round day care even if
you don't need it.
- You may need to pay a registration fee.
- The center hours and days may not be exactly what you need.
- Staff turnover can be high so your child may not have a
consistent caregiver.
- This usually costs more than family child care.
What is family child care?
Family child care is an arrangement in which your child is
cared for in someone else's home. The caregiver is often a
mother with her own small children. The caregiver looks
after 1 to 6 children in her home.
Advantages:
- Provides home-like environment (very important for
infants and toddlers).
- Greater flexibility regarding ages and hours of
operation.
- May be licensed by the state, ensuring minimum health,
safety, and enrollment standards.
- May cost less than center-based care.
- Your child is in a smaller group of children which will
allow more individual attention and less exposure to
illness.
- Greater flexibility regarding hours than most centers.
Disadvantages:
- Your child may not receive as much personal attention as
in-home care.
- The caregiver will not always be available (illness,
vacation).
- The caregiver may stop providing services without much
notice.
- The caregiver may not have appropriate training or
experience.
- The caregiver may not be able to offer all options
provided by center-based care.
- The caregiver is not supervised directly or may not be
licensed.
What is in-home child care?
Someone comes into, or lives in, your home. The caregiver
may be a friend, neighbor, or relative. You can hire
someone for half-day, all-day, or before or after school.
Advantages:
- Provides known surroundings. This is very important for
infants and toddlers.
- Your child should receive enough personal attention.
- May be the most choice for 3 or more children.
- Your child can often be cared for when sick.
- There is less exposure to illness from other children.
Disadvantages:
- Relatively hard to find a caregiver.
- May be the most costly choice for 1 or 2 children.
- You are responsible for all fees, taxes, social security,
and sometimes benefits of the caregiver.
- The caregiver will not always be available (illness,
vacation), and turnover may be high.
- Your child may not get the stimulation of other children.
- The caregiver may not have appropriate training or
experience.
What is before- and after-school child care?
Before and after child care is generally available for
children 6 to 12 years of age. This type of child care is
usually connected with a day care center, school, or
community agency, but may be provided in a home setting.
This type of child care typically offers a change of pace
from a structured school routine. It is generally during
the hours public schools are not in session. Arrangements
tend to be flexible and based on family needs.
Where do I find information about child care in my area?
You can find information about child care options from:
- State Department of Social Services, Human Services, or
Health (list of licensed day care homes)
- United Way (information and referral services)
- YMCA/YWCA
- Religious organizations
- Child development departments of local colleges
- School counselor (before and after school care)
- Your employer
- Telephone book ("Child Care, Camps, Nanny Services,
Schools - Preschool")
- Junior League
- PTA
- Local child care council
- Pediatrician
- Newspaper/bulletin board ads
- Word-of-mouth (friends, relatives, other parents).
For child care standards see:
National Resource Center for Health and Safety in Child Care
Web site: http://nrc.uchsc.edu/
National Association of Education for Young Children
Web site: http://naeyc.org
National Association for Family Child Care
Web site: http://nafcc.org
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.