Child care is short-term care by someone other than a parent. There are two basic types of child care: individual and group.
Finding good child care can seem overwhelming and a bit scary. It is an important decision. But if you take your time and do some research, you can find a place where your child can play, learn, and be well taken care of.
When choosing child care, consider your child's safety, how much you can afford to pay, and your daily routine. Finding high-quality care that fits your child's needs takes time and research.
When choosing child care, make sure that it is:
Federal and provincial laws allow equal access to public education and other services such as speech and physiotherapy for children with disabilities or certain conditions that require special care. Find out which laws apply to your child and how to get available services. See the Community Services or Government listings section in your phone book.
Children need time to adjust to child care. It is common for a child to cling or cry when a parent leaves. But you can take steps to help your child do well in child care:
If you spend time with your child and are calm and loving, he or she will be more likely to adjust to and enjoy child care.
Frequently Asked Questions
Learning about child care: | |
Keeping your child healthy and stimulated: | |
Ongoing concerns: |
Other types of child care are geared toward families that need to fill in gaps between school hours and parent work schedules. This may include programs that offer special activities during school breaks. This type of child care may include:
When you start looking for child care, narrow down your selection by considering practical issues as well as your child's needs.
If you are looking for an in-home child care provider, have a clear idea about what type of person you are looking for. It may be helpful to do the following:
There are two basic ways to locate an individual child care provider:
Screening potential providers is essential. Use a phone interview for the initial screening, and explain your needs in detail. Then ask questions such as:
When you have narrowed down your selection, conduct a personal interview with each of your top choices. Allow enough time for the applicant to answer and ask questions and to be introduced to your child.
Be sure to check the references of your top choices. Ask each reference how long he or she has known the provider, specifics of the provider's duties, and why the employment ended. Find out about the relationship between the child and caregiver. Also include questions that will help give you a sense of the person's fit with your family. Ask the reference what else you should know about the provider.
When you are choosing an out-of-home child care provider, research the options available in your community. Begin by asking friends and family and using your local library, newspaper, and phone book. You also may want to contact referral organizations. See the Other Places to Get Help section of this topic for more information.
Use a telephone interview and printed information to help you screen providers. Ask about or consider the following:
Set up an appointment with the director of each facility or home setting that meets your initial screening. Plan time enough to take a tour and talk about their service guidelines, such as when payment is expected and scheduled closures. Make sure you are shown the entire facility or home. Evaluate its general cleanliness, condition, and safety. Notice whether the children appear happy and playful, and notice how they are treated by the care providers.
A child's environment should be safe, healthy, and clean. Make sure staff are knowledgeable about preventing safety hazards and responding to emergencies. There should be:
High-quality staff and programs are also important. All caregivers should have training in childhood development and be responsive to children. Programs should be small and well-designed for growth in all areas of development. All child care operations should at minimum be licensed. Ideally, an organization will have acquired special accreditation.
Choose a babysitter or mother's helper by asking friends and other caregivers you trust. You may also want to ask for recommendations from a local organization, such as the YMCA.
Before you hire a teen to watch your child now and then, use these tips:
Find out whether the babysitter or mother's helper you are considering is experienced with children. Schedule a meeting with the caregiver and your child and watch how they interact. Some caregivers may not have confidence. This does not mean they will not ever be able to watch your child. But it may mean that you will need to have a few babysitting dates while you are present before leaving them on their own.
Classes help babysitters prepare for the responsibilities of watching your child. They can also provide valuable skills in case of an emergency, such as first aid and cardiopulmonary resuscitation (CPR) training. Classes often are available through local agencies, churches, hospitals, or schools.
If your provider does not require a written contract, prepare one yourself. Include the hours of care, payments, and other details that are important to you. Keep a copy with your records.
Whether you choose an individual care provider or a group care setting, make sure you communicate and have an understanding with your care provider about expected behaviour, discipline methods, and appropriate activities.
Visit the facility or caregiver's home and get involved in any special activities. Watch the interaction between caregivers and children. Make sure you feel comfortable with your decision.
At the start of a new child care routine, it is normal for a child to show some signs of anxiety, such as clinging or crying when you leave. With your child's needs in mind, try to ease the transition:
Make sure your child is immunized. Illnesses and disease can spread easily among a group of children. Keep your child's immunizations up to date and give a copy of the record (What is a PDF document?) to your child care provider. For more information on childhood immunizations, see the topic Immunizations.
Note: | If at any time you suspect your child may not be safe, immediately remove him or her from the situation. Notify the proper authorities if you suspect abuse. |
Talk with your doctor about whether your child needs evaluation or treatment when:
Paying for high-quality child care
Budgeting for child care takes work. Plan ahead and think about your future child care expenses as far in advance as possible. Keep in mind that it may take time to process applications or there may be a waiting list, especially if you are trying to qualify for financial assistance.
Child care referral agencies or other experts (such as some provincial or federal government agencies) can help you research your options for child care financial assistance. Some general options may include:1
Also, it may help to think creatively about affording child care and thinking about your options. Brainstorm ideas about ways you might be able to reduce the number of hours of child care you need or about ways to pay for it, such as:
Changing or ending child care
Child care changes are inevitable and require careful planning. As children grow, their needs change. Also, personal preferences, a move, or other life events may require a different arrangement. Allow time for both you and your child to adjust by talking about it ahead of time. You may want to plan something special for your child's last day at the child care centre, such as bringing treats and taking pictures.
Evaluate and plan for how you will accommodate a new routine, such as different hours of care. Talk with your child about what to expect. Stress the positive parts of the change, but acknowledge the challenges. Devise strategies about how to overcome some of the expected difficulties.
Effects of child care
Many parents worry that the relationship with their child will suffer for having another caregiver. Research on the mother-child relationship shows that its quality is mainly affected by the mother's interaction with the child and other family influences.2
Another common concern of parents is whether children will develop and learn to their potential in a child care setting. Research shows that the quality of the parent's (in this study, the mother's) relationship with the child best supports a child's mental and behavioural growth.2 The more sensitive, responsive, attentive, and mind-stimulating the mother is, the better the child will do in child care.
Help prevent illness
Your child is more likely to become ill when he or she is frequently with other children. One study shows that children in child care with more than 6 other children and who are between 3 and 4½ years of age have more episodes of upper respiratory infections (such as a cold) than those in non-parental care with fewer children or who are cared for at home.3 The spread of many contagious diseases can be reduced by practicing healthy hygiene habits regardless of what type of child care arrangement you have. Use hand sanitizer to clean hands if soap and water aren't available.
Establish a backup plan
Plan what you will do if your regular provider cannot keep your child or if your child is sick. Children with mild upper respiratory illnesses such as minor colds usually can attend child care. (Usually, mild upper respiratory illnesses are transmitted before symptoms developed.) Keep your child at home if he or she has a condition that prevents attending child care, such as a fever or a rash.
Some cities have child care centres just for sick children. You can check your phone book or ask your provider if he or she knows of one.
Know your responsibilities
If you use an individual care provider for your family on a regular basis, you may be obligated to comply with employer rules and regulations of the federal, provincial, and local governments.
| British Columbia Ministry of Children and Family Development | |
| P.O. Box 9770, Stn Prov Govt | |
| Victoria, BC V8W 9S5 | |
| Email: | MCF.CorrespondenceManagement@gov.bc.ca |
| Web Address: | www.gov.bc.ca/mcf |
The Ministry of Children and Family Development promotes and develops the capacity of families and communities to care for and protect vulnerable children and youth, and supports healthy child and family development to maximize the potential of every child in British Columbia. | |
| Canadian Child Care Federation (CCCF) | |
| 383 Parkdale Avenue | |
| Suite 201 | |
| Ottawa, ON K1Y 4R4 | |
| Phone: | 1-800-858-1412 (613) 729-5289 |
| Fax: | (613) 729-3159 |
| Email: | info@cccf-fcsge.ca |
| Web Address: | www.cccf-fcsge.ca |
The Canadian Child Care Federation (CCCF) is a national non-profit organization whose mission is to improve the quality of child care services for Canadian children and families. CCCF includes 16 regional affiliate organizations, independent members, and other partner organizations. The CCCF website provides a wide range of information on child care. | |
| Canadian Childcare Directory | |
| Phone: | 1-877-319-8941 toll-free |
| Email: | info@childcaredirectory.com |
| Web Address: | www.childcaredirectory.com |
The Canadian Childcare Directory provides an online, searchable directory of child care providers. The website also provides information and resources on child care. | |
| Canadian Paediatric Society | |
| 2305 Saint Laurent Boulevard | |
| Ottawa, ON K1G 4J8 | |
| Phone: | (613) 526-9397 |
| Fax: | (613) 526-3332 |
| Email: | info@cps.ca |
| Web Address: | www.cps.ca |
The Canadian Paediatric Society (CPS) promotes quality health care for Canadian children and establishes guidelines for paediatric care. The organization offers educational materials on a variety of topics, including information on immunizations, pregnancy, safety issues, and teen health. | |
| Safe Kids Canada | |
| 180 Dundas Street West | |
| Toronto, ON M5G 1Z8 | |
| Phone: | (416) 813-6766 1-888-723-3847 |
| Fax: | (416) 813-4986 |
| Email: | safekids.web@sickkids.ca |
| Web Address: | http://www.safekidscanada.ca |
Safe Kids Canada is a national injury prevention program provided by the Hospital for Sick Children in Toronto. The Web site provides information on keeping children safe and preventing injuries. | |
Citations
- Child Care Aware (2009). Finding Help Paying for Child Care. Available online: http://www.childcareaware.org/docs/pubs/110e.pdf.
- National Institute of Child Health and Human Development (2006). The NICHD Study of Early Child Care and Youth Development. Available online: http://www.nichd.nih.gov/publications/pubs/upload/seccyd_06.pdf.
- National Institute of Child Health and Human Development (NICHD), Early Child Care Research Network (2003). Child care and common communicable illnesses in children aged 37 to 54 months. Archives of Pediatrics and Adolescent Medicine, 157: 196–200.
Other Works Consulted
- American Academy of Pediatrics (2009). Early education and child care. In SP Shelov et al., eds., Caring For Your Baby and Young Child: Birth to Age 5, 5th ed., pp. 421–456. New York: Bantam.
- Committee on Early Childhood, Adoption, and Dependent Care, American Academy of Pediatrics (2005, reaffirmed 2010). Quality early education and child care from birth to kindergarten. Pediatrics, 115(1): 187–191.
- Community Paediatric Committee, Canadian Paediatric Society (2008). Health implications of children in child care centres. Part A: Canadian trends in child care, behaviour, and developmental outcomes. Paediatrics and Child Health, 13(2): 863–867. Also available online: http://www.cps.ca/english/statements/CP/cp08-02.htm.
- Community Paediatric Committee, Canadian Paediatric Society (2009). Health implications of children in child care centres. Part B: Injuries and infections. Paediatrics and Child Health, 14(1): 40–43. Also available online: http://www.cps.ca/english/statements/CP/cp2009-01.htm.
- Dworkin PH (2003). Families matter—even for kids in child care. Developmental and Behavioral Pediatrics, 24(1): 58–62.
- Moran D (2009). Childcare. In WB Carey et al., eds., Developmental-Behavioral Pediatrics, 4th ed., pp. 159–163. Philadelphia: Saunders Elsevier.
- National Association of Child Care Resource and Referral Agencies (2006). Why Care About Child Care? Available online: http://www.naccrra.net/why_cc.php.
- Phillips D, Adams G (2001). Child care and our youngest children. The Future of Children, 11(1): 35–51. Available online: http://www.futureofchildren.org/futureofchildren/publications/docs/11_01_02.pdf.
- Sosinsky LS, Gilliam WS (2007). Child care. In RM Kliegman et al., eds., Nelson Textbook of Pediatrics, 18th ed., pp. 81–86. Philadelphia: Saunders Elsevier.
| By | Healthwise Staff |
|---|---|
| Primary Medical Reviewer | John Pope, MD - Pediatrics |
| Primary Medical Reviewer | Brian D. O'Brien, MD - Internal Medicine |
| Specialist Medical Reviewer | Susan C. Kim, MD - Pediatrics |
| Last Revised | November 22, 2010 |
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ReferencesLast Revised: November 22, 2010
Author: Healthwise Staff
Medical Review: John Pope, MD - Pediatrics & Brian D. O'Brien, MD - Internal Medicine & Susan C. Kim, MD - Pediatrics
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