McKesson Clinical Reference Systems: Women's Health Advisor 2002.2

Questions to Ask About Infant/Toddler Family Day Care

Ask Your Prospective Caregiver:

  • Can you tell me more about your background and experience?
  • What are some reasons you enjoy taking care of children?
  • Do you have children of your own?
  • How will my child be transported if you leave the house?
  • What are your expectations regarding length of commitment?
  • Do you smoke?
  • Do you have any health problems?
  • Have you had training in first aid?
  • What kinds of activities might you plan for my child?
  • What are your views on discipline? Meals? Television? Playmates? Other?
  • What would you do if . . . ? (Give examples relevant to your situation: medical and personal emergencies, common problems with child.)
  • Can you give me several references, preferably from former employers?
  • What questions do you have for me?
  • May I have a tour of your home?

Ask Yourself:

  • How do I feel about this person's answers to my questions?
  • What do this person's manner and appearance tell me?
  • How does this person interact with my child?
  • What do my instincts tell me?

General Day-Care Questions:

  • Is the family day care home licensed?
  • Is the licensing permit current?
  • What are the payments? When are they due?
  • Are there extra charges for such things as meals or transportation?
  • Are fees reduced if more than one child enrolls?
  • Are deductions offered for periods of absence?
  • Is financial assistance available?
  • Is the home convenient?
  • When is it open?
  • What are admission requirements?
  • Do the children seem happy, busy, and relaxed?
  • What is the caregiver-to-child ratio? Federal guidelines for family day care homes suggest 1:5 for children under 2 years (3 children or less is better); 1:6 for children aged 2 to 6.
  • How long does the caregiver plan to care for children?

Facility:

Does the home have:

  • child-sized furniture?
  • a cheerful, colorful atmosphere?
  • ample toys and art materials?
  • happy, "constructive" sounds?
  • plenty of indoor and outdoor space?
  • special areas for quiet and active play?

Caregiver:

Does the caregiver:

  • genuinely seem to enjoy cuddling, holding, and talking to my baby?
  • welcome my questions and suggestions?
  • share my childrearing philosophy?
  • take time to share my child's experiences with me?
  • seem to enjoy children?
  • remain gentle, yet firm? consistent, yet flexible?
  • sensitively handle feelings of fear, shyness, upset, and anger?
  • respect each child's unique background and interests?
  • guide rather than direct behavior?
  • really listen and talk to the children?
  • seem cheerful, affectionate, and warm?
  • have training and experience in early child education?
  • 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?
  • cultivate children's natural curiosity?
  • handle discipline positively?
  • establish and consistently maintain limits?
  • have a sense of humor and acceptance?
  • seem to be able to give all children quality attention and supervision?
  • provide consistent care so my child has a stable, predictable daily routine?

Program:

Do the planned activities help children develop physically by:

  • balancing active, physical activities with quiet, restful ones?
  • providing ample rest and nap times?
  • prohibiting play that could quickly get out of hand?

Do the planned activities help children develop emotionally by:

  • encouraging children to express themselves?
  • patiently encouraging toddlers to solve some problems on their own?
  • providing ample opportunities for children to feel good about themselves?
  • helping children deal with feelings constructively?
  • providing security through a well-defined, predictable schedule of daily activities?

Do the planned activities help children develop creatively and intellectually by:

  • balancing structured and unstructured activities?
  • designing graduated goals for each child?
  • encouraging language development?

Health and Safety:

  • What is the procedure for medical emergencies?
  • What are the policies regarding illness? (e.g., Are parents contacted if another child has a contagious disease? Does caregiver have someone to substitute in case she gets sick?)
  • Are medical records maintained?
  • Is the caregiver trained in first aid?
  • Does the home have smoke detectors and fire extinguishers? Regular fire drills? Alternate exits?
  • Are important phone numbers posted near the phone? (Examples include police, fire, poison control center, hospital, children's physician, ambulance.)
  • Does your caregiver always know how to get in touch with both parents?
  • Does your child receive constant supervision, indoors and out? (Young children should never be left unattended while on a bed, chair, changing table, high chair, stroller, baby walker, baby swing, or in the water; outdoor dangers include swimming pool, pond, garage tools, driveway, streets, kidnapping, wandering off.)
  • Is your baby checked often when in a crib or playpen?
  • Is all baby equipment strong, stable, and in good repair?
  • Is the crib latched?
  • 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 home have separate cribs and crib sheets for each infant?
  • Is the crib mattress covered with heavy plastic?
  • 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 be opened from the outside at all times?
  • Are the 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, 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, first aid supplies.)
  • Are the home and yard free from poisonous plants?
  • Are all foods or drinks within reach safe for your child? (Examples of dangerous foods or beverages: any food that a child could choke on like popcorn or hard candy; beverages that are hot or alcoholic.)
  • Are hot radiators covered?
  • Is your child kept away from dangerous places like the stove or hot water faucets?
  • Have furniture and other household objects with sharp corners been padded or removed?
  • 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.)
  • Is your child safe around pets?
  • Are pet dishes out of reach?
  • 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?

Meals:

  • Is my caregiver knowledgeable about my baby's food requirements and feeding schedule?
  • Are snacks and meals tasty, attractive, and well balanced?
  • Are special diets and ethnic preferences given consideration?
  • Is food served in a pleasant, relaxed atmosphere?
  • Does the caregiver serve food I want my child to eat?
  • Are children allowed to leave food on their plates? (They should never be forced to eat.)
  • Are portions small and second helpings available?
  • Is the kitchen clean?

Written by Donna Warner Manczak, Ph.D., M.P.H.
Published by McKesson Clinical Reference Systems.

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.

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