pChoosing a child care center is one of the most important
decisions that a working parent will make to help ensure the
health, safety, and overall well being of their child while they
must be away from them. Thousands of children are treated in
emergency rooms for injuries sustained at child care centers or
childcare homes each year in addition to those instances of abuse
or neglect. Sadly, some of those children will lose their
lives.ppThere are precautions that can be taken t help ensure that
a child will be properly cared for while a parent is at work. The
first question a parent should ask is whether the childcare center
or childcare home has an open door policy. If the answer is no,
that provider should not be selected. Next, a parent should ask the
potential provider whether they have been licensed by the states
childcare licensing department to operate a childcare center or
home and whether the certification is current.ppCheck to see that
staff has been trained on blood borne pathogens. With diseases like
AIDS, Hepatitis B, etc., and antibiotic resistant strains of
various infections, make sure childcare staff always wear plastic
gloves when changing diapers and administering first aid, and that
gloves and diapers are disposed of in a separate trash container
labeled bodily fluids. All trash cans should have plastic bags
inside and locking lids. All trash should be taken out at the end
of every day.ppParents should not be afraid to ask to see the
license and most recent inspection date. Find out how many infants,
toddlers, and older children they are licensed for and how many
children are currently being cared for. Make sure staff has had a
background check by the local police department and the state
investigative agency. Health and Human Service agencies and local
police departments will usually submit a request for a background
check on a parents behalf for a nominal fee.ppParents should also
find out if childcare staff has been trained on child abuse and
neglect and the state reporting requirements for suspected child
abuse. With an increasing number of incidents of domestic violence
and kidnapping by noncustodial parents and other caregivers,
parents should find out if doors are kept locked during the hours
the center is open for operation and how the childcare provider
ascertains that only approved persons are picking up a child and if
they have a form that can be signed designating who can and cannot
pick a child upppOther training staff should have had is on
positive discipline, nutrition, child development, how to prepare
and store food, food allergies and food borne illnesses and the
proper storage and handling of food, etc. Staff should be
recertification annually on administering infant CPR, other CPR,
choking, and the care of infants, toddlers and preschool age
children by the local American Red Cross, hospital, or other person
or agency that have staff certified to be trainers. Make sure there
is enough staff to care for the number of children in the center or
private childcare home.ppTake a walk through the childcare center
or childcare home, including outdoor play areas, and the kitchen
where food is prepared. Make sure cleaning supplies and other
hazardous materials are stored in containers with tight fitting
lids and that spray bottles are turned off and everything placed in
a locked cabinet well out the reach of children, and that surfaces
are clean. Many accidents in childcare centers occur when children
accidentally come into contact with toxic materials because someone
forgot to properly store cleaning supplies or failed to return them
to a locked cabinet.ppTo ensure their childs safety parents should
make sure that tables are wiped down with warm soapy water after
meals and that other cleaning materials that may be more toxic are
only used to wipe down tables, cupboards, and bathrooms after the
child care center or home is closed for the day and is followed up
with a secondary wipe down with just hot water. Also look around
and make sure electrical outlets that have safety covers in place
to keep children from sticking things into the sockets and getting
shocked.ppOutdoor play areas should contain equipment that is of a
proper height for younger children to minimize the danger of
getting injured by a fall. Check to see that there is ample room
between pieces of equipment, that the play area is completely
enclosed with a locking gate and that there are no splinters,
jagged wires, etc. children could get hurt on.ppFind out if staff
goes outside with the children to supervise and oversee their
safety and wellbeing. If possible outdoor play areas should have a
thick covering of wood chips or soft rubber matting under equipment
to soften a fall. The wood chips or rubber matting is helpful but
not required as they can be an expensive purchase, especially for a
private childcare home. Large childcare centers should keep
playground equipment and things like trikes that are used by older
children separated from equipment for children under five.ppA fire
and evacuation contingency plan, a floor plan and emergency contact
numbers should be posted on a wall or a bulletin board where the
can be easily seen if needed. Depending on the area of the country
a parent lives in, providers should have a plan for tornadoes,
floods, hurricanes, and other natural disasters. Ask staff if
children are talked to about what to do if there is a fire onsite
and if fire drills are scheduled regularly.ppHow a childcare
provider stores medication is also important for the health of all
children. Parents need to ask the provider how they store
medication that has to be kept cold, if there is a first aid kit
that includes ipecac, and if medication is kept in a locked cabinet
or box and stored out of the reach of children. Ask to see the
dates on first aid supplies and where the medication is stored.ppIn
order to assure there will not be any risk from medications
children have been prescribed, parents should try and schedule
their childs medicine to be administered at home. Of course, if a
child has a medical condition like diabetes or asthma, this will
not be possible. Make sure the childcare provider stores each
childs medication in a separate zip loc bag with the childs name on
the bag as an extra precaution. Parents should also look to see if
a provider posts any allergies a child may have to a medication,
food, etc. where other parents cannot see the names of the children
while making sure that staff have easy access to the list.ppWith
the increase in unsafe toys and in light of the recent recalls of
hundreds of toys made overseas because of lead paint, choking
hazards, etc. a parent should ask the childcare provider if they
have a current and updated list of recalled products as a visible
reminder to not purchase potentially dangerous childrens toys and
other products, including infant formula. If the provider does not
have a list, parents can ask them to get one as a list can be
downloaded and printed off the internet.ppSafety gates should be
placed tightly in front of stairs, kitchen and laundry doorways,
basements, porches, utility areas, or other places that are open.
Ensure that basement doors have safety locks that are high enough
children cannot reach them and that there are child safety locks on
cupboards, refrigerators, oven doors and microwaves. Check to make
sure cords are not looped, so there is no potential for
hanging.ppFor infants, childcare providers should have cribs with a
certification safety seal, slats should be no more than two and
three eighths inches apart and mattresses should fit snugly. Ask
providers how infants are placed in a crib to sleep, making sure
they are put down on their backs without pillows or
comforters.ppOnce a childcare center or home has been selected and
a child is in attendance, parents need to be sensitive to any
changes in their childs behavior. If the child develops a fear of
the provider, a staff person, or going to the childcare center
parents should follow up by asking heir child questions and by
scheduling a meeting with the center or home operator to discuss
any concerns. If a child continues to exhibit fear, cries or
screams and clings to their parent or other caregiver, parents
might want to consider finding another childcare home or
center.ppParents can never do too much to make sure that their
child, or the child of a friend or relative, will be cared for in a
healthy and safe childcare environment. These guidelines will help
in selecting the best provider and help a parent be less stressed
at work. A checklist could be made to help with inspecting the
childcare setting a child will exposed to.ppAs an early childhood
education consultant I have, at times, had to inspect a childcare
center or private childcare home. The guidelines set down in this
article are things that I have looked at and received training for.
When choosing a childcare provider a parent can never be too
careful.ppcopyright 2009 by Jerrie DeRoseppJerrie DeRose Early
Childhood Education Consultantp
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