Finding and choosing the licensed child care, preschool or schoolage only setting that is right for your child and family can be challenging. Great Start to Quality makes your search for licensed child care, preschool and schoolage only programs easier, gives you tips to make an informed decision and the confidence of knowing you chose the care in your area that best suits your family’s needs.  
Independent studies suggest that good daycare is not harmful.[57] In some cases, good daycare can provide different experiences than parental care does, especially when children reach two and are ready to interact with other children. Children in higher quality childcare had somewhat better language and cognitive development during the first 4½ years of life than those in lower quality care.
The Child and Family Programs Team functions as the liaison between the child care providers, families receiving care, and NIH.  The Team monitors and ensures compliance of NIH Use Agreements and quality assurance within each NIH sponsored child care center and facility.  If you have additional questions or need more information, please call the NIH Child and Family Programs team at:  301-827-3250.
The organization cautions national averages are a blunt assessment on costs and note there are all sorts of variables that differentiate many child-care bills. In every region, however, child-care costs are roughly double the price of a year’s tuition to an in-state public university. Child-care costs for one infant and a four-year are cheapest in the South ($17,193 on average) and most expensive in the Northeast ($24,815).
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More contemporary proposals for government advancement of day care in the United States have experienced a checkered path, for example, in 1971, the Comprehensive Child Development Act was passed by Congress, but was vetoed by Richard Nixon. It "would have created nationally funded child care centers providing early childhood services and after-school care, as well as nutrition, counseling, and even medical and dental care. The centers would charge parents on a sliding scale."[63] Various proposals have been considered, but to date, none leading to legislation that would establish a national policy supporting day care in the United States.
Local legislation may regulate the operation of daycare centers, affecting staffing requirements. Laws may mandate staffing ratios (for example 6 weeks to 12 months, 1:4; 12 months to 18 months, 1:5; 18 months to 24 months, 1:9; et and even higher ratios for older children). Legislation may mandate qualifications of supervisors. Staff typically do not require any qualifications but staff under the age of eighteen may require supervision. Typically, once the child reaches the age of twelve, they are no longer covered by daycare legislation and programs for older children may not be regulated.
Parent-Child Home Program celebrated 14 families graduating from their 2-year program on May 25, at The Green, 85 Main St., North Adams.  Families enjoyed pizza and cupcakes, a short circle time, and parachute play with their home visitors, as they said good-bye.  The Parent-Child Home Program is a brain building program for 18 month old – 2 1/2 year old children and their caregivers.  Families receive fun books, toys, and lots of ideas to help their children get ready to succeed in school.  For more information call the coordinator, Karen Rowe, 663-6593 x. 27.

Each of the NIH sponsored child care centers provides high quality child care, based on current early childhood best practices.  However, each program has its own unique program characteristics and dynamics.  Below is a link to a side-by-side comparison chart of the Maryland centers.  As a parent, it is up to you to research each center to determine which center would be a good fit for your family.  You can obtain additional information by contacting the programs directly to request a tour.
This age group spends time together in the open space playroom, listening to music, singing, and dancing. They will have the opportunity to explore painting, enjoy squishing play dough, chase bubbles, jump and romp in the ball pit, move along to circle games, and stomp through the snow in the enclosed playground. There is a 4:1 child to caregiver ration for this group.
The Illinois Department of Human Services partners with child care providers throughout Illinois to provide working families of low income with access to affordable, quality child care. IDHS also supports services for families looking for care including free referrals to child care providers and consumer education information. Click on any of the links below for more information.

Childcare varies dramatically across cultures. These discrepancies are attributed to the homestead and household environments. That is, the type of work performed by adult caretakers in a given community strongly influence the type of childcare used. In agricultural/ horticultural societies where work is done to provide sustenance for the community, siblings and similar-aged children are responsible for younger children.[2] While many global communities prefer children aged 7–10 for designated caregiving responsibilities, children no younger than 12 are preferred in the Western world where paid childcare is common.[23]
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