There is a great deal of empirical evidence that shows how higher child care costs have a negative impact on mothers’ employment. Mothers are more likely to leave employment and less likely to start new jobs when the costs of child care are high. It is also difficult for parents to keep their jobs when they do not have access to consistent quality child care. A study conducted by Jeffrey D. Lyons in North Carolina found that about one in four families who were on a waitlist for child care assistance either lost or had to quit their jobs while they waited for an opening.
Inspections are conducted before a child day care program is licensed or registered and on an ongoing basis once the program is in operation. Inspection results are available on the OCFS web site through this Search for Child Care page. If a parent or child care provider has questions or concerns about the results of an inspection, they can contact the licensing staff or the regional office that oversees the program.

Childcare infection is the spread of infection during childcare, typically because of contact among children in daycare or school.[37] This happens when groups of children meet in a childcare environment, and there is an individual with an infectious disease who may then spread it to the entire group. Commonly spread diseases include influenza-like illness and enteric illnesses, such as diarrhea among babies using diapers. Illnesses and diseases may also include ringworm, head lice, and hand, feet, mouth disease. It is uncertain how these diseases spread, but hand washing reduces some risk of transmission and increasing hygiene in other ways also reduces risk of infection.[38][39]
The story becomes even bleaker for mothers who are living below the poverty line. As Table 1 shows, 26 percent of working mothers in poverty pay for child care out of pocket, and those expenses eat up nearly half—42.6 percent—of their monthly wages. It is vital that these women have work support, since they are more likely to be single parents and since seeking paid employment is required to have access to certain governmental benefits. Employment is also an important pathway into the middle class, but when child care is as expensive as it is, it places a disproportionate burden on the mothers who can least afford it.
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Developmentally, these child caretakers have shown certain positive associations that affect their future resilience in the face of adversity. Caring for disabled parents raises their sense of responsibility and maturity, increases social and life skills, fosters closer parent-child relationships, and enhances a child’s early sense of purpose. Children caring for sick or disabled parents also experience less anxiety surrounding their parents compared to children who have an additional caregiver for their disabled parent. This is because the children understand more about the illness and feel more in control over the situation.[22]

Franchising of family child care home facilities attempts to bring economies of scale to home daycare. A central operator handles marketing, administration and perhaps some central purchasing while the actual care occurs in individual homes. The central operator may provide training to the individual care providers. Some providers even offer enrichment programs to take the daycare experience to a more educational and professional level. An example would be Wonderschool, which provides caregivers with a proprietary technology platform, as well as licensing, marketing, and administrative services.[21]
Brandywine is a year-round school open for ages 1-12. We build strong relationships with our parents, so they feel confident in the quality education their children receive – at realistic prices. Parents know we care for each family that puts their child’s education into our trust every day. Our daily goal is to create a safe and secure environment where children have the best opportunity to learn.
The story becomes even bleaker for mothers who are living below the poverty line. As Table 1 shows, 26 percent of working mothers in poverty pay for child care out of pocket, and those expenses eat up nearly half—42.6 percent—of their monthly wages. It is vital that these women have work support, since they are more likely to be single parents and since seeking paid employment is required to have access to certain governmental benefits. Employment is also an important pathway into the middle class, but when child care is as expensive as it is, it places a disproportionate burden on the mothers who can least afford it.
Inspections are conducted before a child day care program is licensed or registered and on an ongoing basis once the program is in operation. Inspection results are available on the OCFS web site through this Search for Child Care page. If a parent or child care provider has questions or concerns about the results of an inspection, they can contact the licensing staff or the regional office that oversees the program.
We are excited to be a part of the proven success of early care and education programs. Through research, services and advocacy, Child Care Services Association realizes improvements to the child care system throughout North Carolina and across the country. As a national nonprofit agency and United Way member, we are proud to be a leader and innovator in strengthening the early care and education system.
Some companies have improved their child-care policies. Earlier this month, Starbucks SBUX, +2.77%  said it would offer 10 subsidized back-up child care days annually to workers, meant to help staffers who find themselves in a jam when care arrangements fall apart. The company is teaming up with Care.com so that workers can pay a dollar an hour for backup care, or $5 for a day’s stay at in-center child care.
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