^ Jump up to: a b Rooshenas, L; Wood, F; Brookes-Howell, L; Evans, MR; Butler, CC (May 2014). "The influence of children's day care on antibiotic seeking: a mixed methods study". The British journal of general practice : the journal of the Royal College of General Practitioners. 64 (622): e302–12. doi:10.3399/bjgp14x679741. PMC 4001146. PMID 24771845.

Some jurisdictions require licensing or certification. Parents may also turn to independent rating services, or rely on recommendations and referrals. Some places develop voluntary quality networks, for example in Australia most childcare services are part of a national Quality Assurance system. Some places require caregivers to take classes in pediatric CPR and first aid. Most countries have laws relating to childcare, which seek to keep children safe and prevent and punish child abuse. Such laws may add cost and complexity to childcare provision and may provide tools to help ensure quality childcare.
In Scotland Her Majesty's Inspectorate of Education is responsible for improving care and education for children from birth to age eighteen. This is implemented by inspections carried out by HMIE itself or by other members of inspection and review teams. Inspection reports include feedback from staff and parents as well as the inspectors, aiming to provide parents and carers information to help them decide whether a particular child care setting is providing good quality child care and meeting government standards.[26]

In the United States, childcare in regulated commercial or family childcare home setting is administered or led by teachers who may have a Child Development Associate or higher credentials. These higher credentials include Associate, Bachelor, and even master's degrees in the field of Early Childhood Education (ECE). Although childcare professionals may obtain a degree, many states require that they attend workshops yearly to upgrade their knowledge and skill levels. Many day cares require a teacher to obtain a certain amount of training. For example, Texas requires a minimum of 25 hours a year, and the first year as a teacher, you are required to have 50 hours.
Looking for child care? Parents can receive free referrals and information about child care programs from their local Child Care Resource and Referral (CCR&R) agency or online at www.excelerateillinois.com. Referrals to all types of child care providers - licensed centers, family child care homes, and group child care homes as well as license exempt centers and homes are available. Information on quality of care, State licensing and the Illinois ExceleRate system are also available.
We believe that all children are highly intelligent and capable of learning. All children are unique individuals and deserve respect as a child and as a person. Our goals and objectives as child development providers are to contribute to the child’s total development. We are sensitive to the fact that developmental ability and personalities can vary widely at any age, and help children to build self-control by learning to follow rules, sharing, taking turns, and working in a group.
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]
There are many types of child care programs in New York State. Quality programs provide care in a warm, safe and friendly setting. Quality programs provide ctivities that help children learn and develop. No one type of program is necessarily better that any other type of program. You are the best judge of which program will meet your needs and your child's needs. More information on the types of child care programs available can be found in the Parent's Guide to Child Care Options.
The creation of childcare programs in Mexico is quite different from others because it focuses on the “defeminization of labor and the defamilization of care.”[86] Female participation is a goal that the government has so it set in place many policies and modes to achieve this.[86] The creation of a successful program of child care has been sought out and many different aspects have been changed over the years but it can be seen that there is an increase in early childhood education and care services (ECEC).[86] ECEC services can be broken down into three different time periods and models which were implemented. The first would be in the 1970s when the Institute for Social Security focuses on covering children for mothers who were covered by Social Security services.[86] This caused a huge gap in the children that could be covered due to the fairly large amount of women working in the informal sector and being denied these services. The second stage would be in the early 200s when the Ministry of Public education made preschool mandatory for all children from ages 3 to 5.[86] This was useful in theory because all of the children in this age range would be cared for, but in reality caused a strain in the amount of time that the parents had to go and work or dedicate their time elsewhere. The last stage would be in 2007 when the Ministry of Social Development created a childcare program in which was focuses on helping out children and mothers who were not covered by the social security services.[86] This was successful since it targeted low income families specifically. For families to be eligible for this service the mothers had to be working or searching for a job, the income was taken into consideration in comparison to that of minimum wage, and that they did not have any other access to services.[88] Women's participation in the workforce and be directly tied to the availability of childcare services and how it would affect their household.[84]
Annually, the Child Care Connection delivers over 1,000 training hours to parents, caregivers, and child care professionals. In 1995 the Early Childhood Institute for Professional Development was formed to offer a state-of-the-art educational program to individuals in the field. In the workplace, we deliver lunch-time seminars to help employees address work and family-related issues.
Professional caregivers work within the context of a center-based care (including creches, daycare, preschools and schools) or a home-based care (nannies or family daycare). The majority of child care institutions that are available require that child care providers to have extensive training in first aid and be CPR certified. In addition, background checks, drug testing at all centers, and reference verification are normally a requirement. Child care can consist of advanced learning environments that include early childhood education or elementary education. “The objective of the program of daily activities should be to foster incremental developmental progress in a healthy and safe environment and should be flexible to capture the interests of the children and the individual abilities of the children.” [1] In many cases the appropriate child care provider is a teacher or personal with educational background in child development, which requires a more focused training aside from the common core skills typical of a child caregiver.
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.  
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.
A final option for accessing child care is utilizing programs funded or subsidized by states and the federal government. Unfortunately, while it may seem as though this must be a viable option for families who do not want to lose a co-breadwinner’s earnings or for those who can’t afford private care, the United States still has a long way to go on this front.
In almost half of all states, the cost of child care exceeds the average rent payment, meaning that too many families with young children end up struggling to make ends meet. In 2011, the latest year for which data are available, the average family with a working mother and a child under age 5 that made child care payments spent nearly 10 percent of its total family income on child care. While that may not sound like an overwhelming burden, it ends up amounting to nearly a quarter—22.5 percent—of married mothers’ earnings, and more than a quarter—26.1 percent—of never-married mothers’ incomes. (see Table 1)
In Germany, preschool education is the domain of the Kindertagesstätte (literally "children's day site", often shortened to Kita or KITA), which is usually divided into the Kinderkrippe (crèche) for toddlers (age up to 3 years), and the Kindergarten for children who are older than three years and before school. Children in their last Kindergarten year may be grouped into a Vorschule ("preschool") and given special pedagogic attention; special preschool institutions comparable to the US-American kindergarten are the exception.
The program that was created in 2007 became known as the Federal Daycare Programme for Working Mothers.[86] This program allowed for subsidized home and community based childcare. The one running the care centers would only have to have a training component, which consisted of a psychological test and training courses to understand the principles of childcare, before being able to open their business in which they would be given money to furnish the facility as necessary for a safe caring center to be created.[86] Another way this program was set into place was by subsidizing the care of non-profits, private for profits, or religious institutions who were based in the area of need.[86]
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