Fifty years ago suggesting that one parent stay at home and forgo paid employment to provide child care would have made plenty of sense both culturally and economically. This was largely because families could live comfortably on one breadwinner’s income and also because women had traditionally been relegated to the domestic sphere. But in the past 40 years, due to both social advances and economic changes, American families have undergone a dramatic change. Leaving the workforce to provide care today, even temporarily, carries real risks.
In a childcare center, teachers focus on the physical and mental developments of their students. In order to have a greater understanding of the student, teachers in centers must incorporate a relationship with their students that benefits their wants and needs while pushing them toward a higher set of values. This type of teaching with a caring relationship will improve a student's moral and incidental learning.[10]

In Canada, the workforce is predominantly female (95%) and low paid, averaging only 60% of average workforce wage. Many employees are at local minimum wage and are typically paid by the hour rather than salaried. In the United States, "child care worker" is the fifth most female-dominated occupation (95.5% female in 1999).[18] In the US, staffing requirements vary from state to state.
We shouldn’t forget that affordable high-quality child care is also essential to parents’ abilities to balance work success with family responsibilities—a goal that every parent deserves to easily achieve. President Obama’s preschool and child care plan will strengthen families and make them more economically secure while also reducing inequality and improving educational achievement in this country.
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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.
An important aspect that many center based child cares have been trying to implement into their mission statement and everyday routine has been of being aware of the multiple cultures they will be dealing with. This was seen as being important because of the growing numbers of families considering and seeking childcare. Childcare has become an important aspect of society since, “Over thirteen million American children under 5 years of age experience some form of child care before entering formal school.”[12] Programs must understand similarities and differences between cultures/ ethnic groups. This must be done to understand the overall diversity of the community.[1] Children should be able to have their cultural practices represented as well as be able to learn about other cultures they have not been exposed to. This is of great importance because it adds to their mental development and their understanding of the world.
Unlicensed and unregistered child day care programs do not have any of the following requirements: background checks, training/orientation, or health and safety requirements; and only minimal Code of Virginia requirements. Unlicensed centers must meet an exemption in the Code of Virginia in § 63.2-1715. Unlicensed family day homes must follow requirements in §§ 63.2-1727 and 63.2-1704.1 of the Code. VDSS does not inspect these programs.
While looking for the best licensed child care, preschool or schoolage only programs for your child and your family, it is recommended that you visit more than one program with your child, if possible. Great Start to Quality is committed to helping Michigan families find child care, preschool and schoolage only programs that are safe and educational.
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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