CBME China 2024

17-19 July 2024 | National Exhibition and Convention Center (NECC), Shanghai, China

| EN

An Overview of Quality Child Care

After a long and overwhelming process, you have finally found a nanny or daycare center
that you feel comfortable with and fits your family's needs! How do you
know that they really are doing a good job though? Learn how to
evaluate your decision and assess the quality of a child care center or

 Daycare Centers

Several studies found that quality child care programs have certain characteristics in common.

 Quality indicators measure the
conditions that generally foster a safe, nurturing, and stimulating
environment for children. Such include:

Health & Safety

  •  Locked cabinets for cleaning supplies and other toxic materials

  •  Easily accessible, visible first-aid kits and posted emergency numbers

  •  Covered electrical outlets (with protective caps)

  •  Security gates at the top and bottom of stairs

  •  Window guards on all windows except designated fire exits

  •  Emergency evacuation plans

  • Non-toxic materials children can play with 

  • Individual cribs for infant sleep (and placing babies on their backs to sleep

  • Individuals cots for toddler sleep

  • Clean sleeping areas that are clear of potential distractions and hazards

Child Tracking

  • Policies to ensure a child's parent, guardian, or other approved adult picks them up

  • Policies for keeping track of children during transition to the playground or another classroom

  • Evacuation plans (in case of an emergency) that is practiced with children

  • Child-to-staff ratio of 3:1 in a center caring for infants, 4:1 for 2-year-olds, and 7:1 for 3-year-olds

Licensing & Teacher Training

  • A staff member with certified pediatric first-aid training is always present with each group of children. 

  • Care center is licensed and regularly inspected for health and cleanliness


  • Providers implement cleanliness and health standards for themselves, surfaces, and toys

  • Precautions are taken to prevent cross-contamination for children with food allergies

  • Kitchen area is clean

  • Teachers and children regularly wash hands

Quality of Providers

  • Positive teacher/child interactions

  • Greets your child in the morning with a warm welcome

  • Caregiver is attuned to your child's needs

  • Caregiver talks to children at their eye level

  • Caregiver is responsive and able to read child's cues

  • Age-appropriate activities 


  • Parents are welcome to observe, discuss policies, make suggestions, and volunteer in the classroom

  • Close communication between parents and staff 

  • Staff discusses highlights in children’s daily experiences with parents


The following list can help you evaluate a potential nanny candidate or the nanny you already have:

  • Your
    child lights up when their nanny walks in the door or can't stop
    talking about all the wonderful things their nanny says and does

  • Suggests creative solutions to problems and works with parents/guardians to provide the best possible child care

  • Punctual

  • Stays connected

  • Child's room is clean and so is your child

  • Infrequent accidents

  • Lots of energy and patience

  • Considers safety first and foremost

  • Communicates with parents

  • Reliable, responsible, self-motivated, and organized

Is the Quality of Child Care Regulated?

It is important to learn about different licensing requirements
for various types of child care providers. Almost all daycare centers,
whether it is a traditional center or in-home, are required to meet
state licensing regulations for health and safety to operate—but some do
without it. 

Ideally, the daycare center will be accredited by the National Association for the Education of Young Children (NAEYC).

 A license, however, is not a guarantee
of quality care. You should still ask any potential provider to show you
credentials and call your local social services department to
double-check. Having a license shows that your provider takes at least a
degree of professional pride in their work.

State and Territory Licensing Agencies and Regulations

home daycares have been accredited by the National Association for
Family Child Care. More are being added regularly, but the accreditation
process can take almost a year and costs several hundred dollars. The
association has strict standards and a center must receive an in-person
visit before it becomes accredited. Getting this is a definite sign of

If an individual, such as a nanny, is coming into your
home, there is no licensing requirement. Providers of drop-in child
care, such as child care in health clubs, churches, recreational center programs, or before or after school care operate by school districts and do not need licenses.

Testing the Quality of a Child Care Center/Provider

you choose a daycare or other care provider, you can get a sense of the
quality offered by taking a tour, stopping by unannounced, or speaking
to other parents who send their child to the center or use/have used the
same care provider.


Once your child is attending a daycare, you can get a sense of its quality in a few ways:

  • Stopping by unannounced during the day, not just at set drop-off and pick-up times

  • If
    your child is talking, asking them specific questions about the safety
    of the daycare or about their activities to find out if they are

  • Assessing if your child dreads going to daycare or is excited in the morning to see their friends and caregivers

  • For a baby, making sure they are clean and happy when you pick them up


you hire a nanny, you should speak to referrals, do a trial where you
can observe them interacting with your child while you are home, and ask
interview questions to gauge how they would perform and react in
specific situations.

Once you hire a nanny, pay attention to
their interactions with your child. Is your child happy to see them or
does he or she seem scared, worried, or hesitant? If working from home
is an option, you may choose to listen in on what goes on. You can also
come home early without notifying the nanny. Some parents even set up a nanny cam to watch what goes on while they are away.

Paying Attention

child's verbal and non-verbal behavior may be the best signifier of a
bad child care situation. Look out for these signs which may signal that
your child is unhappy at daycare or with the nanny:

 It is important to note that some separation anxiety is normal. If
your child is sad to leave you and go with the child care provider,
that is not a direct connection to the quality of the provider. However
if your child repeatedly cries and refuses to go with the provider, pay
attention and look for other signs.

Improving Quality of Care

parents who are generally happy with their nanny or daycare have
complaints or areas they wish would improve from time to time. It is
important to discuss areas of concern as they come up so you do not
build up resentment or start creating a list of complaints in your head.
These tips can help:

Taking Action

you have tried to repair your child care situation and you still feel
it is not working, it is time to rethink the situation. You may be:

  • Afraid of the effect that changing the child care situation will have on your children

  • Worried about finding another nanny

  • Concerned about the disruption in yours or your child's life and routine that may ensue

  • Feeling guilty about putting the nanny out of a job

those feelings are normal, but no parent should stick with a child care
situation if they feel their children are not happy or not properly
looked after. Before pulling your child from daycare or firing your
nanny, consider your options:


  • Use a nanny-finding website, such as UrbanSitter.com or Care.com

  • Look for a nanny share with a family who already employs a nanny

  • Have you or your partner take some time off from work

  • Ask a relative to help out

  • See if any local daycares can take your child right now

  • Start a new nanny search

  • Look for drop-in child care options

  • Ask your company about employee-sponsored back-up daycare