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.[21]

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State legislation may regulate the number and ages of children allowed before the home is considered an official daycare program and subject to more stringent safety regulations. Often the nationally recognized Child Development Associate credential is the minimum standard for the individual leading this home care program.[citation needed] Each state has different regulations for teacher requirements. In some states, teachers must have an associate degree in child development. States with quality standards built into their licensing programs may have higher requirements for support staff such as teacher assistants. And in Head Start programs, by 2012, all lead teachers must have a bachelor's degree in Early Childhood Education. States vary in the standards set for daycare providers, such as teacher to child ratios.

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The program that was created in 2007 became known as the Federal Daycare Programme for Working Mothers.[85] 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.[85] 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.[85]
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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.

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Childcare infection is the spread of infection during childcare, typically because of contact among children in daycare or school.[36] 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.[37][38]

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In England, childcare is inspected and regulated by OFSTED (previously this was administered by Local Authority Social Services). Care for children under five is split into Childcare on Domestic Premises which is Childminding and Daycare. In the UK being a ‘Childminder’ is a protected title and can only be used by registered professionals. Registered Childminders are trained, insured and qualified in Pediatric First Aid. They comply/administer/work with The Early Years Foundation Stage EYFS and have the same responsibilities for education as nurseries and reception classes. They generally work from their own homes and are always self-employed setting their own terms and conditions. The basic numbers of children that childminders can care for is 6 children under 8 years of age; of these children, 3 may be under 5 and of these 1 may be under 1. These numbers include the childminder's own children (although the childminder’s children will not be included in the childminding ‘Certificate’). Some childminders work with either childminding assistants or with co-childminders, which often increases the number of children that can be cared for and individual childminders can request a ‘variation’ which may increase the children that they care for particularly for ‘continuity of care’ or for twins. There is a professional body – the Professional Association for Childcare & Early Years (formerly the National Childminding Association), which “Promotes and supports quality child-minding expertise” and provides information for Childminders and parents. London has greater pressures on childcare provision than other English regions. A recent study by London’s Poverty Profile found the level of childcare provision in London is lower than the England average. In London, there are 4.4 children aged under 8 per childcare place, compared to the England average of 3.9.[23]
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