Table : TABLE 4.3 High-Quality Day Care

High-quality day care during infancy has five essential characteristics:

  1. Adequate attention to each infant. A small group of infants needs two reliable, familiar, loving caregivers. Continuity of care is crucial.

  2. Encouragement of language and sensorimotor development. Infants need language—songs, conversations, and positive talk—and easily manipulated toys.

  3. Attention to health and safety. Cleanliness routines (e.g., handwashing), accident prevention (e.g., no small objects), and safe areas to explore are essential.

  4. Professional caregivers. Caregivers should have experience and degrees/certificates in early-childhood education. Turnover should be low, morale high, and enthusiasm evident.

  5. Warm and responsive caregivers. Providers should engage the children in active play and guide them in problem solving. Quiet, obedient children may indicate unresponsive care.