Only about 22 percent of children in low-income families currently receive federally subsidized child care, and while preschool enrollment has increased nationwide in recent years, the lowest-income children are the least likely to participate in preschool programs. Twenty-eight percent of 4-year-olds were enrolled in state-funded pre-K programs, and only 4 percent of 3-year-olds were similarly enrolled. Forty percent are not enrolled in any pre-K program at all. Clearly, the publicly funded services that are available are lacking, insufficient, or both.


Pre-school is often the term used to refer to child care centers that care primarily for 3 and 4-year old children. Preschool can be based in a center, family child care home or a public school. Older children, in their turn, in most countries are cared in an educational setting, usually a primary school environment. The children are supervised by a teacher all day long, who is responsible for their physical, intellectual, emotional and social development. In this regard, most western countries have compulsory education during which the great majority of children are at school starting from five or six years of age. The school will act in loco parentis meaning "in lieu of parent supervision." In many locales, government is responsible for monitoring the quality of care. 

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In conjunction with audiometric testing, OAE testing can be completed to determine changes in the responses. Studies have found that exposure to noise can cause a decline in OAE responses. In a study, industrial workers who were exposed to 84.5 dBA of noise were compared to workers who were exposed to 53.2 dBA of noise by considering hearing thresholds and OAEs before and after 5 days of work. This study revealed that hearing thresholds and OAE results were significantly lower among the workers who were exposed to higher levels of noise.[12]
Learning Stories [57] are documents that are used by caregivers and educators in childcare settings. They use a storytelling format instead of a traditional ‘observation’ report to document the different ways that young children learn, and capture the moment in greater detail and provide parents with a greater insight into the events that occur in their child’s time in childcare. http://youtube.com/watch?v=eeCahRCgOfI
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. https://www.youtube.com/embed/eeCahRCgOfI
It has been found that distortion product otoacoustic emissions (DPOAE’s) have provided the most information for detecting mild hearing loss in high frequencies when compared to transient evoked otoacoustic emissions (TEOAE).[13] This is an indication that DPOAE’s can help with detecting an early onset of noise-induced hearing loss. A study measuring audiometric thresholds and DPOAEs among individuals in the military showed that there was a decrease in DPOAEs after noise exposure, but did not show a shift in audiometric threshold. This supports OAEs as predicting early signs of noise damage.[14]

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The quality of the center based child care can be very influential on the child and on their overall development. Recent study showed that children in low end classrooms saw the activities as forced while the children in high end classrooms had more memorable experiences.[12] Even though this being the case between high and low end classrooms, other aspects such as the child's background and living situation can play an important role in their development.[13] Active children may thrive in the educational activities provided by a quality commercial care center, but according to the National Center for Early Development and Learning, children from low quality centers may be significantly less advanced in terms of vocabulary and reading skills.[14] Classes are usually largest in this type of care, ratios of children to adult caregivers will vary according to state licensing requirements. Some positive aspects of commercial care are that children may gain a sense of independence, academic achievement, and socialization.[15] Not only is this age crucial for the improvement of their social skills, but also it begins the stages of understanding a classroom setting. Childcare is seen as a reasonable option because it is different than parenting, since it can be seen as more of a routine for the child.[11] This in turn will only have a negative impact on the child if the parent is not their for the emotional needs of the child.[11] Children are placed into centers of socialization and learn many similarities and differences from one another from a very young age.[11] Children are also placed into settings to develop their linguistics and cognitive abilities, which can be measured through observations.[13] Not only is this age crucial for the improvement of their social skills, but also it begins the stages of understanding a classroom setting. These early ages of the child's life are crucial or it would otherwise have a negative impact on their future paths.[12]

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Has your child ever begged you not to leave the dentist? Impossible you say? Not at our office. It could be our gentle touch and special way with kids. Our pediatric specialists and staff love children and are specially trained to put them at ease. At Lil Teeth Dentistry, we teach your children the proper way to take care of their teeth and just as important, they learn that going to the dentist can be fun. https://www.youtube.com/watch?feature=youtube_gdata&v=eeCahRCgOfI
 Atlas Children's Academy is an early childhood education center that opens the world to  children of all backgrounds. Our unique  program builds community, provides strong academics and supports the growth of the whole child.  We are a licensed childcare provider that offers a wide range of activities that are fun and educational for age group 6 weeks to 12 years of age.   

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Our mission is to support child care providers and the community they serve by providing educational opportunities, outreach programs and legislative support. In order to ensure that the association and it's mission remain vital, financial stability, growth and continuous organizational improvements will be specifically  targeted as part of what we do.

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My son has a speech delay and is in daycare to help socialize him withother children as well as the rece’s are able to help him in ways I don’t know how as a first time parent this is a last resort as I’ve tried speech pathologist among other options this one is finally beginniNing to show some progress with these proposed changel to ratios this will be impossible young children will no longer get the necessary one on one time or quality educational curriculum also with the proposed age grouping changes many daycare facilities won’t offer infant care due to safety issues infants learning to walk put in with toddlers who are carelessly running around and in their hitting and biting phases PKEASE DO NOT GO THROUGH WITH THESE CHANGES. ~vienna Johnstone, concerned parent windsor Ontario

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 children at The Meadows spend at least 2 hours outside daily, we are the only school that writes this into our curriculum. We have many learning centers outside and our teachers take the curriculum that they develop outside to help engage the children in different environments. If the weather is too poor to go outside then we have an indoor playroom with a gigantic hand painted two level castle complete with slide, ball pit, dragon cave and fairy garden to engage their gross motor skill and help them burn off energy! https://youtube.com/watch?v=eeCahRCgOfI

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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Many children in Norway start daycare between 10 months and 3 years old. Funded parental leave for working parents is either 44 weeks with full pay, or 54 weeks with 80% pay (both up to a certain level only). The government guarantees daycare for all children that are at least 1 year old by 1 August.[87] Coverage is still not 100%, but most regions are getting close (2011). There's a maximum price to enable all families to afford it.

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The children caregivers in many communities are deemed responsible to care for those younger than them and it is expected that they will do so. Adults are viewed as occasional supervisors of the caregiving while the caregivers are responsible for responding to the needs of each child. These young caregivers take pride in their responsibility and learn each child’s individual likes, dislikes, and habits.[22]

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Learning Stories [57] are documents that are used by caregivers and educators in childcare settings. They use a storytelling format instead of a traditional ‘observation’ report to document the different ways that young children learn, and capture the moment in greater detail and provide parents with a greater insight into the events that occur in their child’s time in childcare.
Child care, otherwise known as day care, is the care and supervision of a child or multiple children at a time, whose ages range from six weeks to thirteen years. Child care is the action or skill of looking after children by a day-care center, nannies, babysitter, teachers or other providers. Child care is a broad topic that covers a wide spectrum of professionals, institutions, contexts, activities, and social and cultural conventions. Early child care is an equally important and often overlooked component of child development. Child care providers can be children's first teachers, and therefore play an integral role in systems of early childhood education. Quality care from a young age can have a substantial impact on the future successes of children. The main focus of childcare is on the development of the child, whether that be mental, social, or psychological.[1]

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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.”[85] Female participation is a goal that the government has so it set in place many policies and modes to achieve this.[85] 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).[85] 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.[85] This caused a huge gap in the children that could be covered due to the fairly large number 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.[85] 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.[85] 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.[84] Women's participation in the workforce and be directly tied to the availability of childcare services and how it would affect their household.[83] http://www.youtube.com/e/eeCahRCgOfI
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