For all providers, the largest expense is labor. In a 1999 Canadian survey of formal child care centers, labor accounted for 63% of costs and the industry had an average profit of 5.3%.[16] Given the labor-intensive nature of the industry, it is not surprising that the same survey showed little economies of scale between larger and smaller operators. 

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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]
All childcare workers must have, or be undertaking, the minimum "Certificate III in Children's Services" in order to work in a centre (Recognition of Prior Learning is available to help qualify staff with many years experience, but no qualifications). (Common more advanced qualifications are "Diploma of Children's Services" and an Early Childhood Education degree). https://www.youtube.com/watch?v=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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We report striking evidence that children’s outcomes have worsened since the program was introduced. We also find suggestive evidence that families we study became more stressed with the introduction of the program. This is manifested in increased aggressiveness and anxiety for the children; more hostile, less consistent parenting for the adults; and worse adult mental health and relationship satisfaction.

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Currently I am babysitting out of my home. I will eventually be getting my license and have made great changes to my place to make it fun as well as safe. I do offer a daily schedule and I try my best to operate as a daycare, although I am always trying new things to see how my parents and children adjust to make it most convenient and comfortable for them! I love to teach and care for children of any age. I do have 7 of my own which are here as well but they are all in school full time so they may be here in the a.m. drop off or afternoon pick up. So I will definitely have everyone meet so you know who will be around children. My main purpose is to help parents by giving their children a fun, safe, loving, caring environment to be in while the parents are working! I work for you and the children so I am flexible on hours as well. I also enjoy taking them on field trips such as museums, parks, swimming, zoo, amusement parks, and any other fun places we can find that's weather appropriate if need be! Tons of learning does go on without it seeming like so, because everything we do is fun while they are in our care !! I do hope to hear from you and possibly schedule a meet and greet, thanks for your time and have a blessed day!

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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.

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A care-penalty is the price one pays for doing care work for a family member. Care giving demands a lot out of an individual, and as a result there is a high opportunity cost. The opportunity cost can relate to both time and money. Instead of taking care of a family member, a caregiver could spend time working or performing more leisure activities. Care penalties are not strictly related to childcare - they can also refer to taking care of a sick family member, babysitting a younger sibling, or taking an elderly family member on errands such as grocery shopping or doctor's appointments.

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The National Institute of Health released a study in March, 2007 after following a group of children through early childhood to the 6th grade.[89] The study found that the children who received a higher quality of childcare scored higher on 5th grade vocabulary tests than the children who had attended childcare of a lower quality. The study also reported that teachers found children from childcare to be "disobedient", fight more frequently, and more argumentative. The study reported the increases in both aggression and vocabulary were small. "The researchers emphasized that the children’s behavior was within the normal range and were not considered clinically disordered." http://youtube.com/e/eeCahRCgOfI
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