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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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.
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.

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Legislation may mandate staffing ratios (for example, 6 weeks to 12 months, 1:4; 12 months to 18 months, 1:5; 18 months to 24 months, 1:9; etc.). The caregiver-to-child ratio is one factor indicative of quality of care. Ratios vary greatly by location and by daycare center. Potential consequences of a caregiver:child ratio which is too high could be very serious[citation needed]. However, many states allow a higher numbers of toddlers to caregivers and some centers do not comply consistently. For example, within the US: Pennsylvania, ages 1–3, 1 teacher to 5 children;[68] Missouri: age 2, 1 teacher to 8 children;[69] North Carolina: 1 teacher to 10 children.[67]
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