Are children supervised at all times, even when they are sleeping?
How do the caregivers discipline children? Discipline should be non-physical, positive, clear, consistent, and fair.
Hand Washing and Diapering
Do all caregivers and children wash their hands often, especially before eating and after using the bathroom or changing diapers?
Is the place where diapers are changed clean?
Do caregivers always keep a hand on the child while diapering?
Do caregivers remove the soiled diaper without dirtying any surface not already in contact with stool or urine?
Do caregivers clean and sanitize the surface after finishing the changing process? (Hands should be scrubbed with soap and warm running water for at least 20 seconds and then rinsed and dried. The water faucet should be turned off with a paper towel.)
Does the director of a child care center have a bachelor’s degree in a child-related field?
Has the director worked in childcare for at least two years?
Does the director understand what children need to grow and learn?
Lead Teacher Qualifications
Does the lead teacher in a child care center has a bachelor’s degree in a child-related field?
Has the teacher worked in childcare for at least one year?
Does the teacher give children lessons and toys that are right for their ages?
Child: Staff Ratio and Group Size
How many children are being cared for in the child care program?
How many caregivers are there? (Your child will get more attention if each caregiver has fewer children to care for. The younger the children are, the more caregivers there should be. For example, one family home caregiver should only take care of two infants.)
Is your child up-to-date on all of the required immunizations?
Does the child care program have records proving that the other children in care are up-to-date on all their required immunizations?
Are toxic substances like cleaning supplies and pest killers kept away from children?
Has the building been checked for dangerous substances like radon, lead, and asbestos?
Is poison control information posted?
Does the child care program have an emergency plan if a child is injured, sick, or lost?
Does the child care program have first-aid kits?
Does the child care program have information about who to contact in an emergency?
Can caregivers be seen by others at all times, so a child is never alone with one caregiver?
Have all caregivers undergone a background check?
Have the caregivers been trained on how to prevent child abuse, how to recognize signs of child abuse, and how to report suspected child abuse?
Does the child care program keep medication out of reach from children?
Are the caregivers trained and the medications labeled to make sure the right child gets the right amount of the right medication at the right time?
Staff Training/First Aid
Have caregivers been trained how to keep children healthy and safe from injury and illness?
Do they know how to do first aid and rescue breathing?
Have they been trained to understand and meet the needs of children of different ages?
Are all child care staff, volunteers, and substitutes trained on and implementing infant back sleeping and safe sleep policies to reduce the risk of SIDS (Sudden Infant Death Syndrome, crib death)? (When infants are sleeping, are they on their backs with no pillows, quilts, stuffed toys, or other soft bedding in the crib with them?)
Is the playground regularly inspected for safety?
Is the playground surrounded by a fence?
If there is a sandbox, is it clean?
Are the soil and playground surfaces checked often for dangerous substances and hazards?
Is equipment the right size and type for the age of children who use it?
Partial Source: USA.gov