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Quality Infant & Toddler Care Promotes Greater Outcomes for Children and Helps Parents Go To Work

The first three years of a child's life are a critical time of growth and development. High quality care is extremely important for babies and toddlers, and increasing numbers of children are cared for by someone other than their parent. Early environments make a difference, and nurturing relationships are important for all children. ¹ Even families with resources need support to provide their children with the nurturing and stimulation they need. Families with the challenges of poverty have even greater need for support for their children ², to ensure they grow up healthy and ready for school.

Quick Facts:

• There are approximately 11.6 million infants and toddlers in the United States ³
• Almost 75 percent of the infants and toddlers with working mothers are being cared for by someone other than their parent. ⁴
• Infants and toddlers with working mothers spend an average of 35 hours a week in child care. ⁵

The supply of child care for infants and toddlers is not nearly enough to meet the needs of families.

• Licensed care is less available for infants and toddlers than for older children. ⁶
• Infant care is often the most difficult to find with parents facing long waiting lists. ⁷
• Low-income families find it particularly difficult to find care for their infants and toddlers because of other factors including the need for part-time care, care during nontraditional work hours, care for children with special needs or care for sick children. ⁸

Families depend on a variety of child care options available to them so that parents can go to work.

• Quality programs that reach families early and offer flexible service options have the largest impact on infants, toddlers, and their parents. ⁹
• Options may include center programs, family child care homes, or relative caregivers. For continuity and stability, and so parents can work, the provision of child care must be reliable for the family.

Infant and toddler child care must be of high quality.

• More than one-third of kindergarteners are considered not ready when they arrive at school. ¹⁰ School readiness includes behavioral development and social emotional skills, in addition to cognitive and language skills.
• Infants and toddlers are not too young to benefit from high quality early learning environments.
• According to Zero to Three, high quality infant-and-toddler child care includes small groups; high staff-to-child ratios; continuity of care; primary caregiver assignments; health and safety; and cultural and linguistic continuity. ¹¹
• A recent study found only 8 percent of infant classrooms in child care centers in four states were of good or excellent quality. Forty percent of infant programs were of poor quality. 400 centers were included in the study. ¹²
• The cost of providing developmentally appropriate care is only ten percent higher than the cost of providing mediocre care. ¹³

¹ Shonkoff, J. and Phillips, D. (Eds.) and National Research Council (2000). From Neurons to Neighborhoods: The Science of Early Childhood Development. Washington, DC: National Academy Press.
² National Center for Children in Poverty: Infant and Toddler Project. www.nccp.org/it_context.html
³ Ibid.
⁴ Ibid.
⁵ Ibid.
⁶ Fuller, Bruce and Xiaoyan Liang. Can Poor Families Find Child Care? Persisting Inequality Nationwide and in Massachusetts. Cambridge, MA: Harvard University, 1996.
⁷ Blank, Helen, Andrea Behr, and Karen Schulman. State Developments in Child Care, Early Education and School Age Care, 2000. Washington, DC: Children's Defense Fund 2001.
⁸ Paulsnell, Diane, Julie Cohen, Ali Steiglitz, Erica Lurie-Hurvitz, Emily Fenichel, Ellen Kisker. Partnerships for Quality: Improving Infant-Toddler Child Care for Low-Income Families. Princeton, NJ: Mathematic Policy Research, Inc. 2002.
⁹ Ounce of Prevention Foundation. Ready for School: The Case for Including Babies and Toddlers as We Expand Preschool Opportunities 2003
¹⁰ Knitzer, J. (2001). Using Mental Health Strategies to Move the Early Childhood Agenda and Promote School Readiness. New York, NY: Carnegie Corporation of New York and National Center for Children in Poverty.
¹¹ Zero to Three Policy Center. "Improving Quality Child Care for Infants and Toddlers" January 2005.
¹² Cost, Quality and Child Outcomes Study Team. Cost, Quality and Child Outcomes in Child Care Centers, Public report, 2nd Edition. (Denver Economics Department, University of Colorado at Denver, 1995).
¹³ Ibid.