McKesson Clinical Reference Systems: Pediatric Advisor 2002.1

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Ask Your Prospective Caregiver:

• Can you tell me more about your background and experience?
• What are some reasons you enjoy taking care of children?
• Do you have children of your own?
• How will you get to and from work?
• How will my child be transported if you leave the house?
• What are your expectations regarding length of commitment?
• Do you smoke?
• Do you have any health problems?
• Have you had training in first aid?
• What kinds of activities might you plan for my child?
• What are your views on discipline? Meals? Television? Playmates? Other?
• What would you do if . . . ? (Give examples relevant to your situation: medical and personal emergencies, common problems with child.)
• Can you give me several references, preferably from former employers?
• What questions do you have for me?

Ask Yourself:

• How do I feel about this person's answers to my questions?
• What do this person's manner and appearance tell me?
• How does this person interact with my child?
• What do my instincts tell me?

Facility:

Does my home have:

• child-sized furniture?
• a cheerful, colorful atmosphere?
• ample toys and art materials?
• plenty of indoor and outdoor space?
• special areas for quiet and active play?
• safe, creative outdoor play equipment?

Caregiver:

Does the caregiver:

• welcome my questions and suggestions?
• share my childrearing philosophy?
• take time to share my child's experiences with me?
• seem to enjoy my child?
• remain gentle, yet firm? consistent, yet flexible?
• sensitively handle feelings of fear, shyness, upset, and anger?
• respect my child's unique background and interests?
• guide rather than direct behavior?
• really listen and talk to my child?
• seem cheerful, affectionate, and warm?
• have training and experience in early child education?
• kneel or sit at child's eye level?
• actively play with my child, indoors and out?
• emphasize my child's strengths and accomplishments?
• cultivate my child's natural curiosity?
• handle discipline positively?
• establish and consistently maintain limits?
• have a sense of humor and acceptance?
• provide consistent care so my child has a stable, predictable daily routine?

Program:

Do the planned activities help my child develop physically by:

• providing daily outdoor activities where my child uses his or her whole body?
• balancing active, physical activities with quiet, restful ones?
• providing ample rest and nap times?
• prohibiting play that could quickly get out of hand?

Do the planned activities help children develop emotionally by:

• encouraging my child to express him or herself?
• patiently encouraging my child to solve some problems on his or her own?
• providing ample opportunities for my child to feel good about him or herself?
• helping my child deal with feelings constructively?
• providing security through a well-defined, predictable schedule of daily activities?
• showing my child how to help him or herself as much as possible?

Do the planned activities help my child develop creatively and intellectually by:

• encouraging my child to use art and play materials in his or her own way?
• providing plenty of time for my child to complete his or her projects?
• fostering curiosity through opportunities to see new things and try out new ideas?
• nurturing self-expression through art, music, drama, and literature?
• providing plenty of "hands on" learning experiences?
• encouraging self-direction and self-pacing?
• furnishing an environment rich with science materials, books, building equipment, musical instruments, toy and art materials, props for dramatic play, natural materials like sand, water, and clay?
• balancing structured and unstructured activities?
• developing a sense of satisfaction over completing a task or thinking something through?
• designing graduated goals for my child?
• asking my child for ideas about activities?
• encouraging language development?

Health and Safety:

• What is the procedure for medical emergencies?
• Is the caregiver trained in first aid?
• Does my home have smoke detectors and fire extinguishers? Regular fire drills? Alternate exits?
• Are important phone numbers posted near the phone? (Examples include police, fire, poison control center, hospital, children's physician, ambulance.)
• Does my caregiver always know how to get in touch with both parents?
• Does my child receive constant supervision, indoors and out? (Young children should never be left unattended while on a bed, chair, changing table, high chair, stroller, baby walker, baby swing, or in the water; outdoor dangers include swimming pool, pond, garage tools, driveway, streets, kidnapping, wandering off.)
• Can all doors inside the home be opened from the outside at all times?
• Are the outside doors and windows locked?
• Do strong screens or metal bars cover the windows? (especially important above ground level)
• Do all glass doors have decals?
• Are the rooms well ventilated and comfortable year-round?
• Are stairways and walkways free from clutter?
• Are floors free from spills, slippery surfaces, or small throw rugs?
• Are small, sharp, or otherwise dangerous items out of reach or locked in a cupboard, drawer, or cabinet? (Examples include pins, thumbtacks, paper clips, matches, lighters, knives, plastic bags, scissors, guns, razor blades, glassware, working appliances.)
• Are poisonous items stored out of reach or locked in cupboards, drawers, or cabinets? (Examples include cleaning products, polish, bleach, medicines, cosmetics, perfumes, aerosol cans, first aid supplies.)
• Are the home and yard free from poisonous plants?
• Are all foods or drinks within reach safe for my child? (Examples of dangerous foods or beverages: any food that a child could choke on like popcorn or hard candy; beverages that are hot or alcoholic.)
• Are hot radiators covered?
• Is my child kept away from dangerous places like the stove?
• Have furniture and other household objects with sharp corners been padded or removed?
• Do all electrical sockets have protective covers?
• Has attention been paid to objects that could be pulled or knocked over? (Examples include tablecloths, electrical cords, lamps, furniture.)
• Is my child safe around pets?
• Are pet dishes out of reach?
• Are toys safe, clean, and in good repair?
• Are play surfaces, indoors and out, softened with carpeting or wood chips?
• Does my child get a daily dose of fresh air and sunshine, weather permitting?
• Is the outdoor area fenced and free of hazards?
• Is the play equipment safe and appropriate for my child's level of development?

Meals:

• Are snacks and meals tasty, attractive, and well balanced?
• Is food served in a pleasant, relaxed atmosphere?
• Does the caregiver serve food I want my child to eat?
• Is my child allowed to leave food on the plates? (They should never be forced to eat.)
• Are portions small and second helpings available?
• Is my kitchen clean?