My questions are: ~What do you do at a child care facility? (name tasks) ~How does child care relate to a health care career? Why is it medical in nature? ~ How could it help students in a medical course?
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Child care workers nurture and care for children who have not yet entered formal schooling. They also supervise older children before and after school. These workers play an important role in children’s development by caring for them when parents are at work or away for other reasons. In addition to attending to children’s basic needs, child care workers organize activities and implement curricula that stimulate children’s physical, emotional, intellectual, and social growth. They help children explore individual interests, develop talents and independence, build self-esteem, and learn how to get along with others. Child care workers generally are classified into three different groups based on where they work: private household workers, who care for children at the children’s home; family child care providers, who care for children in the provider’s own home; and child care workers who work at separate child care centers. Private household workers who are employed on an hourly basis usually are called babysitters. These child care workers bathe, dress, and feed children; supervise their play; wash their clothes; and clean their rooms. Babysitters also may put children to bed and wake them, read to them, involve them in educational games, take them for doctors’ visits, and discipline them. Those who are in charge of infants, sometimes called infant nurses, also prepare bottles and change diapers. Nannies for a single family. They generally take care of children from birth to age 12, tending to the child’s early education, nutrition, health, and other needs. They also may perform the duties of a housekeeper, including cleaning and laundry. Family child care providers often work alone with a small group of children, though some work in larger settings with multiple adults. Child care centers generally have more than one adult per group of children; in groups of older children, a child care worker may assist a more experienced preschool teacher. Most child care workers perform a combination of basic care and teaching duties, but the majority of their time is spent on care giving activities. Workers whose primary responsibility is teaching are classified as preschool teachers. (teachers—preschool, kindergarten, elementary, middle, and secondary are covered elsewhere in the Handbook.) However, many basic care activities also are opportunities for children to learn. For example, a worker who shows a child how to tie a shoelace teaches the child while also providing for that child’s basic needs. Child care workers spend most of their day working with children. However, they do maintain contact with parents or guardians through informal meetings or scheduled conferences to discuss each child’s progress and needs. Many child care workers keep records of each child’s progress and suggest ways in which parents can stimulate their child’s learning and development at home. Some child care centers and before- and after-school programs actively recruit parent volunteers to work with the children and participate in administrative decisions and program planning. Young children learn mainly through play. Child care workers recognize this and capitalize on children’s play to further language development (storytelling and acting games), improve social skills (working together to build a neighborhood in a sandbox), and introduce scientific and mathematical concepts (balancing and counting blocks when building a bridge or mixing colors when painting). Often a less structured approach is used to teach young children, including small-group lessons; one-on-one instruction; and creative activities such as art, dance, and music. Child care workers play a vital role in preparing children to build the skills they will need in school. Child care workers in child care centers or family child care homes greet young children as they arrive, help them with their jackets, and select an activity of interest. When caring for infants, they feed and change them. To ensure a well-balanced program, child care workers prepare daily and long-term schedules of activities. Each day’s activities balance individual and group play, as well as quiet and active time. Children are given some freedom to participate in activities in which they are interested. As children age, child care workers may provide more guided learning opportunities, particularly in the areas of math and reading. Concern over school-aged children being home alone before and after school has spurred many parents to seek alternative ways for their children to constructively spend their time. The purpose of before- and after-school programs is to watch over school-aged children during the gap between school hours and the end of their parents’ daily work hours. These programs also may operate during the summer and on weekends. Workers in before- and after-school programs may help students with their homework or engage them in other extracurricular activities. These activities may include field trips, sports, or learning about computers, painting, photography, or other fun subjects. Some child care workers are responsible for taking children to school in the morning and picking them up from school in the afternoon. Before- and after-school programs may be operated by public school systems, local community centers, or other private organizations. Helping to keep children healthy is another important part of the job. Child care workers serve nutritious meals and snacks and teach good eating habits and personal hygiene. They ensure that children have proper rest periods. They identify children who may not feel well and, in some cases, may help parents locate programs that will provide basic health services. Child care workers also watch for children who show signs of emotional or developmental problems and discuss these matters with their supervisor and the child’s parents. Early identification of children with special needs—such as those with behavioral, emotional, physical, or learning disabilities—is important to improve their future learning ability. Special education teachers often work with preschool children to provide the individual attention they need. (Special education teachers are discussed elsewhere in the Handbook.) Work environment. Helping children grow, learn, and gain new skills can be very rewarding. The work is sometimes routine but new activities and challenges mark each day. Child care can be physically and emotionally taxing, as workers constantly stand, walk, bend, stoop, and lift to attend to each child’s interests and problems. States regulate child care facilities, the number of children per child care worker, staff qualifications, and the health and safety of the children. State regulations in all of these areas vary. To ensure that children in child care centers receive proper supervision, State or local regulations may require a certain ratio of workers to children. The ratio varies with the age of the children. Child development experts generally recommend that a single caregiver be responsible for no more than 3 or 4 infants (less than 1 year old) and toddler’s (1 to 2 years old) or 6 or 7 preschool-aged children (between 2 and 5 years old). In before- and after-school programs, workers may be responsible for many school-aged children at a time. Family child care providers work out of their own homes. While this arrangement provides convenience, it also requires that their homes be accommodating to young children. Private household workers usually work in the homes or apartments of their employers. Most live in their own homes and travel to work, though some live in the home of their employer and generally are provided with their own room and bath. They often come to feel like part of their employer’s family. The work hours of child care workers vary widely. Child care centers usually are open year round, with long hours so that parents can drop off and pick up their children before and after work. Some centers employ full-time and part-time staff with staggered shifts to cover the entire day. Some workers are unable to take regular breaks during the day due to limited staffing. Public and many private preschool programs operate during the typical 9- or 10-month school year, employing both full-time and part-time workers. Family child care providers have flexible hours and daily routines, but they may work long or unusual hours to fit parents’ work schedules. Live-in nannies usually work longer hours than do those who have their own homes. However, although nannies may work evenings or weekends, they usually get other time off.
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