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Contents

When it comes to finding the right childcare, clarity and communication are paramount. The Babysitting For Parents form serves as a vital tool in establishing a clear understanding between parents and caregivers. This form outlines essential information about the childcare provider, including their certification status, contact details, and the specific services they offer. Parents will find a detailed contract that requires signatures from both parties, ensuring everyone is on the same page before care begins. The document also addresses important topics such as payment structures, hours of operation, and additional fees for services like early drop-off or late pick-up. Notably, it includes provisions regarding holidays, absences, and the responsibilities of both the provider and the parents. By setting these expectations upfront, the form aims to foster a positive and trusting relationship, allowing families to focus on what truly matters: the well-being and development of their children.

Preview - Babysitting For Parents Form

PROVIDER-PARENT/GUARDIAN
CHILD CARE CONTRACT
Welcome! I’m glad you have decided to enroll your child in my family daycare. (You are welcome to contact
4-C certification, who I am certified through (271-9181) to verify my status of certification or should you have any
concerns) As a certified provider, I can care for up to 3 children in addition to my own, under the age of 7 years, at any
one time. Along with enrollment materials, parents will receive a copy of a parent checklist which summarizes
certification regulations. The following contract is to be completed and signed by the parent/guardian before care
begins. Please read over all policies and fees before signing the contract. We must discuss fees and what services are
covered before care begins. You will receive a copy of the signed contract. If you have any questions regarding
fees, policies or practices, please feel free to discuss them with me.
This Contract is Between:
Provider’s Name Address Phone Number
-And-
Mother/Legal Guardian
Name:______________________ Address:____________________________Phone:_________________
Employer:___________________ Address: ____________________________Phone:________________
Father/Legal Guardian
Name:______________________ Address:_____________________________Phone:________________
Employer:___________________ Address: ____________________________ Phone:________________
For the Care of:
1. Child’s Name:____________________________ 3. Child’s Name:___________________________
Date of Birth:____________________________ Date of Birth:___________________________
2. Child’s Name:____________________________ 4. Child’s Name:__________________________
Date of Birth:____________________________ Date of Birth:___________________________
I may amend the contract/policies by giving the parent/guardians a copy of the new or changed policies at
least _______weeks before any changes go into effect.
PAYMENT AND FEES:
Hours of Care Needed: (Be sure to specify if AM or PM)
TIMES Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Drop Off
Pick Up
Payment for Care Provided: (please circle one)
1
st
Child: $_______________/per week $ ______________/per day $ _____________/per hour
2
nd
Child: $_______________/per week $ ______________/per day $ _____________/per hour
3
rd
Child: $_______________/per week $ ______________/per day $ _____________/per hour
Payments are due:________________________
Additional Fees/Late Fees: (If applicable, please check one, indicate $ amount)
Parent’s will be charged additional fees for early drop off or late pick up. Fees are as follows:
$_________/per minute
$_________/per every ____minute increment
$_________/per ½ hour.
Parent’s will not be charged a late fee for early drop off or late pick up.
Holidays: (please check all holiday’s that childcare will be closed)
Not Applicable Martin Luther King, Jr., Birthday
Memorial Day Independence Day (4
th
of July)
Labor Day Thanksgiving Day
Christmas Day New Years Day
Other:________________________________
(check all statements that apply)
Holidays provider does not provide care
will be paid
at a rate of:_______________________.
Holidays provider does not provide care
will not
be paid by parent.
Holidays parent does not bring child to care and childcare is open
will be paid
at a rate
of:______________________.
Holidays parent does not bring child to care and childcare is open
will not
be paid.
Payments made by other sources (W-2):
The Dane County subsidy program (W-2) will pay certified providers for days of attendance only. They do
not pay providers for sick days, vacation days or days the child is not authorized for. Therefore, it is my
policy:
Parent’s
will be
responsible for payment on days the county/city does not make payment and the child
does not attend childcare. Payment will be paid at a rate of: ___________________________________.
Parent’s
will not
be responsible for payment on days the county/city does not make payment and the
child is not in care.
Vacations: (list any vacations that are agreed upon per year and if payment is expected)
Vacations for provider
will be paid
by parent, at a rate of:___________________________________.
Vacations provider will take:____________________________________________________.
Vacations for provider
will not be paid.
Vacations for parents
will be paid
by the parent at a rate of:__________________________________.
Vacations parent will take:______________________________________________________.
Vacations for parents
will not be paid.
Absences:
Absence or illness of a child
will be paid
by the parent at a rate of:_____________________________.
Absence or illness of a child
will not be paid.
If I (the provider) close my daycare due to my illness or the illness of a family member, the rate of pay will
remain unchanged.
If I (the provider) close my daycare due to my illness or the illness of a family member, payment is not
required.
Additional Requirements: (please list any additional items the parent(s) are expected to provide-items may include,
diapers, lotions, sun screen, blankets, pillows, change of clothing etc.)
Parent is not responsible for additional requirements.
Parent is responsible for the following additional requirements:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Termination: (Please refer to policies section under TERMINATION for explanation of “termination period”)
Termination of care for a child(ren) by the provider
will be paid
by parent during the termination period.
Termination of care for a child(ren) by the provider
will not be paid
for the termination period.
Termination of care for a child(ren) by the parent
will be paid
for the termination period.
Termination of care for a child(ren) by the parent
will not be paid
for the termination period.
By signing this contract, parents/guardians and provider agree to abide by the written policies as
stated above.
________________________ _______________________ __________
Provider’s Name (Print) Provider’s Signature Date
________________________ ________________________ _________
Parent’s Name (Print) Parent’s signature Date
________________________ _______________________ _________
Parent’s Name (Print) Parent’s signature Date
Attention Parent(s): Certification requires all parents receive a signed copy of the
contract. Please be sure to obtain a copy of this contract.
POLICIES AND PROCEDURES AGREEMENT:
Admission:
My family childcare will provide care for children between the ages of ______weeks/months/years (circle
one) through ______years. My operating hours are between _____am/pm and ____am/pm. Please be aware
that although I specify my hours of operation, we will contract for specific hours for your child and you may
be charged additional fees if you pick up or drop off your child beyond our contracted hours (see contract). I
will never refuse to enroll a child on the basis of race, color, sex, sexual orientation, creed or handicap.
Enrollment Procedures:
Parents must meet with the me (the provider) in order to discuss their child’s specific needs and to review the
program’s policies. The following forms are required to be on file for each child per certification standards:
Parent information and checklist (to be completed by provider and parent together)
Enrollment and emergency medical consent form
Authorization to administer medication form
Authorization to transport (vehicle or walking field trips)
Immunization Record may be submitted within 30 days after enrollment
Health Report (needs to be completed by physician) may be submitted within 90 days after enrollment
Information for children under 2
Completed and signed contract. Policies and Procedures reviewed.
All families will be enrolled on a trial period. The trial period of _________________ is to determine the
right placement for your child. During this trial period either party (parent or provider) has the right to
terminate care without notice. Your trial period will end on ____________________. Please make a note of
this day. After the trial period, termination notice must be given. The parent will be responsible for payment
for days the child attended during the trial period.
Termination:
This contract may be terminated by either the parent/guardian or provider by giving a ______week written
notice in advance of the ending date. Payment by parent/guardian may be due for the notice period, whether
or not the child is brought to the provider for care (please refer to the contract). Reasons for a provider
termination may include but are not limited to: failure of parents/guardians to pay, failure of parent/guardian
to complete required forms, lack of parent cooperation, inability of provider to meet the child’s needs, the
inability of the child to adjust to childcare or the failure of parent to abide by contract/policies. In some
cases, immediate termination may be necessary. Some reasons for immediate termination may include, but are
not limited to; failure for a parent to pay required fees, health or safety reasons of the children in care.
Communication between parents and the provider is very important. Termination due to any of these reasons
would be a last resort of parents/guardian and provider being unable to resolve the issue together.
Liability:
This family childcare is covered by liability insurance both for my premises and for my operations. Name
of insurance company:_______________________________________.
This family childcare is
not
covered by liability insurance.
This family childcare has vehicle insurance to cover transporation of daycare children.
This family childcare
does not
have vehicle insurance to cover transportation of daycare children.
Illness Policy:
It is not always easy to decide if a child should remain at home due to an illness. Children who come to
childcare are expected, with few exceptions, to participate fully in child care activities. Children who are
exhibiting the following symptoms will be sent home or should remain home:
Fever of 100 degrees or higher: this signals an illness may make a child uncomfortable and unable to to
function well in childcare.
Vomiting, diarrhea or severe nausea: these are symptoms that require a child to remain at home until a
normal diet is tolerated the night before and the next morning.
Rashes: rashes or patches of broken, itchy skin should be examined by a doctor if it appears to be
spreading or not improving.
A child who is too ill to remain in care will be isolated from the other children. The parent will be notified of
their child’s illness and will be required to pick up their child within______minutes.
Children with communicable diseases shall not attend childcare. Examples of communicable diseases
include but are not limited to:
Chicken Pox Influenza Pink Eye Mumps Strept Throat
Impetigo Lice Measles Whooping Cough Scarlet Fever
It is important that you notify the provider if any medication has been administered to your child within
the last 24 hours. Should there be a medical emergency it is crucial to report whether or not the child is
on medication.
All prescriptive and non-prescriptive medications (including diaper rash creams and sunscreens) that need
to be administered at childcare by the provider requires that the parent complete an Authorization to
Administer Medication Form.
Health Procedures:
Each child 5 years of age or younger and is not enrolled in school, is required to have a physical examination
report on file within 90 days of the first day of attendance. Children age 2 years and older must submit an
updated Health Report Form every 2 years. Children under 2 must submit an updated Health Report Form
every 6 months. An immunization record for all children must be completed by the parent within 30 days of
the first day of attendance.
Sudden Infant Death Syndrome (SIDS):
According to certification standards, all providers, employees, substitutes and volunteers of a provider who
provide care and supervision for children under one year of age shall receive training in the most current
medically accepted methods of preventing sudden infant death syndrome (SIDS) before the date on which
the provider is certified or the employment or volunteer work commences.
In addition to myself, my substitutes/volunteers have completed an approved SIDS training. I
completed the training on:________________. This can be verified with the 4-C office at 271-9181.
I have not completed an approved SIDS training and can not care for children under 1 year of age until
an approved SIDS training has been completed.
In addition, it is the policy of this childcare and a certification standard that all infants under 1 year of age
must be placed on their backs to sleep to reduce the risk of SIDS, unless otherwise instructed/directed in
writing by the child’s physician. A safe crib or playpen shall be available for each child under 1 year of age to
use for napping.
Discipline:
In accordance with Wisconsin rules for Family Daycare Certification punishment that is humiliating or
frightening to a child such as hitting, spanking, verbal or sexual abuse, withholding or forcing food, binding
or tying to restrict movement, enclosing a child in a confined space such as closet, basement, locked room,
box (or similar cubicle) any punishment for lapses in toliet training and any forms of physicial punishment are
prohibited. Time-outs can not exceed 5 minutes. These forms of punishment will never be used, even at a
parent’s request.
My childcare will use the following methods to guide the child rather than discipline:_____________
______________________________________________________________________________
Substitute Care Arrangement:
A substitute provider is considered someone who provides care on a regular weekly basis and must meet the
same qualifications as a certified provider (training, continuing education, SIDS and background checks). All
substitute providers must be approved through 4-C.
Not Applicable. Parents will be required to provide their own childcare if I (the provider) am unable to
do so due to illness, closings or scheduled vacations.
Substitute Care Provider(s) may be the following individual(s):
Substitute #1 Full Name:___________________________Phone:____________________
Substitute #2 Full Name:___________________________Phone:____________________
The provider has also identified an emergency backup person that may be called for assistance in the
event of an emergency : ___________________________________________________________.
Additional Policies Include:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
By signing this agreement, you are agreeing you have read, understand and agree to adhere to these
Policies and Procedures
________________________ _______________________ __________
Provider’s Name (Print) Provider’s Signature Date
________________________ ________________________ _________
Parent’s Name (Print) Parent’s signature Date
________________________ _______________________ _________
Parent’s Name (Print) Parent’s signature Date
Attention Parent(s): Certification requires all parents receive a signed copy of the
contract. Please be sure to obtain a copy of this contract.
SAMPLE TERMINATION NOTICE
PARENT TERMINATION
Notice given by: ______________________________on __________________
Parent/Guardian’s Name Date
to terminate care for:___________________________effective:__________________.
Child/Children’s name Date
_______________________________________ _____________
Parent’s Signature Date
PROVIDER TERMINATION
Notice given by: ______________________________on ___________________
Provider’s Name Date
to terminate care for: _____________________________effective: ________________. Payment
Child/Children’s Name(s) Date
of __________________ will be due. If parent wishes not to have their child attend childcare after
termination notice has been given:
Payment
will be
required from last date of attendance to termination date.
Payment
will not
be required.
__________________________________ ____________
Provider’s Signature Date

Document Specifics

Fact Name Details
Provider Certification The provider is certified to care for up to three children under the age of seven in addition to their own children.
Contract Requirement Parents must complete and sign the contract before care begins, ensuring they understand all policies and fees.
Payment Structure Payment can be made weekly, daily, or hourly for each child, with specific rates outlined in the contract.
Additional Fees Parents may incur additional fees for early drop-off or late pick-up, which must be specified in the contract.
Trial Period A trial period is established to assess the suitability of care, during which either party may terminate without notice.
Termination Notice Either party must provide a written notice of termination, typically requiring a specific notice period as outlined in the contract.
Governing Laws The contract and its provisions are subject to state-specific childcare regulations, which vary by state.

Babysitting For Parents: Usage Instruction

Filling out the Babysitting For Parents form is a straightforward process that ensures all necessary information is collected for a smooth childcare arrangement. To complete this form, you will need to provide details about your family, the child or children who will be in care, and your preferences regarding payment and policies. Follow the steps below to ensure you fill out the form accurately and completely.

  1. Begin by entering the Provider’s Name, Address, and Phone Number at the top of the form.
  2. Next, fill in the Mother/Legal Guardian section with the name, address, phone number, and employer details.
  3. Repeat the previous step for the Father/Legal Guardian section.
  4. In the section for the child or children, list each Child’s Name and their Date of Birth. You can include up to four children.
  5. Indicate how many weeks’ notice you would like to receive for any changes to the contract or policies.
  6. Specify the Hours of Care Needed for each day of the week, noting whether it is AM or PM.
  7. Complete the Payment for Care Provided section by circling the appropriate payment option for each child.
  8. Fill in the Payments are due section with the appropriate date or frequency.
  9. Check the box regarding Additional Fees/Late Fees and indicate the amounts, if applicable.
  10. Mark any holidays when childcare will be closed and indicate payment expectations for those days.
  11. Complete the Vacations section by listing any agreed-upon vacations and payment expectations.
  12. Detail any Absences policies, specifying payment responsibilities for child absence due to illness.
  13. List any Additional Requirements that you will provide for the care of your child.
  14. Fill out the Termination section, indicating the payment responsibilities for termination by either party.
  15. Finally, ensure that both the provider and parents/guardians sign and date the contract at the bottom of the form.

Once you have completed the form, be sure to keep a copy for your records. This will help ensure clarity and understanding between you and the childcare provider as you begin this important relationship.

Learn More on Babysitting For Parents

What is the Babysitting For Parents form?

The Babysitting For Parents form is a childcare contract between a provider and parents or guardians. It outlines the terms and conditions of care, including payment details, policies, and responsibilities of both parties. This form must be completed and signed before childcare begins. It ensures that both the provider and the parents are clear on expectations and obligations.

What should I include in the payment section of the form?

In the payment section, you need to specify the payment rates for each child. This includes weekly, daily, and hourly rates. Additionally, indicate when payments are due and any extra fees that may apply for early drop-offs or late pickups. Clearly outline any holiday policies regarding payment, as well as procedures for absences due to illness or vacations.

What happens during the trial period mentioned in the contract?

The trial period allows both the provider and the parents to assess if the childcare arrangement is suitable. During this time, either party can terminate the agreement without notice. The duration of the trial period should be specified in the contract. Parents are responsible for payment for the days the child attends during this trial period.

How can the contract be terminated?

Either the parent or the provider can terminate the contract by providing a written notice, typically one week in advance. Payment may be required for the notice period, regardless of whether the child attends during that time. Immediate termination may occur under certain circumstances, such as non-payment or health and safety concerns. It's important to communicate openly to resolve any issues before considering termination.

Common mistakes

When filling out the Babysitting For Parents form, many parents make common mistakes that can lead to misunderstandings or complications. One frequent error is failing to provide complete contact information. Missing phone numbers or addresses can hinder communication between the provider and parents, especially in emergencies.

Another mistake is neglecting to specify the hours of care needed. Parents should clearly indicate whether they need care in the morning or evening. This oversight can lead to scheduling conflicts and potential additional fees if the provider is not informed of the exact needs.

Some parents forget to discuss fees and services before signing the contract. This can result in unexpected costs later on. It is crucial to clarify payment structures and additional fees associated with late drop-offs or early pick-ups to avoid surprises.

Additionally, parents often overlook the importance of reviewing the policies section thoroughly. Not understanding the termination policies or payment obligations during absences can create confusion. Parents should ensure they comprehend all terms before signing.

Another common issue is not listing all children who will be in care. Parents must provide the names and dates of birth for each child. Omitting this information can complicate enrollment and affect care planning.

Some parents also fail to check the appropriate boxes regarding holidays. This can lead to misunderstandings about when care will be available and whether payment is required during holidays. Parents should carefully review these sections to ensure accuracy.

In addition, parents may neglect to provide required documentation, such as immunization records or health reports. Missing these documents can delay enrollment and compliance with certification standards.

Another mistake involves not discussing vacation policies. Parents should be clear about their own vacation plans and understand how these will affect payment obligations. Lack of communication on this front can lead to financial strain.

Finally, some parents do not ask questions or seek clarification on policies they do not understand. It is vital to address any uncertainties before signing the contract. Open communication helps establish a positive relationship between the provider and parents.

By avoiding these mistakes, parents can ensure a smoother enrollment process and a better experience in childcare.

Documents used along the form

When preparing for childcare services, parents often need to complete various forms and documents to ensure a smooth and transparent relationship with the provider. These documents not only outline expectations but also clarify responsibilities and policies. Below is a list of forms commonly used alongside the Babysitting For Parents form.

  • Parent Information and Checklist: This document is filled out collaboratively by the provider and parents. It includes essential details about the child and serves as a checklist to ensure all necessary requirements for enrollment are met.
  • Emergency Medical Consent Form: This form grants the provider permission to seek medical treatment for the child in case of an emergency. It is crucial for ensuring that the child receives timely care when needed.
  • Authorization to Administer Medication Form: Parents use this form to authorize the provider to give medication to their child. It includes details such as the medication name, dosage, and schedule, ensuring that the provider can administer medications safely and legally.
  • Immunization Record: This record documents the child’s vaccinations and is often required by childcare providers to ensure the health and safety of all children in their care. It helps maintain compliance with health regulations.
  • Health Report: Completed by a physician, this report assesses the child's health status and is typically required for enrollment. It provides valuable information about any medical conditions or special needs the child may have.

By familiarizing themselves with these forms, parents can better navigate the childcare process. Each document plays a vital role in establishing a clear understanding between parents and providers, ultimately fostering a safe and supportive environment for children.

Similar forms

The Babysitting For Parents form shares similarities with the Child Care Enrollment Form, which is often used by daycare centers and family childcare providers. Both documents serve as a foundational agreement between parents and caregivers, outlining essential details such as the child's information, emergency contacts, and specific care requirements. Just like the Babysitting For Parents form, the Child Care Enrollment Form typically requires signatures from both parties, ensuring mutual understanding and commitment to the terms of care. This form also emphasizes the importance of clear communication regarding fees and policies, mirroring the structure and intent of the Babysitting For Parents form.

Another document akin to the Babysitting For Parents form is the Daycare Contract. This contract usually includes similar sections that detail payment structures, hours of operation, and policies regarding absences and vacations. Both documents aim to establish clear expectations and responsibilities for parents and providers. The Daycare Contract often contains provisions for termination, outlining the notice required and the conditions under which care may be terminated. This is reminiscent of the termination clauses in the Babysitting For Parents form, reinforcing the need for transparency in the caregiver-parent relationship.

The Provider Agreement is yet another document that aligns closely with the Babysitting For Parents form. This agreement typically outlines the roles and responsibilities of both the provider and the parents, ensuring that all parties are on the same page regarding the care provided. Like the Babysitting For Parents form, the Provider Agreement usually includes sections on payment, hours of care, and additional requirements, such as items parents need to supply. By establishing clear guidelines, both documents foster a sense of trust and accountability between caregivers and families.

Lastly, the Emergency Contact Form bears resemblance to the Babysitting For Parents form in its focus on safeguarding the child's well-being. While the Babysitting For Parents form provides a comprehensive overview of care arrangements, the Emergency Contact Form specifically highlights critical information needed in case of an emergency. Both documents emphasize the importance of having accurate contact details and medical information readily available, ensuring that caregivers can act swiftly and effectively in unforeseen situations. This shared focus on safety and communication underscores the essential nature of both forms in the childcare context.

Dos and Don'ts

When filling out the Babysitting For Parents form, it is essential to follow certain guidelines to ensure clarity and compliance. Below is a list of things to do and avoid during this process.

  • Do read all sections of the form carefully before filling it out.
  • Do provide accurate information for all required fields, including names and contact details.
  • Do discuss fees and services with the provider before signing the contract.
  • Do keep a copy of the signed contract for your records.
  • Don't leave any required fields blank; incomplete forms may delay the process.
  • Don't provide false information, as this can lead to termination of care.
  • Don't forget to note the trial period and termination notice requirements.
  • Don't hesitate to ask questions if any part of the form or contract is unclear.

Misconceptions

Understanding the Babysitting For Parents form is crucial for both parents and childcare providers. However, several misconceptions can lead to confusion. Here are eight common misunderstandings:

  1. It’s just a formality. Many parents think the contract is merely a formality. In reality, it outlines important policies and expectations that protect both parties.
  2. All fees are fixed. Some believe that fees are set in stone. However, additional charges may apply for late pickups or early drop-offs, as specified in the contract.
  3. Provider certification is unnecessary. Parents often underestimate the importance of provider certification. It ensures that the caregiver meets specific standards for child safety and care.
  4. Termination policies are flexible. Many assume that termination can happen without notice. In fact, a written notice period is typically required, as detailed in the contract.
  5. Absences don’t incur costs. Parents may think that if their child is absent, they won’t have to pay. However, the contract may specify that parents are responsible for payment even during absences.
  6. Verbal agreements are sufficient. Some believe that a verbal agreement with the provider is enough. Written contracts are essential to clarify expectations and protect both parties.
  7. All holidays are free. Parents might think that no fees apply during holidays. However, the contract outlines specific rates for holidays when care is not provided.
  8. Additional items are optional. Many parents think that providing items like diapers or sunscreen is optional. However, the contract may specify that these items are required for care.

It is vital to read the Babysitting For Parents form carefully and clarify any uncertainties before signing. This will ensure a smooth childcare experience for everyone involved.

Key takeaways

When filling out and using the Babysitting For Parents form, there are several important points to keep in mind. Here are ten key takeaways to help guide you through the process:

  • Understand the Provider's Certification: Always verify the provider's certification status. You can contact the certification agency directly for confirmation.
  • Complete All Sections: Ensure that all sections of the contract are filled out completely, including names, addresses, and contact information for both parents and the provider.
  • Review Policies and Fees: Before signing, read through all policies and fees carefully. Understanding these details can prevent misunderstandings later.
  • Discuss Hours of Care: Clearly specify the hours of care needed, including whether they are in the AM or PM. This will help avoid additional charges for early drop-offs or late pick-ups.
  • Clarify Payment Terms: Make sure to understand how much you will be charged for each child and the payment schedule. Payments can vary based on the child’s attendance.
  • Know About Additional Fees: Be aware of any additional fees for early drop-offs or late pick-ups. These can add up if not planned for.
  • Understand Holiday Policies: Review the holiday policies to know when the provider will be closed and whether payment is required during those times.
  • Trial Period: Remember that there is a trial period for enrollment. This allows both the parent and provider to assess the fit before committing long-term.
  • Termination Notice: Be familiar with the termination policies. Both parties must provide written notice, and payment may still be required during this notice period.
  • Keep a Copy: After signing, ensure you receive a copy of the completed contract. This serves as a reference for both parties throughout the care period.

By keeping these points in mind, parents can navigate the Babysitting For Parents form with confidence, ensuring a smooth experience for both themselves and their childcare provider.