crsheader Index Child Care: Preschool In-Home Care

What is in-home care?

In-home care means hiring someone to care for young toddler or preschooler in your own home. Your child will be in a familiar place and get lots of personal attention. The caregiver may be a friend, neighbor, relative, or professional nanny. If you hire the person through an agency, a background check should have already been done. Some states have resources that allow you to do background checks.

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?
  • 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?

Observe or Ask About:


Does my home have:

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


Does the caregiver:

  • welcome my questions and suggestions?
  • share my childrearing philosophy?
  • take time to share my child’s experiences with me?
  • sensitively handle feelings of fear, shyness, upset, and anger?
  • respect my child’s unique background and interests?
  • 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?
  • establish and consistently maintain limits?
  • provide consistent care so my child has a stable, predictable daily routine?


Will the activities the caregiver provides:

  • balance active, physical activities with quiet, restful ones?
  • provide ample rest and nap times?
  • prohibit play that could quickly get out of hand?
  • patiently encourage toddlers to solve some problems on their own?
  • help children deal with feelings constructively?
  • provide security through a well-defined, predictable schedule of daily activities?
  • balance structured and unstructured activities?
  • encourage language development?

Health and Safety

  • What is the procedure for medical emergencies?
  • Is the caregiver trained in first aid?
  • What is the policy on handwashing?
  • Does the 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 latched safety gates placed at the top and/or bottom of stairways?
  • Are stairways and walkways free from clutter?
  • 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, and 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, and 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.)
  • Is my child kept away from dangerous places like the stove or hot water faucets?
  • 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?
  • Is the outdoor area fenced and free of hazards?
  • Is the play equipment safe and appropriate for my child’s level of development?


  • Does the caregiver know about healthy foods and also my child’s preferences?
  • Is my child allowed to leave food on the plate? (Children should never be forced to eat.)
  • Are portions small and second helpings available?

Written by Donna Warner Manczak, PhD, MPH. Published by RelayHealth.
Last modified: 2011-01-28
Last reviewed: 2009-05-26 This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. References
Pediatric Advisor 2011.4 Index
© 2011 RelayHealth and/or its affiliates. All rights reserved.