Choosing Childcare: Questions About Safety, Feeding and Communication

Choosing childcare involves practical limits as well as personal preference. Opening hours, cost and location matter, but a visit should also show how staff keep children safe during an ordinary busy day. Bring a short question list so attractive rooms do not distract from how care works.
Start with the regulator’s information
Find out which registration or licensing rules apply to the setting where you live. Check its status through the relevant authority and read available inspection reports, including what happened after any concerns were raised. Some arrangements are legally exempt, so ask what oversight applies rather than assuming every provider has the same requirements.
In the United States, licensing establishes minimum standards rather than guaranteeing quality. Other countries use their own systems. A provider should be able to explain the framework it operates under and direct you to the responsible regulator.
Watch how adults respond to children
Notice whether staff get down near children, speak warmly and respond when someone needs comfort. Ask how many adults are present for the children’s ages, including during breaks, outings and staff absence. Compare the answer with local requirements rather than an internet ratio from another country.
Ask who will know your child best and how information reaches replacement staff. A useful question is: “What happens if my child is upset while another child needs changing?” The answer should describe actual supervision and support.
Look at sleep and feeding arrangements
Ask to see where an infant will sleep. The surface should be firm, flat and clear, with no pillows, toys or loose bedding. A swing or car seat is not a substitute for the planned sleep space. Ask how staff apply safer sleep practices at every nap.
For a toddler, discuss how rest fits their needs and how the nursery communicates what happened. Our nursery nap guide can help you prepare that conversation.
Ask how bottles are labelled, stored and matched to the correct child, and how staff accommodate breastfeeding and individual feeding routines. Discuss food preparation, supervision and your child’s current textures. For allergies, use the questions in our nursery allergy guide to check how a written clinical plan reaches everyone who serves food.
Ask about incidents and emergencies
Find out who has current pediatric first aid and CPR training and how that coverage is maintained throughout the day. Ask about emergency evacuation, illness policies, medicine storage and administration, and the process when a child is injured.
Check how adults are authorised to collect your child. Ask how incidents are recorded, when parents are contacted and how concerns can be raised. You should understand the response before you need it.
Compare answers before committing
Write down specific observations after each visit. Separate things you saw from promises about future changes. Request clarification where an answer was vague, especially about supervision, sleep or emergency access to prescribed medicine.
Once you choose a setting, prepare a clear caregiver handover. Agree how to update the information and when to review settling in. Selection is the start of an ongoing conversation about your child’s care.
References
- ChildCare.gov: Understanding child care licensing (opens in a new tab)
- ChildCare.gov: Monitoring and inspection reports (opens in a new tab)
- ChildCare.gov: Questions for choosing a child care center (opens in a new tab)
- ChildCare.gov: Health and safety requirements (opens in a new tab)
- NICHD Safe to Sleep: A safer sleep environment (opens in a new tab)


