Child care, otherwise known as day care, is the care and supervision of a child or multiple children at a time, whose ages range from six weeks to thirteen years. Child care is the action or skill of looking after children by a day-care center, nannies, babysitter, teachers or other providers. Child care is a broad topic that covers a wide spectrum of professionals, institutions, contexts, activities, and social and cultural conventions. Early child care is an equally important and often overlooked component of child development. Child care providers can be children's first teachers, and therefore play an integral role in systems of early childhood education. Quality care from a young age can have a substantial impact on the future successes of children. The main focus of childcare is on the development of the child, whether that be mental, social, or psychological. In most cases children are taken care of by their parents, legal guardians, or siblings. In some cases, it is also seen that children care for other children. This informal care includes verbal direction and other explicit training regarding the child's behavior, and is often as simple as 'keeping an eye out' for younger siblings. Care facilitated by similar-aged children covers a variety of developmental and psychological effects in both caregivers and charge. This is due to their mental development being in a particular case of not being able to progress as it should be at their age. This care giving role may also be taken on by the child's extended family. Another form of childcare that is on the rise in contrast to familial caregiving is that of center-based child care. In lieu of familial care giving, these responsibilities may be given to paid caretakers, orphanages or foster homes to provide care, housing, and schooling. Professional caregivers work within the context of a center-based care (including creches, daycare, preschools and schools) or a home-based care (nannies or family daycare). The majority of child care institutions that are available require that child care providers to have extensive training in first aid and be CPR certified. In addition, background checks, drug testing at all centers, and reference verification are normally a requirement. Child care can consist of advanced learning environments that include early childhood education or elementary education. “The objective of the program of daily activities should be to foster incremental developmental progress in a healthy and safe environment and should be flexible to capture the interests of the children and the individual abilities of the children.” In many cases the appropriate child care provider is a teacher or personal with educational background in child development, which requires a more focused training aside from the common core skills typical of a child caregiver. As well as these licensed options, parents may also choose to find their own caregiver or arrange childcare exchanges/swaps with another family. At home, care is typically provided by nannies, au pairs, or friends and family. The child is watched inside their own home which could expose them to outside children and illnesses. Depending on the number of children in the home, the children utilizing in-home care could enjoy the greatest amount of interaction with their caregiver, in turn forming a close bond. There are no required licensing or background checks for in-home care, making parental vigilance essential in choosing an appropriate caregiver. Nanny and au pair services provide certified caregivers and the cost of in-home care is the highest of childcare options per child, though a household with many children may find this the most convenient and affordable option. Many nannies study towards childcare qualifications. This means they are trained to create a safe and stimulating environment for your child to enjoy and thrive in. Typically, au pairs or nannies provide more than routine child care, often providing assistance with daily household activities which include running errands, shopping, doing laundry, fixing meals, and cleaning the house. The most now common way to find a nanny is via the childcare website/care website or a nanny agency. Nanny agencies will thoroughly check an applicant's references and run a criminal background check on the successful candidate. Having a nanny could be cheaper than putting multiple children in a daycare setting full-time. Nannies could provide stability for the child who gets to have a regular role model in their life. Nannies often work overtime and babysit, providing less stress for parents running late without being charged excessive late fees. They also care for sick children whereas nurseries do not. This enables the parents to continue working normally without being interrupted. All nannies have first aid and background checks which are either checked by the agency or the family themselves. They can be subject to visits from their local childcare regulatory bodies. Children with nannies could also be well socialized as nannies could be able to take them out and attend more playdates. Family child care providers care for children in the provider's own home. The children could be in a mixed age group with a low adult-to-child ratio. Care can also potentially be personalized and individual. The hours may be more flexible and the provider may offer evening and weekend care for parents who work shifts. The cost in a family child care could be significantly lower on average than that of a center. Child care facilities in the US have the option of becoming accredited. This standard is set and regulated by an outside agency. In centers, National Association for the Education of Young Children institutes it. For family child care providers, the National Association of Family Child Care Providers award the credentials.