Sounds like LIza's kid and mine go to the same daycare! lol! <img src="i/expressions/face-icon-small-wink.gif" border="0">
Our older daughter was already attending our center when Emily was born, and by the time I was ready for her to attend, they had taken it upon themsemves to learn all they could about Cf and what she would need.
I think it is important that kids are separated by age, and that the ratios in each room be low. Our center too, had just 6 babies in a room, then 12 1 -2 year olds, then 16 2 -3 year olds...
They also clean toys regularly and when Emily was a tiny one she had her own basket of toys from home that the other babies didnt get into and I cleaned them every night.
They have to (by state law) post any contagious diseased going around the center, but they will also call us in the morning if someonw in her room calls in with something...just to let us know she was expoeced the day before. That way, if we feel we need to call the doctor or keep her home we can, before taking her to the center for the day.
They are patient about her eating, have learned to care for her g-tube, did pt there before we got her vest, know how to tell if she needs more enzymes based on her poop, can diagons a cough and its cause...basically, if I know it, they know it, and they are Awesome!
They are a SMALL center, most of the teachers have been there since way before Isabelle stated 5 y ears ago, all the teachers have kids in the center...it's a family.
So, what to look for?
group size and ratio small
good general health practices (should exceed state regulations)
low turnover of staff
you should get a good feeling when you walk in the door
staff needs to be willing to learn what they need to learn (Ask about how they handled previous clients with health needs - our center has quite a few kids with need more severe than Emily's)
The thing that sealed the deal for me when Emily was starting there...a favorite teacher f rom Isabelle's days in the infant room took her fom me when we went to visit and teach them how to do her cpt...she hugged my little one and I heard her whisper "Emily, I can just tell I' going to love you as much as I loved your big sister."
That says it all. If your child is loved there, the rest will follow.
Daycare has been a great thing for Emily. None of her health issues have been related to being there, and in fact, she eats better there with other kids than she does at home with her picky big sister (whom she mimics...). With her tempermant, I know that if she stayed home with me or a caregiver, she'd be one spoiled rotten kid, and no one wants that.
Good luck in whatever you decide. Visit several centers, weigh your options then follow your heart.