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AN IDEAL CRECHE WOULD PROVIDE THE FOLLOWING FACILITIES:

ADEQUATE ROOM
 Avoid overcrowding
 Approx 30 to 40 sq ft room for each child
 Free movement and play
 Chances of disease transmission decrease
 Less chance of collision accidents

ADEQUATE VENTILATION
 Enough windows for free flow of fresh air
 Grilled doors that let in air
 Good ventilation reduces air borne disease transmission
 Good ventilation reduces sweating

ADEQUATE LIGHTING
 Sunlit room ushers in a bright and happy mood
 Dingy room is depressing
 Sunlight kills bacteria and viruses
 Sunlight reduces flies and mosquitoes

ADEQUATE NUMBER OF CARE TAKERS:
 A ratio of one caretaker to three children
 Owner(s) + assistant(s) + maid(s)
 Inadequate number of caretakers will tire out soon (irritability)

A POLICY OF GOOD GENERAL HYGIENE:
 A change of clothes for all children during the day
 Change clothes immediately on soiling
 Change diapers when soiled
 Wash children after feeding
 Bathe if required
 Teach older children to wash themselves
 Keep the toilet clean for children at all times
 Keep the floor clean
 Wipe toys with wet cloth (mouthing)

APPROPRIATE NUTRITION:
 Under six months - expressed breastmilk - refrigeration facility
 Bottle-feeding to be avoided (Liquid animal milk)
 Appropriate complementary foods for infants above six months
 Prepared food to be heated slightly before feeding
 Fresh food to be hygienically prepared
 Caretakers should wash hands before preparing / feeding meals
 Raw fruits / vegetables to be washed well
 Respect culture and tradition
 Encourage feeding of older children at one time
 Encourage self feeding
 Avoid peanuts, grams etc that could choke a child accidentally
 Unwell caretakers should avoid feeding children

TIMELY MEDICAL CARE:
 Home remedies for fever, diarrhea, vomiting, stomach colic etc
 Contact nearby doctor for emergencies
 Advice parents to keep a sick child at home until well.
 First aid for small injuries, abrasions, cuts, and choking

ACCIDENT PREVENTION:
 Avoid slippery floors
 Avoid keeping sharp edged toys
 Avoid heavy / sharp edged furniture in the play area
 Prevent a child from going alone in the toilet
 Keep blade, knife, scissors, nails, nuts, beads, small rubbers, pills,
peanuts, grams, beans, matches, glass items, liquid medicines,
kerosene, toilet-cleaning liquids, paints, etc out of reach.

PSYCHOSOCIAL STIMUTATION: 
 Small infants should be provided physical warmth and tenderness
 Older infants should be talked to and sung to
 Story telling sessions can be held
 Toddlers can be taught colors, names of objects, animal sounds, and rhymes etc
 Pictures and flash cards can be made for older children
 Dancing to music
 Decorate room with colorful calendars and charts
 Common games and coloring activities
 Feeding together
 Older children encouraged to help in taking care of infants
 Children never to be scolded, threatened or beaten
 Children must feel secure in the crèche.

COUNSELING TO PARENTS:
 Regarding breastfeeding and use of expressed breast milk
 Regarding avoidance of bottle-feeding
 Regarding timely introduction of, and types of complementary
foods
 Regarding psychosocial stimulation (interaction) at home
 Regarding spacing of children
 Regarding accident prevention at home

COST-EFFECTIVE MANAGEMENT:
 Crèche facility should be affordable by parents
 Advise parents on the use of home available and home cooked
foods
 Discourage use of expensive junk food snacks
 Use simple toys in the crèche (made by crèche owners, parents,
children)
 It would be a good idea to dress all crèche children in simple cotton
clothes for uniformity of status

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