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Without something like this to get a better insight, these children would have no  voice.  $6 Providers by type of age groups in child care setting Dismissal cases by age group1 in 5 providers had dismissal cases in the last year (14% previous year) Half had more than one dismissal case Number of dismissal cases = 244:J& J& ,"For providers with a dismissal  last year or in the  previous year EE$bDismissals  last year or in the  previous year were: More common among providers with infants 0 to 11 months (and, among these, were more common among settings that have 1 to 2 infants 0 to 11 months) More common among providers with infants 12 to 23 months More common among providers with preschoolers*77I Distribution of child care providers and dismissals by type of licensure &V Distribution of providers and dismissals by number of children enrolled in child care Reasons for dismissalBehavior problems of the child - 51% of cases Inability of parent/guardian(s) to pay for child care - 31% of cases Safety of other children - 26% of cases Other reasons - 29% of cases Parental behavior problems, issues with hours, health issues, etc.*ZCZC)Reason for dismissal: behavior Dismissals for behavior-related problems were: Less common among infants (0 to 11 months and 12 to 23 months) and toddlers More common among school-age children More common among child care settings with 20 or more children, followed by settings with 1 to 9 children*/ZZ/ %For dismissals due to child behavior:&&$14% of providers were aware of the behavior problem when the child enrolled. When behavior became a problem, actions the providers took included: Behavior was observed and documented - 62% of providers Parent/guardian was provided with outside resources to assist the child - 33% of providers Once it was determined the child would leave, the family was given other resources to contact for placement - 37% of providers.ZZ 1Examples of reasons for dismissal from child care22$Behavior problems of the child  Touching of private parts on other children.  Child was constantly wetting pants. 0UU* 'Reason for dismissal: issues of paymentDismissals for issues of payment were: More common among toddlers Less common among school-age children and children living with both parents&'g'g 1Examples of reasons for dismissal from child care22$Issues with hours, payments  Parent s hours at work no longer fit with day care hours of service.  Parent said the children would be full-time, but treated us like a drop-off day care without notice.  Always were late with payments. 0+!.Reason for dismissal: safety of other children(Dismissals for the safety of other children were: Uncommon among infants (0 to 11 months and 12 to 23 months) More common among school-age children More common among child care settings with 20 or more children More common among child care settings with  other types of licensure (e.g., center, pre-school, school-age, Head Start*, and those with multiple types of licensure), followed by settings with  group licensure *Head Start s federal regulations do not permit local Head Start programs to expel children for any reason.H2PvPmP2wl 1Examples of reasons for dismissal from child care22$Issues with parents  Parent s behavior was threatening and defensive.  Parents would not allow child to be evaluated.  Parents were unwilling to follow through with advice given to them on discipline and biting issues.  Parents wouldn t keep a consistent schedule to help resolve behavioral issues.  Parents would not follow illness guidelines.  Children kept coming with lice. :ZlZl1Examples of reasons for dismissal from child care22$Not enough resources/child had special needs  Unable to provide the specialized one-on-one care child needed as well as taking care of other children.  He had [an] attachment disorder and I was not informed about it. 0-, Prior to dismissal:The vast majority of providers had at least one meeting with the parents prior to dismissing a child (89%). A time limit was given for the dismissal in 64% of cases, while in 30% of cases the dismissal was immediate. Formal assessmentsA professional conducted a formal assessment of the child in 15% of the dismissal cases. Conditions identified included ADHD, Asperger s, Autism, and hearing impairment. Recommendations were given to the parent based on the child s assessment in 24% of the cases. The child care program was an active participant in developing the recommendations in 23% of cases. Providers perceived that parents showed little follow-through on recommendations to prevent dismissal.FYZRZ*ZYR*+Resources that would help prevent dismissal,,$Advice from a health professional  Additional information on Asperger s Syndrome.  Someone to help staff with child s anger management. 0#h"h+Resources that would help prevent dismissal,,$$Staff ratio issues  Extra help to care for the child.  One-on-one with child.  Money to support extra staff for child with psychological needs. (+Resources that would help prevent dismissal,,$Payment issues  Payment on time in full.  Child care assistance in larger amounts, paid up front instead of at the end of the month.  The guarantee that if we get families on day care assistance we ll get paid. <+Resources that would help prevent dismissal,,$Counseling  Family counseling.  Counseling to come in so I would know what triggers to avoid. < U @+Resources that would help prevent dismissal,,$Government help/input  More cooperation from County Social Services.  State required documentation to help support illness guidelines. (ss+Resources that would help prevent dismissal,,$(Parent education, training, involvement  Cooperation of parents on suggestions to modify behavior.  Information and resources to give to families. ((m(m+Resources that would help prevent dismissal,,$:Prior knowledge of problems, honesty from parents  Knowing about his issues before he came.  Parents being honest when filling out the informational forms. (2l2l+Resources that would help prevent dismissal,,$DTraining  More information on psychological diseases.  Techniques to use, ideas and activities.  In home observation and guidance when we need help.  Training on how to communicate with parents when behavior problems occur, suggestions on policies and procedures that providers can use. , ZZ  Provider comment: I feel it is unprofessional to just  pass off a challenging child/family. This does not serve the child/family or the child care profession. The responsibility lies with the provider to seek out and participate in appropriate training to meet the needs of the children/families in our state. The resources are available to all providers. 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