These are anxious times for our nation. Children, parents and child care providers are all carrying an extra burden as they deal with the demands and uncertainties of the COVID-19 pandemic. This is an especially difficult time for a child to experience the death of a family member or friend.

Even in the best of times, child care providers and other educators play a unique and powerful role in supporting grieving children. For example, educators can help children understand basic concepts about death. They can be available to talk, and—more importantly—listen to children at a time family members may be less available because of their own grief. Educators can also make accommodations in learning and social activities if children are struggling academically or socially.

A few months after the COVID-19 pandemic hit the United States, Child Care Aware® of America (CCAoA) surveyed Child Care Resource and Referral (CCR&R) agencies. In response to the survey, 163 CCR&R professionals from 41 states relayed the most pressing concerns they are hearing from child care providers. Locating and purchasing disinfecting supplies and personal protective equipment (PPE) were among the top 5 concerns.

Like no other time in the history of child care, coronavirus (COVID-19) is challenging child care professionals to make difficult decisions about closing their programs temporarily and then determining when and how to reopen. These decisions are critical to protecting the health and safety of all enrolled children and their families as well as program staff and their household members.

Aside from state/local mandates for child care programs, reopening decisions are complicated by numerous factors: Will children be enrolled who have easily compromised immune system health or who have conditions, like asthma, that put them at enhanced risk for poor COVID-19 outcomes if exposed to the virus? Are child care program staff comfortable with potentially being on the front lines of coronavirus as they are in close quarters with children when providing care? Can cleaning, sanitizing and personal protective equipment be sourced and will it be affordable for child care programs for as long as it is needed? How do continuously shifting community transmission rates and many other COVID-19 unknowns factor in to decision making to re-open doors to children and their families?  

As the COVID-19 health and economic crisis continues, the child care industry is pushed further towards the brink of collapse. Throughout the pandemic, the sector has adhered to public health guidance and ensured frontline personnel have access to care, however as the field moves towards additional reopening, and planning for the fall, additional support is needed to ensure child care programs, both center-based and family child care, outlast the pandemic. 

The COVID-19 situation and its impact are fluid, changing from day to day. There are many uncertainties regarding child care and child care operations, and child care professionals at both the program and system level must be nimble in their response to the pandemic. They must lean on and build upon the strengths that have served them well and will continue to serve them well during COVID-19 and beyond: relationship-based practices and data-driven decision making.

The coronavirus pandemic continues to highlight the vital role child care plays for millions of children and families, especially for those who work on the front lines of the crisis. Unfortunately, COVID-19 is also underscoring the precariousness of high-quality, affordable and accessible child care – the result of years of underinvestment in the system.  

State policies play an important role in exacerbating or mitigating these factors.